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   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;  Allina Laboratories

   &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp;           &nbs= p;            &= nbsp; 

BRUSHING for CYTOLOGY<= /h3>

(NonGyn Cytology)

Can Include:  Bile Duct, Bronchial, Colon, Esophageal, Gastric, Renal Pelvi= s, Ureteral, Urethral and Other Sources

Epic CYTOLO= GY/LAB6301   Star 6301

Specify Source and Site=

 

DEPARTMENT= :        &= nbsp;          Cytology=

&n= bsp;

CONTAINER:=         &= nbsp;           &nbs= p;  Tube labeled with two patient identifiers and source, i.e., LUL Bronch Brush, Rt. Ureter Brush.

If specimen is for Cytology only, collect in tube of Cytolyt&= #8482; fixative.  <= /h2>

If specimen is shared with Microbi= ology, collect in tube of sterile saline.  <= o:p>

 = ;            &n= bsp;            = ;            &n= bsp;         (Metro hospitals obtain CytoLyt™ from Pathology/Cytology Lab; Allina Reference Lab clients obtain tubes of CytoLyt ™ from Allina Reference Lab).

 

INSTRUCTIONS:        &= nbsp;        ANW HOSPITAL:

           &nbs= p;            &= nbsp;           &nbs= p;           Immed= iately place brush into labeled tube of sterile saline.  Clip brush.

           &nbs= p;            &= nbsp;           &nbs= p;           Bring to lab immediately.

UNITED/MERCY/UNITY HOSPITALS:

Immediate= ly place brush into labeled tube of Cytolyt™ fixative for Cytology.  Clip brush.  (Submit separate specimen in steri= le saline for Microbiology.)

           &nbs= p;            &= nbsp;           &nbs= p;           Bring to lab immediately.

NON-METRO HOSPITALS/CLINICS:  Follow steps above using CytoLyt™ or sterile = saline.  (Less preferred, if no CytoLyt™ or sterile saline is available, gently= smear specimen onto a clean glass slide labeled with patient's name, DOB, and source.  Immediately spray fix or place into container of 95% ethanol fo= r 10 minutes.  Remove slide from et= hanol, allow to dry.&n= bsp; Place slide/s into slide carrier for transport.)

 

IF Fungus/Pneumocystis  STAI= N IS ALSO REQUESTED indicate in Epic  <= /span> "Cytology and Fungus Stain.= 221; = In STAR also order 3996 for fungus stain.&nbs= p;

&= nbsp;

Indicate pertinent clinical history/pre= vious malignancy.

<= span style=3D'font-size:10.0pt'>REPORTING

<= span style=3D'font-size:10.0pt'>INTERVAL: &= nbsp;           &nbs= p;             = Within 48 hours of receipt.

 

<= span style=3D'font-size:10.0pt'>REFERENCE

<= span style=3D'font-size:10.0pt'>VALUES: &nb= sp;            =             &nb= sp;    See pathology report.

 

SPECIMEN

REJECTION: =             &nb= sp;           Unla= beled specimen; source not indicated on container.

 

CPT 88112       Cyto= logy & Fungus 88112 and 88312

 

Reviewed:

10/99   = ;    Linda Wennerstrom, CT (ASCP)   &nb= sp;           &= nbsp;       6/05 Revised : Linda Wennerstrom, CT (ASCP)

2/00  =        Linda Wennerstrom, CT (ASCP)  &n= bsp;          &= nbsp;   6/06 Revised : Linda Wennerstrom, CT (ASCP)

2/01   =       Linda Wennerstrom, CT (ASCP)   &nb= sp;           &= nbsp;       10/07 Revised:  Linda Wennerstrom, CT (ASCP)

2/02         = Linda Wennerstrom, CT (ASCP)   &nb= sp;           &= nbsp;      

2/03         = Linda Wennerstrom, CT (ASCP)   &nb= sp;  

2/04         = Linda Wennerstrom, CT (ASCP)   &nb= sp;  

2/05         Linda Wennerstrom, CT (ASCP)