Synovial fluid, Pleural fluid, Pericardial fluid and Peritoneal fluid
∞ Synovial fluid is collected by arthrocentesis
∞ Sodium heparin: preferred anticoagulant for synovial fluid
∞ Thoracentesis: method of collection for pleural fluid
∞ Pericardiocentesis: method of collection for pericardial fluid
∞ Paracentesis: method of collection for peritoneal fluid
Ten common errors in specimen collection
1. Misidentification of patient
2. Mislabeling of specimen
3. Wrong anticoagulant
4. Mixing problems
5. Wrong tubes
6. Hemolysis and lipemia
7. Hemoconcentration
8. Extreme temperature
9. Improperly timed specimen
10. Processing errors:
Incomplete centrifugation
Incorrect log-in
Improper storage
Reasons for specimen rejection
1. Hemolysis/Lipemia
2. Clots in an anticoagulated tube
3. Nonfasting specimen (if required)
4. Wrong blood collection tube
5. Short draws
6. Improper transport (temperature)
7. Discrepancies between requisition and specimen label
8. Unlabelled or mislabelled specimen
9. Contaminated specimen/leaking container
order of draw and their uses
Parts of the syringe
veins in the arm
parts of whole blood
parts of evacuated tube