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    HAEMATOLOGY DEPARTMENT, HOSPITAL UNIVERSITI SAINS MALAYSIA

    TITLE :BONE MARROW:

    SAMPLE PREPARATION AND STORAGE VERSION NO. 1PROCEDURE NO. HUSM/HEMA-UPT/STM-BM1 VERSION DATE. 24.03.2011

    Page 1 of 3 STANDARD TECHNICAL MANUAL

    APPROVED BY:

    ...ASSOC PROF DR ROSLINE HASSAN

    HEAD OF HAEMATOLOGY DEPARTMENT

    CONTROLLED COPY NO : 3

    REGISTERED HOLDER

    HAEMATOLOGY LABORATORY

    RECORD OF REVIEW/AMMENDMENT

    DATEVERSION

    NO. DETAIL OF AMMENDMENT BY

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    HAEMATOLOGY DEPARTMENT, HOSPITAL UNIVERSITI SAINS MALAYSIA

    TITLE :BONE MARROW:

    SAMPLE PREPARATION AND STORAGE VERSION NO. 1PROCEDURE NO. HUSM/HEMA-UPT/STM-BM1 VERSION DATE. 24.03.2011

    Page 2 of 3 STANDARD TECHNICAL MANUAL

    PREPARED BY : ANG CHENG YONG

    DESIGNATION : TRAINING OFFICER / SCIENTIFIC OFFICER

    CHECKED BY : DR SHAFINI MOHAMED YUSOFF

    DESIGNATION : HAEMATOLOGIST

    AUTHORISED BY : ASSOC PROF DR ROSLINE HASSAN

    DESIGNATION : HAEMATOLOGIST/LAB DIRECTOR

    1. OBJECTIVE

    To prepare the smears for staining purpose.

    2. METHOD

    Bone Marrow spreading

    3. PRINCIPLE

    The smear should have head and trail

    4. REQUIREMENTS

    4.1 EQUIPMENT

    4.1.1 Glass slides

    4.1.2 Spreader

    4.1.3 Slide holder

    4.1.4 Gauze

    4.1.5 Petri dish

    4.2 SPECIMEN

    4.2.1 Aspirated bone marrow4.2.2 Imprint

    5 PROCEDURE

    NO. ACTIVITY RESPONSIBILITY

    5.1 From bone marrow aspiration

    5.1.1 Obtain aspirated marrow from the medical personnelimmediately and expel it into petri dish

    MLT/SO

    5.1.2 Rotate the petri dish to look for the marrow fragment MLT/SO

    5.1.3 Gently touches the marrow fragment onto a spreader then transferit to the glass slide

    MLT/SO

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    HAEMATOLOGY DEPARTMENT, HOSPITAL UNIVERSITI SAINS MALAYSIA

    TITLE :BONE MARROW:

    SAMPLE PREPARATION AND STORAGE VERSION NO. 1PROCEDURE NO. HUSM/HEMA-UPT/STM-BM1 VERSION DATE. 24.03.2011

    Page 3 of 3 STANDARD TECHNICAL MANUAL

    5.1.4 Drag the fragment and leave a trail of cells behind the spreader MLT/SO

    5.1.5 Repeat the step 5.1.3 to 5.1.4 to get at least 7 slides for newcases and at least 3 slides for old cases MLT/SO

    5.1.6 Label the slides with

    i) Patient R/N and

    ii) Date of sample collection

    MLT/SO

    5.1.7 Allow the slides to dry in the air before stain MLT/SO

    5.2 From imprint

    5.2.1 Obtain bone biopsy from the medical personnel and placed it inthe middle of one glass slide,

    MLT/SO5.2.2 Placed a second slide on top of the first slides and rolled it

    forward and backward gently for few times

    MLT/SO5.2.3 Repeated step 5.2.2 for few time to get at least 2 slides MLT/SO5.2.4 Label the slides with

    iii) Patient R/N and

    iv) Date of sample collection

    MLT/SO

    5.2.5 Allow the slides to dry in the air before stain MLT/SO

    5.3 For storage5.3.1 Wrap tightly the additional air-dried unfixed and unstained

    smear with in aluminum foil

    MLT/SO5.3.2 Label it with

    i) Patients name

    ii) Patients R/N

    iii) Date of sample collection

    MLT/SO

    5.3.3 Storage it at 4oC-10

    oC for future use purposes MLT/SO

    6 REFERENCES6.1 S. M. Lewis, B. J. Bain & I. Bates. (2006) Dacie and Lewis Practical Haematology, 10

    th

    edition. Churchill Livingstone.

    6.2 S.H.Lee et al. (2008) ICSH guidelines for the standardization of bone marrow specimens

    and reports. International Journal of Laboratory Hematology 30, 349-364.

    End of Document