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CORONAVIRUS (COVID-19)

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Urgent Fresh Specimens (inc Frozen Sections)

Urgent Fresh Specimens

Intra-Operative Frozen Section Requests

Pre-Booking a Frozen Section

 The requesting clinician MUST ensure that:

  • Pathology Duty Consultant is notified of frozen section request 24 hours in advance of sample collection, via Pathology Specimen Reception on 0141 354 9513 or 0141 354 9514 (89513/89514)
  • At this time the requesting clinician MUST also confirm that within 48-72 hours prior to the procedure taking place, that the patient has provided a negative COVID-19 test. If no test has taken place or there is a positive result, a frozen section cannot be carried out.
  • On the day of surgery, theatre staff notify Pathology reception that the frozen section is on its way to the Laboratory.

 

Failure to pre-book an intra-operative frozen section may result in delays in reporting and in exceptional circumstances the request being declined.

 

When pre-booking an intra-operative frozen please provide the following details:

  • Patient’s name and CHI number
  • Requesting clinician
  • Theatre name/number including hospital
  • Likely time of operation
  • Contact number
  • Specimen type

 

The Consultant Pathologist will phone the result to the requesting clinician on the contact number given.

 

Queen Elizabeth University Hospital (QEUH)

An intra-operative frozen section service is available Monday – Friday 09:00-17:00

 

Golden Jubilee National Hospital (GJNH)

An intra-operative frozen section service is provided, on site at GJNH, Monday-Thursday 09:00-13:00. Any cases requiring a frozen section should be recorded on the GJNH theatre lists.

To arrange an intra-operative frozen section out with these times please contact the Duty Pathologist via Pathology Specimen Reception at QEUH on the telephone number below.

These specimens will be transferred to Pathology Department at QEUH for processing and should be sent by taxi to:

Specimen Reception (L3/B/021),

NHSGGC Pathology Department

Level 3, Laboratory Medicine and Facilities Management Building

Queen Elizabeth University Hospital

Tel:  0141 354 9513 (89513)/0141 354 9514 (89514)

It is the responsibility of staff at GJNH to arrange rapid transfer of these specimens to QEUH as per local protocol.

 

Glasgow Royal Infirmary (GRI)

An intra-operative frozen section service is available Monday – Friday within normal laboratory working hours as required.

This Laboratory is only manned for pre-booked requests. It is, therefore, imperative that frozen section requests for onsite analysis at GRI are received by the Pathology Department more than 24 hours in advance.

From time to time an urgent frozen section is required due to an unexpected finding at surgery. The department provides this service, but for intra-operative frozen section requested on site at GRI, a short delay is inevitable to allow staff to travel.

Alternatively the specimen can be sent to QEUH urgently by courier by telephoning:

0845-123-1230 and following the information below for Transporting Urgent Fresh Specimens.

 

Labelling Frozen Section Specimens

The normal requirements for labelling specimens and request forms apply to frozen sections in addition to the following criteria on the request form:

  • Hospital
  • Theatre
  • Date and time of request.
  • Requesting clinician
  • Alerts to known or suspected danger of infection
  • Clinical History
  • Theatre contact number

 

Transporting Urgent Fresh Specimens

QEUH site:

Fresh (unfixed) specimens should be sent directly to:

Specimen Reception (L3/B/021),

NHSGGC Pathology Department

Level 3, Laboratory Medicine and Facilities Management Building

Queen Elizabeth University Hospital

 

Tel:  0141 354 9513 (89513)/0141 354 9514 (89514)

 

Other Sites

Fresh (unfixed) specimens taken at other sites out with stated service provision at GJNH and GRI should be sent directly to the Pathology laboratory at QEUH by courier.

The courier should be telephoned by theatre staff, telephone Eagle Couriers on 0845-123-1230 at least 30 minutes before the specimen is available on the day of the operation.

 The information required by Eagle couriers includes:

  • Hospital site
  • Theatre collection point
  • Advise that this is an “Emergency Pathology Specimen”.
  • Codes used for each location should be as per local protocols.
  • Please telephone Pathology Specimen Reception on 0141 354 9513 or 0141 354 9514 (89513/89514) when the courier is on the way

 

Fresh/Urgent Paediatric Specimens

Paediatric Rectal biopsies for diagnosis of Hirschsprung's disease via Acetylcholinesterase histochemistry MUST be sent fresh (not fixed) as is done for frozen sections (see above).

Please ensure that for all specimens indicative of paediatric neoplasia/cancer/tumour that the paediatric team are notified (89531) in advance of submission and the specimens are submitted fresh/unfixed as is done for frozen sections (see above).

 

Fresh Lymph Nodes for Suspected Lymphoma

Excised lymph nodes, for suspected lymphoma should be bisected alone their long axis at the time of removal.

Half of the specimen should be placed into a sealed container with buffered formalin. The second half of the specimen should be placed in dry container, without formalin and sent “fresh” to the Pathology Department to allow ancillary testing to be undertaken.

It is particularly important that any Danger of Infection is recorded on the request form.

Follow the instructions above for Transporting Urgent Fresh Specimens.

 

Orthopaedic Amputations

The orthopaedic theatre should contact Pathology Specimen Reception at least 24hrs before procedure is scheduled on 0141 354 9513 or 0141 354 9514 (89513/89514) to request that a dedicated large amputation specimen container is sent to relevant theatre.

Specimens such as amputations that have a high ratio of surface area covered by skin should be sent unfixed. If there is a surgical stocking, leave in place.

Reasons for this are:

  • Poor penetration of skin by formalin
  • Moving and handling considerations

To contain potential leakage, put the amputation into a large plastic bag or wrap in drapes as appropriate and then put into the amputation container.  Never use yellow or orange bags or containers as this corresponds to the code for waste incineration.

Please follow the instructions for transporting urgent fresh specimens above. It is important to advise the courier that this is a large specimen (requires van rather than motorcycle courier).

 

Last Updated: 22 February 2021