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Specimen Acceptance and Rejection on Hematology Laboratory

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Hematology Notes on Specimen Acceptance and Rejection

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  • September 19, 2021
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  • 2021/2022
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Specimen Acceptance and Rejection
List down (as many as possible) the summary of the criteria used in accepting and rejecting a
specimen in the hematology section.

1. Specimen Acceptance
a. Properly labeled specimen and fully completed requisition
b. Properly transported with correct temperature
c. Specimen is not hemolyzed, lipemic, and do not have micro clots

2. Specimen Rejection
a. Hemolysis/lipemia
b. Clots present in an anticoagulated specimen
c. Non-fasting specimen when test requires fasting
d. Improper blood collection tube
e. Short draws, wrong volume
f. Improper transport conditions (ice for blood gases)
g. Discrepancies between requisition and specimen label
h. Unlabeled or mislabeled specimen
i. Contaminated specimen/leaking container
j. Specimen was collected at the wrong time
k. Specimen was contaminated with intravenous fluid

References:

Keohane, E. M., and Smith, L. J., Walenga, J. M. (2016). RODAK’S Hematology Clinical Principles
and Applications (5th Edition). Elsevier Saunders. Page 31.

McPherson, R. A., and Pincus, M. R. (2011). HENRY’S Clinical Diagnosis and Management by
Laboratory Methods (22nd Edition). Elsevier Saunders. Page 27.

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