What are the standard steps for labeling and handling intraoperative specimens to ensure accurate pathology results?

• A. Label specimens after pathology review.
• B. Label specimen containers with patient ID, procedure, and site in the OR; avoid labeling on back tables; use separate containers if needed.
• C. Delay labeling until documentation is completed.
• D. Labeling is unnecessary because specimens are tracked by the procedure.

Answer: (B)

Accurate pathology results start with real-time, in-the-OR labeling that clearly identifies each specimen. The standard steps involve placing a durable label on the specimen container in the operating room that includes the patient’s identifier, the procedure, and the exact site or tissue source (and time/date if required). This should be done at the moment of collection so the specimen is matched to the correct case before it leaves the room. Labeling on back tables is avoided because that area is busy with multiple cases and can lead to misidentification or mix-ups. If more than one specimen is collected, each piece gets its own separate container with its own label to prevent cross-contamination and to maintain a clear chain-of-custody from the OR to pathology. The labeled container, along with the pathology requisition and operative notes, should accompany the specimen to the pathology lab, ensuring the right tissue is analyzed for the right patient.