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This document serves as a requisition form for ordering clinical specimen shipping units from the Michigan Department of Community Health, including various laboratory services and specimen types.
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How to fill out clinical specimen shipping units
How to fill out CLINICAL SPECIMEN SHIPPING UNITS REQUISITION
01
Begin by entering the date of the requisition at the top of the form.
02
Fill in the patient's personal information, including full name, date of birth, and contact details.
03
Provide the healthcare provider's name and contact information.
04
Indicate the type of specimen being shipped, such as blood, urine, or other bodily fluids.
05
Specify any relevant medical history or previous test results.
06
List the tests that are being requested on the requisition form.
07
Ensure to include any special handling instructions for the specimen.
08
Sign and date the requisition form to confirm accuracy and compliance.
Who needs CLINICAL SPECIMEN SHIPPING UNITS REQUISITION?
01
Healthcare providers who are sending specimens for laboratory testing.
02
Clinics and hospitals that need to collect and ship biological specimens.
03
Diagnostic labs requiring proper documentation for specimen processing.
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People Also Ask about
What are the requirements for exempt human specimen shipping?
The outer shipping container must be marked on the address side with the words "Exempt human specimen" or "Exempt animal specimen," as appropriate. In addition, at least one surface of the outer packaging must have a minimum dimension of 3.9 inches by 3.9 inches (100 mm by 100 mm).
How should laboratory samples be packaged for shipment?
Place the primary package inside of a rigid or flexible secondary package. A biohazard bag is an adequate secondary container for exempt specimens. Affix a biohazard label, if one is not already present. Place an itemized list of contents between the secondary and tertiary package or written on the secondary package.
How specimens should be packaged for transport?
All specimens must be placed into a primary container labeled with at least two patient identifiers. Primary containers include blood tubes, cups, formalin containers, blood culture bottles or any other suitable sealed container which safely contains the specimen for testing.
When shipping clinical specimens, what must the package include?
The primary receptacle contains infectious material and must be leakproof. Liquids require packaging with an absorbent material capable of absorbing the entirety of the specimen if a leak occurs. The secondary container must also be leakproof and enclose the primary receptacle.
When shipping infectious substances, the packaging must include which of the following?
Labeling of Packages Infectious substance label. Proper shipping name, UN number, and net quantity of infectious substance. Name and telephone number of person responsible for shipment. Cargo Aircraft Only label (when shipping quantities of infectious substance over 50 ml or 50 g by aircraft).
How do you ship clinical samples FedEx?
Ship all dry clinical samples inside a Tyvek® or flexible® plastic envelope, padded envelope, paperboard envelope or paper mailer measuring 6" x 8" or larger. If samples are cushioned on glass or plastic slides, package in a sturdy outer container to prevent breakage and puncturing.
What are the essential components for packaging specimens for shipping?
Packaging The specimen is contained inside of a leakproof glass, metal, or plastic receptacle. For shipments containing liquids, use an absorbent material in sufficient quantity to absorb the entire contents of a spill. Affix a biohazard label, if one is not already present on the receptacle.
How to ship clinical samples?
Ship all dry clinical samples inside a Tyvek® or flexible® plastic envelope, padded envelope, paperboard envelope or paper mailer measuring 6" x 8" or larger. If samples are cushioned on glass or plastic slides, package in a sturdy outer container to prevent breakage and puncturing.
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What is CLINICAL SPECIMEN SHIPPING UNITS REQUISITION?
CLINICAL SPECIMEN SHIPPING UNITS REQUISITION is a formal request document used to detail the specifics of biological samples that need to be shipped for clinical testing or analysis.
Who is required to file CLINICAL SPECIMEN SHIPPING UNITS REQUISITION?
Individuals or entities responsible for collecting and sending clinical specimens, such as healthcare professionals, laboratories, or researchers, are required to file this requisition.
How to fill out CLINICAL SPECIMEN SHIPPING UNITS REQUISITION?
To fill out the requisition, individuals must provide relevant details including the patient's information, the type of specimen being shipped, required tests, and any special handling instructions.
What is the purpose of CLINICAL SPECIMEN SHIPPING UNITS REQUISITION?
The purpose of the requisition is to ensure accurate and safe transport of clinical specimens, providing essential information for testing and facilitating effective communication between sending and receiving facilities.
What information must be reported on CLINICAL SPECIMEN SHIPPING UNITS REQUISITION?
The requisition must report details such as patient demographics, specimen type, requested tests, collection date, and any applicable clinical history or special instructions.
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