Chapter 5 Flashcards
(19 cards)
Sample
One or more parts (blood or tissues) taken from patients body
Five C’S of medical record documentation
Concise- entries must be factual and to the point
Complete- complete and objective
Clear- information handwritten should be printed using blue or back ink no cursive
Correct- error free
Chronologic- latest entries on top
Specimen
Discrete portion of a body fluid ( blood or urine) or tissue taken for examination
Most error free method for requesting a laboratory test
Electronic request
Barcode can be used for which type of phlebotomy information
Unique patient Id numbers
Sample integrity
(Quality or completeness of the blood sample) can be affected by
- method of transport
- timing delays
- temperature
- humidity
- agitation
- exposure to light
- centrifugation methods
Centrifugation
While the specimen is in the centrifuge
Precentrifugation
Specimen handling and processing after collection and before centrifugation should be stored at room temp and inverted 10-20 times
Recommendations for handling and processing blood specimens
-Specimens without anticoagulant additives should be clotted before centrifugation takes 30-60 minutes
room temperature- (22 degrees Celsius-25 degrees celsius)
-chilling (2-8 degrees celsius) will delay clotting
Thermolabile- they degrade if exposed to warm temps
Room temperature (in degrees in Centigrade)
22-25
Normal body temperature (in degrees Centigrade)
37
Thermolabile
Temperature
Photosensitivity
Light
A specimen should be chilled for which if the following analyses
-Ammonia
A specimen should be protected from light for which of the following determinations
Bilirubin concentration
Specimens that may require chilling
- Ammonia
- gastrin
- lactic acid
- catechism ones
- parathyroid hormone
- pyruvate
Barcodes
Series of light and dark bands that relate to letters and numbers so they can correspond to a name or a number identification or test code etc
Lipemic
Blood specimen cloudy or milky appearance due to ingestion if fatty foods
How long does it take for normal blood specimen without anticoagulant or clot activator to clot
30-60 minutes