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Handling and Storing Laboratory Specimens
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Handling and Storing Laboratory Specimens

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Questions and Answers

What is the recommended temperature for storing some specimens after centrifugation?

  • Room temperature
  • Refrigeration
  • Freezing
  • Any of the above, depending on the testing requirements (correct)
  • When should aliquot specimens be prepared?

  • After labeling the specimen
  • Right after completing the centrifugation process (correct)
  • During transportation
  • Before centrifugation
  • Why are some specimens stored in the dark?

  • To prevent contamination
  • To prevent evaporation
  • To prevent light sensitivity (correct)
  • To prevent temperature changes
  • What is the purpose of using absorbent materials in packaging?

    <p>To prevent leakage and spills</p> Signup and view all the answers

    What is the correct sequence of packaging a specimen for transportation?

    <p>Labeling, biohazard bag, primary container, secondary container</p> Signup and view all the answers

    What information should be included on the specimen label?

    <p>Patient's full name, date and time of collection, and source and type of specimen</p> Signup and view all the answers

    What is the purpose of using coolants during transportation?

    <p>To keep the specimen cool or frozen, if necessary</p> Signup and view all the answers

    What is the purpose of using strong outer packaging?

    <p>To protect the specimen from physical damage</p> Signup and view all the answers

    What should be done to protect photosensitive specimens from light?

    <p>Wrap them in foil or use an amber specimen container</p> Signup and view all the answers

    Why is it important to balance tubes in the centrifuge?

    <p>To reduce the risk of breakage</p> Signup and view all the answers

    What should be done with serum or plasma immediately after centrifugation?

    <p>Remove it immediately, but store it at room temperature</p> Signup and view all the answers

    What is the purpose of inverting tubes gently after blood collection?

    <p>To mix the additive with the blood and distribute it evenly</p> Signup and view all the answers

    How long can serum or plasma remain at room temperature before testing?

    <p>8 hours</p> Signup and view all the answers

    What should be used to regulate temperature when transporting thermolabile specimens?

    <p>Heat source or heat blocks</p> Signup and view all the answers

    What happens if the centrifugation time is inadequate?

    <p>Portions of blood cells remain in the serum or plasma</p> Signup and view all the answers

    What should be avoided when transporting thermolabile specimens?

    <p>Fluctuating temperatures</p> Signup and view all the answers

    Why should you not open the lid of the centrifuge before it has completely stopped spinning?

    <p>To prevent risk of injury from flying objects</p> Signup and view all the answers

    What should be done with serum or plasma if testing does not take place within 48 hours?

    <p>Freeze it</p> Signup and view all the answers

    Why is mixing the sample necessary after blood collection?

    <p>To prevent clot formation and hemolysis</p> Signup and view all the answers

    When should serum or plasma be removed from the centrifuge?

    <p>Immediately after centrifugation, but no longer than 2 hours later</p> Signup and view all the answers

    What should be done to protect photosensitive specimens?

    <p>Store them in a light-proof container</p> Signup and view all the answers

    What step is necessary before processing a sample?

    <p>Mixing the sample</p> Signup and view all the answers

    What is the purpose of centrifuging a sample?

    <p>To separate the components of the sample</p> Signup and view all the answers

    What should be used to chill specimens that require special handling?

    <p>Ice slurries</p> Signup and view all the answers

    What is the correct temperature for storing blood samples for cold agglutinins?

    <p>37°C (98.6°F)</p> Signup and view all the answers

    Why should blood samples for bilirubin and folate levels be wrapped in foil?

    <p>To protect from light</p> Signup and view all the answers

    How long can blood gas tests be stored at room temperature?

    <p>Up to 15 to 30 minutes</p> Signup and view all the answers

    What is the importance of delivery speed for blood gas tests?

    <p>To prevent gas loss</p> Signup and view all the answers

    What is the exception to the 1-hour analysis rule for coagulation tests?

    <p>Prothrombin time (PT)</p> Signup and view all the answers

    What is the purpose of centrifuging specimens?

    <p>To separate serum or plasma from cells</p> Signup and view all the answers

    What should happen to specimens without an anticoagulant additive before centrifugation?

    <p>They should clot</p> Signup and view all the answers

    What is the importance of pre-centrifugation processing?

    <p>To begin processing as soon as possible after collection</p> Signup and view all the answers

    Why is it essential to handle specimens according to temperature requirements?

    <p>To maintain the integrity of the specimen for accurate test results</p> Signup and view all the answers

    Which of the following specimens requires special transportation due to light sensitivity?

    <p>Light-sensitive samples, such as bilirubin</p> Signup and view all the answers

    What is the primary reason for mixing samples before centrifuging?

    <p>To ensure even distribution of cells</p> Signup and view all the answers

    Why is centrifugation important in specimen preparation?

    <p>To separate serum from blood cells</p> Signup and view all the answers

    What is the primary purpose of chain-of-custody guidelines?

    <p>To maintain accountability for specimens in forensic studies</p> Signup and view all the answers

    What is a critical value in point-of-care testing?

    <p>A test result that requires immediate attention</p> Signup and view all the answers

    What is the primary method of distributing laboratory results?

    <p>Electronic health records and software systems</p> Signup and view all the answers

    What is the main objective of processing specimens according to handling requirements?

    <p>To ensure accurate test results</p> Signup and view all the answers

    All specimens can be stored at room temperature after centrifugation.

    <p>False</p> Signup and view all the answers

    Aliquot specimens should be prepared before completing the centrifugation process.

    <p>False</p> Signup and view all the answers

    Specimens can be transported without proper packaging and biohazard identification.

    <p>False</p> Signup and view all the answers

    Centrifuging a specimen more than once is recommended to ensure complete separation of its components.

    <p>False</p> Signup and view all the answers

    Only the patient's name is required on the specimen label.

    <p>False</p> Signup and view all the answers

    Coolants are never necessary during specimen transportation.

    <p>False</p> Signup and view all the answers

    Photosensitive specimens should be exposed to direct light to enhance visibility.

    <p>False</p> Signup and view all the answers

    Serum or plasma can be stored at room temperature for an indefinite period.

    <p>False</p> Signup and view all the answers

    The secondary container should not be resealable.

    <p>False</p> Signup and view all the answers

    Tubes with different sizes or volumes should be placed opposite each other in the centrifuge.

    <p>False</p> Signup and view all the answers

    The lid of the centrifuge can be opened immediately after the centrifugation process.

    <p>False</p> Signup and view all the answers

    Removal of serum or plasma from the centrifuged specimen can be delayed indefinitely.

    <p>False</p> Signup and view all the answers

    Shaking the tube gently after blood collection can result in a hemolyzed specimen.

    <p>True</p> Signup and view all the answers

    All specimens require special handling when transporting.

    <p>False</p> Signup and view all the answers

    Mixing blood samples is necessary in all tubes, regardless of additives.

    <p>False</p> Signup and view all the answers

    Cold or ice packs can be used for chilling specimens that require special handling.

    <p>False</p> Signup and view all the answers

    Photosensitive specimens should be protected from temperature fluctuations.

    <p>False</p> Signup and view all the answers

    Aliquoting specimens should be done before centrifugation.

    <p>False</p> Signup and view all the answers

    The turnaround time includes only the time it takes for the analysis.

    <p>False</p> Signup and view all the answers

    Specimen handling processes are not necessary for POC testing.

    <p>False</p> Signup and view all the answers

    Study Notes

    Specimen Handling and Transportation

    • Specimens may have time limits and temperature requirements after centrifugation, such as room temperature, refrigeration, storage in the dark, or freezing, depending on the testing requirements.
    • Aliquoting should be done immediately after centrifugation, using a disposable pipette to transfer serum or plasma without cells to an aliquot tube, which needs to be labeled accordingly.

    Packaging and Shipping

    • When transporting specimens via postal service or express delivery, comply with local, state, and federal laws regarding special packaging and biohazard identification.
    • Complete shipping paperwork, including patient identification, specimen identification, and test information.
    • Use specific packaging supplies, such as:
      • Original specimen tubes or plastic screw-cap transfer tubes
      • Absorbent materials
      • Watertight primary containers
      • Watertight secondary containers (resealable bags, plastic canisters, foam boxes)
      • Strong outer packaging (fiberboard boxes or mailing tubes, wooden boxes, rigid plastic containers)
      • Coolants (ice packs, dry ice), if necessary

    Biohazard Bags

    • Before placing specimens in biohazard bags, label the specimen with the patient's full name, date and time of collection, and source and type of specimen.
    • Place the labeled specimen in a biohazard bag, then in a primary container with absorbent material and coolants (if necessary), and finally in a secondary container with specimen documentation.

    Centrifugation and Aliquoting

    • Centrifugation is the processing of specimens by spinning them in a centrifuge at high speeds, forcing heavy elements (blood cells) to the bottom of the tube and lighter substances (serum, plasma) to remain at the top.
    • The time and speed of centrifugation are critical, and procedures should be established in every laboratory.
    • Aliquot specimens immediately after centrifugation, and remove serum or plasma without cells using a disposable pipette.

    Post-Centrifugation

    • Handle and process specimens after centrifugation, removing serum or plasma without cells, and label and package accordingly.
    • Serum or plasma may require room temperature, refrigeration, freezing, or protection from light, depending on the test.
    • Laboratories face challenges with time management, test accuracy, specimen rejection, and transportation processes.

    Special Handling

    • Thermolabile specimens require temperature regulation using heat sources, heat blocks, or ice slurries, and avoiding fluctuating temperatures.
    • Photosensitive specimens require protection from light, wrapping them in foil or placing them in amber specimen containers.

    Processing and Testing

    • Correct specimen collection, preparation for transport, and handling are essential for accurate test results.
    • Some tests require special handling, such as ammonia and lactic acid, which require ice slurry cooling immediately after collection.
    • Chain-of-custody guidelines maintain control and accountability for specimens in forensic studies, blood alcohol content, and drug screening.

    Centrifugation and Post-Centrifugation

    • Centrifugation is the process of spinning specimens at high speeds to separate blood cells from serum or plasma.
    • The time and speed of centrifugation are critical and must be established by the laboratory and centrifuge manufacturer.
    • Inadequate centrifugation time can result in incomplete separation of blood cells and affect test results.
    • Tubes must be balanced in the centrifuge to prevent breakage, and the lid should not be opened until it has completely stopped spinning.

    Aliquoting and Packaging

    • Aliquot specimens immediately after centrifugation, transferring serum or plasma without cells to a new tube.
    • Label the aliquot tube accordingly.
    • When transporting specimens, use supplies such as absorbent materials, watertight containers, and coolants (if necessary).
    • Package specimens in biohazard bags, labeling them with patient information, date, and time of collection.
    • Place the specimen in a primary container with absorbent material, and then in a secondary container with documentation.

    Special Handling and Transportation

    • Thermolabile specimens require temperature regulation, using heat sources or heat blocks, and avoiding fluctuating temperatures.
    • Photosensitive specimens must be protected from light, using amber containers or wrapping in foil.
    • Some specimens require special handling, such as ammonia and lactic acid tests, which must be stored in an ice slurry immediately after collection.
    • Laboratories must follow specific handling requirements for each test to ensure accurate results.

    General Handling and Processing

    • Remove serum or plasma from the centrifuged specimen immediately, or within 2 hours.
    • Handle specimens according to their temperature requirements, such as room temperature, refrigeration, or freezing.
    • Serum and plasma should not be stored at room temperature for more than 8 hours before testing.
    • If testing does not take place within 48 hours, specimens must be frozen.
    • Mixing samples with additives is necessary, but gentle inversion is recommended to avoid hemolysis or clot formation.

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    Description

    This quiz covers the proper procedures for handling and storing laboratory specimens, including centrifugation, aliquoting, and storage requirements.

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