D.9 Specimen Processing and Accessioning Competency_Training.pdf

Pathology & Laboratory Medicine Service

Cincinnati Department of Veterans Affairs Medical Center 3200 Vine St Cincinnati OH 45246

Contract Staff - Training Checklist: Processing and Accessioning

Doc 4 – Contract Staff - Training Processing and Accessioning

Contract Staff Name _____________________ Starting Date___________________

TASKS PROCEDURE, READING, STEPS TO BE PERFOMED Date Trainee Observe Perform & Initial

Trainer Initials

SOFTTECH

Familiar with procedure manual how to access online (SoftTech)

ACCESSIONING

Read Accessioning SOP Read Specimen Rejections SOP (document mislabeled specimens according to the procedure)

Read Body Fluids/CSF SOP Can properly aliquot serum, plasma, urine and body fluids (knows which tubes and containers to use)

Understands components of accession number Insures arrival time is documented (time stamp requisitions) Recognizes Priority of samples for accessioning (ER, ICU, OR, STAT, HEMAC)

Knows how to accession samples using option: Accessioning tests ordered by ward order entry

Knows how to accession samples using option: Multipurpose Accessioning

Knows how to add tests to an order # using option: Add tests to a given accession with appropriate

Knows how to delete an entire order or individual tests using option: Delete entire order or individual tests

Knows how to delete a test using option: Delete test from an accession

Understands avoiding duplicate orders while doing add on (i.e.

K shouldn’t be added to Renal panel)

Knows how to review patient information using options:

• New Order Test Status (L) or Order/test status

• Review by order number

• Lookup accession/ review patient information using lab options:

Knows how to reprint accession labels Knows how to access test information using option: Test description information

Insures specimen labeled correctly Can label tubes correctly Knows how to properly document rejection of specimen (Incident Report JPSR)

Recognizes specimen identification errors - unlabeled, mislabeled and incomplete specimens

(REQUISITIONS AND SAMPLES MUST ALWAYS MATCH)

Verify Name/SSN on computer/requisition and sample match

CPRS

Knows how to review orders in CPRS Understands the lab test statuses in Vista and CPRS Understands information in Order Details of the Order tab

SAMPLE PROCESSING

3200 Vine St Cincinnati OH 45246

Contract Staff - Training Checklist: Processing and Accessioning

Doc 4 – Contract Staff - Training Processing and Accessioning

a) HANDLING BLOOD SPECIMENS Handle all specimens observing universal precaution Labeling specimens and pour offs correctly, including placement of the barcode label

Knows the distribution of specimens in collection area (Chemistry, Hematology, Urinalyses Send outs etc.)

Aliquot sample for pour -off into proper tube Preparing samples for Send out Proper labeling of pour-off into proper tube Delivering specimens to the proper location (per accession area) and know how to store samples: refrigerate, freeze, room temp)

Proper labeling of add-on test samples Handling problem samples

b) HANDLING OF URINE SAMPLES Instruct patient on random or 24hr urine collection Verify patient label on 24hr container upon receipt of collections Verifying all the possible orders are properly received from Vista Properly transfers urine specimen to preservative tube Knows how to enter Volume for 24 hr. urines

PROCESSING CBOC’S SAMPLES

Receiving Samples from CBOC Scan sample using Specimen Tracking Software Distributing samples Notification to CBOC of missing samples Filing of samples transport log Filing of samples transport log

MORNING COLLECTION

Properly document and receive of samples Itemized collection Resolution for uncollected specimen Printing List of Specimen Not Collected Check test that can be added to existing tube Creating and Printing the collection list Send labels and slips to the appropriate floor

SEND OUT

Tests orders in Excel Sheet in the Service Drive Using Printed Copy

LABEL PRINTER

Know how to change the label printer Know when to change the labels Know where the label printer paper stored

CLEANING AND STOCKING

Wipe all area before and after shift (Phones/Counters) Stock Processing area as needed Empty Biohazard bag Ensure Biohazard bag aren’t in the regular trash bag

3200 Vine St Cincinnati OH 45246

Contract Staff - Training Checklist: Processing and Accessioning

Doc 4 – Contract Staff - Training Processing and Accessioning

2nd Shift HT restock the Alcove phlebotomy cart Properly cleans breakage or spill per Lab Safety Policy

MISCELLANEOUS ITEMS

Occult Blood from ER is treated Stat All requisition and Blood Bank Pink card must be stamped upon arrival to the lab OR requisition must be given to the Tech with the specific Test

Put blood gas label on the requisition Microbiology supplies Review downtime procedure Proper Phone Greeting (identifying yourself and the Department) Proper use of Vocera Know location of POCT Supplies (iStat, Glucometer etc.)

MISCELLANEOUS FORMS

Miscellaneous Order Slips Code\Rapid Response Home Health Care Infection Control HIV consent form

Trainers initials on this document indicates that all listed objectives have been taught, explained, and demonstrated as required to the contract staff. The Contract staff indicates that all objectives listed have been taught, explained, and demonstrated by the trainer and that the Contractor feels they are trained. This training should not take more than 40 hours (1 week)

Contract Staff: ______________________ Date: ________________

Trainer: ________________________ Date: ________________

Contracting Officer Representative (COR): _________ Date: __________________