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26 Specimen Comp (RN MC)
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Created on September 11, 2025
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Transcript
Start
In this module, you will be presented scenarios to manage specimens appropriately. The examples given may differ from your experience (type of specimen, naming convention, order of specimens, etc.) but validation of the specimen handling principles is the purpose of this module. This environment is a "pre-test" and, if you answer questions here correctly, may allow you to skip the Specimen Handling chapter.
ACKNOWLEDGE
Patient 1: Partial mastectomy with lymph node dissection
The surgeon announces the primary specimen that she calls "left partial mastectomy." You've collected the specimen, entered the order, and packaged the specimen for delivery to Anatomic Pathology.
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Patient 1: Partial mastectomy with lymph node dissection
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Also, the surgeon changed her mind about sending the specimen for culture in this case.
Patient 1: Partial mastectomy with lymph node dissection
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Patient 1: Partial mastectomy with lymph node dissection
Later in the case, the surgeon announces a frozen specimen but you could not quite make out the name.
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Patient 1: Partial mastectomy with lymph node dissection
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Patient 1: Partial mastectomy with lymph node dissection
The surgeon clarifies that the frozen specimen is "left axillary lymph node." Click the sterile field to collect the specimen.
Patient 1: Partial mastectomy with lymph node dissection
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Patient 1: Partial mastectomy with lymph node dissection
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Patient 1: Partial mastectomy with lymph node dissection
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Patient 1: Partial mastectomy with lymph node dissection
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Patient 1: Partial mastectomy with lymph node dissection
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Patient 1: Partial mastectomy with lymph node dissection
Let's get that order and requisition done then. Click the Clinical Workstation.
Patient 1: Partial mastectomy with lymph node dissection
Click "+ New" to open the Orders Preference List.
Patient 1: Partial mastectomy with lymph node dissection
"Intra-op Labs" is on the sidebar but it's also a section that starts in the middle of the dialogue box. For this order, select "Intra-OP Surgical Pathology."
Patient 1: Partial mastectomy with lymph node dissection
Click "Accept."
Patient 1: Partial mastectomy with lymph node dissection
The order was changed to STAT. The surgeon's name, specimen name, and special considerations response was added. Click the arrow to scroll down.
Patient 1: Partial mastectomy with lymph node dissection
Click "Diagnosis" as the Exam for this frozen specimen.
Patient 1: Partial mastectomy with lymph node dissection
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The phone number has been entered for you.
Patient 1: Partial mastectomy with lymph node dissection
In this case, the surgeon does want the Sentinel Lymph Node Protocol and it is now selected for you. Click the arrow to scroll down.
Patient 1: Partial mastectomy with lymph node dissection
The collection date and time have been entered for you. Click "Accept" and then complete submission of the order.
Patient 1: Partial mastectomy with lymph node dissection
Patient 1: Partial mastectomy with lymph node dissection
The surgeon's name has been entered for you.
Patient 1: Partial mastectomy with lymph node dissection
The requisition printed, and you verified the information is correct.
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Patient 1: Partial mastectomy with lymph node dissection
Go to Pathology
Patient 1: Partial mastectomy with lymph node dissection
Deliver the specimen!
Patient 1: Partial mastectomy with lymph node dissection
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Patient 1: Partial mastectomy with lymph node dissection
Click to stamp the requisition.
Patient 1: Partial mastectomy with lymph node dissection
Now, ring the doorbell.
Patient 1: Partial mastectomy with lymph node dissection
The tech came to the desk. You communicated that you are delivering a frozen specimen, and he accepted the specimen to begin processing.
Back to the OR
Patient 1: Partial mastectomy with lymph node dissection
When you return, the surgeon has obtained a specimen for cytology. Click the back table.
Patient 1: Partial mastectomy with lymph node dissection
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Patient 1: Partial mastectomy with lymph node dissection
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Patient 1: Partial mastectomy with lymph node dissection
You have placed the Cytology order, applied the lab-ready label to the syringe, and prepared the specimen to send in the pneumatic tube station.
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Patient 1: Partial mastectomy with lymph node dissection
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Now, let's go to the next case.
Patient 2: Prostate Biopsy
For this case, you want to start collecting specimens from the sterile field. Click the back table to view the collected specimens.
Patient 2: Prostate Biopsy
Right base was the first specimen the surgeon obtained from the patient. Click "R base" to zoom in on this specimen.
Patient 2: Prostate Biopsy
Collect
Patient 2: Prostate Biopsy
Label is created, and two-person verification is done. This specimen is placed directly into formalin.
Pre-printed labels may be available for standard specimen naming but containers are not pre-labeled -- the two-person verification must be done immediately before applying the verified label.
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Patient 2: Prostate Biopsy
Let's start charting the specimens.
Patient 2: Prostate Biopsy
Click "+ New" to open the Orders Preference List.
Let's start charting specimens.
Patient 2: Prostate Biopsy
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Let's start charting specimens.
Patient 2: Prostate Biopsy
Click "Prostate Biopsy" and then "Accept"
Let's start charting specimens.
Patient 2: Prostate Biopsy
Let's start charting specimens.
Patient 2: Prostate Biopsy
The surgeon and the specimen number for "Right Base" have been entered for you.
Click the arrow to scroll down.
Let's start charting specimens.
Patient 2: Prostate Biopsy
Later in the case, if you get a "region of interest," you will enter the name and specimen number in the field here. If you need to leave the Orders function and come back later, click "Accept" and then "Save Work."
(If you have pre-printed labels, you will have to write the specimen name on a blank label for the region of interest specimen container.)
Let's start charting specimens.
Patient 2: Prostate Biopsy
Let's start charting specimens.
Patient 2: Prostate Biopsy
Click "Not Ready" and then "Save Work."
Let's start charting specimens.
Patient 2: Prostate Biopsy
Let's start charting specimens.
Patient 2: Prostate Biopsy
This order will be here when we are ready to complete it.
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Let's start charting specimens.
Patient 2: Prostate Biopsy
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Let's jump to the next case.
Patient 3: Muscle Biopsy
This will be a quick one -- the procedure is a muscle biopsy. Click the back table.
Patient 3: Muscle Biopsy
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Patient 3: Muscle Biopsy
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Now, we will go right into the next case.
Patient 4: Liver resection
Setting up for this case, the team realizes that no collections were sent for Type & Screen on this patient. They have no historical Type & Screen on file.
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Patient 4: Liver resection
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Patient 4: Liver resection
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Patient 4: Liver resection
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All Scenarios Finished