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Procedure for Submitting Tissue Specimens for Surgical Pathology

II.1. All specimens must be accompanied by a completed Surgical Pathology Card           (form PATH_6707_0103).

 The following information is required on the card, clearly written in ink:

    (a)  Patient identifiers

        (i) patient's first and last name

         (ii) unique number

         (iii) date of birth

         (iv) Ontario Health Insurance Number with version code.

    (b) Submitting area identifiers: Hospital site (BGH or The Willett) and the submitting       department (Emergency, Ambulatory Care etc.).

    (c) Submitting physician's name.

    (d) Date of surgery

    (e) Pre- and post-operative presumptive diagnosis.

    (f) A brief clinical history.

    (g) Specimen information-

         (i) tissue type (ie. Breast)

          (ii) anatomical site (ie. Right side)

          (iii) surgical procedure (ie. wire localization biopsy)

II.2. 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) unique number

         (iii) and at least one other unique additional identifier (ie. date of birth, OHIN).

    (b) Date of surgery.

    (c) Specimen name, anatomic site and surgical procedure, as it is written on the Surgical Pathology card.

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.

II.3. Most routine surgical specimens must be placed in 10% Neutral Buffered Formalin (10%NBF) for fixation. There are exceptions; please see section III. Special Circumstances and Requirements.

Specimens must be placed in an appropriate sized container with an amount of formalin equal to or greater than fifteen times the volume of tissue. 

II.4. Place smaller specimen containers in a biohazard bag. The surgical card should be  placed in the outer pouch of the biohazard bag.

Larger specimen containers, with their Surgical Pathology cards, should be transported in a manner that would facilitate spill containment should the container open during transport.

II.5. Transport specimen containers to the Grossing Room in the Department of Anatomical Pathology (Room D2-828).

II.6. Inform histology staff that you have delivered a specimen or specimens.

 II.7. After hours: Fresh specimens should be delivered to the Lab triage area, on the sixth floor, where they will be refrigerated until processed by Pathology staff. Specimens in NBF can be delivered to the triage area or held by the submitting department at room temperature until day staff responsible for specimen delivery arrives.



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