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Chapter 12  Laboratory Skills  219


             become contaminated with use. They also tend to pre-  To learn about each instrument in the laboratory you
             cipitate. These make the stains useless and can actually   can find and read the user manuals. These manuals con-
             cause misdiagnosis to occur. To take care of them they   tain important information such as directions for use,
             need to be either refreshed or changed out completely.  maintenance, and trouble shooting. The assistant can
               Coplin  jars are  heavy  glass  jars  with tight‐fitting lids   help the team by maintaining the daily, weekly, monthly,
             which are used for most stains. They allow you to see the   or yearly maintenance on each piece of equipment in
             interior without losing the stain solution to evaporation.   the lab. Setting up a maintenance log is a great way to
             Hematology stain sets consist of three solutions that need   keep track of what has been done to what machine and
             to  be replenished to  maintain  a  depth  to completely   by whom. It is also a place to log control results and
             cover the slide. This is usually based upon the fixative   needs to be readily accessible and near the instrument in
             solution. It is first to become low and not cover the entire   question.
             slide surface. Dump the orange and purple stains out to
             match the level of the fixative and then add back fresh of
             each from the source bottles. Usually the stains are   Learning Exercise
             refreshed once and then changed out entirely to main-
             tain clear stains. Wash and dry the Coplin jars thoroughly   Determine how you will proceed to learn about
             and then add fresh stain from the source containers.   the stains and test kits available in a veterinary
             Make sure the labels are updated with the dates they were   facility. Perhaps starting a lab protocol note-
             refreshed and when they were changed out. If precipi-  book, or putting instructions and maintenance
             tates develop in a stain they can be removed by allowing   information on an index card and clipping them
             the stain to flow through filter paper into a clean con-  together. Whatever your preferred method of
             tainer. Wear gloves and work on a non‐porous tray. It is a   learning is, use it to get this information firmly
             messy process and anything the stain touches will remain   understood.
             that color! To avoid evaporation and keep out moisture,
             always recap stain bottles after use.
                                                                Laboratory Log Book
             Staining Protocol

                                                                Often, auxiliary patient result log books are kept in the
             The hematology and cytology stains are a three‐step pro-  laboratory. Some laboratories have one central note-
             cess and are often referred to as dip quick stains. The   book in which testing information is kept, especially if
             first solution is an alcohol fixative and is usually light   using paper patient files. This requires laboratory results
             blue or clear, the second solution is reddish orange, and   to be recorded in two places – the patient file and in the
             the final stain is dark purple, each in its own Coplin jar.   laboratory log book – as a way to capture the results if
             It is quick because the slide is dipped into each Coplin   someone forgot to write in one or the other. Test results
             jar for 5–10 dips depending on the manufacturer. It is   are entered into the patient file manually for some tests.
             advisable to have two set of stains, one for hematology   Other tests can be printed out by the machine and added
             preparation and one for cytology preparation. The   to the file. If the veterinary practice uses management
             cytology set will have to be changed more regularly   software, the results from the various analyzers go auto-
             because they become contaminated quickly.          matically from the instrument to the patient’s electronic
               Each lab will be stocked with test kits and strips, as   file. However, there will still be test results that will have
             well as miscellaneous equipment that are used for a   to be typed into the electronic patient file.
             number of tests. Reagents and test strips are used for the   When writing in the results learn how they are recorded.
             variety of tests and for some pieces of equipment. Help   Many results have a specific unit of measurement. For
             out by checking the expiration date, and inventory   example a packed cell volume (PCV) is  recorded  as a
             reorder points on a daily basis. Place the order for more   percentage and total protein is recorded as g/dL. The
             as needed. Help store the reagents properly when new   units are always recorded with the numeric value of the
             comes in. Keep them tightly capped to avoid moisture in   test. The lab will most likely have a chart of normal refer-
             the air from  contaminating  the chemicals and  store   ence ranges, if so they too should be included in the
             them per the manufacturer’s recommended  tempera-  manual entry. Enclose normal reference ranges in paren-
             ture. Everyday supplies include microscope slides, cover-  theses and to the right of the test result. Reference ranges
             slips, pipettes, test tubes, and sample containers. These   vary by laboratory and instrument. Some test results are
             items need to be available at all times. Learn the proper   not numeric but are positive or negative often indicated
             name for each item, how it is used, and where they are   by a - or – sign. It is imperative that all test results are
             stored. Help the team by keeping them in stock by pay-  recorded in all the places possible. If they are run but not
             ing attention to the re‐order points.              recorded, they weren’t run! This costs the clinic time,
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