Beruflich Dokumente
Kultur Dokumente
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Application
This ensures the proper receipt and processing of patient samples.
Objective
This procedure explains the criteria for whether to reject or accept a sample.
Definitions
To be filled in if necessary
References
To be filled in if necessary
Responsibilities
The Quality Manager is responsible for developing sample rejection and
acceptance criteria policies, which are then authorized by the Laboratory
Director.
Laboratory staff is responsible for adhering to sample rejection and
acceptance policies.
2
Institution: Version: 1.0 Date: Number of pages: Name of ID Code: Ap 9
5 procedure:
Sample Rejection QM chapter: 7
or Acceptance
Procedure
Operating mode
2. Duplicate samples
Most duplicate samples received on the same day are unacceptable and
should not be processed. Exceptions include blood culture samples, cerebral
spinal fluid (CSF), tissue, and sterile body fluids (excluding urine).
If it has been verified by the person collecting the sample that two
samples received at the same time are identical, for the purpose of
testing, these samples may be combined and processed as one.
If duplicate samples are received at different times on the same day,
notify the patients physician or nurse, and document. If it is acceptable
not to process the sample, report Duplicate sample: test not
3
Institution: Version: 1.0 Date: Number of pages: Name of ID Code: Ap 9
5 procedure:
Sample Rejection QM chapter: 7
or Acceptance
Procedure
performed, and note the reference number of the sample that was
processed.
3. Leaky containers
A sample is unacceptable when the outside of the container is grossly
contaminated with the sample. In this case, request a new sample.
If the container is leaking, analyze the sample only if the sample is not
compromised and if the leakage will not contaminate any laboratory
equipment during the testing process.
4. Contaminated samples
Contaminated samples are unacceptable. Types of contamination
include when another type of sample is mixed with the desired sample.
For example, a urine sample should not contain stool, and vice versa.
In the case of a contaminated sample, request a new sample.
4
Institution: Version: 1.0 Date: Number of pages: Name of ID Code: Ap 9
5 procedure:
Sample Rejection QM chapter: 7
or Acceptance
Procedure
Do not discard the sample until the patients healthcare provider has
confirmed that another can be collected.
If the patient has already been started on antimicrobial therapy or if a
repeat sample cannot be collected, this must be documented.
If a repeat sample is not available, document the problem and proceed
with the test if possible.
Related documents
SOP Sample Labelling Ref XXX, provided in this QM template as Ap 8
SOP Sample Transport Ref XXX, provided in this QM template as Ap 10