UC San Diego Health Test Directory

Ordering Recommendations

Request through EPIC by selecting PATHOLOGY TISSUE EXAM, selecting the tissue site, and ordering "Placenta"

For manual non-EPIC requisitions use Surgical Pathology / Neuropathology Consultation Request (Form D4845).
- If you do not have this form available, visit Pulse - Supply Chain Management for instructions on how to obtain this form.

The order must include the following:

Clinical History (MUST include the following information)
- Gestational Age
- Singleton vs Other
- Mode of Delivery
- Live Birth vs Stillbirth
ICD-10 Coding
Collection Date and Time
Requesting physician’s PID number
Indicate if the patient has any infectious disease history or current infections

ALL PATHOLOGY SPECIMENS MUST BE SUBMITTED WITH A PAPER REQUISITION. NO FUTURE OR STANDING ORDERS ARE ACCEPTED.
Specimens will not be processed until adequate identifying and billing information is received.
ALL Surgical Pathology specimens must be delivered or sent via courier to the SURGICAL PATHOLOGY LAB TISSUE GROSS ROOM in Hillcrest Room 2-304 or Thornton Room 2-016. Normal business hours are Monday - Friday, 8:00 AM - 4:30 PM. ALL SPECIMENS MUST BE LOGGED in the PATHOLOGY DROP-OFF LOG.

In-House Deliveries: Placentas are to be taken to the PLACENTA ROOM (Thornton 2-716) and placed on the right hand side in the placenta storage refrigerator until the orders can be placed in EPIC.
- Once ordered in EPIC, L&D staff will take the placentas to the gross room 2-304
- If the specimen includes an Infant needed for autopsy, a nurse or other L&D staff member will be escorted by security transport to take the infant and the placenta to the morgue

Performed

Monday - Friday

Methodology

Routine Pathologic Evaluation

Reported

Routine: 5 working days (Monday - Friday)

Synonyms

Placenta Examination, Anatomic Pathology
Placenta Examination, AP
Placenta Exam, Anatomic Pathology
Placenta Exam, AP
Placenta, Anatomic Pathology
Placenta, AP
Anatomic Pathology, Placenta Examination
AP, Placenta Examination
Examination, Placenta
Exam, Placenta
Pathology Tissue Exam
Tissue Exam, Pathology
Tissue Pathology
Surgical Pathology
Surg Path
Anatomic Pathology

Performing Lab

Anatomic Pathology

Add-on Eligibility

Specimen Type

Placenta

Collection Container

64 oz Non-Sterile Container

Unacceptable Conditions

Orders placed without providing the required medical history listed in the ordering recommendations section
Unlabeled or mislabeled specimens

Storage/Transport Temperature

Transport Instructions
Collection Location	Specimen Type	Transport Temperature	Timeframe
ED/ Inpatient	Fresh Specimen in Sterile Container	Refrigerated (Ice Packs)	Specimen must be received by the lab within 7 days of collection
Laboratory/ Outpatient/ Off-Site	Fresh Specimen in Sterile Container	Refrigerated (Ice Packs)	Specimen must be received by the lab within 7 days of collection

Storage: Refrigerated

Stability (from collection to initiation)

Stability:

Room Temperature: 3 hours
Refrigerated: 7 days
Frozen: Unacceptable

Laboratory Storage: Refrigerated

*Placentas from patients with history of infectious disease will be stored in formalin at Room Temperature

Laboratory Retention: 2 weeks after results are finalized

Collection Instructions

Collection Instructions:

Collect placenta specimen and immediately place into a Sterile Container

Specimen must be submitted fresh. Do NOT place the tissue into formalin.

Ensure that the cap is tightly secured on the Collection Container

Specimen Container Labeling Instructions:

Specimen Containers submitted to Pathology must be labeled with the following patient information:

First and Last Name
Date of Birth
Medical Record Number
CSN Number
Name of Specimen Site/Source

Label placenta containers with a blue dot sticker for patients with any of the following:

All current and recovered COVID Positive patients
Patients with any of the following infections:
- Active tuberculosis
- Zika exposure during pregnancy
- HIV

Check all labeling of containers prior to leaving the collection site

Place the following in a biohazard bag for transport to the Pathology Lab:

Specimen Container
Specimen Requisition

Reference Interval

By Report

Ordering

Ordering Recommendations

Request through EPIC by selecting PATHOLOGY TISSUE EXAM, selecting the tissue site, and ordering "Placenta"

For manual non-EPIC requisitions use Surgical Pathology / Neuropathology Consultation Request (Form D4845).
- If you do not have this form available, visit Pulse - Supply Chain Management for instructions on how to obtain this form.

The order must include the following:

Clinical History (MUST include the following information)
- Gestational Age
- Singleton vs Other
- Mode of Delivery
- Live Birth vs Stillbirth
ICD-10 Coding
Collection Date and Time
Requesting physician’s PID number
Indicate if the patient has any infectious disease history or current infections

ALL PATHOLOGY SPECIMENS MUST BE SUBMITTED WITH A PAPER REQUISITION. NO FUTURE OR STANDING ORDERS ARE ACCEPTED.
Specimens will not be processed until adequate identifying and billing information is received.
ALL Surgical Pathology specimens must be delivered or sent via courier to the SURGICAL PATHOLOGY LAB TISSUE GROSS ROOM in Hillcrest Room 2-304 or Thornton Room 2-016. Normal business hours are Monday - Friday, 8:00 AM - 4:30 PM. ALL SPECIMENS MUST BE LOGGED in the PATHOLOGY DROP-OFF LOG.

In-House Deliveries: Placentas are to be taken to the PLACENTA ROOM (Thornton 2-716) and placed on the right hand side in the placenta storage refrigerator until the orders can be placed in EPIC.
- Once ordered in EPIC, L&D staff will take the placentas to the gross room 2-304
- If the specimen includes an Infant needed for autopsy, a nurse or other L&D staff member will be escorted by security transport to take the infant and the placenta to the morgue

Performed

Monday - Friday

Methodology

Routine Pathologic Evaluation

Reported

Routine: 5 working days (Monday - Friday)

Synonyms

Placenta Examination, Anatomic Pathology
Placenta Examination, AP
Placenta Exam, Anatomic Pathology
Placenta Exam, AP
Placenta, Anatomic Pathology
Placenta, AP
Anatomic Pathology, Placenta Examination
AP, Placenta Examination
Examination, Placenta
Exam, Placenta
Pathology Tissue Exam
Tissue Exam, Pathology
Tissue Pathology
Surgical Pathology
Surg Path
Anatomic Pathology

Performing Lab

Anatomic Pathology

Add-on Eligibility

Collection

Specimen Type

Placenta

Collection Container

64 oz Non-Sterile Container

Unacceptable Conditions

Orders placed without providing the required medical history listed in the ordering recommendations section
Unlabeled or mislabeled specimens

Storage/Transport Temperature

Transport Instructions
Collection Location	Specimen Type	Transport Temperature	Timeframe
ED/ Inpatient	Fresh Specimen in Sterile Container	Refrigerated (Ice Packs)	Specimen must be received by the lab within 7 days of collection
Laboratory/ Outpatient/ Off-Site	Fresh Specimen in Sterile Container	Refrigerated (Ice Packs)	Specimen must be received by the lab within 7 days of collection

Storage: Refrigerated

Stability (from collection to initiation)

Stability:

Room Temperature: 3 hours
Refrigerated: 7 days
Frozen: Unacceptable

Laboratory Storage: Refrigerated

*Placentas from patients with history of infectious disease will be stored in formalin at Room Temperature

Laboratory Retention: 2 weeks after results are finalized

Collection Instructions

Collection Instructions:

Collect placenta specimen and immediately place into a Sterile Container

Specimen must be submitted fresh. Do NOT place the tissue into formalin.

Ensure that the cap is tightly secured on the Collection Container

Specimen Container Labeling Instructions:

Specimen Containers submitted to Pathology must be labeled with the following patient information:

First and Last Name
Date of Birth
Medical Record Number
CSN Number
Name of Specimen Site/Source

Label placenta containers with a blue dot sticker for patients with any of the following:

All current and recovered COVID Positive patients
Patients with any of the following infections:
- Active tuberculosis
- Zika exposure during pregnancy
- HIV

Check all labeling of containers prior to leaving the collection site

Place the following in a biohazard bag for transport to the Pathology Lab:

Specimen Container
Specimen Requisition

Result Interpretation

Reference Interval

By Report

Ordering Recommendations

Performed

Methodology

Reported

Synonyms

Performing Lab

Add-on Eligibility

Specimen Type

Collection Container

Unacceptable Conditions

Storage/Transport Temperature

Stability (from collection to initiation)

Collection Instructions

Reference Interval

Ordering Recommendations

Performed

Methodology

Reported

Synonyms

Performing Lab

Add-on Eligibility

Specimen Type

Collection Container

Unacceptable Conditions

Storage/Transport Temperature

Stability (from collection to initiation)

Collection Instructions

Reference Interval

Print Options

Containers / Tabs

Processing...