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Skill 304 Lecture \ 2. Learning objectives. Recognize types of test forms. General feature of the test forms . To know the Criteria for filling the forms. Analyze test forms. List the specimen types. Pre and Post- specimen collection check. . Test requisition.

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learning objectives
Learning objectives
  • Recognize types of test forms.
  • General feature of the test forms .
  • To know the Criteria for filling the forms.
  • Analyze test forms.
  • List the specimen types.
  • Pre and Post- specimen collection check.
test requisition
Test requisition
  • Test requisition : is the request by a competent authority made to laboratory for performing test which is needed for the diagnosis or prognosis of the patient .
  • Types of test forms :

1- hematology form

2- Chemistry form

3- Serology & virology form

4- Culture & sensitivity form

5- Hormones form

6- Urine analysis form

7- Stool analysis form

8- Multipurpose form

general feature of the test forms
General feature of the test forms
  • Every form included these features :

1- general information : related to the patient & the ward

2- hospital name

3- form’s type

4- clinical diagnosis

5- Processing type

6- date , time & name of the sender

7- tests to be done

8- analyzer information

slide5

Patient & ward info.

Hospital name

Form type

diagnosis

Processing type

Order information

Test to be done

Lab information

test requisition1
Test requisition
  • Criteria for filling the forms :

1- patient’s name, age, sex, nationality & hospital ( file ) number .

2- relevant ward details .

3- name of ( consultant / specialist )

4- highlight the tests to be done .

5- request must be signed and stamped by the requesting physician .

6- the staff nurse collecting the sample must ensure labeling the sample & fill the request form including time & date .

slide8

Missing

DR. Stamp

ICU,NICU,PICU,MMW,MSW,FMW,FSW,MSPW,OBW,LRDR,OR,HDU,NSY,ER

slide9

Clinical diagnosis

Processing type

Ordered test

Lab no.

test requisition2
Test requisition
  • The requesting physician must check following before ordering :

1- availability of test in the lab .

2- inform the patient about the test procedure and any precaution to be taken .

3- instruct the staff nurse about any precautions to be taken during collection .

haemtology form
HAEMTOLOGY FORM
  • Consist of these tests :

1- CBC

2- Differential count

3- RBC morphology

4- Blood parasite

5- ESR

6- Sickle cell test

7-Reticulocyte cell account

chemistry form
CHEMISTRY FORM
  • Consist of these tests :

1- U/E test ( urea & electrolyte )

2- LFT ( liver function test )

3- RFT or KFT ( renal function test )

4- Lipid profile

5- Cardiac enzyme

6- other tests

slide15

U/E

LFT

Cardiac enzyme

Lipid profile

serology form abb
SEROLOGY FORM ABB.
  • ASO: Antistreptolysin O Titer(streptococcal infection)
  • VDRL : Venereal disease research laboratory (syphilis caused by Treponemapallidum )
  • TPHA : TreponemaPallidumHaemagglutination Assay (syphilis caused by Treponemapallidum )
  • Widal test : (typhoid fever )
  • TOXO : Toxoplasmosis (Toxoplasmagondiiparasite )
hormones form
HORMONES FORM
  • T3 : Triiodothyronine
  • T4 : Thyroxine
  • TSH : Thyroid-stimulating Hormone
  • PTH : Parathyroid Hormone
  • FSH : Follicle-stimulating Hormone
  • LH : Luteinizing hormone
  • PRL : Prolactin
  • βHCG : Human Chorionic Gonadotropin ( preg. Test )
  • ACTH : Adrenocorticotropic Hormone (excessive or deficient cortisol in the body )
stool analysis form abb
STOOL ANALYSIS FORM ABB.
  • E.histo .veg. : Entamoebahistolyticavegetative(trophozoite)
  • E. histo. Cyst : Entamoebahistolyticacyst
  • E. coli veg. : Entamoeba coli vegetative
  • E. coli cyst : Entamoeba coli cyst
  • G. lamblia : Giardialamblia
  • T. hominis : Trichomonashominis
  • C. mesnili : Chilomastixmesnili
stool analysis form abb1
STOOL ANALYSIS FORM ABB.
  • Trictric : Trichuristrichura
  • S. mansoni : Schistosomamansoni
  • T. saginata : Taeniasaginata
  • H. nana : Hymenolepisnana
specimen collection
Specimen collection
  • Phlebotomist : the person who trained to enters a vein through needle to extract blood .
  • Types of specimen :

1- blood 7- body fluids 13- vaginal swab

2- sputum 8- throat swab 14- abscesses &

3- CSF 9- ear swab wound swab

4- fecal 10- eye swab

5- urine 11- mouth swab

6- semen 12- nose swab

specimen collection1
Specimen collection
  • Specimen collection is the first step in proficiency surveillance. For issuing accurate and precise results, it is the job of the nurse or phlebotomist to make sure that the enumerated conditions are met and implemented in order to deliver a suitable sample for analysis so that an accurate and precise result will be issued.
procedure of specimen collection
Procedure of specimen collection
  • Pre-collection check :

1- review the request and identify the patient by asking the name, seeing his ID and compare it with the request form .

2- Is there any special instruction / preparation needed for the patient. If so advice the patient accordingly

e.g- fasting or after meals and sample collection . container may be given if needed e.g- 24 hour urine collection or sputum collection.

procedure of specimen collection1
Procedure of specimen collection

3- Read all the tests and select the tubes/containers as needed for the tests.

4- Arrange the tubes in order of filling.

procedure of specimen collection2
Procedure of specimen collection
  • Post collection :

1- Label all the tubes and specimen bottles as per the guideline.

2- NEVER write the name before extraction and NEVER ask any other person to write for the same.

3- Finish the job before patient leaves the chair .

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