AP-HIS-212 Specimen Receiving and Specimen Delay
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Questions and Answers

Formalin-fixed tissue, hardware/medical devices, and/or foreign bodies must be received ______.

fresh

What is the purpose of this operating procedure?

The purpose of this operating procedure is to establish the minimum requirements for patient identification, clinical and contributor information, and specimen container labeling.

True or false: All specimens must have a CHCS shipping log with patient, specimen, and contributor information?

True

Which of the following is necessary for patient identification and specimen container labeling?

<p>All of the above</p> Signup and view all the answers

The quality control procedures for accepting specimens include verifying the specimen container label and submitting a ______.

<p>shipping log</p> Signup and view all the answers

What must be done if there is a discrepancy between the specimen container label and the SF 515, computer order, and shipping log?

<p>Delay the specimen according to criteria defined in paragraphs D and E</p> Signup and view all the answers

What kind of specimens must be received fresh?

<p>Formalin-fixed tissue, hardware/medical devices, and/or foreign bodies must be received fresh.</p> Signup and view all the answers

True or false: For a FS/IOC specimen, the type of information missing will determine the next steps?

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

What must be obtained from the personal protective equipment (PPE) list for histology?

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

How does the receiving process of tissue samples differ depending on the specimen type and contributor?

<p>The receiving process of tissue samples is slightly different depending on the specimen type and contributor.</p> Signup and view all the answers

True or false: Fresh tissue can be received for frozen section/intraoperative consultation (FS/IOC)?

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

The information on the specimen container label must match the information on the SF 515, computer order, and ______.

<p>shipping log</p> Signup and view all the answers

Every specimen received must be listed on the SF 515, computer order and ______.

<p>shipping log</p> Signup and view all the answers

What are the quality control procedures for accepting specimens?

<p>The quality control procedures for accepting specimens include verifying the specimen container label and submitting a shipping log.</p> Signup and view all the answers

What must be completed when tissue is received to track its processing?

<p>Histology Laboratory Delay In Process Form</p> Signup and view all the answers

True or false: PPE must be ordered through the MHS GENESIS software and included in the shipping log?

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

Which of the following must be included in the shipping log for formalin-fixed tissue, hardware/medical devices, and/or foreign bodies?

<p>Provider information</p> Signup and view all the answers

True or false: All accepted specimens are immediately available for grossing trays?

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

What should be done if there is a discrepancy between the required information on the specimen container(s) and the SF 515/computer order?

<p>If there is a discrepancy, delay the specimen according to criteria defined in paragraphs D and E.</p> Signup and view all the answers

Placenta tissue samples sent from Labor and Delivery must have ______ they want chromosome analysis or not.

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

Study Notes

  • This operating procedure establishes the minimum requirements for patient identification, clinical and contributor information, and specimen container labeling.
  • Formalin-fixed tissue, hardware/medical devices, and/or foreign bodies must be received fresh.
  • Fresh tissue may be received for frozen section/intraoperative consultation (FS/IOC), lymphoma protocol, gross examination only, or other special studies.
  • Microscope slides and/or paraffin blocks for consultation must be received with the tissue.
  • The receiving process of tissue samples is slightly different depending on the specimen type and contributor.
  • Reagents and equipment needed for histology must be obtained from the personal protective equipment (PPE) list, ordered through the computer system with the MHS GENESIS software, and included in the shipping log.
  • The Histology Laboratory Delay In Process Form must be completed when tissue is received to track its processing.
  • The quality control procedures for accepting specimens include verifying the specimen container label and submitting a shipping log.
  • Every specimen received must be listed on the SF 515, computer order and shipping log.
  • The information on the specimen container label must match the information on the SF 515, computer order, and shipping log and must include patient legal name, date of birth, anatomical site and provider information.
  • The number of specimen containers received must be written on all and must match the number listed on the SF 515, computer order and shipping log.
  • Although the above criteria is required, not all specimens with missing or incomplete criteria are delayed for processing. The absence or incompleteness may render the specimen sub-optimal, but still acceptable. Refer to paragraphs D and E for further guidance.
  • Receiving/accepting specimens from different contributors must have a completed SF 515/computer order. Compare the information on the container(s) and the SF 515/compter order with that listed in the OR logbook. Write the number of containers received at the top of the SF 515/computer order.
  • If there is a discrepancy, delay the specimen according to criteria defined in paragraphs D and E.
  • Formalin fixed specimens from all other in-house contributors must have a paper copy of the computer order.
  • Placenta tissue samples sent from Labor and Delivery must have whether they want chromosome analysis or not.
  • Compare the required information on the specimen container(s) and the copy of the computer order with that listed in the clinic logbook.
  • If there is anything written in the history, accept the specimen and the grossing PA or resident will decide if it is sufficient at the time of gross.
  • Formalin fixed specimens from outside contributors must have a CHCS shipping log providing patient, specimen, and contributor information or a MHS GENESIS transfer.
  • Check the order in the computer to ensure a clinical history is provided.
  • Rare outside cases may lack both patient and order information in MHS GENESIS but will contain written documentation (e.g., request for c-section).
  • All accepted specimens are now available for building grossing trays.
  • If a specimen has multiple parts/containers, all of the specimen containers forthat case must be placed together in a plastic bag before being put into the holding baskets.
  • Only single part/container specimens are placed loose in the holding baskets.
  • Refer to AP-HIS.215, Gross Preparation.
  • Delaying specimens is only allowed for the reasons stated below: full name, DOB are incorrect, missing, incomplete, mismatched or illegible on the paperwork and/or specimen container.
  • For a FS/IOC specimen, depending on the type of information missing, proceed to D.A.
  • For EVERY delayed specimen, ALWAYS complete a Histology Laboratory Delay in Process Form.
  • Attach a copy of the SF 515, computer order, and shipping log to the form.
  • Document the date/time, person with whom you spoke and their title/role, what they said, what you did in response, and your initials on the Delay in Process form.
  • Place the form in the Specimen Delay Binder in the receiving area only after resolution.
  • Promptly notify the health care provider of the specimen delay and the reason for the delay, annotate notification on Histology Laboratory Delay in Process form.
  • Consult the Histology or Receiving section of MHS GENESIS to determine if the specimen can be accepted.

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