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<p class="MsoNormal"><span style="color:#1F497D">Everyone,<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Please see the SBAR below. Attached is the only biopsy form that is acceptable if we use a hard copy. The pink forms will no longer be accepted.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Thank you.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D">Catherine M. Flaitz, DDS, MS<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:#1F497D"><o:p> </o:p></span></p>
<div>
<div style="border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in">
<p class="MsoNormal"><b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif"">From:</span></b><span style="font-size:10.0pt;font-family:"Tahoma","sans-serif""> Wilson, Jade
<br>
<b>Sent:</b> Monday, March 27, 2017 3:39 PM<br>
<b>To:</b> NCH Physicians (Excludes PAA); PAA Doctors; Program Manager/Supervisors; Ambulatory Managers<br>
<b>Subject:</b> SBAR: Surgical Specimen Laboratory Test Orders<br>
<b>Importance:</b> High<o:p></o:p></span></p>
</div>
</div>
<p class="MsoNormal"><o:p> </o:p></p>
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<p class="MsoNormal"><b><span style="font-size:18.0pt;color:#0070C0">SBAR: </span>
</b><b><span style="font-size:18.0pt">Surgical Specimen Laboratory Test Orders<span style="color:#0070C0"><o:p></o:p></span></span></b></p>
</div>
<p class="MsoNormal"><b><u><span style="color:#0070C0"><o:p><span style="text-decoration:none"> </span></o:p></span></u></b></p>
<p class="MsoNormal"><b><u><span style="font-size:12.0pt">Situation: <o:p></o:p></span></u></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt">Surgical specimens are being submitted for laboratory testing with absent or unclear orders. This has caused occasional delays and errors in processing these important and invasively collected specimens.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><u><span style="font-size:12.0pt">Background: <o:p></o:p></span></u></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt">There is significant variability in order entry tools and methods for surgical and invasively collected specimens. In addition to Epic electronic orders, there are also various hospital forms that are currently
being used to submit specimens to the laboratory for pathology or other clinical laboratory testing.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><u><span style="font-size:12.0pt">Assessment: <o:p></o:p></span></u></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt">To mitigate patient safety risks and eliminate variability in the process we will be limiting the acceptable formats for laboratory test requests on surgical and invasively collected specimens.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><u><span style="font-size:12.0pt">Recommendation: <o:p></o:p></span></u></b></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt">Effective Tuesday, March 28th, valid test orders will only be accepted in one of the following formats:<o:p></o:p></span></b></p>
<p class="MsoListParagraphCxSpFirst" style="margin-bottom:10.0pt;mso-add-space:auto;text-indent:-.25in;line-height:115%;mso-list:l2 level1 lfo2">
<![if !supportLists]><b><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif""><span style="mso-list:Ignore">1.<span style="font:7.0pt "Times New Roman"">
</span></span></span></b><![endif]><b><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif"">Electronic orders in Epic with Collection Manager/Lab barcoded labels.
<o:p></o:p></span></b></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-bottom:10.0pt;mso-add-space:auto;text-indent:-.25in;line-height:115%;mso-list:l2 level1 lfo2">
<![if !supportLists]><b><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif""><span style="mso-list:Ignore">2.<span style="font:7.0pt "Times New Roman"">
</span></span></span></b><![endif]><b><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif"">The specimen requisition report from OpTime. (Note that any testing not ordered by the clinician during the case must be placed in the
IntraOP Phase of Care prior to the procedure). <o:p></o:p></span></b></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-bottom:10.0pt;mso-add-space:auto;text-indent:-.25in;line-height:115%;mso-list:l2 level1 lfo2">
<![if !supportLists]><b><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif""><span style="mso-list:Ignore">3.<span style="font:7.0pt "Times New Roman"">
</span></span></span></b><![endif]><b><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif"">Two new paper requisitions that are attached. These paper requisitions are available electronically on ANCHOR.
<o:p></o:p></span></b></p>
<p class="MsoListParagraphCxSpMiddle" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:.75in;mso-add-space:auto;text-indent:-.25in;line-height:115%;mso-list:l0 level1 lfo4">
<![if !supportLists]><b><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif""><span style="mso-list:Ignore">a.<span style="font:7.0pt "Times New Roman"">
</span></span></span></b><![endif]><b><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif"">Bone Marrow Requisition<o:p></o:p></span></b></p>
<p class="MsoListParagraphCxSpLast" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:10.0pt;margin-left:.75in;mso-add-space:auto;text-indent:-.25in;line-height:115%;mso-list:l0 level1 lfo4">
<![if !supportLists]><b><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif""><span style="mso-list:Ignore">b.<span style="font:7.0pt "Times New Roman"">
</span></span></span></b><![endif]><b><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif"">Surgical Specimen Requisition<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:12.0pt">Irreplaceable specimens received without a complete set of clinical orders will be triaged at the discretion of an attending pathologist. Any communication about the clinical indication for the test, or the
patient’s clinical history must be documented on the paper requisitions or within OpTime.
<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:12.0pt">Unacceptable test order formats include; but are not limited to:<o:p></o:p></span></b></p>
<p class="MsoListParagraphCxSpFirst" style="margin-bottom:10.0pt;mso-add-space:auto;text-indent:-.25in;line-height:115%;mso-list:l1 level1 lfo6">
<![if !supportLists]><span style="font-size:12.0pt;line-height:115%;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif"">SU-7 O.R. Documentation Surgical Procedures (aka the pink sheet)<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-bottom:10.0pt;mso-add-space:auto;text-indent:-.25in;line-height:115%;mso-list:l1 level1 lfo6">
<![if !supportLists]><span style="font-size:12.0pt;line-height:115%;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif"">LA-101 Cytology Request Form<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-bottom:10.0pt;mso-add-space:auto;text-indent:-.25in;line-height:115%;mso-list:l1 level1 lfo6">
<![if !supportLists]><span style="font-size:12.0pt;line-height:115%;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif"">LA-82 Bone Marrow Exam<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-bottom:10.0pt;mso-add-space:auto;text-indent:-.25in;line-height:115%;mso-list:l1 level1 lfo6">
<![if !supportLists]><span style="font-size:12.0pt;line-height:115%;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif"">NU-1 Consultation or Referral Request
<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-bottom:10.0pt;mso-add-space:auto;text-indent:-.25in;line-height:115%;mso-list:l1 level1 lfo6">
<![if !supportLists]><span style="font-size:12.0pt;line-height:115%;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif"">Any other types of consult/referral forms<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-bottom:10.0pt;mso-add-space:auto;text-indent:-.25in;line-height:115%;mso-list:l1 level1 lfo6">
<![if !supportLists]><span style="font-size:12.0pt;line-height:115%;font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif"">Any previous surgical specimen requisitions<o:p></o:p></span></p>
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</span></span></span><![endif]><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif"">Hand-written notes on specimen containers
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</span></span></span><![endif]><span style="font-size:12.0pt;line-height:115%;font-family:"Calibri","sans-serif"">E-mail sent to Pathologists or other laboratory staff<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt">Any laboratory controlled forms listed above will be phased out over the next few weeks.
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<p class="MsoNormal"><span style="font-size:12.0pt"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:12.0pt">In addition to the current lab transport process, the laboratory staff will also be responsible for transporting all surgical specimens collected in the Operating Rooms on Main Campus.
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<p class="MsoNormal" style="text-autospace:none"><b><span style="color:black">Jade Wilson, MBA, MT(ASCP)</span></b><span style="color:black"><o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:black">Administrative Director<o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:black">Pathology and Laboratory Medicine<br>
Nationwide Children's Hospital <o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:black">Columbus, OH
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<p class="MsoNormal" style="text-autospace:none"><span style="color:black"><a href="http://www.nationwidechildrens.org/laboratory-services"><span style="color:black">www.nationwidechildrens.org/laboratory-services</span></a><o:p></o:p></span></p>
<p class="MsoNormal" style="text-autospace:none"><span style="color:black">(P) 614-722-5376<o:p></o:p></span></p>
<p class="MsoNormal"><span style="color:black">(F) 614-722-5308<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
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