Bring together all supplies and equipment needed to patient’s bedside. Tell the patient that he needs to collect a sample from his bowel by placing a sheet of plastic wrap or paper loosely across the toilet bowl to catch the stool or he can use a dry container to collect the stool. COMPLETION OF TEST REQUEST FORM: The test request form must contain the patient name (and/or unique identifier), patient date of birth, date of specimen collection, source of specimen, and submitting facility name and address at a minimum. Exactly 24-hours after beginning the collection, ask the patient to void. The amount and kinds of waste in the urine make it lighter or darker. specimens from two different locations in the same patient, both swabs may be placed in the same vial in order to conserve collection and assay supplies. With the use of a tongue blade, transfer a portion of the feces to the specimen container. Inform the patient to not mix the sample with urine. Don’t allow him to brush his teeth or use mouth wash. Apply the tourniquet to allow the veins to fill with blood and become more visible. Remind the patient not to take samples from the toilet bowl water. Place the tissues nearby and have the patient rinse his mouth with clean water to remove any food particles. Observe proper hand hygiene and gather equipment. Safeguarding the sample is a must, from point-of-collection through laboratory analysis. 2. IgG Subclasses - Requires Immunopathologist Approval. Specimen Collection, Handling and Transport Page 6 of 6 All specimens transported via courier must be transported in sealed biohazard, leak-proof, puncture resistant container tightly closed before transportation. PACKAGING Wash your hands and instruct the patient to do it as well. Label each specimen with the patient’s name, date and time of collection, or site (if applicable). Specimen collection and processing procedures Proper specimen collection and handling is an integral part of obtaining a valid and timely laboratory test result. Since we started in 2010, Nurseslabs has become one of the most trusted nursing sites helping thousands of aspiring nurses achieve their goals. Discuss the test and the procedure with the patient. Tell the patient to separate folds of urinary opening with thumb and forefinger and clean inside with towelettes or cotton balls, using downward strokes only; keep labia separated during urination. Instruct the patient to use the cotton ball or towelette to clean urethral area thoroughly to prevent external bacteria from entering the specimen. The sample is then taken to the laboratory for culture. A sputum specimen is obtained for culture to identify the microorganism responsible for lung infections; identify cancer cells shed by lung tumors; or aid in the diagnosis and management of occupational lung diseases. Note: If the urine sample is being taken from an infant, the clean-catch kit consists of a plastic bag with a sticky strip on one end that fits over the baby’s genital area, as well as a sterile container. An example of an optimum specimen/test match would be a first morning specimen for urinalysis and microscopic examination. A specimen will be rejected by the laboratory if it contains excessive numbers of epithelial cells from the mouth or throat or if it fails to show adequate numbers of neutrophils on gram staining. Zephiran, a soap solution, or three antiseptic towelettes, Three cotton balls (to use with zephiran or soap solution). Urine normally doesn’t have a very strong smell. Specimen collection Role of the Nurse . One of the many responsibilities assigned to us, as nurses, is to collect and label specimen for analysis and to ensure their delivery to the lab. In all settings in which specimens are collected and prepared for testing, laboratory and health care personnel should follow current recommended sterile techniques, including precautions regarding the use of needles and other sterile equipment as well as guidelines for the responsible disposal of all biological material that is potentially hazardous as well as contaminated specimen collection supplies. Carefully seal the cap tightly so … Lyme Screen is interpreted as follows: Negative: No detectable antibody; result does not exclude B. burgdorferi infection. The best time to test for pregnancy is after the woman miss her period. The additional intake will further increase sputum production overnight and assure that you’ll get a good sample. Note that the specimen was collected. Send the sample to the lab immediately, without refrigeration. Allow the patient to rinse out his mouth and provide a tissue. Importance of Specimen Collection. There are no risks involved. Quality & Professional Issues Test . Put on gloves and clean the drawing site with betadine solution or alcohol swab. An additional sample should be tested within 4-6 weeks if early infection is suspected. Secure a band-aid or some gauze over the puncture site. If It is not necessary to keep the specimen sterile because the gastrointestinal tract is not sterile. The role of nurses in collecting, labeling, and ensuring the timely and proper delivery of specimens to the laboratory plays a very important thing in the hospital setting. Instruct the patient to completely retract foreskin and cleanse penis with towelettes or cotton balls. Improperly labeled specimens will be rejected. Immediately cover the container and label it with the patient’s name and other needed information. The most important step in the recovery of pathogenic organisms responsible for infectious disease is the proper specimen collection, processing and handling by you, the healthcare professional. Discuss the test and the procedure with the patient. Emphasize proper hand hygiene before and after each collection. It is very informative material regarding sample collection, please add more examples of specimen like blood etc. If the patient has trouble bringing up secretions, however, have him breathe into the nebulizer and try again. A sputum specimen is a sample of material expelled from the respiratory passages taken for laboratory analysis to determine the presence of pathogens. Bring the specimen to the lab within 1 hour or collection or store refrigerated for up to 24 hours. A delay in examining the specimen may cause a false result when bacterial determinations are to be made. Record the amount, consistency, and color of the sputum collected, as well as the time and date in the nursing notes. Use one test requisition. © 2020 Nurseslabs | Ut in Omnibus Glorificetur Deus! Uncap the container but avoid touching the inside to ensure that it’s sterile. Instruct the patient to void a small amount of urine into the toilet to rinse out the urethra, void the midstream urine into the specimen cup, and the last of the stream into the toilet. Blood tests are performed on serum, plasma, or whole blood. Fill out the laboratory request form completely, label the specimen container with patient identifying information, and send to the lab immediately. Tell him to flush the remaining stool down the toilet. The specimen vial must have the patient name or unique identifier that matches the test request form. Please consult the alphabetical test listings for information about collection and barrier.handling of specimens. This is a short competency exam for phlebotomy and specimen collection More Phlebotomy Quizzes National Healthcare Association Phlebotomy Certification Practice Test! Lessen transport time and maintain an appropriate environment between collection of specimens and delivery to the laboratory. Pour the urine into the sterile container. This test uses guaiac as reagent to detect the presence of occult blood (blood that appears from a nonspecific source, with obscure signs and symptoms), which is not visible. Serology (see >> Quantiferon Gold -QF Gold in tube), Tacrolimus (by Tandem Mass), to Alfred Pathology, Taenia Solium Serology (see >> Cysticercosis Serology), TCR Gene Rearrangement (see >> T Cell Receptor Rearrangement Studies), TFH (see >> T Follicular Helper Cells (Tfh)), TG-ab (see >> Thyroglobulin Antibody (TG Ab)), Thal Screen - DNA Analysis (see >> Thalassaemia/Haemoglobinopathy Genotype), Thick and Thin Films (see >> Malarial Parasite Detection), Thrombin Clotting Time (see >> Thrombin Time), Thrombocytopenia, Neonatal Allo-Immune Screen, Thyroid Antibodies (includes Thyroglobulin Ab, Thyroid Peroxidase Ab (TPO Ab) or Microsomal Ab), Thyroid Receptor Antibodies (see >> TSH Receptor Antibodies), Thyroid Stimulating Hormone Receptor Antibodies (see >> TSH Receptor Antibodies), Thyrotrophin Antibody (see >> TSH Receptor Antibodies), Tissue Culture and Storage of Fibroblasts, Tissue Lactase (see >> Disaccharidases, Maltase, Sucrase, Lactase and Isomaltase), Tissue Typing for Organ Transplant (see >> HLA Tissue Typing), Tissue Typing HLA Antibodies (see >> HLA Antibodies - Screen Only), Tissue Typing HLA B1502 (see >> HLA Tissue Typing – HLA-A 31:01 HLA-B 15:02 (Carbamazepine (Tegretol), Lamotrigine, Phenytoin hypersensitivity)), Tissue Typing HLA Class 1 and Class 2 (see >> HLA Tissue Typing), Tissue Typing HLA Class I and Class II (see >> HLA Tissue Typing), Tissue Typing HLA DQB1 0602 (Narcolepsy) (see >> HLA Tissue Typing – HLA-DQB1 06:02 (Narcolepsy Susceptibility)), TNF Antibody (see >> Infliximab Level (and Anti TNFa Ab)), TORCH Screen Serology (Toxoplasmosis, Rubella, CMV, HBsAg Syphilis), Total B12 (see >> Total Serum Vitamin B12), Total Blood Glucose (TBG) (see >> Glucose - Random), Total CO2 (see >> Bicarbonate (Total CO2)), Total Glucose (TG) (see >> Glucose - Random), Total Haemolytic Complement (THC (see >> Complement Function (Classical, Alternative, MBL)), Total Protein (see >> Protein / Total Protein (Prot)), Total Serum B12 (see >> Total Serum Vitamin B12), TP (see >> Protein / Total Protein (Prot)), TPMT Metabolites (see >> Thiopurine (TPMT) Metabolites), TPMT Phenotyping (Activity) - Requires Immunopathologist Approval, TPO-ab (see >> Thyroid Peroxidase Antibody (TPO Ab)), Transferrin receptors (see >> Soluble Transferrin Receptors), TRAPS - Tumour-Necrosis-Factor Receptor Associated Periodic Syndrome, T-REG / TREG (see >> T cells - regulatory), Treponema Pallidum Particle Agglutination (see >> Syphilis Antibodies), Trichomonas Vaginalis Nucleic Acid Detection, Triple Test (see >> Maternal Serum Screening - 1ST TRIMESTER), Trypsin (see >> IRT (Immune Reactive Trypsin)), tTG (see >> Tissue Transglutaminase (tTG-IgA)), Tumour Necrosis Factor (see >> Cytokines), Typhoid serology+A798 (see >> Salmonella Serology (WIDAL)), Urien Latex agglutination (see >> Bacterial Antigens), Urine (see >> Urinary Biogenic Amines - Random), Urine (see >> Protein Electrophoresis, Urine), Urine - Antenatal Screening for Asymptomatic Bacteriuria, Urine ACR (see >> Microalbumin (Includes Urine Creatinine), Urine), Urine AER (see >> Microalbumin (Includes Urine Creatinine), Urine), Urine Albumin Creatinine Ratio (see >> Microalbumin (Includes Urine Creatinine), Urine), Urine Albumin Excretion Rate (see >> Microalbumin (Includes Urine Creatinine), Urine), Urine Amino Acids (see >> Amino Acids, Urine), Urine Androgens (see >> Androgens, Urine), Urine Arsenic (see >> Arsenic, Urine - Random), Urine Bence Jones Protein (see >> Protein Electrophoresis, Urine), Urine Beta 2 Microglobulin (see >> Beta 2 Microglobulin, Urine), Urine Bilirubin (see >> Dipstick urinalysis), Urine Calcium (see >> Calcium, Urine-Random), Urine Calcium (see >> Calcium, Urine-Timed), Urine Creatinine (see >> Creatinine, Urine), Urine Dipstick (see >> Dipstick urinalysis), Urine Diuretic Screen - potassium depleting diuretics, Urine Drug Screen (see >> Drug Screen (Qualitative), Urine), Urine Electrolytes (see >> Electrolytes, Urine), Urine Free Cortisol (see >> Cortisol, Urine), Urine Histamine & 1-Methyl-Histamine (see >> Histamine and 1-Methyl-Histamine, Urine), Urine Magnesium (see >> Magnesium, Urine - Timed), Urine Magnesium (see >> Magnesium, Urine - Random), Urine Oxalate (see >> Oxalate, Urine - Random), Urine Oxalate (see >> Oxalate, Urine - Timed), Urine Phosphate (see >> Phosphate, Urine-Random), Urine Phosphate (see >> Phosphate, Urine- Timed), Urine Potassium (see >> Potassium, Urine), Urine Protein - 24hr collection (see >> Protein, Urine 24hr collection), Urine Protein - Random (see >> Urine Protein / Creatinine Ratio (Random)), Urine Protein - Timed Collection (see >> Protein, Urine Timed Collection), Urine Protein / Creatinine Ratio (Random), Urine Protein and Creatinine Clearance (see >> Creatinine Clearance), Urine Protein and Creatinine Clearance (see >> Protein, Urine 24hr collection), Urine Protein Electrophoresis (see >> Protein Electrophoresis, Urine), Urine QHCG (see >> Quantitative hCG, Urine), Urine Stone Analysis - Calculus (see >> Renal Stone Analysis - Calculus), Urine Uric Acid (see >> Uric Acid, Urine), Urine Urobilinogen (see >> Dipstick urinalysis), Urine Vitamin B3 (see >> Vitamin B3, Urine), Varicella Zoster Virus Nucleic Acid Detection (see >> VZV (Varicella - Zoster Virus) PCR), VIP (see >> Vasoactive Intestinal Peptide), Viral Haemorrhagic Fever (see >> Ebola Virus PCR), Vitamin D (see >> 1,25 Dihydroxy Vitamin D3), VLDL (Very Low Density Lipoprotein) (see >> Lipoprotein Electrophoresis), VNTR (Variable Number Tandem Repeats) (see >> Post HSCT Chimerism), Voltage Gated Calcium Antibodies (see >> Anti VGCC Antibodies (Anti Voltage Gated Calcium Antibodies)), Voltage Gated Potassium Channel Antibodies (see >> Anti VGKC Antibodies (Voltage Gated Potassium Channel Antibodies)), Von Willebrands Disease (VWD) Screen (includes vWF antigen, Collagen Binding Assay (CBA) & Ristocetin Cofactor (RiCoF)), VRE (see >> Bacterial screening - multiresistant organisms by culture), Vulval Swab (see >> Culture Genital Swab incl Microscopy), WCC (see >> FBC (Full Blood Count, including differential)), White Cell Count (see >> FBC (Full Blood Count, including differential)), White Cell Cystine (for diagnosis of Cystinosis and monitoring, White Cell Enzymes (see >> Lysosomal Enzyme Panel), Whole Blood Histamine (see >> Histamine and 1-Methyl-Histamine - Whole Blood), Whole Blood PHA Proliferation / Stimulation, Widal (see >> Salmonella Serology (WIDAL)), Wounds, Aspirates, etc for Microscopy & Culture (M/C/S), WT1 - Wilms Tumour (mutation and copy number screen), Y Chromosome Deletion (see >> Y q microdeletion), ZnT8 antibodies (see >> Zinc Transporter Autoantibodies), Zoster Antibodies (see >> Varicella Antibodies IgG & IgM), Click on the tab 'ALL' to browse the entire collection, Click on a tab to browse only specimens for that letter. Patient must not consume any alcohol for 24 hours before the specimen is collected. Use appropriate transport media such as anaerobic transport vials, culturette for bacterial culture, and the like. Don’t touch the specimen because it is contaminated. Urine will become more diluted as the patient drink liquids, so hCG levels may be harder to measure later in the day. UTI may also take on a foul-smelling odor. Close the slots and put the name of the patient and the date on the test kit. There is no discomfort when the test is done since it only involves normal bowel function. A specimen that is not collected correctly may lead to false negative test results. Fill out the laboratory request form completely and send the specimens to the laboratory immediately. Guaiac Fecal Occult Blood Test (gFOBT), 4.2. The collection should end exactly 24 hours after it began, by having the patient empty his or her bladder, or catheter bag, and adding this specimen to the collection container. and a Respiratory Virus isolation is ordered also. It can confirm the presence of harmful bacteria. The stool guaiac test finds hidden (occult) blood in the stool (bowel movement). Remove the syringe and needle while applying pressure to the venipuncture site with the cotton ball or gauze pad. Gently mix the blood with the solution in both bottles. The test does not require anything other than normal urination. Test Name Aspergillus Antigen Test (Galactomannan) Test Code SAGAL1 Specimen Type. Have the patient sit comfortably either on bed or chair while explaining the procedure. Specify most common specimen collection procedures, Know the importance of various specimen collection for patient care and satisfaction, Emphasize the importance of protecting yourself against exposure to bloodborne pathogens. Using the sterile collection container provided, instruct the patient to take three deep breaths, then force a deep cough and expectorate into a sterile screw-top container. Stools specimen are often tested for blood. Urine HCG tests are a common method of determining if a woman is pregnant. The midstream urine is considered to be bladder and kidney washings; the portion that the physician wants tested. Our ultimate goal is to help address the nursing shortage by inspiring aspiring nurses that a career in nursing is an excellent choice, guiding students to become RNs, and for the working nurse – helping them achieve success in their careers! Serum - Gel OR Broncheolar Lavage (BAL) Minimum Volume 2 - 3 mL Comments. A sample of urine collected at any time of the day. Specimen Collection • Suspect or confirmed TB patients should be in a negative pressure room • Specimen collection is an aerosol generating procedure, anyone in the room during specimen collection must wear a particulate respirator type N-95 and be part of the respirator protection plan • All mycobacteria specimens are collected Be sure to use the correct container for specimen collection. When urine stands, decomposition from bacterial activity gives it an ammonia-like odor. Allow patient to wait one to two weeks after her first missed period to get the most accurate results. You can find the appropriate collection instructions above. Parainfluenza virus, Respiratory FilmArray) 1. NCLEX Practice Questions: Free Nursing Test Bank and Review, Arterial Blood Gas Interpretation for NCLEX (40 Questions), Arterial Blood Gas Analysis Made Easy with Tic-Tac-Toe Method, Select All That Apply NCLEX Practice Questions and Tips (100 Items), IV Flow Rate Calculation NCLEX Reviewer & Practice Questions (60 Items), EKG Interpretation & Heart Arrhythmias Cheat Sheet. These infections can include strep throat, pneumonia, tonsillitis, whooping cough, and meningitis. Place the cotton-tipped applicator into the culture tube immediately. 4. gentle handling of specimen after collection Note: If one or more of collection factors fails to meet ideal standards, specimen may be compromised. Label the bottle with patient identifying information, the date, and time the collection begins and ends. Proper specimen collection, identification, and transport determine the accuracy and utility of the test results. Replace the needle on the syringe with another sterile needle. Instruct the patient to repeat the test on his next two bowel movements to improve the accuracy of the test. All collection tubes need to be processed within 6 hours of collection. Nurseslabs.com is an education and nursing lifestyle website geared towards helping student nurses and registered nurses with knowledge for the progression and empowerment of their nursing careers. Afterward, tell the patient to collect the rest of his urine in the special bottle for the next 24 hours, storing it in a cool environment. A delay in examining the specimen may cause a false result when bacterial determinations are to be made. B. Test results are a direct reflection of specimen integrity. A blood culture is being done to determine which specific organism or bacteria is causing the problem and how best to combat it. The test is relatively simple for the patient and involves a simple blood draw. 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