Specimen Collection Chart - Perioperative Locations
Specimen Collection Chart – Perioperative Locations – 2021 10 28Lab:Bone MarrowCore/Specimen ControlNumber:356-2543356-3527Location:Techs available for procedures M-F 0800-15306240 Roy Carver Pavilion, Hours: 24/7, including HolidaysCytology356-2517Eye Pathology335-7672Flow CytometryMicrobiology467-6009 / 7-6010356-2591Surgical-PathologySurgical-Pathology Resident on-call356-1859Pager #32655222 Roy Carver Pavilion, next door to Elevator EE, HoursM-F 0730-1630Hours: M-F 8-5. MOR, ASC & SFCH send to Surg Path.Eye Path picks up daily at 1430.233 2nd Floor Medical Research Center (MRC)/Gen HospitalEast6240 Roy Carver Pavilion, Hours M-F 0800-16306004 Boyd Tower General Hospital, Hours: 24/7, includingHolidays5804 John Pappajohn Pavilion, Hours: 0730-1900Specimen Type:Abscess: Swab(suboptimal)Lab Drop Off Location & Test To Order:Lab Location: MicroOrder Category: MicroTests:Aerobic cultureAnaerobic cultureCollection Container:Eswab Required: PS74541AFB culture (Not Available, will be cancelled)Body Fluids /Abscess / Aspirate:BilePericardialPeritonealPleuralBody Fluids /Abscess / Aspirate:Fungal cultureLab Location: MicroOrder Category: MicroTests:Aerobic culture (includes Gram Stain)Anaerobic cultureAFB cultureFungal cultureLab Location: CytologyOrder Category: Cytology is SourceTest: Cytology Non GYN ExamSterile Container: PS908510For aspirates going to Micro in a sterile container, Do Not Add saline or formalin.Tubes or containers: PS907087 (Canister 1200cc) & PS908510 (Cup)PS# 151875Blood / Body FluidExposure - SourcePatient Labs:Lab Location: CoreOrder Category: Follow STICKProcedureTests:Light Green PST Tube: PS907695 At Charge RN DeskLab Location: MicroOrder Category: MicroTests:Aerobic cultureAnaerobic cultureAFB cultureFungal cultureAnaerobic Tissue Transport Media: PS59547Set bone on top of the media.Hepatitis B Surface Antigen (HBsAG)Hepatitis C Antibody (HCA)HIV Antigen-Antibody ComboBone:
Specimen Collection Chart – Perioperative Locations – 2021 10 28Bone:Lab Location: Surg PathOrder Category: Surg-PathSurg Path Containers: PS Numbers belowPS# 151875Bone Marrow(AFTER HOURSONLY):Lab Location: Bone Marrow LabOrder Category: See Path HandbookBone Marrow Examination (uiowa.edu)Solid bone core: Place in formalin.Liquid aspirate: Place in EDTA.CSF: Part 1 of 2Lumbar PunctureShuntVentricular TrapLab Location: MicroOrder Category: MicroTests: Must choose option LP, Shunt, or VT.Aerobic cultureAnaerobic cultureAFB cultureFungal cultureCryptococcal AntigenTubes (send 1 tube with 1 sticker): PS number below.CSF: Part 2 of 2Lab Location: CoreOrder Category: CSFTests:Cell Count – sticker 1Total Protein & Total Glucose – sticker 2Tubes (send 1 tube with both stickers): PS number below.D&C/Products ofConception/Fetus:Lab Location: Surg PathOrder Category: Surg-Path*under 20 weeks (19 and 6/7 days)Surg Path Containers: PS Numbers belowLab Location: DCCOrder Category: None*20 weeks and upDiaphragmaticSmears:Lab Location: CytologyOrder Category: Cytology is SourceTest: Cytology Non GYN OrderType the age in the description field after the specimen name.PS# 151875Surg Path Containers: place slides/smears into container. PS Numbers belowPS# 151875Discarded Items:PannusTeethNoneDocument removal in “Other Category” and place in BioHazard
Specimen Collection Chart – Perioperative Locations – 2021 10 28ExplantedBatteries/Generators(end of life):Explanted Battery/Generator Bin in soiledutility room (across from MOR 25)- Remove leads/wires and clean device with saline or water. After patienthas left the room, clean battery/generator with a hospital approveddisinfectant.- Place device in a “biohazard” specimen bag and then place into the“Explanted Battery/Generator” bin located in the soiled utility room (acrossfrom MOR 25).- Document disposition of the explanted devices in the “Implant” section.- DO NOT attach a patient label to the explanted device or biohazard bag.Explanted Devices(defective):Defective Device Bin in soiled utility room(across from MOR 25)- Follow the process for device failure by completing the device failure formlocated in the soiled utility room (across from MOR 25).Explanted Hardware:Explanted screw forcultureLab Location: MicroOrder Category: MicroTests:Aerobic culture (includes Gram Stain)Fungal culture (includes direct stain)Anaerobic Tissue Transport Media: PS59547Set explant on top of the media.Eye:Lab Location: Eye PathOrder Category: Eye Pathology ExamTest: Eye Pathology ExamDeep Brain StimulatorNS batteries/generatorsInterstimVADNormal, Routine ProcessingPS numbers below.Frozen SectionPS numbers below.Eye Path will pick up specimens fromSurg PathPS# 151875Pre-filled formalin containersGout:Lab Location: Surg PathOrder Category: Surg-PathSurg Path Containers: PS Numbers below.DO NOT ADD SALINE!DO NOT ADD FORMALIN!Limb / Amputation:Lab Location: Surg PathOrder Category: Surg-Path-In Surg Path approvedcontainer, with minimal salinepink “FROZEN SECTION”labelPS# 151875-DO NOT add saline or formalin. Fixed in 100% ETOH only.Wrap limb in stockinette on surgical field and “Back Table Cover” andattached a BioHazard Sticker.Send as a “Permanent Specimen”.
Specimen Collection Chart – Perioperative Locations – 2021 10 28Lymph Node PanelPart 1 of 2:Lymph Node PanelPart 2 of 2:Lab Location: MicroOrder Category: MicroTests:AerobicAnaerobicAFBFungalLab Location: Surg PathOrder Category: Surg PathAnaerobic Tissue Transport Media: PS59547Set tissue on top of media.Surg Path Approved Containers: PS numbers below.DO NOT ADD FORMALIN!If Flow Cytometry (i.e. core/excisionalbiopsy) ordered, Surg-Path will forwardspecimen to Flow Cytometry. Circulatorshould enter the order.Lab Location: Flow CytometryOrder Category: Flow CytometryTest: Flow Cytometry AnalysisDescription Field: Enter specimen andanatomical locationMuscle:(tissue for MuscularDystrophy only)Lab Location: Surg PathOrder Category: Surg PathPS# 151875-.Fresh on saline-moistened Telfa, not floating in saline, in a Surg Pathapproved container.DO NOT ADD FORMALIN!For frozen section, apply pink “FROZEN SECTION” label.For touch prep, apply blue “TOUCHPREP” label.For normal processing, apply green “SPECIMEN IN SALINE” label.-Requires BOTH clamped and unclamped portions of muscle.Place BOTH clamped & unclamped biopsies in the same container.Place BOTH biopsies on saline soaked Telfa.-Unclamped wrappedin TelfaDO NOT ADD FORMALIN!DELIVER TO LAB ASAP!Parathyroid PostExcision BloodDraws:Lab Location: CoreOrder Category: Manage OrdersTests: see directions & follow times per order When collecting blood samples, if prompted,you must print & scan a patient stickman label.10/8/18 submitted EPIC ticket to have orderbuilt in Specimen NavigatorPTH (pink top tube):Epic Beaker PTH Orders:1.Enter orders:a.Baseline (Lab 5806) - PTH INTRAOP #1 BASELINEb.Excision & Post Excision (LAB633) – change Frequency to PRN (fromONCE). PRN allows the Circulator to print & collect multiple specimens atmultiple times by clicking the blue hyperlink reorder #.i. PTH INTRAOP #2 AFTER EXCISIONii. PTH INTRAOP #3 AT # MINUTES POST-EXCISIONiii. PTH INTRAOP #4 AT # MINUTES POST EXCISIONiv. PTH INTRAOP #5 AT # MINUTES POST EXCISION2.Send specimen immediately to Core Lab. Must be hand delivered to Lab. Instruct thatthat it is an intra-op stat rapid PTH.
Specimen Collection Chart – Perioperative Locations – 2021 10 28PeritonealWashings:Lab Location: CytologyOrder Category: Cytology is SourceTest: Cytology Non-GYN ExamTubes or containers: PS907087 (Canister 1200cc)Prosthetic Joint:AspirateLab Location: CoreOrder Category: CoreTests:Cell CountCell Count (purple top tube): PS907688Prosthetic Joint:AspirateLab Location: CoreOrder Category: CoreTests:Synovasure (Alpha Defensin)Synovasure (clear top vacuum tube, no additive):PS924322(upper) and PS75971 (lower)Prosthetic Joint:TissueLab Location: MicroOrder Category: MicroAerobic cultureAnaerobic cultureAFB cultureFungal cultureAnaerobic Tissue Transport Media: PS59547Set tissue on top of the media.Prosthetic Joint:Aspirate/FluidLab Location: MicroOrder Category: MicroAerobic cultureAnaerobic cultureAFB cultureFungal cultureTubes (send 1 tube with both stickers): PS number below.Research /Children’sOncology Group(COG):Document removal in “Other Category”Residents will take care of specimen collection.Consider placing patient label on the container.
Specimen Collection Chart – Perioperative Locations – 2021 10 28Respiratory:Trach aspirateSputumBronchoalveolarlavageBronchial washingSinus aspirateLab Location: MicroOrder Category: MicroRespiratory culture (Qualitative)Sterile Sputum Trap Containers:Sinus Trap (Remove trap and send White Cap Container): PS25022AFB culture (Not Available, will be cancelled)AFB cultureFungal cultureTrach Trap: PS116528Sterile Container: PS908510For aspirates going to Micro in a sterile container, Do Not Add saline or formalin.Respiratory:TissueLab Location: Surg PathOrder Category: Surg PathTrap Containers:Sinus/Trach Trap: Send inside Surg Path Approved Container. PSnumbers below. Label outside container.Remove lid from suction trap.Place both lid and container inside a SurgPath approved container.PS# 151875Stones:Lab Location: Core (not Surg Path)Order Category:Enter in Manage OrdersTest:Stone Analysis9/18/18 submitted EPIC ticket to haveorder built in Specimen NavigatorSterile Container: PS908510Send all stones dry.
Specimen Collection Chart – Perioperative Locations – 2021 10 28Sural Nerve Biopsy:Lab Location: Surg PathOrder Category: Surg-PathSurg Path Containers PS Numbers below:-DO NOT ADD FORMALIN!PS# 151875Temporal Artery:Lab Location: Eye PathOrder Category: Eye Pathology ExamTest: Eye Pathology Exam-Normal, Routine ProcessingPS numbers below.Fresh on saline-moistened Telfa, notfloating in saline, in a Surg Pathapproved container.DO NOT ADD FORMALIN!Apply green “SPECIMEN INSALINE” label.If the neurosurgeons are not surethat they biopsied the nerve, theycan ask Pathology to do a frozensection for tissue identification. IfFrozen, apply pink label.Frozen SectionPS numbers below.Eye Path will pick up specimens from SurgPathPS# 151875In Surg Path approvedcontainer, with minimal salinepink “FROZEN SECTION”Pre-filled formalin containerslabelAnaerobic Tissue Transport Media: PS59547Tissue should sit on top of the media. Do Not Add Formalin.-Tissue:(i.e. Sinus)Tissue:(Any organ / solidtissue removed fromthe body i.e. kidney,lung, parathyroid,uterus)Lab Location: MicroOrder Category: MicroTests:Aerobic cultureAnaerobic cultureAFB cultureFungal cultureQuantitative tissue culture (includesAerobic culture)Deep wound culture (includes Aerobic andAnaerobic)Lab Location: Surg PathOrder Category: Surg-PathFrozen section – rapid intraoperativediagnosis **requires fresh, unfixed tissueTouch Prep – another method of a rapidintraoperative diagnosis **requires freshtissueFresh / Permanent / Routine processing– normal process, takes several hours torender diagnosis (*optimal results*)Surg-Path approved containers (including 3.5 gal bucket, not pictured):Surg Path Containers: PS NumbersbelowPS# 151875Use minimal saline to moistensample. Do not allow sample to“swim” in saline.- For frozen section: apply a pink“FROZEN SECTION” label.- For Touch Prep: apply a blue“TOUCH PREP” label.- For normal, routine processingbefore 5 PM: apply a green“SPECIMEN IN SALINE” label.- For normal, routine processing after5 PM, notify Pathology Resident.Resident needs to notify OR ChargeDesk on arrival for direct Hand Off:apply an “Add Formalin” label.-
Specimen Collection Chart – Perioperative Locations – 2021 10 28Urine:Cath (straight,indwelling)Clean bicCystoscopyUreterLab Locations:Core (Urinalysis) &Micro (Urine Culture)Sterile White Cap Container (in Urinary Catheter Kits):Urine:Cath (straight,indwelling Foley)Clean bicCystoscopyUreterLab Location: MicroOrder Category: MicroTests:Urine culture (Aerobic)AFB cultureFungal cultureUrine:Lab Location: MicroOrder Category: MicroTests:Urine Culture for Chlamydia andGonorrheaSterile White Cap Container (in Urinary Catheter Kits):Vaginal MeshLab Location: Surg PathOrder Category: Surg-PathTest: Mesh Gross OnlySurg Path Containers: PS Numbers belowOrder Category: UrineTests: Urinalysis (yellow tube)Order Category: MicroTests: Urine Reflex Culture (gray tube)BD Vacutainer, No Additive: PS91900 ( left) and PS91901 (right)Sterile White Cap Container (in Urinary Catheter Kits):BD Vacutainer, No Additive: PS91900 ( left) and PS91901 (right)Surg Path sends onto Legal to be held inthe legal locker.PS# 151875
Specimen Collection Chart – Perioperative Locations – 2021 10 28Wound/Burn:AspirateLab Location: MicroOrder Category: MicroAerobic cultureAnaerobic cultureAFB cultureFungal cultureAnaerobic Tissue Transport Media: PS59547Use if Anaerobic ordered alone or with other cultures. Tissue should sit ontop of the media.Sterile Container: PS908510For aspirates going to Micro in a sterile container, Do Not Add saline or formalin.Wound/Burn: Swab(suboptimal)Lab Location: MicroOrder Category: MicroAerobic cultureAnaerobic cultureEswab Required : PS74541AFB culture (Not Available, will be cancelled)Fungal cultureAll specimen containers for the Surg Path Lab require a sticker:All stickers are created in the MOR/ASC/SFCH except:- “10% Formalin” from Surg-Path- “Radioactive” from Special Order through Pam WetjenSaline versus Formalin Directions from Surg Path:- Saline - Monday through Friday from 0730-1900 (normal operating hours).o SPECIMEN IN SALINE (Green): Circulator labels to indicate specimen is in saline. For normal, routine processing.o Amount of Saline to be used: Use minimal saline (do not allow tissue to “swim” in saline). Small pieces of tissue should be wrapped in saline soaked gauze or Telfa.- Formalin - Monday through Friday weekday nights (1900-0730), weekends and Holidayso “Add Formalin” (Yellow): Circulator labels to notify Nursing Assistant to add formalin when arriving to Surg Path Door.o “10% FORMALIN” (Orange): Nursing Assistants to apply to formalin filled containers in the Surg Path Lab.Other:- FROZEN SECTION (Pink): For rapid intraoperative diagnosis. Do not add formalin.- TOUCH PREP (Blue): Additional method for intraoperative diagnosis. Do not add formalin.- RADIOACTIVE (Yellow & Red): place on ALL radioactive specimen containers and additional containers from the same patient.
Specimen Collection Chart – Perioperative Locations – 2021 10 28Lab Stickers: *DO NOT place these stickers on Core Lab or Cytology specimens*DO NOT cover patient information or Beaker label barcode
Aerobic culture Anaerobic culture AFB culture Fungal culture Quantitative tissue culture (includes Aerobic culture) Deep wound culture (includes Aerobic and Anaerobic) Anaerobic Tissue Transport Media: PS59547 Tissue should sit on top of the media. Do Not Add Formalin. Tissue: (Any organ / solid tissue removed from the body i.e. kidney,
Specimen Collection Container CytoLyt Solution Biohazard Safety Bag Specimen Collection: 1. Label specimen container with 2 patient identifiers 2. Collect specimen on brush. 3. Cut off brush end and immediately submerge brush in CytoLyt to avoid air-drying effects Specimen Handling: Room temperature if specimen is delivered upon .
Specimen Collection Manual Page 4 of 35 HOW TO SEND A SPECIMEN TO LBM: - Use LBM requisition. - Place specimen in proper fixative. - Label specimen bottle with two patient's identifiers, i.e., name and date of birth. Also include specimen source, physician name & collection date. - Call LBM Client Services courier for pick up at (562) 989-5858 If you are already on the LBM courier's daily .
4 HOW TO SEND A SPECIMEN TO TOPA: -Use TOPA requisition.-Place specimen in proper fixative.-Label specimen bottle with two patient identifiers, i.e., name and date of birth.Also include specimen source, physician name & collection date. -Call TOPA courier for pick up at (805) 373-8582.If you are already on the TOPA courier's daily route, place specimen in your designated pick-up
4 ASTM D 4255 Two-Rail Shear Test 4 5 ASTM D 4255 Three-Rail Shear Test 5 6 Iosipescu (V-Notched) Shear Test Fixture and Specimen 6 7 Compact Shear Test Fixture and Specimen 6 8 Orientation of Finite Element Model 8 9 Initial Rectangular Specimen Investigated 10 10 Initial Trapezoidal Specimen Investigated 10 11 Standard Tab Specimen Configuration 12 12 Extended Tab Specimen Configuration 12 .
Specimen Collection Suspect or confirmed TB patients should be in a negative pressure room Specimen collection is an aerosol generating procedure, anyone in the room during specimen collection must wear a particulate respirator type N-95 and be part of the respirator protection plan All mycobacteria specimens are collected
A healthy perioperative practice environment can be defined as a practice setting that is safe, healing, humane, and respectful of the rights, responsibilities, needs, and contributions of all members of the perioperative team. 1 Members of a highly functioning perioperative team
hyperglycemia, and the management of diabetes in the perioperative period including preoperative evaluation, day of surgery management, and postoperative care. Pathophysiology of perioperative hyperglycemia There are many factors that contribute to hyperglycemia in the perioperative setting. Surgical stress increases secretion of counter regulatory
novice perioperative nurse according to that survey was at least 30,000 to 50,000. The same survey estimated the costs of orientation for an experienced perioperative nurse at 10,000 to 15,000. Perioperative nurse executives and educators need to drill down to a very fine level to determine the true costs of orientation for new employees.File Size: 1MB
