Specimen Handling


Test tubes with color-coded tops indicate the additive contained in the tube. In the DIRECTORY OF TESTS the color-coding is indicated as well as the volume of blood sample required for each test. When collecting blood samples it is important to allow the tube to fill completely.

THINPREP PAP
PAP Smear Requisition Requirements:

  1. Fill in all patient information (DOB, full name)
  2. Date of service must be entered
  3. Provider’s first and last name is required
  4. For liquid-based paps choose a test to be ordered: manual screen or imaged
  5. Choose whether the pap is a routine screen or a diagnostic
  6. At least one ICD-10 code must be provided
  7. Choose any additional molecular testing if needed. Ex: HPV regardless, HPV reflex, CT, NG, TV
  8. Choose a source from where the sample was taken e.g. vaginal or cervical
  9. LMP is helpful if you are able to get the information
  10. Any patient history is to be put on the requisition and not on the vial

Specimen Requirements:

  1. 2 patient identifiers must be on all specimen containers: First and last name and date of birth.
  2. Do not leave cervical brushes in the vial. Rub on the wall of the vial, and then swirl the brush and the spatula in the solution to remove cells.
  3. Double-check to make sure the lid on the vial is tight, to prevent leaks.

Tissue:

Routine surgical pathology specimens should be collected in 10% formalin and must be accompanied by a Surgical Pathology/Cytology Requisition Form that details pertinent medical history. The site or source of the collection must be clearly stated including the right or left. Please include the pre-operative diagnosis and any other pertinent information.

To ensure proper specimen identification, the specimen container (not outside bag or package) must be labeled with the patient’s full name, date of birth, date/time of collection and specimen source.

Labeled specimen containers must be placed into a plastic biohazard bag for transport. Store formalized specimens at room temperature.

Non-Gyn samples:

Body cavity fluids, cerebrospinal fluids, sputum, urine, washings, brushings, fine needle aspirations from cysts and solid masses.

Routine surgical pathology specimens should be collected in 10% formalin and must be accompanied by a Surgical Pathology/Cytology Requisition Form that details pertinent medical history. The site or source of collection must be clearly stated including the right or left. Please include the pre-operative diagnosis and any other pertinent information.

*Specimens must be stored refrigerated. 

Bon Secours Hampton Roads Laboratory provides the thin prep pap and pathology supplies.