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Chapter 12  Laboratory Skills  235


             2.  Review the patient record to ascertain which tests or   if the antibody or antigen is present. These are single‐use
                panels are ordered. Then read the test reagent   kits although some kits test for the presence of more
                labels to ensure you have the correct test(s).  than  one  disease.  For  example,  feline  leukemia  virus
             3.  Handle carefully. These are expensive, complex   antigen, feline immunodeficiency virus antibody, and
                pieces of equipment.                            feline heartworm antigen can all be detected by the same
             4.  Results may be printed out and then secured in the   test kit.
                patient record or the instruments may be interfaced   These test kits use serum, plasma, and/or whole blood
                with hospital management software and results sent   depending on the test and the manufacturer. Use the
                directly to the patient’s electronic file.      specified sample type or the one the veterinarian pre-
             5.  There are reference ranges or normal values for   fers. Most test results are available in 8–10 minutes.
                each test for healthy patients of each species.   Because results are so rapidly available, a test result will
                Reference values are dependent on the laboratory   be ready by the time the veterinarian has completed the
                or equipment used.                              patient examination.
             6.  Some equipment requires periodic calibration; all   Kits come packaged with all the materials needed for
                require some maintenance and some form of       conducting the test. A pamphlet is enclosed that gives
                cleaning. Follow the manufacturer’s directions for   step‐by‐step instructions for setting up the test and inter-
                maintenance. Keep a record of who did these     preting the results. As with other laboratory instructions,
                procedures and when in the laboratory mainte-   a copy of the directions for each kit can be kept in the
                nance log. Carefully follow the manufacturer’s   protocol binder and should be switched out with each
                directions when doing so.                       new box.
             7.  Never use expired reagents as they may not give   Read all the accompanying information about the
                accurate readings. As with all medical supplies and   test. Read the box when unpacking kits from the whole-
                drugs, reagents must be monitored for expiration   saler to ensure proper storage. Some kits need to be
                dates.                                          refrigerated; others do not. These kits have expiration
                                                                dates so be sure to check the date before storing the kits
               The veterinary assistant may be asked to operate this
             equipment and may be responsible for its maintenance.   and before use.
                                                                   Be certain to draw the appropriate quantity and type
             Follow the manufacturer’s recommendations  for use   of sample (plasma versus serum or whole blood) needed
             and  maintenance  requirements  or observe  an  experi-  to run the test. Refrigerate the labeled sample if the test
             enced team member using the instrument before      is not run immediately. The veterinary assistant will find
             attempting it on your own. The first time you run a test,   these tests easy to run with a minimal margin for error.
             have someone observe your work. Always ask questions if   Because of the differences between test kits, however,
             you are in doubt. It is better to ask a question than to   the assistant must pay close attention to directions. As
             make a serious mistake. These instruments will use either   with all laboratory work, accuracy and attention to details
             liquid reagents or dry test strips of some form, which are   are the key to success.
             usually refrigerated. These reagents are dated and    Once results have been achieved, mark the patient
             should be checked before use. Keep an adequate     file and the lab log book. Throw the used test kit into the
             inventory of test materials most frequently used on hand.
                                                                waste container and disinfect the counter.

               Reflection
                                                                   Learning Exercise
               Read the operation manual for the blood ana-
               lyzer and blood chemistry machine. What             Select a test kit at random. See if you can find
               information did you pick up that was perhaps not    what the test is for, what species of animal, what
               covered in a lecture?                               sample does it require, and how long does it take
                                                                   to run the test?



             Serologic Test Kits
                                                                Urine Collection
             There are an increasing number of commercial serology
             test kits available for specific diseases. These tests are   The role of the veterinary assistant may be one of
             quick and easy, ranging from heartworms to Lyme dis-  restraint during the process of urine collection. The
             ease. The basis of the test principle is an antigen–anti-  exception is collection of urine during normal micturi-
             body reaction followed by a color change on the test pad   tion (urination) or use of a litter pan. Refer to Chapter 10
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