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OSPHL Specimen Rejection Policy
Image of lab testing

In order to be compliant with the requirements of our accreditation authorities, CAP (The College of American Pathologists) and CLIA (Clinical Laboratory Improvement Amendments), OSPHL will reject specimens if any of the following conditions exist:

 

 

  1. Lack of two unique identifiers such as patient full name (first and last), birth date, medical record number, and/or unique identifier such as a bar code label on the specimen container, slide, tube or Petri dish. Unique patient identifiers may not be added or changed on the specimen label. If the patient identification on the specimen label is missing or incorrect the specimen will not be tested.
  2. Patient unique identifiers on the test request form do not match the same information on the specimen container. Corrections can be made to one of the patient unique identifiers on the test request form but at least one of the patient unique identifiers on the test request form must be correct. The second may be corrected to match the two unique identifiers on the specimen label so that testing can occur.
  3. Specimens received with labeling inconsistencies (specimen label information not matching test request form) or with essential information missing from the test request form may be tested with the approval of the section manager, Client Services Coordinator or Quality Management Officer. The full name of the person confirming the missing information will be documented on the test request form and added to the final test report before it is approved or added to a revised report in the following comment: Jane Doe verified the essential patient information for this specimen on “date” at “time.” “Micro’s name”
  4. Specimens improperly packaged, damaged, or contaminated (appropriate section supervisor will be consulted to determine if the specimen can be tested and valid results obtained).
  5. Amount of specimen is inadequate (appropriate section supervisor will be consulted to determine if the submitted specimen can be tested and valid results obtained).
  6. The age of the specimen exceeds maximum limits or specimen integrity has not been maintained.
  7. Specimen type is inappropriate for requested test. For example a vaginal specimen is submitted for Chlamydia testing in an endocervical transport container.