Kidney Biopsy

Request on Tissue Examination Report.
This is coordinated between the Nephrologist and special stain histotechnologist.
Kidney Biopsies for non-neoplastic kidney disease are sent out to a reference lab for diagnosis.  The Nephrology department must notify the Histology department at 953-1523 at least 24 hours in advance of the biopsy in order to coordinate technical support for biopsy collection to ensure proper handling.  Be prepared to provide the date, time and location of the biopsy.  Three Biopsies should be submitted in three different fixatives for a complete evaluation.

1. Complete the Renal Biopsy Registry Sheet that will accompany the specimen.
2. When available, the reference laboratory’s report is transcribed into COPATH.

 

 

Kidney Biopsy

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.

  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.)

 

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 lab order form submitted with specimen.
No specimen submitted with lab order form.

Interpretation