Collection of Fluid



This document provides guidance on the types of specifications that should be documented in the protocol if the study involves collection of urine. As the majority of the items that follow will be dictated on the protocol level and NOT collected for each and every specimen, CDEs are not associated with these guidelines.Sample Collection Information*Date and time of sample collection:(M M/D D/Y Y Y Y):(HH:MM, 24 hr clock): FORMCHECKBOX Unknown FORMCHECKBOX Not applicableIf not applicable, indicate reason sample not collected reason: FORMCHECKBOX Site unable to obtain FORMCHECKBOX Other, specify:*Type of collection tube: FORMCHECKBOX Heparin Tube FORMCHECKBOX EDTA tube FORMCHECKBOX None FORMCHECKBOX Other, specify: *Method of blood collection: FORMCHECKBOX Routine venipuncture w/ tourniquet FORMCHECKBOX Routine venipuncture w/o tourniquet FORMCHECKBOX Drawn through peripheral venous catheter FORMCHECKBOX Drawn through central venous catheter FORMCHECKBOX Drawn through PICC (peripherally inserted central catheter) FORMCHECKBOX Drawn through peripheral arterial puncture FORMCHECKBOX Drawn through arterial peripheral line FORMCHECKBOX Drawn through arterial central line FORMCHECKBOX Special procedures FORMCHECKBOX Other, specify:*Total volume of CSF collected (mL): FORMCHECKBOX 16 gauge FORMCHECKBOX 18 gauge FORMCHECKBOX 20 gauge FORMCHECKBOX 22 gauge FORMCHECKBOX Other, specify: FORMCHECKBOX Unknown Date and time of analysis:(M M/D D/Y Y Y Y):(HH:MM, 24 hr clock): FORMCHECKBOX UnknownSample storage material: FORMCHECKBOX Glass FORMCHECKBOX Plastic, specify type: Specify any additives used:*Was a clotting procedure used? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX Unknown*If yes, what procedure was used:Were additional processing methods used? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX UnknownSample expiration date:(M M/D D/Y Y Y Y): FORMCHECKBOX UnknownSample Processing Information*Was sample centrifuged? FORMCHECKBOX Yes FORMCHECKBOX No FORMCHECKBOX UnknownIf yes:Time centrifuge started:(HH:MM, 24 hr clock): FORMCHECKBOX Unknown*Speed of centrifugation xG (times gravity):*Duration of centrifugation (minutes):Aliquot information:Time aliquoted:(HH:MM, 24 hr clock): FORMCHECKBOX UnknownVolume of aliquots/ Number of aliquots:Time aliquots put on dry ice:(HH:MM, 24 hr clock): FORMCHECKBOX UnknownTime aliquots put in -70 or -80?C freezer: (HH:MM, 24 hr clock): FORMCHECKBOX Unknown*Most important items to specify in protocol ................
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