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- Laboratory Utilization Team
-
- Physician writes order on chart.
- -COMPLETEORDER
- Enter complete computer order (ward clerk, RN, or MD).
- These are either ward collect or lab collect orders.
- Is an approval needed?
- (Yes) SF-513 received in lab?
- (No) Received in one week?
- (No) Cancel order and discard specimen.
- >COMPLETEORDER
- (Yes)
- ?end
- (Yes)
- ?end
- All required signatures?
- (No) Fax to Chief Resident for signature.
- Signed and returned to lab?
- (No) Cancel order and discard specimen after one week.
- (Yes)
- ?end
- (Yes)
- ?end
- Specimen in lab?
- (No) Hold until specimen arrives (Max 1 month).
- Specimen arrives for testing.
- (Yes)
- ?end
- Fax SF-513 with send-# to fiscal.
- After approving and designating reference lab fax SF-513 to lab.
- Prepare appropriate reference lab form and pull specimen.
- Transport specimen by courier for testing.
- Results returned to the lab.
- >RESULTSVERIFIED
- (No)
- ?end
- Is specimen collected?
- (No)
- Is order for AM/PM draw?
- (Yes) Was blood collected?
- (No) Leave sheets on floor with reasons for non-collect.
- >COMPLETEORDER
- (Yes) >LABWORKLABELED
- ?end
- (No)
- Ward collect request was entered.
- Is patient ambulatory?
- (No) Specimen is collected by ward personnel (RN or physician).
- (Yes)
- ?end
- ?end
- (Yes)
- ?end
- Is escort needed for transport?
- (No)
- (Yes)
- Escort is notified, reports to floor and transports to lab.
- ?end
- Patient/Specimens and order arrive in the lab area.
- Order sheets are clocked and placed with specimens.
- Orders are assessed?
- (No) Problem is identified (i.e., SSN absent, mismatch, no orders).
- Ward/Clinic contacted for correction.
- Accessioning continued?
- (No) >COMPLETEORDER
- (Yes)
- ?end
- (Yes)
- ?end
- -LABWORKLABELED
- Labwork labeled prioritized and distributed in lab.
- Lab work centrifuged or processed.
- Test performed?
- (Yes) >RESULTSVERIFIED
- (No)
- ?end
- Instrument malfunction?
- (No) Specimen problems (clots, QNS, not on ice, etc.).
- Contact floor for recollect and new order.
- >COMPLETEORDER
- (Yes)
- ?end
- Perform on backup equipment and call service.
- -RESULTSVERIFIED
- Results verified in computer?
- (No)
- Computer down?
- (No) QC out or non-match on results.
- Research and repeat if okay report.
- >RESULTSVERIFIED
- (Yes) Fax results; When back up enter in computer.
- ?end
- (Yes)
- ?end
- Results available?
- (No) Computer draw or testing problem encountered.
- (Yes) Lookup in CRT, printouts for ICU and clinics.
- Cums printed by MAS in AM and charted.
- Results on chart for physician review.
- ?end
-
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