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The University of Texas Medical Branch Pathology Clinical Services (Lab) INAPPROPRIATE SAMPLE IDENTIFICATION RELEASE FORM It is the policy of UTMB Pathology Clinical Services (Lab) to reject specimens.

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WA DOH 347-102 - Thurston County 2013 WA DOH 348-013 2011 WA DOH 348-013 2006 WA DOH 684-030 2012

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​Rejection Incorrect specimen collection container. insufficient specimen quantity. Transported incorrectly. Inadequate fixative. specimen too large for container. Incorrect media. Specimen stability compromised (i.e. age of specimen, temperature stored)

 Rejected Specimen – Specimen that is not acceptable for testing in the. laboratory. Rejected specimens may be due to labeling error, quality of. sample of quantity of sample.  Irretrievable Specimen – specimens that are not reproducible due to clinical.

The most common reasons for specimen rejection were contamination (n=764, 35.1%), inappropriate collection container/tube (n=330, 15.2%), quantity not sufficient (QNS) (n=329, 15.1%), labeling errors (n=321, 14.7%), hemolyzed specimen (n=205, 9.4%), and clotted specimen (n=203, 9.3%).

The information to identify the specimen must be unique to the patient so that results are not associated with the wrong patient. Positive identification may include first and last name and unique numbers, such as a medical record number, hospital number, or the patient's birthdate.

If your blood sample has been labelled incorrectly another blood test will have to be taken. Most laboratories will not accept blood samples for transfusion tests that are not correctly labelled or have been altered in any way. This is to protect your safety.

The following is a current list of irretrievable specimens: Body Fluids (excluding voided urine and sputum) Bone. Bone Marrow.

Properly labeled specimens must include at least two appropriate forms of identification. Full/Legal Name: (First and Last Name). Nicknames or abbreviated versions do not meet regulatory guidelines. Identification Numbers: Medical Record, Chart, etc. ... Date of Birth. Social Security Numbers.

Basic incorrect blood tube/other sample. Samples without the appropriate preservative (e.g. acidified urine samples). Samples that are received ambient, when a frozen sample is required. Samples that are received unprotected from light, when they are required to be covered at the point of venepuncture.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232