|WELCOME TO UCSD LABORATORY SERVICES GUIDE|
|# A B C D E F G H I J K L M N O P Q R S T U V W X Y Z|
|also known as Surgical Pathology, Tissue Examination, Biopsy, Microscopic Examination||
|Unit of measure:||N/A|
|Absolute minimum amount:||N/A|
|Method of collection:||N/A|
|Label instructions:||Specimen must be labeled with patient name, Medical Record and Patient numbers.|
|Request test on form:||Surgical Pathology/Neuropathology Consult Request ( 151-025 )|
|Stat frequency:||By request only.|
|Stat turn around time:||N/A|
|Must be in by:||5PM|
|Routine turn around time:||2 working days|
|For Hillcrest deliver to:||Surgical Pathology : 2nd Floor, Tissue Gross|
|For Thornton deliver to:||Surgical Pathology : Processing Desk, 1st Floor,|
|room 1-013 / 2nd Floor, room 2-035|
|Scheduling requirements :||N/A|
|Special Instructions:||The "request for Surgical Pathology /
Neuropathology consultation" (white, 9 1/2 x 11, form 151-025) must be filled
out completely before submitting the specimen to the laboratory. It is the
responsibility of the operating physician to complete this form. If the patient
has had pertinent tissue examined previously at another hospital, please notify
the Surgical Pathology office (ext 35764 at hillcrest, ext 76616 at Thornton) so
that these slides can be obtained. It is a hospital accreditation requirement
that these slides be obtained and reviewed. Unless special problems arise, most
final reports are typed and distributed within 48 hours after the specimen is
received in the laboratory.
At Hillcrest, during working hours (mon-fri, 8am-5pm) leave specimens and requisitions on the table labeled "specimens" in the Surgical Pathology tissue gross room (room #2-304). If the door is locked leave the specimens in the refrigerator located in the closet next to the gross room.
At Thornton, during working hours (mon-fri, 8am-5pm) leave specimens and requisitions on the table labeled "specimens" in the Surgical Pathology tissue gross room (#2-235). If the door is locked leave the specimens in the refrigerator located in the closet next to the gross room.
When the tissue has been removed from the patient and a completed "request for Surgical Pathology / Neuropathology consultation" is available, O.R. personnel should call (Hillcrest x37415 or Thornton lab at x76616). Tissue for frozen section must not be placed into formalin, but rather put fresh into an empty container or on a saline moistened towel/gauze. Normal working hours for both Hillcrest and Thornton Pathology are 8:00 A.M. until 5:00 P.M. Monday through Friday except holidays. During non-working hours, the on-call surgical pathologist must be contacted. Please see after hours protocol for any questions regarding who to contact during an after hours frozen.
Fixation of tissue:
A. Routine small and medium-sized specimens: place into a container with an adequate amount (15 times the volume of tissue) of 10% formalin.
B. Large specimens: wrap in moist towel, paper or plastic. Bring to Surgical Pathology laboratory immediately, or refrigerate.
C. Liver needle biopsies: place into 10% formalin and bring to laboratory immediately.
D. Kidney needle biopsies: place into 10% formalin and bring to laboratory immediately. If immunofluorescent and/or em studies are desired, arrangements should be made in advance.
E. Nerve and muscle biopsies: (for neuromuscular disorders): obtain instructions from the Neuropathology resident at pager 5545. See instructions for Neuropathology.
F. Suspected gout or glycogen storage disease: place into absolute alcohol, not formalin.
G. Bone marrow: see instructions for bone marrow.
H. Electron microscopy: contact the Neuropathology resident in advance pager 5545. See instructions for electron microscopy.
Ideally, a portion of the unfixed tissue should be separated in the operating room from the major part of the specimen and submitted directly to the microbiology laboratory. Alternately, a portion can be cut from unfixed tissue in the Surgical Pathology laboratory.
After Hours Protocol
Hillcrest and Thornton: For after hour frozen sections (after 5pm, weekends or holidays) please call the operator (0) to obtain contact information for the on-call resident and attending pathologist. Without prior notification of frozen section needs, please be aware that on-call residents and pathologists may be coming from home or other campuses. Any advanced notice will reduce or eliminate this delay. If no response, please contact the general lab desk at x76595 or x76177.
At hillcrest, during working hours (mon-fri, 0800-1630) leave specimens and requisitions on the table labeled "specimens" in the Surgical Pathology tissue gross room (room #2-304). At other times (when lab is locked) leave specimens as indicated in the closet next to the tissue gross room door. Specimens go into the refrigerator. For hillcrest hospital during normal business hours (8am-5pm): for frozen sections first call the Pathology gross room @37415. If no response, call pager 290-3846. If no response page the gross room supervisor @290-6058. And finally if no response from these individuals call the Surgical Pathology office @35764. For all other questions call the Surgical Pathology office @35764.
For Thornton hospital during normal business hours (8am-5pm): for frozen sections and other issues/questions first call the general laboratory desk @76595 or 76177. If no response, call the Surgical Pathology gross room @76616.If no response, call the Thornton pathologist @76612. If no response call the general lab desk @76595 or 76177 for the pager number of the Thornton pathologist. After 5pm, weekends or holidays for hillcrest and Thornton hospitals: for frozen sections call the OR desk@36040 for the number of the Pathology resident on-call and the attending pathologist on-call. For all other issues/questions call the page operator@36040 for the number of the Pathology resident on-call and the attending pathologist on-call. If no response within 15 minutes from the resident, call the pager and/or home phone number of the attending pathologist on-call.
|Results are available on a Chart Copy|
|Lab Processing Instructions:||N/A|