specimen

Question 1

5 rights of specimen labeling

Answer 1

• pt
• MRN
• lab test
• specimen
• surgeon

Question 2

surgical tissue banking

Answer 2

retrieval, processing, preserving, and storing of human tissues for later transplanation back into pt or another pt

Question 3

Formalin (formaldehyde)

Answer 3

• toxic w/ inhalation and to mucous membrane (eyes, face, skin)
• in case of exposure, rinse w/ water/saline
• when labeling, indicate presence of chemical

Question 4

how to handle bullets

Answer 4

• Don’t drop bullets into metal basin/bowl (put in sterile plastic container instead)
• Don’t wrap in cotton/tissue paper
• dont rinse w/ water/saline
• handle each fragments/bullets SEPARATELY!

Question 5

what to include if reporting to manufacturer on an explanted device

Answer 5

• date of explantation
• name, mailing address, phone of MD
• date of pt death or date of disuse

Question 6

what to do if the pt requested to have the explanted orthopedic device

Answer 6

• check that it is not recalled
• check that it does not need to be sent to patho
• document the request and the person who return the device

Question 7

what do you use to removed very small specimen from surgical instruments

Answer 7

needle

Question 8

never pass specimen on what?

Answer 8

counted/radiopaque sx sponge

Question 9

how often do you change the ice to keep the amputated digit nice and cooled?

Answer 9

q4h

Question 10

2 criterias of the tissue perfusion fluid in washing out stagnant blood of amputated limb’s proximal artery

Answer 10

100 C or 500 F

120cm hydrostatic pressure

Question 11

near misses

Answer 11

potential to harm; prevented

Question 12

adverse events

Answer 12

harm/inconvenience happened

Question 13

sentinel event

Answer 13

significant harm

Question 14

what to include on specimen documentation

Answer 14

• number/phone of OR room

- pt’s LOC

Question 15

when does specimen identification begin

Answer 15

the moment it is removed from pt’s body

Question 16

special care of breast tissues

Answer 16

• kept moist! not on dry, absorbent surfaces

- time of excision to fixation less than 1 hour