Which labeling and handling practices are correct for specimens sent to pathology?

• A. Label with patient name only.
• B. Label with patient name, ID, procedure, site, and date; place in leak-proof container; follow chain-of-custody and transport policies.
• C. Label with room number and date.
• D. Label with surgeon's initials and date.

Answer: (B)

Accurate specimen labeling and secure handling ensure the right patient, the right procedure, and the right tissue reach the pathology lab in good condition with an auditable trail of handling. The best practice includes labeling with the patient’s name, patient ID, the procedure performed, the site from which the specimen was taken, and the date. It also requires placing the specimen in a leak-proof container and following established chain-of-custody and transport policies. This combination provides complete patient and clinical context, prevents mix-ups, preserves specimen integrity, and ensures traceability from collection to diagnosis.

Labeling with only a name omits essential identifiers and context, increasing the risk of misidentification. Room number and date lack patient identity and the clinical details of the specimen. Surgeon’s initials and date also omit the patient and the exact procedural/site information needed to correctly match the specimen to the right case.