The document outlines the current nursing workflow for specimen collection and identifies issues with the process. It recommends revising the laboratory labels, piloting printers in patient rooms, providing education to nurses on transport and labeling, standardizing processes across units, and improving the laboratory information system and printer maintenance. The goals are to address delays in label printing, ensure proper labeling and transport of specimens, and minimize variations in procedures.
Dr. Marie Culhane - Increase the value of your diagnostics and your value as ...John Blue
Increase the value of your diagnostics and your value as a diagnostician - Dr. Marie Culhane, Associate Clinical Professor, Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, from the 2013 Allen D. Leman Swine Conference, September 14-17, 2013, St. Paul, Minnesota, USA.
More presentations at http://www.swinecast.com/2013-leman-swine-conference-material
Dr. Marie Culhane - Increase the value of your diagnostics and your value as ...John Blue
Increase the value of your diagnostics and your value as a diagnostician - Dr. Marie Culhane, Associate Clinical Professor, Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, from the 2013 Allen D. Leman Swine Conference, September 14-17, 2013, St. Paul, Minnesota, USA.
More presentations at http://www.swinecast.com/2013-leman-swine-conference-material
Laboratory is a place that is equipped with different instruments, equipments and chemicals (reagents) etc., for performing experimental works, research activities and investigative procedures.
Medical laboratory is one part of the laboratory that is equipped with various biomedical instruments, equipments, materials and reagents (chemicals) for performing different laboratory investigative activities by using biological specimens (whole blood, serum, plasma, urine, stool, etc).
Laboratory is a place that is equipped with different instruments, equipments and chemicals (reagents) etc., for performing experimental works, research activities and investigative procedures.
Medical laboratory is one part of the laboratory that is equipped with various biomedical instruments, equipments, materials and reagents (chemicals) for performing different laboratory investigative activities by using biological specimens (whole blood, serum, plasma, urine, stool, etc).
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January 17, 2014Specimen Identification: Nursing Workflow
Specimen Collection
Order Placed
(i.e. urine, CSF, Plasma,
etc.)
Nurse Verifies order
Nurse checks complete
task in Cerner to print
specimen labels
Nurse leaves patient
room to retrieve
labels from printer
Nurse obtains
specimen
Specimens Labeled
Bedside
Specimens
Transported
(via tube, walk-
downs, transport
team)
Issues:
Multiple labels printed at once
Delayed print of labels
Lack of educated on transport of specimens
Lack of education on where to find specimen collection
requirements
Machines
Verify specimen collect and transport requirements prior to
printing labels an collection
Supplies gathered post label print
Old labels sit on printer...mistakenly picked up and used on
incorrect patient
Education materials needed: transport work-instruction,
work-instruction on labeling, tube types and test names
Patients chart
stickers used
as place
holder until
lab labels
retrieved.
Nurse verifies labels
to patients ID
For hard sticks/heel
sticks/or issues with
draws, specimen
collected then
labels printed &
specimens labeled
(Regulatory issue)
Supplies
gathered
post label
printing
Legend
=process deviation
Recommendations:
Revise current lab labels
Pilot Plan:
>Place printers in all patients rooms of chosen ICU
>Pilot for 3 months
>Evaluate labeling incidents for 3 months against
changes made to units
Nursing education: including work instruction for transport
and proper labeling techniques
Minimize process variations including the standardizations
amongst each unit
Evaluate sunquest to determine if we can add test names
rather than test code to labels
Improve process for printer maintenance