Protocol to be used for any specimen that may have legal importance.
1. Refer to UCL Clinical Laboratory Testing Manual for listing of testing available and the specimen requirements.
2. Order the appropriate testing in the hospital information system (HIS). Requisition(s) will print in the laboratory.
3. Collect the specimen.
4. Label the specimen. Minimum requirements for labeling are patient name, identification number and date & time of collection.
5. Place the specimen into the Chain of Custody bag. Seal the bag by pulling the blue plastic seal guard to expose the adhesive.
6. One specimen per Chain of Custody bag.
7. Date, time and sign the Chain of Custody bag.
8. Complete the patient information and collection sections of this form. Keep the yellow copy for the medical record. Place the top white copy into the pouch of the Chain of Custody bag.
9. The specimen is then transported to the laboratory.
i. August 2001 R. Stoffel
September 2010 R. Stoffel (no changes)
November 2011 R. Stoffel (no changes)
(Fill in completely or use an addressograph label. If using a label, place a label on both copies.)
Patient ID number:
Specimen collected by: (signature)
Date & time of collection:
Specimen sealed in Chain of Custody Bag by: (signature)
Date & time of seal:
Laboratory Chain of Custody Documentation:
Specimen received: (date, time, signature)
Actions or comments:
Testing performed by: (date, time, signature)
Action or comments:
If appropriate, specimens will be saved for approximately one year. Chain of Custody documentation is saved for 5 years.