I am having an issue with the laboratory in my hospital with regards to rejected specimens. This is more of an issue with regards to electrolytes and hemolyzed samples, but is also an issue with CBCs. If a sample is hemolyzed, our lab wants to reject the entire sample and tries to refuse to report any values, whether or not they will be affected by hemolysis! Alternatively, I had a case where a CBC was sent even though the blood clotted before getting into the microtainer. The lab notified us that the platelets were low. When the nurse explained to them what happened, they decided to reject the entire CBC on the theory that maybe the WBCs were not entirely accurate either! As much as I laud the laboratory for their high standards and desire to report only the most accurate numbers, it also drives me crazy that I can't get the information I need. Since when is the laboratory deciding how to interpret the results of the tests instead of the physician? In every hospital I have ever worked the lab simply reported that the specimen was hemolyzed (or platelets clumped), gave me the numbers anyway, and let me decide what action was needed. What is the policy in your hospital? I am completely in the wrong in wanting to be able to have more control of the decision making process with regard to whether a child needs to be stuck again?!
Thanks for your input!
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