6.0 Chromosome Anaylsis Fetal Tissue


Title of Manual: Specimen Collection

Version No: 1.0

Title: Chromosome Analysis Fetal Tissue

Effective Date: 11/01/09
Revised Date: 06/23/14

Document #: GPA.SPC.6.0


I. PURPOSE

To provide directions for the proper collection of Fetal tissue for pathology review.

II. MATERIALS

Reagents

Supplies

Equipment

• Sterile Saline Container
• Culture Media


III. PROCEDURE

Place specimen in sterile saline or culture media.

Please see requisition form instructions for complete information. Complete test requisition including last and first name of patient, patient’s date of birth and social security number, body site and source of specimen collected. Label specimen container (using the labels provided on the requisition) with patient’s first and last name, and body site/source. Include pertinent clinical information, i.e., previous malignancy, radiation therapy, drugs, etc. Place container in a specimen bag with a biohazard label. Place the requisition in the side pocket of the specimen bag.

IV. QUALITY CONTROL

• Minimum Volume
    • 1 cm fetal skin and/or internal structures
• Storage Requirements:
    • Refrigerate and then submit specimen on wet ice.
• Stability Requirements:
    • Fresh tissue, submit to the laboratory within 2-3 hours fresh (dampened in sterile saline) or 24 hours
      in transport media.

V. CALCULATIONS/CALIBRATION

VI. INTERPRETATIONS

VII. METHOD PERFORMANCE SPECIFICATIONS

VIII. REFERENCES

IX. RELATED DOCUMENTS

X. DOCUMENT HISTORY

MINOR REVISION
(Laboratory Director’s Signature on Original Subsequent Document Attached)

X - MAJOR REVISION
(Requires Laboratory Director & Department Director Signature - where applicable)

Reason for Change

06/23/14 New Document Control Format



Laboratory Director

(Signature)

Date

Natalie Depcik-Smith, MD
(Print)



Department Director

(Signature)

Date


(Print)



Designee

Date

(Print)

(Signature)

(Print)

(Signature)

(Print)

(Signature)

(Print)

(Signature)

(Print)

(Signature)



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