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SAFE HANDLING AND DISPATCH OF SPECIMENS IN THE OPERATING ROOM

PRISCA ONGOMBE, BSCN,RN

OPERATING ROOM NURSE

©2023

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  • Introduction.
  • Nursing responsibilities.
  • Specimen identification and labelling.
  • Specimen Handling.
  • Impact of mishandling specimen.
  • Our experience.

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Introducton

Specimen handling is a crucial aspect of patient care, as it directly impacts diagnosis and treatment decisions.

There is great emphasis on the importance of proper specimen care, documentation, safe handling, and dispatch to protect both healthcare workers and patients.

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Nursing Responsibilities

  • Effective communication.
  • Proper chain of custody.
  • Infection control measures.
  • Identify and report any complications or errors promptly.
  • Prioritize patient safety and accurate diagnosis in all handling procedures.

Verify patient identity

Maintain sterile technique.

Proper collection and labelling.

Accurate documentation.

Safe transport and storage.

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Specimen Identification within the Operating Theatre

Effective communication during Time Out and Sign Out procedures is crucial.

Both scrub nurses/technicians and circulating nurses must be aware of specimen retrieval plans.

Specimens should be handled minimally to preserve their integrity. For cultures, specimens are handed to the circulating nurse promptly. Formalin-fixed specimens must be appropriately containerized.

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Specimen Labelling

Labels should include patients' full names, date of birth, hospital number, and collection date.

Labels must not be placed on container lids.

Verification with the surgeon and patient chart documentation is vital.

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Recording of Specimens

Surgeons and OR nurses share responsibility for correct labelling and documentation.

Specimen Register should include critical details such as collection date and time, patient information, surgeon's name, specimen name, and nurse names.

Mandatory fields on Request Forms must be filled, and pre-labelling of containers is discouraged.

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Handling of Specimens

Containers must be chosen carefully based on size and purpose.

Proper precautions are essential when handling hazardous substances like formalin.

Staff should adhere to these precautions and occupational health guidelines.

Safety measures should also be observed for splash injuries.

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Frozen Section Samples

Surgeons must notify the Histology Department in advance for frozen section specimens.

Clear labeling on Request Forms, including contact information, is crucial. Patients undergoing surgery requiring frozen sections must have this noted in advance.

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Urgent Specimens

For urgent specimens, immediate notification to the laboratory is essential to expedite processing and diagnosis.

The operating theatre must ensure swift delivery to the laboratory.

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Impact of Mishandling of Specimens

Misdiagnoses

Return to OR (Operating Room.

Legal implications to Organization.

Emotional Trauma to the Patient.

Financial costs to the organization.

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Our Experiences

Benefit to Nursing

Benefit to the patient

Surgeon Responsivity

Timeliness of Transport of Specimens to the lab as there is immediate notification to the lab

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Conclusion

Safe handling and dispatch of specimens are vital in healthcare to ensure accurate diagnoses and patient safety.

Adhering to established procedures and responsibilities is crucial to prevent errors and minimize risks.

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References

  • College of American Pathologists. (2019). CAP Laboratory Accreditation Program Checklist: Anatomic Pathology. College of American Pathologists.
  • Clinical and Laboratory Standards Institute. (2019). Collection, Transport, and Processing of Blood Specimens for Testing Plasma-Based Coagulation Assays and Molecular Hemostasis Assays; Approved Guideline—Sixth Edition. CLSI Document H21-A6. Clinical and Laboratory Standards Institute.
  • Occupational Safety and Health Administration. (2015). OSHA Fact Sheet: Laboratory Safety – Chemical Hygiene Plan. U.S. Department of Labor.
  • Association of PeriOperative Registered Nurses. (2018). Guidelines for Perioperative Practice. AORN, Inc.

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