SPECIMEN REJECTION AND CANCELLATION OF TESTS

SPECIMEN REJECTION
 All rejected specimen must be reported to the Head of Laboratory stating the
reason of rejection
 Criteria for specimen rejection that are non-correctible:
a. Incompatibility of the ID number of the specimen received by the laboratory with
the number on the CCF
b. Absence of ID number on the specimen
c. No printed name and signature of the ASC on the CCF
d. Broken or tampered seal on the specimen container
e. Insufficient quantity of the specimen
 Criteria for specimen rejection that are correctible
a. Failure of the ASC to sign the CCF
b. Failure to check and record the specimen temperature with appropriate remarks

REMEDIAL MEASURES

 All errors must be properly documented and recorded in MFR and signed by the ASC
o If the ASC signature cannot be corrected by MFR ,Report the reason for
rejecting the sample.
o If the ASC cannot provide MFR to attest the fact that she/he did the specimen
checking, the laboratory may report the test result but indicate that the ASC
could not provide MFR to recover the omission

CANCELLATION OF TESTS

The head of the Laboratory may require to cancel a test if:

 The clients signature is missing on the HOL copy of the CCF and the ASC failed to
provide comment whether the client forget or refuse to sign the form
 The Analyst failed to sign the hard copy (COPY1) of the CCF for specimen being
reported drug positive ,adulterated, substituted, rejecting for testing
 The computerized result provided by the laboratory does not contain all the necessary
data required by the DOH for specimen being reported as positive, adulterated,
substituted or rejected.

Prior to Cancellation of the above situation ,the HOL must:

 Contact the ASC to obtain a statement to verify the Clients failure to sign the CCF
and if the ASC cannot provide such statement, test must be cancels.
 Get the statement of the analyst for inadvertently forgetting to sign the CCF
 The HOL must require the laboratory to modify and re transmit a corrected electronic
report

Conditions that will not cause specimen rejection or cancellation

At the receiving Area
 Discrepancies of the laboratory name and address
 Incomplete/incorrect/unreadable employer name or address
 Name of the Head of the Laboratory is not indicated
 Incorrect entry of the clients ID number
 Unmarked “reasons for tests”
 Unmarked “drug tests to be performed box
 The collection site address is not indicated
 Unmarked “specimen collection “box
 The date and time of collection is not indicated
 Incorrect entry of courier service
 The clients name inadvertently appears on the laboratory copy of the CCF or on the
tamper-evident labels used to seal the specimen bottles.

Within the laboratory

 Failure to print and sign the accession’s name
 Failure to print and sign the analyst name
 The analyst accidentally initials the CCF rather than providing signature for non-
negative result. (Analyst initials are acceptable for a negative result.)