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Section 5 of 6 · Open sections

Required section · Section 5 of 6

Choose the bounded release action

For this case, first make the minimum correlation of objective morphology, CBC, analyzer flag, specimen limitations, and platelet verification; then perform the required review and promptly route the high-concern finding. Capture a representative image concurrently when available, without delaying that route. The patient report contains objective morphology and applicable limitations. The designated review record, image metadata, and communication record are internal records. The communication recipient, time target, notification threshold, reviewer role, and any APL-specific route are locally controlled.

For CAP-accredited laboratories, the CAP critical-result checklist requires immediate notification of responsible clinical personnel and retention of notification records when a result meets that laboratory's designated critical-result criteria. The laboratory director, with clinicians served, defines the critical results and values for its patient population. For verbal critical-result communication, request and record read-back.

For electronic communication, an approved local route must document receipt confirmation by the intended responsible individual; a sent-message or delivery status alone is not confirmation. Record the date and time, communicator, recipient traceable to that person, result, communication method, and the receipt confirmation according to local process. Electronic receipt confirmation replaces a verbal read-back only when the approved electronic route has confirmed receipt. Escalate according to the controlled procedure and document the communication, not a speculative diagnosis.

Illustrative drawing — this picture was drawn rather than captured.

Workflow drawing showing describe and correlate steps leading to route-and-escalate, with concurrent evidence capture running in parallel rather than before escalation, followed by a communication record containing date, time, communicator, recipient, and result.
Figure 1Describe and correlate first, then route/escalate while evidence capture proceeds concurrently and never delays notification.

Ordering exercise

Place the required actions in the order that supports a defensible response to the high-concern film. Image capture is optional and may occur concurrently after correlation; it is not a gate before notification.

  1. 1. Optionally capture evidence concurrently

    When available, retain a representative image and review metadata without delaying notification.

  2. 2. Route and communicate

    Obtain designated review and promptly notify under local policy; retain the internal communication record.

  3. 3. Describe the morphology

    State visible features and approximate population for the patient report.

  4. 4. Make the minimum correlation

    Review CBC, analyzer information, specimen limitations, and platelet verification.

Knowledge checks

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Knowledge check 1

Which four details belong in the urgent communication record?

Choose at least 4 options.

Knowledge check 2

In a CAP-accredited laboratory, a designated critical result is communicated verbally. What does the CAP requirement call for?

Choose one option.

Knowledge check 3

For a CAP-accredited laboratory, what makes electronic communication of a designated critical result acceptable under the CAP notification guidance?

Choose one option.

Section status

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The module finishes after every required section is marked done and every check in those sections is correct.