Page 192 - pathology_services_handbook_5th_edition_2018

4.0 SPECIAL COLLECTION
HTAA, KUANTAN a. Please call haematology laboratory at ext. 2077 to arrange for an appointment
4.1 Bone Marrow Aspiration

AT LEAST 2 days prior to the procedure except for the new case of suspected
acute leukemia.
b. On the appointment date, laboratory technologist will be at the procedure
room to prepare smears from the bone marrow aspirated by the doctor. The
ward is requested to ensure that all necessary preparations are ready to avoid
unnecessary waiting of the laboratory technologist prior to commencement of
procedure.
c. The procedure should be conducted as scheduled below:
Time Name/Patient IC
9:00am - 10.00 am First patient
10:00 am -11:00 am Second patient
11:00 am - 12:00 pm Third patient
12:00 pm - 1:00 pm Fourth patient
d. All bone marrow sample must be accompanied by FBP sample.
e. All sample tubes must be labeled by requesting doctor.
f. Request forms must be completely filled by the requesting doctor including
clinical history, relevant physical findings, previous drug/treatment history,
indications or reason for performing the test etc.
g. Special test eg: Immunophenotyping, Molecular Study and cytogenetic test
will be sent to other hospital as stated in the Table 2: List of Tests to Referral
Laboratories.

4.2 Haemoglobin Analysis

a. For request from district hospitals or health clinics, it must be accompanied by
validated FBC result, blood smear and EDTA blood sample.
b. During transportation from outside hospital, samples should be kept at room
temperature. Avoid direct contact with ice to prevent haemolysis.
c. For cascade thalassaemia/family screening, please include stamp which contain
details of index patient:

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