PACKAGING FROZEN SPECIMENS PURPOSE: This procedure provides instruction on how to package Exempt Human Specimens for transport when they are frozen. All specimen(s) are to be packaged as indicated in MyLab BC Lab Test Info and according to the BC Transportation of Dangerous Goods Specimens procedure (Paradigm Document# 6573 Ver. 4.0). This procedure provides the packaging instructions for Exempt Human Specimens ONLY. If there is an indication of infection by patient or requisition or where a specimen is suspected of being infectious, the specimen MUST be packaged as a UN 3373 Biological Substance, Category B specimen or in the rare event UN 2814 Infectious Substances Affecting Humans, Category A specimen. Refer to the BC Transportation of Dangerous Goods Specimens procedure (Paradigm Document# 6573 Ver. 4.0) for further information on classifying and the required packaging for infectious substances. All specimens that are to be transported frozen, are first frozen overnight at the Patient Service Centre with the exception of Contract Services specimens which are processed as indicated on the requisition. PROCEDURE: Step Action 1. Remove frozen specimens from freezer and a thermos from the refrigerator. Select one specimen to package. Empty thermos containers are to be stored in the refrigerator with the lid off. 2. Verify the tests, patient name and accession number on the Send Out requisition match the specimen and the specimen label (if required). Ensure that any testing performed by LifeLabs is not requested on the Send Out requisition. Ensure that any information required on the Send Out requisition has been provided. E.g Carnitine – Note on requisition whether or not patient is fasting. DOCUMENT TITLE: PACKAGING FROZEN SPECIMENS MASTER INDEX # FRE-PR-018 VERSION DATE Page 1 of 4 OCT-29-2010 Printed copies are uncontrolled. Printed versions should be checked and compared to current version found on MyLab BC 3. Determine if the Specimen Management team will be required to handle the test or if they can directly forward the package to an external testing facility. This can be determined by looking at the specimen label. Specimens on worksheets of >9000 are packaged to be forwarded directly to the external testing facility. Specimens on worksheets of <9000 are packaged and forwarded to Specimen Management. These tests require processing. Do Not place in an ‘external’ transvelope. For a complete Worksheet List, visit MyLab BC, Worksheet Decoder. Worksheet < 9000 – package and forward to Specimen Management. 4. Worksheet > 9000 – package to be forwarded directly to external facility. Select the appropriate packaging based on the specimen’s destination and specimen classification. Ensure the packaging is labeled identifying the final destination. BCCDC – Biohazard Transvelope LifeLabs and All other BCCDC provides LifeLabs with destinations – clear plastic bag these transvelopes. labeled with destination label. Examples of destination labels include - DOCUMENT TITLE: PACKAGING FROZEN SPECIMENS MASTER INDEX # FRE-PR-018 VERSION DATE Page 2 of 4 OCT-29-2010 Printed copies are uncontrolled. Printed versions should be checked and compared to current version found on MyLab BC 5. Place specimen(s) inside the bag. Package up to three (3) frozen specimens (with the same destination) in a single bag. Bags with different destinations can be placed in the same thermos. E.g - One specimen for VGH and one specimen for BRL can be placed in the same thermos but in separately labeled bags. 6. Elasticize one (1) icepack around the bag and place in the thermos. Specimens being transported from the BC Region may require more ice. Follow any specific transporting instructions for your area. 7. Place a photocopy of the requisition or Send Out requisition (if required) in the pocket of a second bag. Place this bag on the top of the specimens inside the thermos. Photocopies of the requisition are required if the – Specimen is being forwarded to an institution other than CBS, BCCDC or BCCA. Attach the photocopy of the original requisition behind the Send Out requisition. Notes: 8. Specific tests performed at CBS, BCCDC or BCCA may require a photocopy of the original requisition. If so, this information is indicated on MyLab BC under Lab Test Info. Standing Orders require a photocopy to be sent the first time ONLY. TFAD requisitions need to be returned with a photocopy of the original requisition if the testing is to be sent out. Secure thermos lid and place in the appropriate transport area. RELATED DOCUMENTS BC Transportation of Dangerous Good Paradigm Document # 6573 Ver. 4.0 Packaging External Specimens Master Index# FRE-PR-025 Packaging LifeLabs Specimens Master Index# FRE-PRTest to Follow Another Day Master Index# FRE-PR-040 Standing Order Procedure Master Index# INT-PR-005 DOCUMENT TITLE: PACKAGING FROZEN SPECIMENS MASTER INDEX # FRE-PR-018 VERSION DATE Page 3 of 4 OCT-29-2010 Printed copies are uncontrolled. Printed versions should be checked and compared to current version found on MyLab BC DOCUMENT REVISION LOG DOCUMENT NAME: PACKAGING FROZEN SPECIMENS MASTER INDEX # FRE-PR-018 Responsible Person: Education & Training Coordinator Original Effective Date: August 26, 2008 Original Approver: Dr. Michael T. Kelly Date Oct 30, 2008 Title: Laboratory Director Change/Update -NEW- Nov 18, 2009 Annual Approval Oct 29 2010 Updated by Trevor McLean Approved By Dr. Michael Kelly Dr. Michael Kelly Dr. Michael Kelly DOCUMENT TITLE: PACKAGING FROZEN SPECIMENS MASTER INDEX # FRE-PR-018 VERSION DATE Page 4 of 4 OCT-29-2010 Printed copies are uncontrolled. Printed versions should be checked and compared to current version found on MyLab BC