Effective Date SOP-Number
STANDARD 02-10-2006 KCMCFLOW009
KCMC Biotechnology
OPERATING Page 1 of 1
Laboratory PROCEDURE
Title: Sample Rejection Criteria
SOP References: Supersedes:
Flow Cytometry for CD4 enumeration
Specimen Rejection Form
Date: _______________________________ Patient ID: ________________________
Sample collected by: ______________________________________________
Date and Time of collection: ____/___/_____ _______:______
dd/mm/yyyy hh : mm
Date and time received in the immunology laboratory: ____/_____/____ ____:____
dd /mm/yyyy hh :mm
Sample received by: __________________________ Sign: ___________________
Reason for rejection: (√) the applicable one
( ) Quantity Not Sufficient (QNS)
( ) Clotted specimen
( ) Lack of, or improper procurement information as listed on the sample collection form
(appendix 1)
( ) Hemolyzed blood specimen.
( ) Sample more than 24 hours old.
( ) Specimens transported on ice/ice packs.
( ) Incorrectly labeled specimen (un matching information on specimen and forms).
( ) Unlabeled specimen
( ) Specimen drawn into tube containing anticoagulant different from protocol specification
(i.e EDTA).
Sample rejected by: _____________________________ Date: _______________
Comments:
________________________________________________________________________
________________________________________________________________________
___________________________________________
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