PRELIM LEC: STORAGE, RETENTION AND DISPOSAL Flashcards

1
Q

After grossing and cutting sections for fixation, specimen must be returned to their original (leak-proof and airtight) containers, a safety measure
○ Prevents fume formation
○ Ensures fixative is at right level

A

STORAGE

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2
Q

Group specimens according to date for ease of finding

A

STORAGE

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3
Q

Placed in biohazard bags for incineration or burial

A

DISPOSAL

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3
Q

must be free from human and animal interference

A

Storage area

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4
Q

● Guidelines must be according to the hospital
● Documentation of:
○ Release to patient or authorized
representative
○ Details of specimen
○ Proper information of hazards of the tissue
and fixative
○ Proper disposal

A

RETURNING OF SPECIMEN TO PATIENT

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5
Q

buried for religious purposes

A

LIMBS and FETUSES

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6
Q

May be evidences for crime
○ Released to appropriate police authorities
and properly documented with Chain of
Custody (COC) form

A

BULLETS, BREAST IMPLANTS, and FOREIGN BODIES

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7
Q

Respect patient confidentiality

A

GALLSTONES, FOREIGN BODIES, ORTHOPEDIC
HARDWARE, and TEETH

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8
Q

● Must be in cool, dry place (otherwise, paraffin may melt or combust)
● Free from vermin and insects (may be eaten to access tissue)
● Paraffin blocks may form amorphous masses that may obscure ID
● Arranged according to year and surgical
pathology accession number for easy retrieval

A

PARAFFIN BLOCKS AND SLIDES STORAGE

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9
Q

● Borrowing slides/blocks to be viewed by another institution
● Logbook must be available
○ Patient data
○ Accession number
○ Purpose of borrowing
○ Recipient
○ Quantity
○ Date of release and return
○ Proper signatories
○ Pathologist who screened the slides
● Slides are transported with damage and breakage
prevention; having an insulation and shock-proof systems
● Deposit is a customary practice. Charging for new slides and cuts is also practiced.
● Preserve the original state of the materials

A

REQUEST FOR BLOCKS AND SLIDES

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9
Q

● Slides should be kept in sharp containers
● Paraffin blocks are treated as infectious, thus stored in pathologic waste bags
● Patient confidentiality must still be observed
● Slides may be used by resident pathologists and med students; may be used for further researchers

A

DISPOSAL

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10
Q
A
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11
Q

As suggested by College of American Pathologists
(CAP), 2010

A

RETENTION PERIODS

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12
Q

Requests, Accession logs, Maintenance and QC logs

STORAGE RECORDS

A

2 years

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13
Q

BB Quality Control

STORAGE RECORDS

A

5 years

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14
Q

BB employee signatures, patient records, donor, and recipient records

STORAGE RECORDS

A

10 years

15
Q

Records of indefinitely/permanently deferred donors; forensic accession logs

STORAGE RECORDS

A

Indefinitely

16
Q

Urine

STORAGE SPECIMENS

A

24 hours

17
Q

Serum and other body fluids

STORAGE SPECIMENS

A

48 hours

18
Q

Microbiology and blood smears
(routine)

STORAGE SPECIMENS

A

7 days

19
Q

BB donor/recipient (blood)

STORAGE SPECIMENS

A

7 days post-transfusion

20
Q

Surgical Tissues

STORAGE SPECIMENS

A

2 weeks after final report

21
Q

Cytogenetic slides

STORAGE SPECIMENS

A

3 years

22
Q

Cytology slides (e.g. PAP)

STORAGE SPECIMENS

A

5 years

23
Q

Paraffin blocks

STORAGE SPECIMENS

A

10 years

24
Q

Tissue, BM, FNA Slides

STORAGE SPECIMENS

A

10 years

25
Q

Forensic: Blocks and Slides

STORAGE SPECIMENS

A

Indefinitely

26
Q

Clinical Pathology (e.g. CC and Hema)

STORAGE REPORTS (RESULTS)

A

2 years

27
Q

Anatomical/Surgical Pathology

STORAGE REPORTS (RESULTS)

A

10 years

28
Q

Cytogenetics (final reports and photographs)

STORAGE REPORTS (RESULTS)

A

20 years

29
Q

Forensic Autopsy

STORAGE REPORTS (RESULTS)

A

Indefinitely