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  • 138 - Accepting Suboptimal Specimens

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    mans sul
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    The document is a form from a hospital laboratory and blood bank department for accepting suboptimal specimens. The form collects case data on the patient and details the problem with the sample, the reason for accepting the suboptimal specimen, the test results, and notes that any results from a suboptimal sample will be clearly highlighted. The form must be signed by the person releasing the results.

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    138- ACCEPTING SUBOPTIMAL SPECIMENS

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    The document is a form from a hospital laboratory and blood bank department for accepting suboptimal specimens. The form collects case data on the patient and details the problem with the sample, the reason for accepting the suboptimal specimen, the test results, and notes that any results from a suboptimal sample will be clearly highlighted. The form must be signed by the person releasing the results.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    14 views1 page

    138 - Accepting Suboptimal Specimens

    Uploaded by

    mans sul
    The document is a form from a hospital laboratory and blood bank department for accepting suboptimal specimens. The form collects case data on the patient and details the problem with the sample, the reason for accepting the suboptimal specimen, the test results, and notes that any results from a suboptimal sample will be clearly highlighted. The form must be signed by the person releasing the results.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    HOSPITAL, CITY

    LABORATORY AND BLOOD BANK DEPARTMENT


    FORMS

    FORM TITLE: ACCEPTING SUBOPTIMAL SPECIMENS INDEX No: FORM-LAB-003-01

    ACCEPTING SUBOPTIMAL SPECIMENS

    Case data:
    Name :
    MRN#
    Age:
    Nationality :
    Diagnosis :
    Ward :

    Problem with the sample:


    …………………………………………………………………………………………………
    …………………………………………………………………………………………………
    …………………………………………………………………………………………………
    …………………………………………………………………………………………………

    Reason to accept sub-optimal specimen:


    …………………………………………………………………………………………………
    …………………………………………………………………………………………………
    …………………………………………………………………………………………………
    …………………………………………………………………………………………………

    Result:
    …………………………………………………………………………………………………
    …………………………………………………………………………………………………
    …………………………………………………………………………………………………
    …………………………………………………………………………………………………

    The use of suboptimal specimen is clearly highlighted in the reported results.

    Result released by:

    Name :………………………….
    Sign:…………………….

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