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Pathology - Placenta Retention and Eination A. The checklist for placenta examination in delivery will be placed in charts of all inpatient labor patients. B. Nursing staff will stamp the checklist with patient demographic information. C. Nursing staff will complete Section B (Demographic History) of the checklist. D. Physician will complete Section A and sign where indicated. The first copy (original) of the Placenta Examination Form is to remain on the mothers' chart. The second copy of the checklist is to remain on the infants' chart. E. Placentas that meet the criteria for pathological exam should be placed in 10% formalin. Note: If the placentas are placed in formalin, the specimens can not be used for microbiologic or other workups. The specimen container is to be labeled with the patient identifier on the side of the container, placed in a transport bag, and delivered to Pathology with the remaining copies of the Placenta Examination Form. F. Placentas not meeting the criteria for pathological exam, will be placed in a container without formalin. The specimen container with the placenta will be labeled with patient identifier both on the lid and side of the container, placed in a transport bag, and delivered with the remaining copies of the Placenta Examination Form to the laboratory for refrigerated storage. G. If the Placenta requires special studies, it should be submitted moistened in saline (not submerged) to Pathology with Placenta Examination Form and Pathology Requisition Form. On Kaiser patients, please indicate if request is for Oakland Kaiser. II. Laboratory Procedure for handling and storage of placentas: A. Receive the placenta and the Placenta Examination Form parts 3 and 4. The placenta must be stored in a properly labeled and sealed, leak -proof container and should not be in formalin or any other fixative. It should not be frozen or left at room temperature for any length of time. B. The "Placenta Examination Form" which is filled out by the delivering physician must be complete and presented with the specimen. The check list for placenta examination will indicate whether the placenta is to be held or is being submitted for pathological examination. All pertinent case information should be included on the placenta examination checklist. This would include Sections A, B, C and must have the physician signature. C. Place the placenta in designated refrigerator. Attach a color coded dot indicating the day of the week the placenta was obtained. This will help facilitate tracking and discard of specimens. Yellow = Monday Green = Tuesday Orange = Wednesday Dark Blue = Thursday Light Blue = Friday Red = Saturday Black = Sunday D. Record delivery of the placenta to Pathology indicate the date and initial of person making the delivery on the "Placenta Examination Form." E. Retain the form in the basket provided near the storage refrigerator. Do not accession the specimen. ,,,Page of 4 .7 13 http://172.16.0.5/policy/policy.nsf/7db0ebfd3e2lO600872571470079e3a4lcb48a364957237a88825746b007c 4/9/2010