Pericardial Effusion for Cytology

Test Name Pericardial Effusion for Cytology
Alternate Name(s)  
Laboratory Module Cytology
Ordering Mnemonic

Category: Cyto

Mneumonic- FLDC

Specimen Type

Pericardial Fluid

Collection Container Collect in a sterile container or vacutainer bottle
Container Information
Sterile Container
Collection Information

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 (BGH or The Willett) 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 labeled slides with the patients name and specimen type, in a cardboard slide holder and drying and attach an addressograph label on the outside of the holder.

I.4. Place specimen containers in a biohazard bag (if applicable). The requisition should be placed in the outer pouch of the biohazard bag.

I.5. Transport specimen to the Triage area of the laboratory as soon as possible

I.6. Inform the triage staff that you have delivered a specimen.

Test Schedule

Monday to Friday 

Routine Turnaround Time 1 week
Stat Turnaround Time 2 days
Reference Interval  
Critical Values  
Lab Process Notes

Small Volume specimen- < 40ml. Add Cytolyt fluid to specimen

41-90 ml. Half of the specimen is combined with equal amounts of cytolyt. The other half remains fresh for cytology block preparation.

>90ml.Pouroff into 2 labelled 90ml sterile containers and let settle for two hours. For the first bottle: Gently pour off and discard top 40 ml to retain 40ml of cellular rich fluid. Top the bottle with cytolyt solution. The second bottle is to remain fresh for cellblock preparation.

The specimen description should be recorded including, colour, quantity and any features worth noting.

Storage and Transport Specimens should be stored in the refrigerator
Test Referred To Technical services referred offsite. Final diagnosis and reporting performed at BCHS.

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