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                          '' Documentary procedure for Sample receipt''       

**Purpose:** To ensure accurate and efficient receipt and processing of samples and requests  in the laboratory & standardized approach for sample receiving operations in order to ensure high sample integrity and the validity of the analytical results. 

**Scope:** This procedure applies to all laboratory personnel involved in receiving and processing samples and requests.

**Responsibility:** 
Laboratory Assistant or Laboratory Technician: Receives and processes samples.
Laboratory Manager: Oversees receipt procedure and ensures compliance
Laboratory is receiving samples from all the Wards of Sir T Hospital, Bhavnagar & OPD Samples from collection center of Sir T Hospital, Bhavnagar.

**Responsibility:**
Laboratory Technician, Laboratory Assistant, Resident doctors

**Procedure:**
Sample & Requisition form should have all the information as per this document. 7.2.2.b Requisition Procedure

Check for Sample Acceptance & Rejection criteria in all the samples.

**BLOOD SAMPLE ACCEPTANCE CRITERIA**
  - 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 ACCEPTANCE CRITERIA**
  - 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.


**BLOOD SAMPLE REJECTION CRITERIA**
  - Improperly filled Requisition forms.
  - Improperly labeled samples.
  - Details on Requisition form is not matched with sample container details
  - Improper Vacutainers 
  - Insufficient sample volume.
  - Clotted sample (Whole blood/Plasma)
  - Spill over sample.
  - Hemolyzed sample.
  - Sample received after 4 hours of collection.
  - Diluted Sample

**URINE SAMPLE REJECTION CRITERIA**
  - 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.

**Sample acceptance Exceptions**

1.Insufficient sample volume.
  * Do not reject the sample.
  * Perform as many examinations as possible as per priority
  * Enter remarks in the report.
  * All pediatric samples with insufficient volume will be received by the laboratory.
  * Priority of testing will be decided by the laboratory incharge or consultant.
2.Hemolyzed sample.
  * Look for grading of hemolyzed samples. From hemolyzed samples Glucose,
  * Tale decision of which parameters can be analyzed from this sample.
  * Enter remarks.
3.Wrong vacutainer- except electrolyte 

Registration of all the samples into the LIS.
  * LIS WDI
  * For rejected samples: write the cause of rejection.
  * On registration LIS will generate a Sample ID for the sample. 
  * Write following details on received requisition form
  * Sample ID generated by LIS
  * Name of Sample receiver
  * Receiving Date & Time
  * Write Sample ID on received Received Sample.


^ Name of Laboratory : Laboratory Services Sir T. Hospital (LSSTH),Bhavnagar ^^^
^**Document Name**: Documentary procedure for Sample Receipt^^^
^**Unique ID**: LSSTH/B/Bio/DP/7.2.6.1/30^^^
^Issue No. : 01^Issue Date :30/04/2024^Copy No. :01^
^Authorized by:Laboratory director^ Review Date:23/09/2024^Reviewed by:Deputy Quality Manager^