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Pre-Examination Process
Sample Receiving
Sample Acceptance Criteria
Blood sample
* Properly filled Requisition forms.
* Properly labeled samples.
* Details on Requisition form should be matched with sample container details
* Proper Vacutainers
* Appropriate quantity of sample.
* ABG sample & Plasma sample should not be clotted
* Spill over the sample should not be there.
* Sample will be received within 4 hours of collection.
Urine Sample:
* Properly filled Requisition forms.
* Properly labeled samples.
* Details on Requisition form should be matched with sample container details
* Appropriate quantity of sample.
* Sample containers should not be open, they should be tightly packed.
* Sample spillage should not be there.
All specimens must have the following information on the vacutainer:
* Patient’s Name
* Ward Name
* Specific Case Registration Number (MRD Number)
* Date
Information present in requisition form must match with information present on vacutainer.
For ABG analysis specimens must be received on ice packs in pre-heparinized syringe and as early as possible.
Criteria For Sample Rejection:
Blood sample:
* Improperly filled Requisition forms.
* Improperly labeled samples.
* Details on Requisition form is not matched with sample container details
* Improper Vacutainers
* Insufficient sample volume / Overfilled sample
* Clotted sample (Whole blood/Plasma)
* Spill over sample.
* Hemolyzed sample.
* Sample received after 4 hours of collection.
* Diluted Sample
Urine Sample:
* Improperly filled Requisition forms.
* Improperly labeled samples.
* Details on Requisition form is not matched with sample container details
* Insufficient sample volume.
* Improper sample container
* Spill over sample.
If prepared serum or plasma is grossly hemolyzed.
Sample is broken or has leaked in transit.
Sample acceptance Exceptions__
A.Insufficient sample volume.
* Do not reject the sample.
* Perform as many examinations as possible as per priority.
* Priority of testing will be decided by the laboratory incharge or consultant.
* Inform the customer.
* Enter remarks of insufficient volume in the report.
* All pediatric samples with insufficient volume will be received by the laboratory.
B Hemolyzed sample.
* Do not analyze SGOT, SGPT, LDH, Potassium, Bilirubin, Ammonia, Hemoglobin, Hematocrit from hemolyzed samples.
* From a less hemolyzed sample Glucose, Cholesterol, Uric acid, Urea, Creatinine, Albumin, Alkaline phosphatase, Total protein, UIBC, Sodium, Calcium can be performed.
* Take the decision of which parameters can be analyzed from this sample.
* Enter remarks of Hemolyzed samples in the report.
C** If blood is collected in EDTA Vacutainer Bilirubin, Cholesterol, Triglyceride, ALT, AST, Creatinine, Urea can be performed. However it is unsuitable for Coagulation study,Enzyme assay, Hormonal assay & electrolyte analysis or methods that require electrolyte or metallic cofactors.
→ Entry of received sample and requested parameters are to be entered on software.