Dr Piyush Tailor

1. Patient Name
2. Patient ID
3. Department + Unit + Location
4. Date and time of Sample collection
5. Type of specimen
6. Clinical Diagnosis

• Each indoor and outdoor patient of NCHS has unique MRD No.
• It must be mentioned on both the request form and sample container.
• In case of following Errors of positive identification of samples, concerned
• Clinician is contacted telephonically by sample receiver for correction of

specimen /request form.

• Sample are processed after true positive of patient and sample.
• Positive identification not mentioned on Sample container.
• Positive identification not mentioned on Request Form.
• Discrepancy in Positive identification between type of specimen and Request Form.

• Histopathology Specimens are not rejected on the basis of poor specimen integrity. They are all accessioned & appropriate remarks are incorporated in the gross, microscopic descriptions & diagnostic interpretation.
• In the case of any discrepancy of specimen identification and traceability or specimen mislabeling, the specimen is not processed for examination till relevant information are obtained. Meanwhile concerned clinician is informed & necessary corrections are made. In the intervening period ,the specimen is not discarded .

• Mention following clinical information in request form:
  • Complete clinical history
  • Probable clinical diagnosis
  • Any relevant previous history
  • Any investigation done for the same(blood , radiological findings etc.)
  • Any treatment taken for the same
  • FNAC report if avilable

• The identity of the person collecting the primary sample must be mansion at the end of the request form along with contact number.

• Check the patient’s name, age, sex, MRD no, Ward & unit number & other important documentation details on Request form.
• Check that it is the same on specimen also.
• Match properly the numbers of biopsy containers with the numbers written on forms.
• With form mismatch details of specimen or autolysed specimen details telephonically informed to resident.
• When the quality of the primary sample received is unsuitable for examination or could have compromised the result, this is indicated in the report.
• Check for sufficient history of patient’s disease.
• Check for sufficient formalin & tissue preservation.
• After checking all these details, unique HP no. is given to each specimen which is entered in receiving register and also written on the specimen container.
• HPE no. starts with 1 at the beginning of every year. Ex. H.P.No. 1/2020
• All blocks and slides prepared from that specimen are also labelled with same HPE no. and multiple sections given from that specimen are labelled alphabetically in chronological order ex. A,B,C,D.The
• HPE reports of that are also prepared and dispatched on the same HPE number.
• Remove sutures, clips & bone fragments.
• Put sufficient numbers of cuts in large resected specimen such as uterus, ovary or mastectomy; put formalin soaked cotton in between slides of specimen as per standard guidelines.
• After giving cuts, let the large specimen get fix for 24-48 hrs in 10% formalin solution.
• Clean the knife & working platform, after giving sections from one pathological tissue to other tissue. This will prevent carryover of one pathological tissue to other tissue.