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           &nb= sp;            =             &nb= sp;            =             &nb= sp;            =             &nb= sp;            =             &nb= sp;            =             &nb= sp;            =             &nb= sp;            =             &nb= sp;            =             &nb= sp;            =             &nb= sp;           &= 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; 

TZANCK (HERPES) SMEAR for CYTOLOGY<= o:p>

(NonGyn

Epic CYTO= LOGY/LAB6301   Star 6301<= /p>

Specify Tzanck Smear and Site=

 

DEPARTMENT= :        &= nbsp;          Cytology=

&n= bsp;

CONTAINER:    &= nbsp;           &nbs= p;      Clean frosted-end glass slide labeled in pencil with patient’s name, DOB, and source of specimen, i.e. “L. arm” or “Labia.”

 =             &nb= sp;            =             &nb= sp;        

INSTRUCTIONS:        &= nbsp;        Have spray fixative in room prior to obtaining specimen

            =             &nb= sp;            =            1.   Use a wooden spatula or edge of glass slide to break the vesi= cle and drain the fluid.  <= o:p>

2.&n= bsp;    Then use a spatula or edge of new clean glass slide to scrape the base of the vesicle and gently spread the material onto another labeled clean glass slide.

3.&n= bsp;    Spray fix immediately or air dry.  Indicate "Fix&q= uot; on slide.

            =             &nb= sp;            =             &nb= sp;    If no fixative is available, air-dry the slide/s. Indicate “Air” on slide.

4.&n= bsp;    It is prefe= rable to submit more than one slide, each slide fixed immediately, rather than applying successive samples of material to the same slide.

5.&n= bsp;    When smear = has thoroughly dried, place into a slide container and bring to the lab/or for transport..

 

<= 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.

 

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

<= span style=3D'font-size:10.0pt'>REJECTION: =             &nb= sp;           Unla= beled specimen.

<= span style=3D'font-size:10.0pt'> 

CPT = 87207

<= span style=3D'font-size:10.0pt'> 

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

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

2/00         = Linda Wennerstrom, CT (ASCP)    

2/01         = Linda Wennerstrom, CT (ASCP)        &= nbsp;       

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

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

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

2/05  =        Linda Wennerstrom, CT (ASCP)

6/05 Revised: Linda Wennerstrom, CT (ASCP)<= /o:p>

6/06 Revised: Linda Wennerstrom, CT (ASCP)<= /o:p>

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