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Special Considerations for Low Birthweight and Sick Babies

 

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Invalid Specimens:

Possible Causes:


Specimen quantity insufficient for testing
1. Specimen quantity insufficient for testing.

  • Removing filter paper before blood has completely filled circle or before blood has soaked through to second side.
  • Applying blood to filter paper with a capillary tube.
  • Touching filter paper before or after blood specimen collection with gloved or ungloved hands, hand lotion, etc.
  • Allowing filter paper to come in contact with gloved or ungloved hands or substances such as hand lotion or powder, either before or after blood specimen collection.

Specimen appears scratched or abraded
2. Specimen appears scratched or abraded.
  • Applying blood with a capillary tube or other device.

Specimen not dry before mailing
3. Specimen not dry before mailing.
  • Mailing specimen before drying for a minimum of four hours.

Specimen appears supersaturated
4. Specimen appears supersaturated.
  • Applying excess blood to filter paper, usually with a device.
  • Applying blood to both sides of filter paper.




Specimen appears diluted, discolored or contaminated
5. Specimen appears diluted, discolored or contaminated.
  • Squeezing or "milking" of area surrounding the puncture site.
  • Allowing filter paper to come in contact with gloved or ungloved hands or substances such as alcohol, formula, antiseptic solutions, water, hand lotion or powder, etc., either before or after the blood specimen collection.
  • Exposing blood spots to direct heat.

Specimen exhibits serum rings
6. Specimen exhibits serum rings.
  • Not wiping alcohol from puncture site before making skin puncture.
  • Allowing filter paper to come in contact with alcohol, hand lotion, etc.
  • Squeezing area surrounding puncture site excessively.
  • Drying specimen improperly.
  • Applying blood to filter paper with capillary tube.



Specimen appears clotted or layered
7. Specimen appears clotted or layered.
  • Touching the same circle on filter paper to blood drop several times.
  • Filling circle on both sides of filter paper.

No blood
8. No blood.
  • Failure to obtain blood specimen.

Printed with permission from Schleicher & Schuell, P.O. Box 2012, Keene, New Hampshire 03431
800/437-7003 Fax: 603/357-3627
and The New York State Department of Health

Schleicher & Schuell knows this information to be true only when using S&S 903 Specimen Collection Paper.

 


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Washington State Department of Health
Newborn Screening Program
1610 NE 150th Street NE
Shoreline, Washington, 98155

Last Update : 11/20/2006 11:08 AM
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