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Bone Marrow Biopsy
MessageBone marrow aspirates with bone biopsies. Should be accompanied by tissue Examination Request. Coordinate with Special Hematology Branch for assistance with collection and proper specimen handling. Bone marrows are delivered directly to the histology department by a special hematology technician.
NOTE: Never, under any circumstances, deposit a bone marrow specimen on the counter in Histology without notifying a Histology technician.*Contact the clinical hematologist or Special Hematology x 3-1577 for further information and scheduling.
NOTE: Never, under any circumstances, deposit a bone marrow specimen on the counter in Histology without notifying a Histology technician.*Contact the clinical hematologist or Special Hematology x 3-1577 for further information and scheduling.
Test Code
Bone Marrow Biopsy
Instructions
All specimens will be submitted with either a CHCS order entry document or a Tissue Examination Request
[NAVHOSPPTSVA 6510/44 series
It must be completely filled out with:
1. The provider’s full name.
2. The patient’s first and last name.
3. Social security number with FMP.
4. Age.
5. Ward/clinic/MOR.
6. Specimens anatomic site.
7. Two submitting staff initials.
8. Specimen identifier (A, B, C, etc) if more than one container / specimen is to be submitted.
9. Duty station with phone number for active duty personnel.
In addition, pre-operative diagnosis should be included with pertinent clinical data.
Note: All tissue specimens submitted to Histology from internal NMCP sources must have 2 verifying initials on the specimen containers. If they don’t, the specimen will not be accepted. This is command policy. In addition, all patient and specimen source information must be on the specimen container and exactly match the specimen source indicated in the order.
Note:Routine specimens should be submitted in adequate fixative (10% neutral buffered formalin). A volume of fixative 10-20 times the volume of the tissue specimen submitted is required for optimal fixation. In cases where fixative has not been added, the histopathology technician or laboratory technician will add fixative to the container after consulting with a pathologist.
[NAVHOSPPTSVA 6510/44 series
It must be completely filled out with:
1. The provider’s full name.
2. The patient’s first and last name.
3. Social security number with FMP.
4. Age.
5. Ward/clinic/MOR.
6. Specimens anatomic site.
7. Two submitting staff initials.
8. Specimen identifier (A, B, C, etc) if more than one container / specimen is to be submitted.
9. Duty station with phone number for active duty personnel.
In addition, pre-operative diagnosis should be included with pertinent clinical data.
Note: All tissue specimens submitted to Histology from internal NMCP sources must have 2 verifying initials on the specimen containers. If they don’t, the specimen will not be accepted. This is command policy. In addition, all patient and specimen source information must be on the specimen container and exactly match the specimen source indicated in the order.
- When placing the order in CHCS, the ordering provider must verify that the Patient’s name, FMP, social security number, date of birth and specimen source on the specimen container are correct. Specimens from different body sites must be placed in separate, completely labeled, containers.
- Surgical Pathology specimens must be labeled and requisitions prepared in the room where the surgical procedure is performed. The ordering provider must ensure that the specimen container(s) are correctly labeled with complete and correct patient information, including full name, FMP, SSN, and date of birth, and with the correct specimen identifier (A, B, C, etc) and specimen source (body site). The provider should verify that the specimen identifier(s) (A, B, C, etc) and body sites in the orders correspond to the identifier(s) and body sites on the specimen container(s.)
Note:Routine specimens should be submitted in adequate fixative (10% neutral buffered formalin). A volume of fixative 10-20 times the volume of the tissue specimen submitted is required for optimal fixation. In cases where fixative has not been added, the histopathology technician or laboratory technician will add fixative to the container after consulting with a pathologist.
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Missing or incomplete patient name on container or lab order form.
Missing or incomplete patient FMP and/or social security number on container or lab order form.
Missing or incomplete anatomic site on container or lab order form
No double initials on container (two staff members from the submitting clinic must initial the specimen container).
Illegible container label or lab order form.
Patient information on container different from patient information on lab order form.
No specimen submitted with lab order form.
Missing or incomplete patient FMP and/or social security number on container or lab order form.
Missing or incomplete anatomic site on container or lab order form
No double initials on container (two staff members from the submitting clinic must initial the specimen container).
Illegible container label or lab order form.
Patient information on container different from patient information on lab order form.
No specimen submitted with lab order form.
Report Available
Interpretative report.
Clinical Significance
Bone marrow aspirations and / or biopsies are performed to diagnose primary and secondary hematologic diseases. These include leukemia, myelodysplasias, anemia and platelet disorders.
