Bronchial Washing for Cytology

Test Name:  

Bronchial Washing for Cytology

Alternate Name (s):  

 

Laboratory Module:  

Cytology

Ordering Mnemonic:  

All labelled specimens must be accompanied by a completed manual or Meditech generated non-gyencological cytology 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.

Category: Cyto

Mneumonic : WASH            

 

Specimen Type:   

Bronchial Washing

Collection Container:  

Collect in Cytology container containing cytolyt solution

Container

Collection Information:  

Bronchial Washing Collection

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

Multiple sites may be sampled. Each specimen from a different area required a separate request for service. For example if there was a right upper lobe (RUL) washing and a right lower lobe (RLL) washing, each sample would require a separate requisition.

I.1.All 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  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.

1.3 Place specimen containers 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 cytolyte 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.

 
Designed By  Blueprint Agencies