Bronchial Washing for Cytology

Bronchial Washing for Cytology

Cytology

All labelled specimens must be accompanied by a completed manual or Meditech generated non-gynecological 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

Bronchial Washing

Collect in Cytology container containing CytoLyt solution

Collect in Cytology container containing CytoLyt solution

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 CytoLyt 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. The specimen container must be labeled. Addressograph labels are preferred, otherwise the following information must be provided, clearly written in ink:
(a) Minimum of 2Patient identifiers -
(i) patient's full name and...
(ii) hospital unique number
(iii) Date of birth

(iv) 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.

Referral lab does not test samples when the specimen is known or suspected to be CJD positive

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.

Monday to Friday.

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.

Specimens should be stored in the refrigerator

Technical processing referred off site.