&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;

F= INE NEEDLE ASPIRATION

If performed in Metro Ho= spital CT/US/EUS - Radiology will order

For Superficial FNA Epic CYTOLOGY/LAB6301C Star 6301

DEPARTMENT= : &= nbsp; Cytology=

&n= bsp;

CONTAINER: &= nbsp; &nbs= p; None

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

INSTRUCTIONS: &= nbsp; RADIOLOGY: For hospitals on Epic, schedule with Radiology, and Radiology will order FNA for Cytology.

= &nb= sp; = SUPERFICIAL: To schedule a superficial fine needle aspiration performed by= a pathologist, contact the follow= ing department as needed:

= &nb= sp; = ANW Hospital ̵= 1; 612-863-4668 - Cytology Lab

&nb= sp; = &nb= sp; = &nb= sp; = Mercy = Hospital –763-248-8190 - Pathology Lab

= &nb= sp; = Unit= ed Hospital –651-241-8701 - Pathology Lab

= &nb= sp; = Unity Hospital – 763-236-4825 -= Pathology Lab =

Cytology = will order the specimen in Epic at the time the FNA is performed by the patholog= ist unless clinician has already ordered in Epic.

FOR PHYSICIANS PERFORMING A SUPERFICIAL FNA IN Y= OUR CLINIC, also complete a manual FNA form:

1. After the specimen is aspirated, place a small drop = onto a glass slide labeled in pencil with patient's name, date of birth, and source. Use another clean= slide to gently spread the drop to make a smear.&= nbsp;

2. Submit an equal amount of air-drie= d and fixed smears. On slides write "Air"

or "Fix." To “fi= x,” spray fix immediately or immerse in 95%ethanol for 10 minutes. Remove slides from alcohol and dry before placing into slide carrier for transport.

3. Place any remaining specimen into a clean, dry capped tube or tube of

CytoLyt™ labeled with two patient identifiers a= nd source. (Order tubes of<= /o:p>

CytoLyt™ from the Allina Reference Lab.)

4. Repeat above steps until lesion is adequately sampled.

5. On the manual FNA form indicate si= te/s, the number of air-dried and fixed slides for each site, if additional fluid is submitted, etc..

6. Aspirations taken from different s= ites (i.e. Left and Right Thyroid) should be clearly labeled on smears/container= s, and indicated on the requisition.

They will be treated as separate samples and be charged separately..=

REPORTING

INTERVAL: &= nbsp; &nbs= p; = Within 48 hours of receipt.

REFERENCE

VALUES: &nb= sp; = &nb= sp; See pathology report.

SPECIMEN

REJECTION: = &nb= sp; Unla= beled specimen

CPT 88173

Reviewed: &= nbsp; &nbs= p; &= nbsp; &= nbsp;

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

2/00 = Linda Wennerstrom, CT (ASCP) &nb= sp; &= nbsp; &= nbsp; &nbs= p; &= nbsp; &nbs= p;

2/01 &nbs= p; Linda Wennerstrom, CT (ASCP) &= nbsp; &= nbsp; &nbs= p; &= nbsp; Continued on pg. 2

2/02 Linda Wennerstrom, CT (ASCP)

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

2/04 = Linda Wennerstrom, CT (ASCP)

2/05 = Linda Wennerstrom, CT (ASCP)

2/06 = Linda Wennerstrom, CT (ASCP)

6/06 Revised : Linda Wennerstrom, CT (ASCP)

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