Bronchio Alveolar Lavage for Cytology

Test Name:  

Bronchio Alveolar Lavage

Alternate Name (s):  

BAL

Laboratory Module:  

Cytology

Ordering Mnemonic:  

Meditech Order Entry-

Category: Cyto

Mneumonic: BAL

 

Special requests such as cell counts/eosinophil counts can be free texted in the 'special request to the cytology lab' field

 

All additional manditory fields must be satisfied in order to complete the requisition

Specimen Type:   

Bronchio Alveolar Lavage

Collection Container:  

Collect in a container with Cytolyt cytology fixative

Container

Collection Information:  

Bronchio Alveolar Lavage specimens are collected by installing a balanced saline solution through a bronchoscope and re-aspirating the material into a sterile container. These specimesn are sent to the lab in a bottle containing cytolyte cytology fixative. . Mix the specimen and cytology fixative well by shaking the collection container thoroughly.  These specimens are to be forwarded to the laboratory triage area immediately.

Different sites may be sampled. Each specimen from a different area requires a separate requisition. For example if there was a right BAL and a left BAL, each sample would require a separate requisition.

I.1.All labelled specimens must be accompanied by a completed manual or Meditech generated cyto-pathology non-gynecological requisition. All mandatory fields must be satisfied in order to complete the request. In the case of computer downtime use the standard cytopathology non-gynecological requisition.

The following information is required on the requisition
(a) Patient identifiers (addressographs may be used)

      (i) patient's first and last name
      (ii) hospital unique number
      (iii) date of birth
      (iv) Ontario Health Insurance Number with version code.
(b) Submitting area identifiers: Hospital site and the submitting department (Emergency, Ambulatory Care etc.).
(c) Submitting physician's name.
(d) Date of specimen collection
(e) Pre- and post-operative presumptive diagnosis.
(f) A brief clinical history, relevant pathological and radiological findings.
(g) Specimen information
     (i) specimen type/source
     (ii) specimen site
    
I.2. If received, the specimen container must be labeled. Addressograph labels are preferred, otherwise the following information must be provided, clearly written in ink:
(a) Patient identifiers -
     (i) patient's full name
     (ii) hospital unique number
     (iii) and at least one other unique additional identifier (ie. date of birth, OHIN).
(b) Date of specimen collection.
(c) Specimen type and site, as it is written on the Cytology Requisition form.
This information must be recorded on the side of the specimen container and not the lid.
If a specimen is known or suspected to contain unique or extreme biohazard (e.g. CJD) the container shall be so marked.

I.3. Place specimen container in a biohazard bag (if applicable). The requisition should be placed in the outer pouch of the biohazard bag. Send all additional meditech generated labels in the biohazard bag.

I.4. Transport specimen to the Triage area of the laboratory as soon as possible

I.5. Inform the triage staff that you have delivered a specimen.

 

Test Schedule:  

Monday to Friday

Turnaround Time:  

Routine

1 week

Stat / Urgent

2 days

Reference Interval:  

 

Critical Values:  

 

Lab Process Notes :  

Specimens  are to be stored refrigerated in the laboratory triage area. Specimens should arrive from the unit already collected within the cytolyt cytology fixative.  If received fresh, laboratory triage staff is to add equal volumes of the cytology fixative immediately.

 

 

Storage & Transport:  

Specimens should be stored in the refrigerator

Test Referred to :   

Technical component  referred off site.

 
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