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COUNTY OF LOS ANGELES DEPARTMENT OF PUBLIC HEALTHPUBLIC HEALTH LABORATORY CHEMICAL EXPOSURE CLINICAL SPECIMEN SUBMISSION FORM 12750 Erickson Avenue, Downey, CA 90242 Tel: 5626581300 Fax: 5624015999 1.
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How to fill out chemical exposure clinical specimen

01
Use appropriate personal protective equipment (PPE) when obtaining the specimen.
02
Collect the specimen in a clean container that is appropriate for the type of specimen being collected.
03
Clearly label the container with the patient's name, date and time of collection, and any other relevant information.
04
Follow any specific instructions provided by healthcare providers or guidelines for collecting and handling chemical exposure specimens.
05
Transport the specimen to the laboratory in a timely manner to ensure accurate test results.

Who needs chemical exposure clinical specimen?

01
Individuals who have been exposed to chemicals in the workplace or environment and are experiencing symptoms of poisoning or toxicity.
02
Healthcare providers who need to diagnose and treat patients with suspected chemical exposures.
03
Researchers studying the effects of chemical exposures on human health.
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A chemical exposure clinical specimen is a biological sample collected from an individual to analyze the presence and concentration of chemicals or toxins within their system, usually for medical evaluation or research purposes.
Individuals who have been exposed to hazardous chemicals, employers in specific regulated industries, and healthcare providers collecting specimens for analysis may be required to file chemical exposure clinical specimens.
To fill out a chemical exposure clinical specimen, provide accurate personal information, details of the exposure including type and duration, any symptoms experienced, and the date of specimen collection, ensuring all fields are completed as per guidelines.
The purpose of a chemical exposure clinical specimen is to assess the health impacts of chemical exposures, monitor levels of chemicals in individuals, and guide clinical decisions and public health interventions.
Information required includes patient demographics, details of chemical exposure (substance, duration, route), clinical symptoms, specimen collection date, and any relevant medical history.
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