Home
HelpTest Code LAB1029 Bone Marrow Exam Tracking
Clinical System Name
BM Track
Synonyms
Bone Marrow Morphology
Flow Cytometry
MRD
Acute Leukemia
BM Track
BM specimen Tracking
Bone Marrow Exam Tracking
Sample Requirements
Specimen: Bone Marrow
Container(s): See comments
Preferred Vol: Volume and tubes depend on tests ordered. See instructions below.
Minimum Vol: See comments
Note: For detailed collection instructions (including tubes & volumes to collect for morphology, flow cytometry, and cytogenetics) refer to Seattle Children's Clinical Policy/Procedure: Bone Marrow Aspirate-Biopsy or Surgery Bone Marrow Specimen Handling Job Aide. Mix tubes well. Label each tube with patient label, specimen type (bone marrow asp), side (right or left) and pull number.
Processing Instructions
Reject due to: n/a - send to lab
Spin: N
Aliquot: N
Temp: RT
Storage location: Requires immediate processing by CPA. See notes in SCH Processing below.
Off-site collection: Keep specimen at room temperature and transport as soon as possible to Children's Lab. Please fill out the Bone Marrow/Malignancy (Off-site collection) - Flow, Morphology, Cytogenetics requisition. Please contact Laboratory at (206) 987-2102 with method of transport and shipping number.
SCH Processing: Order "Lab1029 Bone Marrow Exam Tracking" M - F until 1700 (or Sat after confirming Cell Markers staff is still here), transport specimen, copy of original requisition if available, and labels to Cell Markers Lab (station #181); call before tubing specimen to make sure there is someone available to do testing. After hours M - Sat and all day Sun and Holidays - Give BM to Core Hematology. If you have any questions, call the pathologist on call.
For off-site collection ONLY, after hours Sat and all day Sun and Holidays - Notify the Pathologist on call that an offsite bone marrow was received. Give BM to Core Hematology. Please do not reject bone marrow samples for stability -- each bone marrow sample will be evaluated on a case by case basis in consultation with pathologist.
Stability
| Temperature | Time |
|---|---|
| Room temp |
PROCESS SPECIMEN WITHIN 2 HOURS Note: Off Hours delay of up to 6 hours has been approved in circumstances where there are no trained personnel at 2 hours but there will be during the next 6 hours. Morphological changes do occur over time and preference is given to the shortest delay in processing.
For COMMUNITY SERVICE SAMPLES/BONE MARROW COLLECTED AT OUTSIDE LOCATION: Please do not reject bone marrow samples for stability - each bone marrow sample will be evaluated on a case by case basis in consultation with pathologist. |
| Refrigerated | N |
| Frozen | N |
Availability
| STAT | Performed | TAT |
|---|---|---|
| Y-notify pathologist |
Monday - Friday 0800-1700; Other times as arranged through pathologist on-call. |
Daily |
Performing Laboratory
Seattle Children's Laboratory
Department
Department: Cell Markers
Phone Number: 206-987-2560
CPT Codes
contact Laboratory Client Services at (206) 987-2617
Methodology
Method: Wright Stained Smears
Analytical Volume: None specified
Limitations: Peripheral blood dilution
Reference Range
None specified
Description
The bone marrow aspiration/biopsy is used to diagnose or rule out hematologic and/or oncologic diseases. These tests are performed for staging and monitoring treatment for many hematologic and non-hematologic disorders and for bone marrow transplant patients pre- and post-transplant. (see Seattle Children's Clinical Policy/Procedure: Bone Marrow Aspiration-Biopsy)
Requisition
For specimens collected off-site: complete & include Seattle Childrens Bone Marrow/Malignancy (Off-site collection) - Flow, Morphology, Cytogenetics requisition.