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1
Unbag
Opens the sealed courier bag and removes the contents, including the requisition paperwork, without disturbing the tubes.
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2
Inspect
Reads each tube: label, tube type and additive, fill volume, and physical integrity. Flags any conflict between the ordered test and the tube it arrived in.
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3
Accession into the LIS
Checks each accepted specimen into the laboratory information system so the order and the physical tube are linked before anything moves.
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4
Sort into racks
Sorts into spin, no-spin and hold racks based on the ordered test and the tube it arrived in.
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5
Load, run and unload the centrifuge
Balances and loads the spin rack, runs the correct protocol, and unloads it when the cycle finishes.
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6
Signal staff
Tells staff which racks are ready for the analyzers and which specimens are being held for a person to resolve.
Held specimens are deliberately not accessioned. A tube in the hold rack has not been checked in, so nothing downstream can pull it, bill it, or treat it as received before a person has ruled on it.
Accessioned specimens move from “collected” to “in-lab” in the LIS, which is the state change everyone downstream is actually waiting on.