describe the Documentation required before,during, and after a laboratory or diagnostic test.?

Answer 1

Consent (if required)

Before test

Sample and Request form labelled with

IDENTIFYING FEATURES
Patient's Name
Patient's Medical Records Number
(DOB, Address, (govt) health insurance details)

SAMPLE DESCRIPTOR (not required in some labs)

TIME AND DATE of SAMPLE

SAMPLE OBTAINED BY

REQUESTING DOCTOR (and in some places Doctor's forwarding details and authority number / provider number / etc)

TIME AND DATE OF REQUEST

CLINICAL INFORMATION

Sample and form must match, particularly with respect to patient's details.

If the sample is for blood products, most centres will require additional measures. Specific arm band to be placed on the patient with specific number / bar code. Same bar code / number in notes, on sample and on request form. This bar code / number will come down with the blood products and needs to be checked against the patient's arm band prior to administration.

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I'm not familiar with what happens during the test, really. That's all just up in the labs. I know the sample and form get a lab number put on them but beyond that you'll have to get a lab tech to help you.

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After the test
RESULTS
Patient's details
Sample adequacy
Results (+/- interpretation +/- recommendations)
(Billing)

Answer 2

Before ---name,age,gender,address,and consent.
During ---speed of flow,appearance of structure,reaction of the patient
After--results ,normal range ,normal average in that laboratory.
cost,bill,receipt