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Respiratory Tract Washings, Royal Oak and Farmington Hills

Bronchial Washing, Bronchial Aspirates, Tracheal Washing, Tracheal Aspirate, Cytology, Non-Gyn Respiratory Specimen, CYTOLOGY, MEDICAL (NON-GYN/FNA)

Test Codes

EPIC: LAB6797, SOFT: CYT

Department

Cytology

Instructions

RPMI medium can be obtained by contacting the Royal Oak Cytology Laboratory at 248-898-9035 (extension 89035) or Farmington Hills Cytology Laboratory at 947-521-8249.

Specimen Collection Criteria

Collect: Washing specimen in a mucus trap according to established endoscopic procedure. (Min: 10 mL)

  • Add an equal amount of RPMI preservative fluid to the specimen.
  • Make sure the specimen trap is tightly sealed using the regular cap supplied with the trap.
  • Label the specimen container with the patient's full name, date of birth, hospital number, source of specimen, and date of test.
  • In house cytology specimens should be ordered in EPIC order entry. In the “additional orders” field input “CYTOLOGY, MEDICAL (NON-GYN/FNA)” and fill in all appropriate fields. IMPORTANT: ORDER AND SIGN EACH CYTOLOGY TEST INDIVIDUALLY. THE LABORATORY INFORMATION SYSTEM CANNOT FILE MULTIPLE TESTS ORDERED IN THE SAME SESSION AND SOME ORDERS MAY BE LOST. Label specimen container and requisition with SOFT ID labels.
  • All Cytology specimens must be accompanied by a requisition and must include the patient name, hospital and visit number, date of birth, date of specimen collection, pertinent patient history, physician name and source of specimen.    

Physician Office/Draw Specimen Preparation

Maintain fixed specimens refrigerated prior to transport.

Preparation for Courier Transport

Transport: Fixed washing specimen refrigerated / cooler.

Rejection Criteria

  • Improper labeling of specimen container or requisition.
  • Specimen not accompanied by requisition.
  • Requisitions not accompanied by a specimen.
  • Improper collection of specimen (such as improper fixation).
  • Specimens that leak outside of specimen container into transport bags.
  • Any specimen received without all of the required information will result in a delay of processing until all information can be verified.

Inpatient Specimen Preparation

Farmington Hills

  • Deliver the specimen directly to the Cytology Laboratory (2nd floor, East) Monday – Friday, 7:00 am – 4:00 pm.
  • Specimens are also picked up throughout the day from the surgical floors and Endoscopy, Monday – Friday, 8:00 am – 3:00 pm.
  • When the Cytology Laboratory is closed, specimens must be delivered to Laboratory Central Processing.

Royal Oak

  • Deliver specimen directly to the Cytology Laboratory (north tower, lower level, west wing) Monday – Friday, 8:00 am – 4:30 pm.
  • Specimens are also picked up from the surgical floors, Endoscopy, and Clinical Pathology Monday – Friday, 8:00 am – 7:00 pm, and Saturday, 7:00 am – 11:00 am, NT and Endoscopy ONLY.
  • When the Cytology Laboratory is closed specimens may be delivered to the Surgical Pathology Laboratory (located on the lower level near the east tower elevators) or may be submitted to Clinical Pathology Specimen Receiving (located in the Beaumont Laboratory Research Building). 

Storage

Specimen Stability for Testing:

Refrigerated (2-8°C or 36-46°F): 7 days
Frozen (-20°C/-4°F or below): Unacceptable

Specimen Storage in Department Prior to Disposal:

Refrigerated (2-8°C or 36-46°F): 7 days

Laboratory

Farmington Hills Cytology Laboratory
Royal Oak Cytology Laboratory

Performed

Monday – Friday, 8:00 am – 4:30 pm.
Results available within 24-36 hours of receipt in the Cytology Laboratory, if received Monday - Friday. The Cytology Laboratory is closed on weekends and holidays. Specimens received after 3:00 pm on Friday will be processed the following Monday and resulted on Tuesday.

Test Methodology

Smear or Cytospin preparation.

CPT Codes

CPT: 88104, 88108.
LOINC: 33716-2.

Contacts

Last Updated

4/8/2024

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