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</head>

<body lang=3DEN-US style=3D'tab-interval:.5in'>

<div class=3DSection1>

<p class=3DMsoNormal><span style=3D'mso-tab-count:9'>&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span>Allina
Laboratories</p>

<p class=3DMsoNormal><span style=3D'mso-tab-count:9'>&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></p>

<h1><b><u><span style=3D'font-size:11.0pt'>SPUTUM FOR CYTOLOGY<o:p></o:p></=
span></u></b></h1>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:11.0pt'>(NonGyn Cytology)<o:p></o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'><span style=3D'font-size:11.0pt;color:red'>Epic</span></b><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:11.0pt'> CYT=
OLOGY/LAB6301</span></b><span
style=3D'font-size:11.0pt'><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </=
span><b
style=3D'mso-bidi-font-weight:normal'><span
style=3D'mso-spacerun:yes'>&nbsp;</span><span style=3D'color:red;mso-bidi-f=
ont-weight:
bold'>Star</span></b><span style=3D'mso-bidi-font-weight:bold'> </span><b
style=3D'mso-bidi-font-weight:normal'>6301</b><o:p></o:p></span></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b style=3D=
'mso-bidi-font-weight:
normal'><span style=3D'font-size:11.0pt'>Specify Sputum<o:p></o:p></span></=
b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:12.0pt;mso-bidi-font-size:10.0pt'><o:p>&nbsp;</o:p></spa=
n></p>

<h2 style=3D'margin-left:1.5in'><span style=3D'font-size:10.0pt'>DEPARTMENT=
:<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Cytology=
<o:p></o:p></span></h2>

<p class=3DMsoNormal style=3D'margin-left:2.0in;text-indent:-1.5in'><o:p>&n=
bsp;</o:p></p>

<p class=3DMsoBodyTextIndent2 style=3D'margin-left:1.5in'><span style=3D'fo=
nt-size:
10.0pt'>CONTAINER:<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>*Containers
of CytoLyt&#8482; fixative labeled with two patient identifiers, source, and
date of collection.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Metro Hos=
pitals
obtain CytoLyt&#8482; from Lab Pathology/Cytology Dept. <span
style=3D'mso-spacerun:yes'>&nbsp;</span>Clinics obtain CytoLyt&#8482; from =
Allina
Reference Lab<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent2 style=3D'margin-left:1.5in'><span style=3D'fo=
nt-size:
10.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent2 style=3D'margin-left:1.5in;text-indent:0in'><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:10.0pt;color=
:red'>*If
specimen is to be shared with Microbiology</span></b><span style=3D'font-si=
ze:
10.0pt;color:red'>, do NOT use CytoLyt&#8482; fixative</span><span
style=3D'font-size:10.0pt'>.<span style=3D'mso-spacerun:yes'>&nbsp; </span>=
<span
style=3D'color:red'>Collect specimen in sterile cup and send to lab.<o:p></=
o:p></span></span></p>

<h2><span style=3D'font-size:10.0pt'><span style=3D'mso-tab-count:1'>&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></spa=
n></h2>

<p class=3DMsoBodyTextIndent style=3D'margin-left:121.5pt;text-indent:-121.=
5pt;
tab-stops:1.5in'><span style=3D'font-size:10.0pt'>INSTRUCTIONS:<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1.<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span>Three separate <b>early morni=
ng
deep cough</b> specimens collected on three consecutive days are desirable =
for
adequate examination.<span style=3D'mso-spacerun:yes'>&nbsp; </span><o:p></=
o:p></span></p>

<p class=3DMsoBodyTextIndent2 style=3D'margin-left:121.5pt;text-indent:-13.=
5pt'><span
style=3D'font-size:10.0pt'>2.</span><span style=3D'mso-tab-count:1'>&nbsp; =
</span><span
style=3D'font-size:10.0pt'>Have patient rinse mouth with water</span>.</p>

<p class=3DMsoBodyTextIndent2 style=3D'margin-left:121.5pt;text-indent:-13.=
5pt'><span
style=3D'font-size:10.0pt'>3.<span style=3D'mso-tab-count:1'>&nbsp;&nbsp; <=
/span>Have
patient collect specimen directly into container of Cytolyt&#8482; fixative=
 (caution:
<span style=3D'mso-spacerun:yes'>&nbsp;</span><b>patient should<u> not drink
Cytolyt</u>&#8482;). <o:p></o:p></b></span></p>

<p class=3DMsoBodyTextIndent2 style=3D'margin-left:121.5pt;text-indent:-13.=
5pt'><b><span
style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoBodyTextIndent2 style=3D'margin-left:1.5in;text-indent:0in'><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:10.0pt;color=
:red'>If
specimen is to be shared with Microbiology</span></b><span style=3D'font-si=
ze:
10.0pt;color:red'>, </span><span style=3D'font-size:10.0pt'>do NOT use
CytoLyt&#8482; fixative.<span style=3D'mso-spacerun:yes'>&nbsp; </span>Coll=
ect
specimen in sterile cup and send to lab.<span style=3D'mso-spacerun:yes'>&n=
bsp;
</span><b style=3D'mso-bidi-font-weight:normal'>Do not refrigerate.<o:p></o=
:p></b></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:2.0in;text-indent:0in'><s=
pan
style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.5in;text-indent:0in'><b=
><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow";mso-bidi-font-family:T=
ahoma;
color:red'>If fungus/<i style=3D'mso-bidi-font-style:normal'>Pneumocystis</=
i>
stain</span></b><b><span style=3D'font-size:10.0pt;font-family:"Arial Narro=
w";
mso-bidi-font-family:Tahoma'> is also requested:<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>In Epic, <span
style=3D'mso-spacerun:yes'>&nbsp;</span>indicate &quot;Cytology and Fungus =
Stain.
<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;</span>In Star also order 3996=
 for
fungus.</span></b><b style=3D'mso-bidi-font-weight:normal'><span
style=3D'font-size:10.0pt;font-family:"Arial Narrow";mso-bidi-font-family:T=
ahoma'><span
style=3D'mso-spacerun:yes'>&nbsp; </span><o:p></o:p></span></b></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.5in;text-indent:0in'><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:10.0pt;font-=
family:
"Arial Narrow";mso-bidi-font-family:Tahoma'><o:p>&nbsp;</o:p></span></b></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.5in;text-indent:0in'><s=
pan
style=3D'font-size:10.0pt;font-family:"Arial Narrow";mso-bidi-font-family:T=
ahoma'>Indicate
pertinent clinical history/previous malignancy.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:1.5in;text-indent:0in'><s=
pan
style=3D'font-size:10.0pt;font-family:"Arial Narrow";mso-bidi-font-family:T=
ahoma'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:-.5in'><=
span
style=3D'font-size:10.0pt'>REPORTING <o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:-.5in'><=
span
style=3D'font-size:10.0pt'>INTERVAL:<span style=3D'mso-tab-count:2'>&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Within
48 hours of receipt.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:0in'><sp=
an
style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:-.5in'><=
span
style=3D'font-size:10.0pt'>REFERENCE<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:-.5in'><=
span
style=3D'font-size:10.0pt'>VALUES:<span style=3D'mso-tab-count:2'>&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp; </span>See
pathology report.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:0in'><sp=
an
style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:-.5in'><=
span
style=3D'font-size:10.0pt'>SPECIMEN<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:-.5in'><=
span
style=3D'font-size:10.0pt'>REJECTION:<span style=3D'mso-tab-count:2'>&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Unla=
beled
specimen; source not indicated on container.<o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:-.5in'><=
span
style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:-.5in'><b
style=3D'mso-bidi-font-weight:normal'><span style=3D'font-size:10.0pt'>CPT
88112<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span>Cytol=
ogy
and Fungus 88112 &amp; 88312<o:p></o:p></span></b></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:.5in;text-indent:-.5in'><=
span
style=3D'font-size:10.0pt'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal>Reviewed:<span style=3D'mso-tab-count:2'>&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:0in;text-indent:0in'><span
lang=3DDE style=3D'font-size:10.0pt;mso-ansi-language:DE'>10/99<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Linda
Wennerstrom, CT (ASCP)<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span></span><span
lang=3DDE style=3D'mso-ansi-language:DE'><span style=3D'mso-tab-count:1'>&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></s=
pan><span
lang=3DDE style=3D'font-size:10.0pt;mso-ansi-language:DE'><o:p></o:p></span=
></p>

<p class=3DMsoNormal><span lang=3DDE style=3D'mso-ansi-language:DE'>2/00<sp=
an
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Linda
Wennerstrom, CT (ASCP)<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoNormal><span lang=3DDE style=3D'mso-ansi-language:DE'>2/01<sp=
an
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Linda
Wennerstrom, CT (ASCP)<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoNormal><span lang=3DDE style=3D'mso-ansi-language:DE'>2/02<sp=
an
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Linda
Wennerstrom, CT (ASCP)<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoNormal><span lang=3DDE style=3D'mso-ansi-language:DE'>2/03<sp=
an
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Linda
Wennerstrom, CT (ASCP)<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:0in;text-indent:0in'><span
lang=3DDE style=3D'font-size:10.0pt;mso-ansi-language:DE'>2/04<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Linda
Wennerstrom, CT (ASCP)<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:0in;text-indent:0in'><span
style=3D'font-size:10.0pt'>2/05<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Linda
Wennerstrom, CT (ASCP)<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:0in;text-indent:0in'><span
style=3D'font-size:10.0pt'>6/05 Revised: Linda Wennerstrom, CT (ASCP)<o:p><=
/o:p></span></p>

<p class=3DMsoBodyTextIndent style=3D'margin-left:0in;text-indent:0in'><span
style=3D'font-size:10.0pt'>6/06 Revised: Linda Wennerstrom, CT (ASCP)<o:p><=
/o:p></span></p>

<p class=3DMsoNormal>10/07 Revised: Linda Wennerstrom, CT (ASCP)</p>

</div>

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