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Mark (/) at the appropriate box for the tests required. Tests which are not listed in
the request form should be stated under the column OTHERS. The type of specimen
should be stated under the appropriate column for non-blood specimen.
HTAA, KUANTAN All request forms must be signed either by a House Officer, Medical Officer or Specialist
depending on the category of tests requested.
Urgent requests must be justified by clinical summary, diagnosis and reason for the
urgency. The word “URGENT” must be written clearly or stamped preferably in red at
the top on the right hand corner of the request form.
PER-PAT-301 are supplied by the Stationery Section of the Administration Division.
Venipuncture and Blood Specimen Collection
Use large bore needle (less than 22 gauge) for venipuncture.
All specimens must be sent in the correct containers as the use of inappropriate
containers will cause a wrong / misleading result.
Follow correct order of draw to eliminate the risk of cross contamination of additives
and to reduce the risk of clotted specimens.
The specimens should be collected by the ward or clinic staff, properly labelled and
despatched to the laboratory in appropriate containers as specified.
The specimen containers must be labelled with full name of patient, patient’s IC
number, date of collection, ward identity and test requested.
The specimen containers should be placed in biohazard plastic bags with the respective
request forms inside the second pouch of the bag.
Please use different biohazard bag for each patient. In condition when multiple type of
specimen obtained from a patient (e.g. urine and blood), please use separate biohazard
bag for each type of sample.
Multiple timed samples (e.g. glucose tolerance test) from the same patient can be sent
in the same bag. In this case, it is essential that each sample is clearly labeled with the
time of collection.
STAT/URGENT specimen must be stamped/written clearly in the request form before
sending to the laboratory.
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