Specimen Collection and Handling

The accuracy of test results is dependent on the integrity of specimens. Specimen integrity is dependent on adequate patient identification, proper patient preparation, and appropriate specimen collection and handling. Specimens commonly collected by physicians, nurses, and other health care personnel include urine, sputum, body fluids (including CSF), cultures of various types and tissue and cytology specimens. Regardless of who collects a specimen, the following procedures apply.

Specimen Rejection Criteria

• Specimen received without a label or with improper identification and/or improper documentation such as incomplete requisition.
• Specimen collected in an inappropriate container. Refer to the test procedure manual for specimen requirements specific for the ordered test. Specimens submitted in syringes with the needles attached are to be returned to the area of origin for proper disposal of sharps.
• Improper storage and/or handling of specimen. Refer to the test procedure manual for storage and handling requirements specific for the ordered test.
• QNS: Quantity of specimen is insufficient for running the ordered test.
• Specimens received in an unsecured container where leaking has occurred.
• Hemolysis or lipemia (depending on the tests ordered).
• Specimen of questionable integrity (depending on the tests ordered).

CNMI Pathogen Listing and Lab Tests

Pending listing