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General guidelines

Generally, the specimen requirements are written in a format that specifies the requested volume, storage temperature, and any special handling notes. The requested volume is an amount sufficient to allow at least two performances of the assay either singly or in duplicate. The minimum volume allows one single analysis including instrument dead volume. Storage temperature is specified as room temperature (15 - 30°C), refrigerated (2 to 10°C) or frozen (-20°C or colder). When temperature is not indicated, the sample may be stored and shipped in the most convenient manner for the client.
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\r\nFor panels or multiple assay requests, the sample should be submitted with the physician’s priority of determination on the Test Request Form. Tests will be performed in the order of that priority. If the volume is insufficient to run all the tests requested, our Client Services department will contact the physician.

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通常,標本要求以指定所請求的卷,存儲溫度和任何特殊處理備注的格式編寫的。所要求的體積是足以允許單獨或重複的至少兩種測定性能的量。最小體積允許單一分析,包括儀器死卷。儲存溫度被指定為室溫(15-30°C),冷藏(2至10°C)或冷凍(-20°C或更冷)。當未指示溫度時,可以以最方便的方式存儲樣品並為客戶端發貨。

對於麵板或多個測定請求,應向Machician提交樣本對測試請求表格的確定優先權。測試將按該優先級的順序執行。如果卷不足以運行所要求的所有測試,我們的客戶服務部門將聯係醫生。

Introduction

The quality of any laboratory test result is dependent on many variables, the first of which begins with you. Your care, skill, and knowledge when preparing the patient and specimen are essential to the provision of the highest quality standards for testing and services. The patient must first be properly prepared so that the best possible specimen can be collected. Next, the actual collection of the specimen must be completed. Then, the specimen should be properly processed, packaged and transported to the laboratory in a timely manner and under environmental conditions that will not compromise the integrity of the specimen. After all of these activities take place, a quality analysis can be performed. The specimen collection and handling process can be completed by you and your staff, or by referring your patient to a Quest Diagnostics Patient Service Center. Please contact the laboratory for clarifications, if needed, prior to specimen collection.

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Specific specimen requirements for each test are listed in the Test Directory. Specimen requirements include information such as specimen volume, collection and transport containers as well as transport temperature. If additional information is needed for the interpretation of the test results or there are specific instructions for patient preparation, they are listed along with specimen requirements. It is critical that an adequate specimen volume is submitted for analysis. The volume requested in this directory is enough for initial analysis as well as for any confirmatory tests that must be performed. If an inadequate specimen is submitted, we may not be able to perform the initial test or required confirmatory procedures.

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If repeat or confirmatory tests cannot be performed, the report will indicate that the specimen quantity submitted was “QNS” (Quantity Not Sufficient) for additional testing. When serum or plasma is to be submitted for analysis, it is good practice to collect a volume of blood that is 2 to 2.5 times the volume of serum or plasma needed for the test. As an example, if 4 mL of serum or plasma is needed for a test, collect 8 to 10 mL of blood. When an inappropriate specimen or unclear test request has been submitted, you will receive notification with instructions for resolving the problem.

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The quality of any laboratory test result is dependent on many variables, the first of which begins with you. Your care, skill, and knowledge when preparing the patient and specimen are essential to the provision of the highest quality standards for testing and services. The patient must first be properly prepared so that the best possible specimen can be collected. Next, the actual collection of the specimen must be completed. Then, the specimen should be properly processed, packaged and transported to the laboratory in a timely manner and under environmental conditions that will not compromise the integrity of the specimen. After all of these activities take place, a quality analysis can be performed. The specimen collection and handling process can be completed by you and your staff, or by referring your patient to a Quest Diagnostics Patient Service Center. Please contact the laboratory for clarifications, if needed, prior to specimen collection.

測試目錄中列出了每個測試的特定樣本要求。標本要求包括標本體積,收集和運輸容器等信息,以及運輸溫度。如果對測試結果的解釋需要額外的信息,或者有具體說明患者準備說明,則列出樣本要求。足夠的標本體積提交了分析至關重要。此目錄中請求的卷足以進行初始分析以及必須執行的任何確認測試。如果提交了不足的標本,我們可能無法執行初始測試或所需的確認程序。

If repeat or confirmatory tests cannot be performed, the report will indicate that the specimen quantity submitted was “QNS” (Quantity Not Sufficient) for additional testing. When serum or plasma is to be submitted for analysis, it is good practice to collect a volume of blood that is 2 to 2.5 times the volume of serum or plasma needed for the test. As an example, if 4 mL of serum or plasma is needed for a test, collect 8 to 10 mL of blood. When an inappropriate specimen or unclear test request has been submitted, you will receive notification with instructions for resolving the problem.

Health and safety precautions

Use universal precautions when handling specimens containing blood or other potentially infectious material. Work areas contaminated with blood or serum must be disinfected immediately with 10% bleach (hypochlorite at 0.5% final concentration) or other approved disinfectant. In the event of an exposure, administer first aid immediately, notify your manager or supervisor and seek prompt medical attention. First aid includes washing cuts and needle sticks with soap and water; flushing splashes to the nose, mouth, or skin with copious amounts of water; and irrigating eyes with clean water, saline, or sterile irrigants.

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Specimens must be handled in a safe manner and according to applicable legal requirements or guidance. Information on safe specimen handling may be obtained from the U.S. Occupational Safety and Health Administration (OSHA) and the Centers for Disease Control and Prevention (CDC). In handling human specimens, the goal is to protect health care workers and ancillary staff such as transportation as well as the general public from exposures to blood and to other potentially infectious body fluids. Besides following other specimen preparation procedures included in this section, customers should, prior to sending a specimen to Quest Diagnostics, ensure that there is no leakage from or visible contamination outside the specimen container and that there are no needles or other sharps in the package that could cause injury or pathogenic exposure to anyone handling or opening the package and inner containers. Quest Diagnostics reserves the right to refuse to accept any transports that pose a safety hazard to its employees.

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處理含有血液或其他可能傳染性物質的樣本時使用通用預防措施。用血液或血清汙染的工作區域必須立即用10%漂白劑(次氯酸鹽,終濃度為0.5%)或其他批準的消毒劑。如果發生曝光,請立即管理急救,通知您的經理或主管,並尋求及時的醫療。急救包括用肥皂和水洗滌切割和針頭;用大量的水衝洗到鼻子,嘴巴或皮膚上;用清水,鹽水或無菌灌溉劑灌溉眼睛。

標本必須以安全的方式處理,並根據適用的法律要求或指導。有關安全標本處理的信息可以從美國職業安全和健康管理(OSHA)和疾病控製和預防中心(CDC)獲得。在處理人類標本時,目標是保護保健工作者和輔助工作人員,如運輸以及將軍從暴露於血液和其他潛在的傳染性體液。除了在本節中包含的其他樣本準備程序之外,客戶應該在向Quest Diagnostics發送標本之前,確保在樣本容器外麵沒有泄漏或可見汙染,並且包裝中沒有針或其他銳利可能導致傷害或致病暴露於處理或打開包裝和內部容器的任何人。Quest Diagnostics保留拒絕接受任何對其員工構成安全危險的運輸的權利。

Patient preparation

Many tests require that the patient be prepared in some specific way to ensure useful results. The best analytical techniques provide results that are only as meaningful as the quality of the specimen that has been submitted for analysis. Our goal is to provide you with the most useful diagnostic information possible. If you have questions about patient preparation for any test, please call Client Services for further assistance.

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許多測試要求以某種特定方式製備患者以確保有用的結果。最好的分析技術提供了與已提交分析的樣本質量一樣有意義的結果。我們的目標是為您提供最有用的診斷信息。如果您對任何測試患者準備有疑問,請致電客戶服務以獲取進一步的幫助。

Fasting requirements

For the majority of tests performed on serum, plasma or whole blood, a fasting specimen is preferred. Non-fasting specimens often contain fat particles that can interfere with many analytical procedures. Fasting is defined as no consumption of food or beverage, other than water, for 9 to 12 hours before testing.

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對於對血清,血漿或全血進行的大部分測試,優選禁食樣品。非禁食標本通常含有可能幹擾許多分析程序的脂肪顆粒。禁食定義為除水外的食物或飲料的消耗,在測試前9至12小時。

Patient age

It is helpful to indicate patient age and blood type so that appropriate reference ranges can be assigned for reporting purposes. On occasion, patient age will assist the technologists in choosing the appropriate initial sample dilution for the assay.

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It is helpful to indicate patient age and blood type so that appropriate reference ranges can be assigned for reporting purposes. On occasion, patient age will assist the technologists in choosing the appropriate initial sample dilution for the assay.

兒科標本

Pediatric color-coded Vacutainer® tubes are provided to facilitate special handling. Special small conical tubes with screw caps are provided to prevent evaporation of small volume samples. These tubes will hold up to 1.5 mL of specimen. Standard specimen transfer tubes should be used for larger volume samples. For urine specimens, use urine vials. Contact Client Services for information about supplies provided by Quest Diagnostics.

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We generally request 1 tube per test to avoid delays in processing and to expedite turnaround time. To minimize specimen volume requirements for small children, however, only one tube is required even when multiple tests are ordered.

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For pediatric specimen tubes, wrap the label around the tube just below the screw cap so the ends of the label adhere to each other and the information stipulated above can be read.

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Bright orange, self-adhesive “Pediatric Sample” labels are provided. Please place one of these labels in a blank area of the Test Request Form. The Test Request Form, properly filled out and labeled, should be folded and inserted in the pediatric specimen bag.

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Pediatric color-coded Vacutainer® tubes are provided to facilitate special handling. Special small conical tubes with screw caps are provided to prevent evaporation of small volume samples. These tubes will hold up to 1.5 mL of specimen. Standard specimen transfer tubes should be used for larger volume samples. For urine specimens, use urine vials. Contact Client Services for information about supplies provided by Quest Diagnostics.

我們通常要求每次測試1個管,以避免延遲加工和加快周轉時間。然而,為了最大限度地減少小孩子的樣本量要求,即使訂購多個測試,也隻需要一個管。

對於小兒樣品管,將標簽包圍在螺帽下方的管周圍,所以標簽的端部互相粘附,可以讀取上麵規定的信息。

Bright orange, self-adhesive “Pediatric Sample” labels are provided. Please place one of these labels in a blank area of the Test Request Form. The Test Request Form, properly filled out and labeled, should be folded and inserted in the pediatric specimen bag.

Provocation tests

Some tests require the patient to ingest a substance. The most common are the Glucose Tolerance Tests where the patient drinks a solution containing glucose, and blood specimens are obtained before and at various times after the drink, to measure the concentration of glucose in plasma or serum. In the standard Glucose Tolerance Tests, adults ingest 75 g (10 ounces) of a glucose solution (GlucolaTM). Children ingest an amount of glucose proportional to their body weight (1.75 grams of glucose per kilogram of body weight, up to 75 g of glucose).

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一些測試需要病人攝取substance. The most common are the Glucose Tolerance Tests where the patient drinks a solution containing glucose, and blood specimens are obtained before and at various times after the drink, to measure the concentration of glucose in plasma or serum. In the standard Glucose Tolerance Tests, adults ingest 75 g (10 ounces) of a glucose solution (GlucolaTM). Children ingest an amount of glucose proportional to their body weight (1.75 grams of glucose per kilogram of body weight, up to 75 g of glucose).

正確識別標本

Specimen labels

All specimens should be labeled at the time of collection with at least two patient identifiers. 

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  1. The patient’s name (full last name, then full first name or initial) or a unique ID code is always required.
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  3. The second patient identifier may be one of the following:
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  • Date of birth (month/date/year)
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  • Other unique patient identifier that is also on the test requisition, e.g. hospital or office ID code or file number
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  • Quest Diagnostic’s requisition number or specimen barcode label
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  • Other barcode labels can be used if barcode matches the unique identifiers on the printed requisition (the barcode does not need to be human readable)
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NOTE: Location-based identifiers are NOT acceptable, e.g. hospital room number or street address

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Each specimen must have a securely affixed label with the following information:

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  • the patient’s name written exactly as it appears on the test requisition (e.g., Doe, Jane)
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  • a second patient identifier as noted above
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  • your account number
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  • date of collection
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If the label is hand-written, use a ballpoint pen–do not use a felt tip pen. If glass slides are submitted, use a pencil for labeling the frosted end–two identifiers are preferred although patient’s name alone is acceptable.

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When using an electronically generated Quest Diagnostics test requisition, place the label lengthwise on the tube. When submitting a specimen in a container other than the tube used to draw the sample (e.g., transfer vials), also indicate specimen type on the label (e.g., serum, plasma, urine, etc.). When submitting specimens for microbiological testing (e.g., cultures, bacterial antigen, microscopic examination), the nature and anatomic source of the sample and the specific organism(s) to be detected, if any, should be specified.

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All specimens should be labeled at the time of collection with at least two patient identifiers.

  1. The patient’s name (full last name, then full first name or initial) or a unique ID code is always required.
  2. The second patient identifier may be one of the following:
  • Date of birth (month/date/year)
  • Other unique patient identifier that is also on the test requisition, e.g. hospital or office ID code or file number
  • Quest Diagnostic’s requisition number or specimen barcode label
  • Other barcode labels can be used if barcode matches the unique identifiers on the printed requisition (the barcode does not need to be human readable)

NOTE: Location-based identifiers are NOT acceptable, e.g. hospital room number or street address

Each specimen must have a securely affixed label with the following information:

  • 患者的姓名完全按照測試申請中出現的姓名(例如,Doe,Jane)。
  • a second patient identifier as noted above
  • your account number
  • date of collection

If the label is hand-written, use a ballpoint pen–do not use a felt tip pen. If glass slides are submitted, use a pencil for labeling the frosted end–two identifiers are preferred although patient’s name alone is acceptable.

When using an electronically generated Quest Diagnostics test requisition, place the label lengthwise on the tube. When submitting a specimen in a container other than the tube used to draw the sample (e.g., transfer vials), also indicate specimen type on the label (e.g., serum, plasma, urine, etc.). When submitting specimens for microbiological testing (e.g., cultures, bacterial antigen, microscopic examination), the nature and anatomic source of the sample and the specific organism(s) to be detected, if any, should be specified.

Test Requisition

Specimens must be accompanied by a paper requisition, prepared either by hand or printed from an electronic ordering system. The requisition, at a minimum should contain the following information:

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  • Adequate patient identification information (e.g., name, address, telephone number, medical record number
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  • Patient gender
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  • Patient date of birth, or age
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  • Name and address of physician ordering the test
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  • Test(s) requested
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  • Date of specimen collection, when appropriate
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  • Source and type of specimen and time of collection, when appropriate
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  • Clinical information, when appropriate
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Complete the “Patient Information” and “Insurance Information” sections on the requisition. Select the tests to be performed. Legibly print patient information and indicate with a check mark which party will be responsible for payment in the “Bill To” section of the requisition. Enter the ICD diagnosis code that reflects the patient’s symptoms, condition, or diagnosis and provide medical justification for the tests ordered. Complete billing information.

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When ordering tests in a series (e.g., growth-hormone stimulation, glucose tolerance, etc.):

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  1. Use one test requisition.
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  3. Label each specimen with the patient’s name, date and time of collection, or site (if applicable).
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  5. Write the number of specimens on the test requisition.
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  7. Submit all specimens within a series together in one specimen bag.
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Improperly labeled specimens will be rejected.

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Specimens must be accompanied by a paper requisition, prepared either by hand or printed from an electronic ordering system. The requisition, at a minimum should contain the following information:

  • Adequate patient identification information (e.g., name, address, telephone number, medical record number
  • Patient gender
  • Patient date of birth, or age
  • Name and address of physician ordering the test
  • Test(s) requested
  • Date of specimen collection, when appropriate
  • 標本來源和類型和時間的集合, when appropriate
  • Clinical information, when appropriate

填寫“患者信息”和“保險信息”部分就征用。選擇要執行的測試。清晰地打印患者信息並用複選標記表明哪一方將負責在征用的“賬單”部分中的付款。輸入ICD診斷碼,反映患者的症狀,病情或診斷,並為訂購的測試提供醫療理由。完成結算信息。

When ordering tests in a series (e.g., growth-hormone stimulation, glucose tolerance, etc.):

  1. Use one test requisition.
  2. 將每個標本與患者的姓名,日期和時間標記,或者網站(如適用)。
  3. Write the number of specimens on the test requisition.
  4. Submit all specimens within a series together in one specimen bag.

Improperly labeled specimens will be rejected.

Packaging

The following are the minimum specimen packaging guidelines that should be followed when submitting specimens.

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  1. Ensure that all specimen container caps and lids are properly tightened to prevent leakage.
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  3. Properly complete the requisition.
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  5. Collect the specimen(s) and transfer to a proper transport container, if needed. Double check the specimen container to ensure that the device is not beyond its stated expiration date.
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  7. If using a manual test requisition, remove a self-stick label from the bottom of the pre-printed paper test requisition and affix this label to the specimen transport container. Place on the container so that the label does not cover the handwritten patient name.
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  9. Fold the top copy (original) of the test requisition in half widthwise (top to bottom) with the patient’s name and bar code facing out. Retain the second copy for your files.
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  11. The specimen transport bag has two pouches. Place the specimen container(s) in the front pocket. Insert the requisition into the rear pocket with the bar code visible in the bottom corner of the bag.
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  13. Frozen specimens should be transported in plastic -screw--cap containers only. Frozen specimens must be placed in a separate specimen bag along with a separate test requisition. Frozen specimens cannot be split for other tests. If more than one test is ordered on a single frozen sample, we will call you to authorize which of the tests ordered you want performed before testing can proceed.
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  15. Remove the protective strip and seal the specimen bag. The protective strip must not obstruct the bar code. This will protect the test requisition from leakage and help ensure that the patient information can be entered directly into the laboratory computer by scanning of the bar code.
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  17. If the specimen has been classified as an “infectious substance,” transport in a box designed to withstand 95kPa of pressure to meet the ICAO/IATA and DOT requirements. These boxes are available from the local laboratory (See the Transporting Specimens to Quest Diagnostics section). Please inform Quest Diagnostics prior to, or at the time of our Logistics Representative -pick--up, so that proper transport arrangements can be made.
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  19. Any updates to these guidelines (or to the specimen transport supplies) will be communicated through your local Quest Diagnostics sales representative or Logistics Representative.
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The following are the minimum specimen packaging guidelines that should be followed when submitting specimens.

  1. Ensure that all specimen container caps and lids are properly tightened to prevent leakage.
  2. Properly complete the requisition.
  3. Collect the specimen(s) and transfer to a proper transport container, if needed. Double check the specimen container to ensure that the device is not beyond its stated expiration date.
  4. If using a manual test requisition, remove a self-stick label from the bottom of the pre-printed paper test requisition and affix this label to the specimen transport container. Place on the container so that the label does not cover the handwritten patient name.
  5. Fold the top copy (original) of the test requisition in half widthwise (top to bottom) with the patient’s name and bar code facing out. Retain the second copy for your files.
  6. The specimen transport bag has two pouches. Place the specimen container(s) in the front pocket. Insert the requisition into the rear pocket with the bar code visible in the bottom corner of the bag.
  7. Frozen specimens should be transported in plastic -screw--cap containers only. Frozen specimens must be placed in a separate specimen bag along with a separate test requisition. Frozen specimens cannot be split for other tests. If more than one test is ordered on a single frozen sample, we will call you to authorize which of the tests ordered you want performed before testing can proceed.
  8. 移除保護地帶和標本bag. The protective strip must not obstruct the bar code. This will protect the test requisition from leakage and help ensure that the patient information can be entered directly into the laboratory computer by scanning of the bar code.
  9. If the specimen has been classified as an “infectious substance,” transport in a box designed to withstand 95kPa of pressure to meet the ICAO/IATA and DOT requirements. These boxes are available from the local laboratory (See the Transporting Specimens to Quest Diagnostics section). Please inform Quest Diagnostics prior to, or at the time of our Logistics Representative -pick--up, so that proper transport arrangements can be made.
  10. Any updates to these guidelines (or to the specimen transport supplies) will be communicated through your local Quest Diagnostics sales representative or Logistics Representative.

Proper specimen packing helps to expedite your order

Holding and securing specimens

While awaiting -pick--up by a Quest Diagnostics Logistics Representative, maintain specimens at room temperature or on cold packs unless otherwise noted under the “Transport Temperature” or other specimen requirement in the Test Listing.

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Quest Diagnostics will provide a lock box for specimens awaiting -pick--up by a Quest Diagnostics Logistics Representative. However, customers are responsible for the security of specimens prior to -pick--up.

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We recommend that the lockbox be placed in a location that is not subject or exposed to extreme temperatures

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在等待 - 通過Quest Diagnostics Logistics代表的Quick-up - 除非在測試列表中的“運輸溫度”或其他標本要求下另有說明,否則在室溫或冷包上維持標本。

Quest Diagnostics will provide a lock box for specimens awaiting -pick--up by a Quest Diagnostics Logistics Representative. However, customers are responsible for the security of specimens prior to -pick--up.

我們建議將鎖箱放置在不受影響或暴露於極端溫度的位置

冷凍標本

Frozen specimens must be transported in insulated containers surrounded by an ample amount of dry ice to keep the specimen frozen until it reaches the laboratory. Thawed specimens are unsuitable for analysis. In the event a thawed specimen is received, you will be asked to resubmit an adequate specimen.

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If you would like more information about sending specimens to Quest Diagnostics, please contact your Client Service Representative. Any updates to these guidelines will be communicated through the LABORATORY UPDATE and/or by your local Quest Diagnostics Sales Representative.

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冷凍試樣必須在被絕緣容器中運輸,以充分的幹冰覆蓋,以使樣品冷凍直至其到達實驗室。解凍的標本不適合分析。如果收到過濾的標本,您將被要求重新提交足夠的標本。

If you would like more information about sending specimens to Quest Diagnostics, please contact your Client Service Representative. Any updates to these guidelines will be communicated through the LABORATORY UPDATE and/or by your local Quest Diagnostics Sales Representative.

將標本運送到Quest Diagnostics

Needles, Sharps or Medical Waste

Do not send any needles or other sharp or breakable objects. Do not send medical waste as a diagnostic specimen since it may violate the law and create a health hazard. Properly discard used needles or other sharps prior to transport. Please note for tests requiring the submission of syringes, the needle must be removed and the syringe capped before sending to the laboratory. Ensure that there is no leakage from or visible contamination outside the specimen container.

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請勿發送任何針或其他尖銳或可易碎的物體。不要將醫療廢物作為診斷標本發送,因為它可能違反法律並產生健康危害。在運輸前妥善丟棄使用針或其他銳白的銳利。請注意,需要提交注射器的測試,必須將針頭移除,注射器在發送到實驗室之前。確保樣品容器外麵沒有泄漏或可見汙染。

Infectious Substances

In 2006, the U.S. Department of Transportation (DOT) changed the rules for classifying specimens for transport, consistent with the International Air Transport Association (IATA) rules that had previously been changed. Under the new rules most specimens for clinical testing may be classified as either “Exempt” specimens or “Biological Substance, Category B–UN3373” specimens, however classifying and packaging routine specimens for testing as Biological Substance, Category B ensures that appropriate packaging and precautions are taken. Only certain specimens with a higher potential to transmit severe, disabling or fatal diseases must be declared and packaged as “Infectious Substance, Category A–UN2814”. (The DOT regulations can be found at 49CFR173.134 et seq. The 2006 amendments to these regulations can be found at 71FR32258). Those needing to transport infectious substances should check with the DOT, the U.S. Centers for Disease Control (CDC) or public health authorities to determine classification of the specimen and, correspondingly, how the specimen should be packaged for transport. For example, certain cultures must be packaged as a DOT or IATA “infectious substance.” In addition, some air carriers may not consider certain specimens as suitable for air transport.

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In 2006, the U.S. Department of Transportation (DOT) changed the rules for classifying specimens for transport, consistent with the International Air Transport Association (IATA) rules that had previously been changed. Under the new rules most specimens for clinical testing may be classified as either “Exempt” specimens or “Biological Substance, Category B–UN3373” specimens, however classifying and packaging routine specimens for testing as Biological Substance, Category B ensures that appropriate packaging and precautions are taken. Only certain specimens with a higher potential to transmit severe, disabling or fatal diseases must be declared and packaged as “Infectious Substance, Category A–UN2814”. (The DOT regulations can be found at 49CFR173.134 et seq. The 2006 amendments to these regulations can be found at 71FR32258). Those needing to transport infectious substances should check with the DOT, the U.S. Centers for Disease Control (CDC) or public health authorities to determine classification of the specimen and, correspondingly, how the specimen should be packaged for transport. For example, certain cultures must be packaged as a DOT or IATA “infectious substance.” In addition, some air carriers may not consider certain specimens as suitable for air transport.

For courier transport: bacterial isolates should be submitted in a screw-cap agar slant using Trypticase soy agar with or without 5% sheep blood or Chocolate agar. Fungal specimens should be submitted in a screw-cap agar slant of Sabouraud Dextrose agar. All tubes must be appropriately labeled, tightly capped and sealed with tape or parafilm. Do not submit bacterial or fungal cultures on petri dishes. Place each isolate to be transported in a separate Tape Seal 95kPa Specimen Transport Bag with the absorbent material. It is important to use a separate bag for each isolate.

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Use an “infectious substance” label, package and document according to carrier’s instructions, including any requirements for dry ice or accompanying material, e.g., alcohol.

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For courier transport:bacterial isolates should be submitted in a screw-cap agar slant using Trypticase soy agar with or without 5% sheep blood or Chocolate agar. Fungal specimens should be submitted in a screw-cap agar slant of Sabouraud Dextrose agar. All tubes must be appropriately labeled, tightly capped and sealed with tape or parafilm. Do not submit bacterial or fungal cultures on petri dishes. Place each isolate to be transported in a separate Tape Seal 95kPa Specimen Transport Bag with the absorbent material. It is important to use a separate bag for each isolate.

根據運營商的說明,使用“傳染性物質”標簽,包裝和文件,包括幹冰或伴隨材料的任何要求,例如酒精。

USPS or Commercial Carrier

Commercial transport of specimens (e.g., FEDEX®, UPS™, DHL®,commercial airline or U.S. Postal Service [USPS]) is subject to various carrier requirements for documenting the contents of any package and for packaging and labeling.
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\r\nAir carrier: Follow any additional packaging and documentation requirements according to carrier’s instructions and/or those issued by the IATA, including Packing Instruction.
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\r\nU.S. Postal Service: Label, package and document according to U.S.Postal Service instructions (note that the U.S. Postal Service may not accept certain types of specimens).
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\r\nBecause different parts of the U.S. Department of Transportation (DOT) regulations apply based upon the mode of transport, check with your carrier or transportation expert about application of the DOT rules prior to submitting.
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\r\nPackages originating outside of the United States must meet any applicable legal requirements of the country of origin and the U.S. Customs and/or CDC requirements for entry into the United States.
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\r\nQuest Diagnostics and its affiliates will not be responsible for any liability attributable to the shipper’s improper actions or failure to comply with any applicable legal requirements. The outline of transportation requirements herein is only a summary of current law. It is provided with the understanding that you seek competent expert or legal advice about regulatory compliance, when applicable. In some cases, these requirements include employee training on these regulations. Quest Diagnostics cannot be responsible for this training. Quest Diagnostics reserves the right to refuse to accept any shipments that fail to meet legal requirements and those that pose a safety hazard to its employees.

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Commercial transport of specimens (e.g., FEDEX®, UPS™, DHL®,commercial airline or U.S. Postal Service [USPS]) is subject to various carrier requirements for documenting the contents of any package and for packaging and labeling.

Air carrier: Follow any additional packaging and documentation requirements according to carrier’s instructions and/or those issued by the IATA, including Packing Instruction.

U.S. Postal Service: Label, package and document according to U.S.Postal Service instructions (note that the U.S. Postal Service may not accept certain types of specimens).

由於美國運輸部的不同部分(DOT)條例根據運輸方式適用,請在提交之前與您的運輸或運輸專家聯係。

Packages originating outside of the United States must meet any applicable legal requirements of the country of origin and the U.S. Customs and/or CDC requirements for entry into the United States.

Quest Diagnostics及其附屬公司對托運人不當行為或未能遵守任何適用的法律要求的任何責任負責。這裏的運輸要求概要隻是當前法律的概要。在適用時,它提供了了解有關監管合規的主管專家或法律建議。在某些情況下,這些要求包括對這些法規的員工培訓。Quest Diagnostics不能負責此培訓。Quest Diagnostics保留拒絕接受任何未能滿足法律要求的貨物以及對其員工提出安全危險的貨物的權利。

Supplies

Certain supplies necessary to draw and submit specimens for analysis by Quest Diagnostics are provided to customers as part of our testing services. Type and quantity of items must correlate to the number of specimens submitted to Quest Diagnostics for testing. Specimen collection devices supplied by Quest Diagnostics are to be used only for the collection of specimens for processing by Quest Diagnostics. Such supplies are not to be used to store or dispose of biological materials, including sharp instruments, or for any activity not connected with the collection of specimens for processing by Quest Diagnostics.
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Certain supplies necessary to draw and submit specimens for analysis by Quest Diagnostics are provided to customers as part of our testing services. Type and quantity of items must correlate to the number of specimens submitted to Quest Diagnostics for testing. Specimen collection devices supplied by Quest Diagnostics are to be used only for the collection of specimens for processing by Quest Diagnostics. Such supplies are not to be used to store or dispose of biological materials, including sharp instruments, or for any activity not connected with the collection of specimens for processing by Quest Diagnostics.

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