LESSON 8 SPECIAL COLLECTIONS AND POINT-OF-CARE TESTING

SPECIAL COLLECTION PROCEDURES Test responsible for Lactose is

conversion of substituted for
-are non-routine laboratory tests that involve additional
lactose into glucose.
preparation and procedure, and may require other glucose.
Paternity or Verifies the Follows the chain-of-
specimens like urine and feces.
probability that custody protocol
Parentage
-can be applied for special cases such as blood donation. the patient and specific
Testing fathered a identification
Name of Test Purpose Special Requirement
particular child. procedures.
(if any) Therapeutic Tests the drug Collection timing
levels at specific should include the
Blood Bank: Determine the None Drug
intervals to peak and trough
blood type and Rh
Blood Type Monitoring establish proper levels.
factor.
drug dosage and
and Screen
avoid toxicity.
Blood Bank: Checks the Patient’s serum or Therapeutic Treats Involves withdrawal
compatibility plasma and donor’s polycythemia and of approximately
Cross-Match Phlebotomy
between the RBCs hemochromatosis. 500 mL as part of
Test donor’s and the the treatment.
recipient's blood. Toxicology Checks the Toxins usually exist
Blood Determine the Blood Volume:20 - presence of toxins in very small
Test
presence of 30 mL per culture in the blood, hair, amounts.
Culture
infection, Minimum: 10 mL per urine, and other
identifies the type draw for patient’s substances.
of organism weight is more than Trace Checks the Measured in small
involved, and 80 pounds. presence of amounts.
Elements
measures the Infants: 1% - 4% of aluminum,
extent of the total volume. arsenic, copper,
infection. lead, iron, and
Coagulation Evaluates the
Microclots are zinc.
blood clotting
avoided by gently
Test
function. inverting
anticoagulants tubes
3 or 4 times after
collection.
2-Hour Screens for Must be obtained 2
diabetes and hours after meal.
Postprandial
other metabolic
Glucose disorders.
Glucose Diagnoses Gestational
problems in diabetes: 1 hour .
Tolerance
carbohydrate Other glucose
Test (GTT) metabolism and metabolism
checks the ability evaluation: 3 hours.
Oral Glucose
to metabolize
Tolerance glucose through
the tolerance
Test (OGTT)
level.
Lactose Determines the Same procedure as
lack of mucosal 2-hour GTT but an
Tolerance
lactase which is equal amount of
Thea :)
LESSON 8 SPECIAL COLLECTIONS AND POINT-OF-CARE TESTING

BLOOD BANK SPECIMENS

-determine which blood product can be safely used for
blood transfusion.
-use lavander-top or pink-top EDTA tube or red-top
non-additive glass as an alternative.

The following information must be included in

specimen identification:
1. Full name including middle initial.
2. Hospital ID number.
3. Social security number for outpatients.
4. Date of birth.
5. Date and time of collection
6. Initials of the phlebotomist
*room number and bed number are optional.

BLOOD BANKS
-can use special identification systems:
 ID bracelet (self-carbon adhesive for specimen)
 Blood ID band (linear bar-code)
 Patient identification check-blood administration.

-conduct test in the laboratory for safe donated blood

and safe for blood transfusion:
 Typing the blood for transfusion.
 Screening for infectious diseases.
 Determine blood type (ABO) and Rh factor (+ or
- ).

Thea :)