specimen rejection policy

Manual\Specimen Rejection Criteria QPCMI06001.doc SPECIMEN REJECTION CRITERIA LEAKING SPECIMENS Leaking specimens pose a problem in microbiological specimens since they: 1) may be an infectious hazard to those handling the specimen; 2) may provide misleading result if they are contaminated and the contaminants are interpreted as pathogens. Your facility will be notified and a redraw will be requested. No more than three (3) parasitology specimens are recommended over 7-10 days because shedding may be intermittent. A total of 42,923 specimens were received at APHI reference laboratories. generated. 4.1.2 Specimens with incomplete required data, and/or that which fall in the Rejection Criteria stated in Section 3.6 shall NOT be processed. Specimen stability information, including the time frame beyond which the stability and integrity of a specimen or the analytes to be detected in a specimen might be compromised; Specimen transport conditions (e.g., ambient temperature, refrigeration, and immediate delivery) Reasons for rejection of specimens (8) Specimen referral. SPECIMEN LABELING AND REJECTION POLICY Laboratory Quality Program Process Control-General Document No: Gen103 Page 1 of 6 Purpose: To provide guidelines for specimen labeling and specimen rejection. April 29, 1994. 6.4 Specimen rejection and cancellation of tests All rejected specimens should be reported to the Head of the Laboratory stating the reason(s) of rejection. A.4. Specimen Collection and Submission Instructions COVID-19 DOH 301-020 Page 2 of 2 General Rejection Criteria (for additional details, see S&H) • Unaccepted specimen type. 2. Northwest Hospital, Provision of Care Policy 5.159 states criteria for specimen rejection. Whenever possible, collect specimens prior to administration of antimicrobial agents. improperly labeled specimen. All major sample and/or test request deficiencies are documented on a Laboratory Deficiency Resolution Request Form (AHS Form 18025 or 18026) and are recorded as a non-conforming event. 2. SPECIMEN REJECTION When a specimen is rejected, the laboratory personnel may need to call or message the patient and ask for a redraw of the specimen. dried swabs. Due to the inherit risk to the patient, ABSOLUTELY NO mislabeled blood bank samples will be accepted by our laboratory. specimen collection OR procedure with an alternative anticoagulant defined with validation data HEM.22789 Specimen Rejection Criteria - Coagulation Phase II There are documented guidelines for rejection of under- or overfilled collection tubes. Procedures for the Handling and Transport of Diagnostic Specimens and Etiologic . We detected an overall specimen rejection rate of 6% in emergency laboratory. Specimen Acceptability and Rejection Effective: 05/02/2019 LAB.SP.0016 Page 2 of 3 1. The patient must be correctly identified at the time of the sample taking and the service user is referred to Trust policies relating to this. 1. Specimen rejection can increase staff dissatisfaction with laboratory services, result in They cannot be processed. (7) Specimen acceptability and rejection. Specimens which cannot be recollected (eg. Sample Acceptance and Rejection Policy. Staff, including staff that maybe opening the deliveries, should be trained in proper safety protocols for these specimens. Specimen Rejection Policy The following criteria will be used for specimen rejection: Unlabeled, mislabeled or incompletely labeled specimens will be discarded by the laboratory and new collection requested. NOTES/LIMITATIONS Each division/unit must establish and follow written policies and procedures for an This phase begins in clinicians' offices with the initiation of the testing requisition and includes the steps for Mislabeled specimens can lead to morbidity and even death. 4.1.3 The running/processing of specimens will be done by batch as follows: 4.1.3.1 Specimens received from 8:00 AM to 11:00 AM shall be processed in the Rejection Procedure for Laboratory Specimens: 1. III. DISPOSITION OF REJECTED SPECIMENS All rejected specimens will be held for a minimum of 24 hours in a Daily Specimen Rejection Bucket prior to final disposition in an appropriate biohazard trash container (AP specimens may be kept longer due to their irretrievable nature). Specimen Rejection Policy. 5. Specimen integrity and overall quality handling of specimen; consequently, ensuring quality Lab test results are being produced by HMC DLMP. Rejection Criteria Specimens will be rejected under the following conditions: The two unique patient identifiers on the specimen container do not match those on requisition or electronic order. The following are examples of samples that should be rejected: • unlabeled sample; Specimen rejection criteria should be distributed to all clinical practitioners. GUIDELINES FOR SUBMITTING SPECIMENS TO CDC FOR LABORATORY TESTING FOR SARS-CoV-2 This document provides supplemental guidance regarding specimen collection, storage, and shipping to CDC laboratories in addition to the guidance available on CDC's website regarding infection prevention and control in Specimen collected with a non . This is generally in line with the rate reported in past studies of specimen rejection, (1-4) which have typically shown rates of less than 0.3% and up to 0.75%, with lower rejection rates reported in more recent studies. Laboratory staff is responsible for adhering to sample rejection and acceptance policies. 2. 2. Specimens will be rejected when: The minimum identification criteria is not met (See above) Provide a specimen/sample that is valid and of acceptable quality for testing. Specimen transport containers cannot be imperfect and specimen rejection policy and policy contains. Specimen label and request form with mismatched details. For electronic orders, the laboratory staff cancels the order in the Laboratory Information Systems (LIS) Operating mode. Insufficient sample volume. It is intended to ensure the safety of the patient and to confirm the correct investigation is performed on the . • Insufficient specimen volume. I. Specimen rejection criteria. Irretrievable specimens require special consideration. It also provides for exceptions to be made under certain circumstances. The verification form should include the following information: Refer to Acceptance or Rejection of Samples and Requisitions for additional information. The ASPHL will NOT examine clinical/reference specimens if the following circumstances exist: • Test is routinely available at a hospital or a private independent laboratory. Manual\Specimen Rejection Criteria QPCMI06001.doc SPECIMEN REJECTION CRITERIA LEAKING SPECIMENS Leaking specimens pose a problem in microbiological specimens since they: 1) may be an infectious hazard to those handling the specimen; 2) may provide misleading result if they are contaminated and the contaminants are interpreted as pathogens. Pre-analytic errors and specimen rejection can result in delayed patient treatment, increased length of stay, and the need to recollect specimens. In these cases, the laboratory may need to reject the samples, and not carry out processing. (c) The laboratory must refer a specimen for testing only to a CLIA-certified laboratory or a laboratory meeting equivalent requirements as determined by CMS. Management should regularly review the number of rejected samples and reasons for rejections, conduct training on sample collection, and revise written procedures for sample management as needed. Rejection of Stool Specimens for Clostridium Difficile Testing Background. (7) Specimen acceptability and rejection. Three (3) specimens will pick up 99% of parasitic pathogens. Samples collected from clinics/rural health facilities were five times more likely to be rejected compared to those from a central hospital. The primary focus for a specimen rejection policy is to insure patient specimen identification and specimen integrity in order to maintain patient safety and accurate test results. Properly label the specimen in the presence of the patient (a minimum two patient identifiers are required) and order appropriately in EPIC (Refer to HPO Policy SPEC001: Laboratory Specimens, Patient Identification and Specimen Labeling"). Irretrievable specimens are the only exception to this rejection policy. Specimen Collection I need information about sample collection for a test being ordered for a patient. the lower their adherence to specimen collection policies, the greater the opportunity for errors to occur in this phase. The procedure for Pre-analytic Problem Resolution is followed to ensure proper documentation and follow-up with the ordering provider when samples or requests CD4, HIV viral load, genexpert and EID specimens' rejection rates were 0 . Labeling Errors: See Rejection Protocol Table for handling of rejected specimens. 3. NOTE: The recommended proportion of blood to the sodium citrate anticoagulant volume is 9:1. • Specimens in which the quantity is not sufficient for proper processing. () . The sample must be fully and correctly labelled before sending this to the laboratory. 1.2 This document sets out the Trust's policy for submitting specimens to the Laboratory for diagnostic tests and investigations. Examples of reasons specimens that may be rejected: 4.1 Samples received unlabelled 4.2 Patient name mismatch between requisition and sample • Specimens that cannot be immediately transferred must be refrigerated until transferred to the Pathology laboratory. Requesting physician or nursing in charge should always be notified upon receipt of these specimens before discarding them. Patients who produce formed stool specimens are not likely to be infected with C. difficile.As such, the performance of C. difficile toxin testing on formed fecal samples . Criteria for specimen rejection is dependent on individual tests. All specimen requirements as noted in the individual sections of this manual should be strictly followed. Policy: II. improper transport media. Specimens arriving after 1 p.m. may be held until the next day (if collected the same day received) or may be rejected if the schedule is full (or if the specimen was . • Not refrigerated or frozen properly. Every specimen received must meet the minimum specimen requirements for the requested test. SPECIMEN REJECTION CRITERIA. 4. Mislabeled Blood Bank samples cannot be used regardless if considered irretrievable. prolonged transportation or improper storage or handling prior . • For specimens submitted to the laboratory from remote sites, there is a documented tracking system to ensure that all specimens are actually received. KHEL currently has the following policy for rejection of laboratory specimens and/or requested examinations. Procedure: All rejected specimens are documented in the lab computer (LIS) with date, time, and the charge nurse and/or physician notified. SPECIMEN LABELING REQUIREMENTS UC Irvine Pathology Services has established a uniform policy for specimen acceptance/rejection that: Has a positive impact on patient care; Protects specimen quality; Eliminates risk of exposure to the healthcare worker; Complies with all accreditation standards Sometimes the laboratory is able to rectify a situation - and although turnaround times may . Rejection Consequences: Communication will be provided to the ordering health care professional. Specimens submitted for laboratory testing must be accurately labeled to assure Rationale Studies show that up to 56% of laboratory errors occur during the pre-analytical phase of testing1. Log the incident into the "Lab Error/Problems/Incidents" binder. The total cost for the recollection was around $43,210 USD with an average cost around $21.9 USD. 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