Make sure that the specimen is in fact that of
the patient submitting it. You need not stand over
the patient while it is being collected; however,
keep in mind that there are instances when it
would be advantageous for persons to substitute
Use of Proper Forms
The Armed Forces have gone to great lengths
to produce workable and effective laboratory
forms to serve their purpose with a minimum of
confusion and chance for error. These forms are
standard forms of the 500 series. Their primary
purpose is to request, report on, and record
clinical laboratory tests. With the exception of the
SF-545, Laboratory Report Sheet, they are
multicopy, precarbonized for convenience. The
original eventually is filed in the patients clinical
record, and the carbon becomes part of the
laboratorys master file. For a complete listing of
these forms and their purposes, refer to chapter
23 of the Manual of the Medical Department.
Use of Laboratory Forms
It goes without saying that a separate form is
used for each patient and test. The patients name,
rank, Social Security number, and unit identifica-
tion will be entered on each request in sufficient
detail to assure proper identification.
Since the results of the requested laboratory
test are usually closely associated with the patients
health and treatment, the requesting physicians
name and location shall be clearly stated. This
assures that the report will get back to the physi-
cian as expeditiously as possible. There is nothing
more aggravating to both patient and physician
than a lost or misplaced laboratory report.
Since the data requested, the date reported,
and the time of specimen collection are usually
important in support of the clinical picture, these
facts should be clearly written on the request in
the areas provided for them.
The type of tests requested should be clearly
marked to eliminate all misunderstanding.
Filing the Laboratory Requests
After the physician has seen the results of the
laboratory tests, the forms must be filed in the
clinical record of inpatients. SF-545, Laboratory
Report Sheet, is provided for this. The originals
of the test forms are to be stapled on this sheet
IN CHRONOLOGICAL ORDER and neatly
spaced, as directed on the form. Each sheet will
accommodate a certain number of laboratory
reports. DO NOT OVERCROWD with more
reportsuse additional sheets if necessary.
The results of the laboratory tests performed
on active duty outpatients will be placed on the
SF-545 in the health (medical) treatment record.
ETHICS IN THE LABORATORY
The nature of laboratory tests and their results
must be treated as a confidential matter between
the patient, physician, and the performing techni-
cian. It is good practice to prevent unauthorized
access to these reports, to leave interpretation of
the test results to the attending physician, and to
refrain from discussing them with the patient.
Clinical Diagnosis and Management by
Laboratory Methods, ed 16. W. B. Saunders
Laboratory Medicine: Hematology, ed 6.
C.V. Mosby Co, 1982
Hematology for Medical Technologists, ed 5.
Lea & Febiger Co, 1983
Hematology: Principles and Procedures, ed 2.
Lea & Febiger Co, 1976
Modern Urine Chemistry, Ames Division,
Miles Laboratories, Inc
A Handbook of Routine Urinalysis, J. P.
Lippincott Co, 1983