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sample_collection_manual [2025/01/25 05:10] – adminsample_collection_manual [2025/01/25 05:53] (current) – admin
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 +[[clinical_biochemistry_section|Home]]
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               SAMPLE COLLECTION MANUAL OF LABORATORY SERVICES               SAMPLE COLLECTION MANUAL OF LABORATORY SERVICES
                       SIR T HOSPITAL, BHAVNAGAR                        SIR T HOSPITAL, BHAVNAGAR 
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 |              |Transport| Class IV of ward| Class IV of OPD/Patient’ relative| |              |Transport| Class IV of ward| Class IV of OPD/Patient’ relative|
 |              |Receiving| R1 Pathology | R1 Pathology|   |              |Receiving| R1 Pathology | R1 Pathology|  
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-                      ''STANDARD OPERATING PROCEDURES (LSSTH/SCM/SOP/RSH)1/1''  +                    ''STANDARD OPERATING PROCEDURES (LSSTH/SCM/SOP/RSH)1/1''
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 **7.1 STANDARD OPERATING PROCEDURE OF RECEIVING ROUTINE SPECIMENS IN HISTOPATHOLOGY**  **7.1 STANDARD OPERATING PROCEDURE OF RECEIVING ROUTINE SPECIMENS IN HISTOPATHOLOGY** 
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                  ''STANDARD OPERATING PROCEDURES (LSSTH/SCM/SOP/FSCP)1/1''                  ''STANDARD OPERATING PROCEDURES (LSSTH/SCM/SOP/FSCP)1/1''
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 **7.2 STANDARD OPERATING PROCEDURE OF FNAC SAMPLE COLLECTION PROCEDURE** **7.2 STANDARD OPERATING PROCEDURE OF FNAC SAMPLE COLLECTION PROCEDURE**
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               ''STANDARD OPERATING PROCEDURES (LSSTH/SCM/SOP/SRC)1/5''               ''STANDARD OPERATING PROCEDURES (LSSTH/SCM/SOP/SRC)1/5''
  
-**7.3 SAMPLE REJECTION CRITERIA BLOOD SAMPLE REJECTION CRITERIA+**7.3 SAMPLE REJECTION CRITERIA BLOOD SAMPLE REJECTION CRITERIA**
   * Improperly filled forms.   * Improperly filled forms.
   * Improperly labeled samples.   * Improperly labeled samples.
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 **Rejection criteria:** **Rejection criteria:**
-A. SPECIMEN RECEIVED WITHOUT A LABEL OR WITH AN IMPROPER LABEL +A. //SPECIMEN RECEIVED WITHOUT A LABEL OR WITH AN IMPROPER LABEL// 
-At a minimum, specimen label must include patient name & reg. no. as the two patient identifiers. +  * At a minimum, specimen label must include patient name & reg. no. as the two patient identifiers. 
-Call unit, ward or person responsible & notify of the problem. +  * Call unit, ward or person responsible & notify of the problem. 
-If any doubt exists as to origin of specimen, reject & order recollection. +  * If any doubt exists as to origin of specimen, reject & order recollection. 
-B.Ordered List ItemSPECIMEN IMPROPERLY COLLECTED OR TRANSPORTED +B.//SPECIMEN IMPROPERLY COLLECTED OR TRANSPORTED// 
-Check with person responsible for collection to determine reason for deviation from procedure. Give instruction in the proper method of collection & transport to prevent repetition of the error.  +  * Check with person responsible for collection to determine reason for deviation from procedure. Give instruction in the proper method of collection & transport to prevent repetition of the error.  
-C.//SPECIMEN CONTAINER EXHIBITS GROSS EXTERNAL CONTAMINATION OR LEAKING SPECIMEN//Container exteriors must be clean & free of gross contamination. Leaking specimens indicate integrity of the specimen has been compromised & puts transport & laboratory personnel at risk.+ 
 +C.//SPECIMEN CONTAINER EXHIBITS GROSS EXTERNAL CONTAMINATION OR LEAKING SPECIMEN// 
 +  * Container exteriors must be clean & free of gross contamination. Leaking specimens indicate integrity of the specimen has been compromised & puts transport & laboratory personnel at risk. 
 D.//SPECIMEN NOT OF SUFFICIENT QUANTITY//:If specimen has multiple orders, request priority listing of tests. D.//SPECIMEN NOT OF SUFFICIENT QUANTITY//:If specimen has multiple orders, request priority listing of tests.
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 E.//SPECIMEN MUST BE RECEIVED IN A TIMELY MANNER// Order recollection if specimen has exceeded recommended limits for transport. E.//SPECIMEN MUST BE RECEIVED IN A TIMELY MANNER// Order recollection if specimen has exceeded recommended limits for transport.
  
-Sr. No. +^Sr. No.^Specimen type^Test^Rejection Criteria^Report Comment^ 
-Specimen type +|1|Stool|C&S|1.Not submitted in enteric pathogen transport media. 2.Multiple specimens collected from the same in-patient the same day(only one specimen per patient per test per day is to be processed).3.All formed stools except when S. typhi requested.|1.Specimen not received in enteric transported medium.2.Multiple specimens received. Only the most recently collected specimen has been processed.3.Formed stool received. Test cancelled.| 
-Test +|2|Sputum|C&S|More than 25 squamous epithelial cells/lower power field|Greater than 25 squamous epithelial cells per low power field.| 
-Rejection Criteria +|3|Urine|C&S|  * Condom catheter  * Foley catheter tips & bags  * Leaking specimens  * Inappropriate/swabs/non sterile container  * > 24 hr delay before specimen received  * Duplicate specimens (more than one processed urine within 24 hrs)|“Specimen unsuitable for culture…. Because of….add qualifier.”| 
-Report Comment +|4|Dry swabs|C&S|If received in the lab > 1 hr after collection.|“Specimen not received in transport medium & was in transit for > 1 hr.”| 
-1 +|5|Blood cultures, tissues, Sterile body fluids e.g. CSF|C&S|If received in the lab > 48 hr after collection.| Process specimen. EnterReport Comment:”Specimen was received in the lab>48 hrs after it has been collected; results should be interpreted accordingly.”| 
-Stool +|6|All specimen type except: Tissue Sterile, body fluid,Brain & liver abscess, Aspirated pus, Bone & soft tissue biopsies with diagnosis of gas gangrene, necrotizing fasciitis or necrotizing cellulitis |Anaerobic culture| Not submitted in special anaerobic transport media.| “No Anaerobic swab received; anaerobic culture not done.”| 
-C&S +|7|Blood | For serology|* Sample hemolysed.* Not submitted in Red vacuette| * So kindly repeat the sample.” * Please collect blood in Red vacuette.| 
-Not submitted in enteric pathogen transport media. + 
-Multiple specimens collected from the same in-patient the same day(only one specimen per patient per test per day is to be processed). +
-All formed stools except when S. typhi requested. +
-Specimen not received in enteric transported medium. +
-Multiple specimens received. Only the most recently collected specimen has been processed.+
  
  
-Formed stool received. Test cancelled. +^ Name of Laboratory : Laboratory Services Sir T. Hospital (LSSTH),Bhavnagar ^^^ 
-Sr. No. +^**Document Name**: Documented procedure for primary sample collection & handling(Sample collection manual)^^^ 
-Specimen type +^**Unique ID**: LSSTH/B/Central/DP/7.2.4/22^^^ 
-Test +^Issue No. : 01^Issue Date :30/04/2024^Copy No. :01^ 
-Rejection Criteria +^Authorized by:Laboratory director^ Review Date:23/09/2024^Reviewed by:Deputy Quality Manager^
-Report Comment +
-2 +
-Sputum +
-C&S +
-More than 25 squamous epithelial cells/lower power field +
-Greater than 25 squamous epithelial cells per low power field. +
-3 +
-Urine +
-C&S +
-Condom catheter +
-Foley catheter tips & bags +
-Leaking specimens +
-Inappropriate/swabs/non sterile container +
-> 24 hr delay before specimen received +
-Duplicate specimens (more than one processed urine within 24 hrs) +
-“Specimen unsuitable for culture…. Because of….add qualifier.” +
-4 +
-Dry swabs +
-C&S +
-If received in the lab > 1 hr after collection. +
-“Specimen not received in transport medium & was in transit for > 1 hr.” +
-5 +
-Blood cultures, tissues, Sterile body fluids e.g. CSF +
-C&S +
-If received in the lab > 48 hr after collection. +
-Process specimen. Enter +
-Report Comment: +
-”Specimen was received in the lab>48 hrs after it has been collected; results should be interpreted accordingly.”+