Dr India Clinical Pathology

Student learning library

Rotation skills

Rotation bench guide

In-office clinical pathology: sample quality, blood, chemistry, cytology, fluids and urine.

Educational draft for review. Use species-specific reference intervals and your instrument's validated procedures; unexpected or critical results need prompt clinical assessment.

  1. Use fresh, well mixed EDTA blood, ideally within an hour of collection.
  2. Place a small drop (about 2 to 3 mm) near one end of a clean glass slide.
  3. Hold the spreader slide at about 30 to 45 degrees in front of the drop, back it into the drop and let blood spread along its edge.
  4. Push forward in one smooth, steady motion without pressing down.
  5. Air dry quickly by waving the slide. Label the frosted end in pencil.

Adjust for PCV: low PCV (anemic) blood is thin and makes long smears, so use a steeper angle and push faster. High PCV blood is thick and makes short smears, so use a lower angle and push more slowly.

A good smear covers about two thirds to three quarters of the slide, has a smooth feathered edge, a visible monolayer and no ridges or holes.

Bench tip: Grease, slow drying and too much pressure cause streaks and holes. Wipe slides with alcohol and let them dry first.

Cornell eClinPath

A free online clinical pathology textbook and atlas from Cornell University. Use it to look up cell morphology images, analyte interpretation, test methods and species differences while on rotation.

Open eClinPath