Wooster Community Hospital Laboratory Services Specimen ......The Laboratory will provide a full...

Wooster Community Hospital

Laboratory Services

Specimen Collection Manual

TABLE OF CONTENTS

MISSION STATEMENT

LABORATORY HOURS

LABORATORY COMPLIANCE

ICD-10 CODES

REFLEX TESTING

STANDING ORDERS

ADVANCED BENEFICIARY NOTICE

LABORATORY PERSONNEL CONTACT INFORMATION

QUALITY ASSURANCE / LICENSES

OUTREACH STAT TESTING

COURIER SERVICES

SUPPLIES

PROFILE CONSTITUENTS

COLLECTION TUBES

SPECIMEN COLLECTION CONTAINER GUIDE

SPECIMEN LABELING

SPECIMEN INTEGRITY

CRITERIA FOR REJECTION OF SPECIMENS SUBMITTED TO THE LABORATORY

RESULT REPORTING

CRITICAL VALUES

SPECIMEN COLLECTION INFORMATION

24 HOUR URINE PRESERVATIVE CHART

REFERENCES

MISSION STATEMENT

The Laboratory will provide a full range of services consistent with local, state, and federal regulations

and will deliver its services with care and respect to the patients and customers it serves. It will strive to

promote education and keep pace with modern technology that is considered to be the standard or

acceptable laboratory practice.

LABORATORY HOURS

OUTPATIENT SERVICES

Main Campus

06:00 a.m. to 5:00 p.m. Monday through Friday

07:00 a.m. to Noon Saturday

Closed Sunday

Milltown Campus

07:00 a.m. to 5:00 p.m. Monday - Friday

Closed Saturday-Sunday

Outpatient Center East

08:00 a.m. to 5:00 p.m. Monday - Thursday

Closed Friday-Sunday

INPATIENT AND EMERGENCY: 24 hours

LABORATORY COMPLIANCE Claims submitted for laboratory services will only be paid if the service is covered, reasonable and

necessary for the beneficiary, given his or her medical condition. Upon request, a laboratory should

be able to produce or obtain from the treating physician (test ordering) the documentation to support

the medical necessity of the service the laboratory has provided and billed to a federal or private

health care program. Laboratories do not and cannot treat patients or make medical necessity

determinations, but steps can be taken to assure compliance with applicable statutes, regulations and

the requirements of federal, state and private health plans.

The OIG (Office of the Inspector General) recognizes that physicians or the other authorized

individuals must be able to order any tests that they believe are appropriate for the treatment of their

patients. However, Medicare will only pay for tests that meet the Medicare coverage criteria and are

responsible and necessary to treat or diagnose an individual patient. Medicare may deny payment for

a test that the physician believes is appropriate, but which does not meet the Medicare coverage

criteria (e.g. done for screening purpose) or where documentation in the entire patient record,

including that maintained in the physician's records, does not support that the tests were reasonable

and necessary for a given patient. Tests submitted for Medicare reimbursement must meet program

requirements or the claim may be denied. Medicare generally does not cover any routine physical

checkups, including tests that are performed in the absence of signs and symptoms.

ICD-10 CODES

Due to requirements of payors such as Medicare and managed care providers, physicians must include

the sign, symptom, or if known, the diagnosis that prompted the order for laboratory outpatient

testing. When the actual numeric code is provided, there is less chance for transcription and coding

errors. Diagnosis information must be submitted for all tests ordered as documentation of the medical

necessity of the service. Medicare carriers and fiscal intermediaries have the authority to develop and

implement Local Medical Review Policy (LMRPS) which specify when, and under what circumstances, a

service will be considered covered, reasonable and necessary and what documentation will support

the need for service. The lab must be able to support tests billed to Medicare with documentation

obtained from the physician ordering the test.

The diagnosis code placed on the claim should reflect the reason for the test. If the intent of the test

is for screening purposes, use the appropriate code in the ICD-10 coding system, regardless of the

finding. For example, when a screening laboratory test gives in abnormal finding, the test should be

assigned the ICD-10 diagnosis for "why" the test was ordered, not the diagnosis indicated by the

finding.

REFLEX TESTING

As a general rule, WCH does not perform reflex testing without the order of a physician. Our associated reference laboratories may perform reflex testing in certain limited situations. Please refer to the Labcorp web site (www.labcorp.com) for information related to reflex testing performed by this laboratory.

STANDING ORDERS

Standing orders are effective for 12 months. To meet compliance regulations, all orders are required to have:

1. Date (include expiration date) 2. Physician signature 3. Diagnosis or ICD-10 code

A written signed and dated standing order will expire after 12 months, the laboratory will be unable to provide services with an expired date. If a standing order does not meet the medical necessity criteria for the diagnosis provided, then appropriate ABN procedures must be followed. Your cooperation and compliance with this regulation is greatly appreciated.

http://www.labcorp.com/

ADVANCED BENEFICIARY NOTICE (ABN)

An ABN is a written notification required by Medicare. The form should be utilized before services are actually furnished, as Medicare is likely to deny payment. ABN's allow beneficiaries to make informed consumer decisions about receiving lab tests which they may have to pay out of pocket, and to be more active participants in their own health care treatment decisions. If it is

expected that payment for laboratory tests (listed on ABN) will be denied by Medicare, you should advise the beneficiary that he/she will be personally and fully responsible for payment.

An ABN should be used each and every time it is determined Medicare will deny payment. When using an ABN please indicate the test(s) that were ordered. An explanation should be rendered to the patient that Medicare may not pay. The patient should review the form select an option and then sign the form. One copy should be sent to the laboratory (attached to the request form) and the patient retains the other.

LABORATORY PERSONNEL

Main Lab Number for Phlebotomy, STATS, and Result Information 330-263-8553

Pathologists

Arun Masih D.O. Lab Medical Director 330-263-8554

Shashi Jain M.D. Staff Pathologist 330-263-8559

Administration

Ed Tirakis MHSA, MT(ASCP) Laboratory Administrative Director 330-263-8557

Departments

Blood Bank 330-263-8560

Chemistry, Coagulation, Hematology, Urinalysis 330-263-8568

Microbiology 330-263-8565

Outreach 330-263-8567

Pathology 330-263-8563

Point of Care Testing Coordinator 330-263-8556

QUALITY ASSURANCE / LICENSES

The clinical laboratory at Wooster Community Hospital is licensed under the Clinical Laboratory

Improvement Act of 1988, c e r t i f i e d by the College of American Pathologists and accredited by

DNV-GL Healthcare.

The strictest quality assurance protocols are followed at Wooster Community Hospital. The

laboratory participates in both internal and external quality control programs, as well as

continuing education. The laboratory participates in proficiency testing programs through

the College of American Pathologists and the American Proficiency Institute.

Every department of the laboratory participates in quality assurance and control. Several

levels of quality control are in place to ensure that accurate and reliable test results are

reported. Laboratory results are reviewed by a Technical Specialist and referred to a

Pathologist for further review if highly abnormal. The laboratory monitors turnaround times,

patient satisfaction, critical value reporting and many other test management studies. The

quality assurance programs are ongoing and are designed to eliminate any technical errors as

well as non-technical errors.

OUTREACH STAT TESTING

Wooster Community Hospital Laboratory offers outreach stat testing to its clients. When a client

orders a test on a stat basis, the laboratory will call results back to the ordering physician or

responsible caregiver within 1 hour after the specimen is received by the laboratory; thus

total turnaround time for stat specimens will range from 2-4 hours depending on time for

transportation.

While the laboratory provides stat testing for its clients on a wide range of tests (see following page), it is important to note that certain tests cannot be processed on a stat basis. Examples include microbiology and virology cultures, many special chemistry tests, and any test sent to a reference laboratory. The process for ordering tests on a stat basis is as follows:

Step 1: Fax the order to the WCH Laboratory Department at (330)-263-8101 Step 2: Client calls laboratory (330) 263-8553. I t is critical that the client identify exact location, including office or suite numbers.

Step 3: A courier is dispatched.

Step 4: Processing of the stat specimens begins after specimens are received in

laboratory.

Step 5: The laboratory will phone the stat results to the ordering physician's office or the client location (for nursing homes) immediately after specimen testing is completed.

Step 6: The laboratory will fax the completed report to the client location

COURIER SERVICES Wooster Community Hospital Laboratory provides a courier service for routine and stat pickup service to physician offices and clinics.

Every effort is made to arrange courier visits that are convenient to the doctor’s office and also provide timely delivery to the lab for testing.

SUPPLIES

The lab will supply all forms, blood collection tubes and related materials, specimen containers, cervical spatulas, brushes, glass slides and fixative for cytology specimens, formalin and formalin filled containers for biopsies and other supplies upon request.

Physician offices - please call 330-263-8552 for replenishment supplies

Nursing Facilities – Your phlebotomist will ensure that your supplies are stocked on a regular basis, if you should run low on a supply please call 330-263-8552 for replenishment of supplies.

PROFILE CONSTITUENTS

BASIC METABOLIC PANEL (BMP)

1. Calcium 2. Creatinine 3. Carbon Dioxide (CO2) 4. Chloride 5. Glucose 6. Potassium 7. Sodium 8. Urea Nitrogen (BUN)

COMPREHENSIVE METABOLIC PANEL (CMP)

1. BMP + 2. Albumin

3. Alkaline Phosphatase 4. ALT 5. AST

6. Bili, Total 7. Protein, Total

ELECTROLYTES

1. Potassium 2. Sodium 3. Chloride 4. CO2

LIPID PROFILE

1. Cholesterol 2. Triglyceride 3. HDL 4. LDL (Calculated) 5. VLDL (Calculated)

LIVER (HEPATIC)

1. Albumin 2. Alkaline Phosphatase 3. ALT 4. AST 5. Bili, Total 6. Bili, Direct 7. Protein, Total

RENAL PROFILE

1. BMP + 2. Albumin 3. Phosphorus, inorganic

COLLECTION TUBES: The evacuated tubes are designed to fill with a predetermined volume of blood. For easy identification,

the tubes have color-coded plastic / rubber closures. All tubes must be used before the expiration date

marked on the side of the tube. Most tubes are made of plastics with colored closures. Below are some

of the most commonly used evacuated tubes. This list is not exhaustive.

STOPPER COLOR ANTICOAGULANTS; ADDITIVES TYPE OF SPECIMEN CAPACITY (ml)

Blue Buffered Citrate, Sodium (Na);

.105M= 3.2%

Whole blood;

Plasma

4.5 ml

Gold SST Gel + clot activator Serum 6 ml

Green PST Gel + lithium heparin Whole blood;

Plasma

6 ml

Grey Sodium Flouride Potassium

Oxalate

Whole blood;

Plasma

6 ml

Lavender K3 EDTA; Silicon coated interior

(EDTA)

Whole Blood;

Plasma

5 ml

Lavender K3 EDTA; Silicon coated interior

(EDTA)

Whole Blood;

Plasma

7 ml for blood

bank

SST

(Tiger top)

Gel + Clot activator; plastic Serum 8.5 ml

Plain Red top Plain without additives Serum 10 ml

Anticoagulants are chemicals or substances that prevent blood from clotting. They can be in the form of

powder or liquid. Blood collected in anticoagulants must be thoroughly mixed by GENTLY INVERTING THE

TUBE about 10 times. Inadequate mixing of the blood and anticoagulant may result in formation of partial

clot or small clots, which invalidates test results. Note: Because Red Blood Cells or RBCs are vulnerable

to trauma, NEVER SHAKE THE TUBE to prevent hemolysis.

The proper anticoagulant must be used for a specific test as written in the collection procedure.

Anticoagulants cannot be interchanged. One type of anticoagulant may be suitable for certain tests but

may not be correct for others.

The anti-coagulated tubes must be filled to capacity to maintain BLOOD to ANTICOAGULANT ratio. The vacuum inside the tube is designed to fill the tube to its pre-measured volume to meet the ratio. When the proper blood volume is reached, under normal conditions, the flow of blood into the tube ceases. Under filling the tube is the most common cause of failing to meet the required blood to anticoagulant ratio, which seriously affects the test results.

Additives are substances designed to accelerate clotting of blood. An example is the clot

activator, which coats the interior wall of certain collection tubes. Adequate mixing with the

additive is achieved by gently inverting the tube five (5) times immediately after blood is drawn.

Blood collected from these tubes are used to yield serum.

Plain red top tubes do not have any additive, gel or anticoagulant. These tubes are used to collect

blood for testing on most drug levels, and other sensitive tests (refer to reference lab specimen

requirements).

Gels are made of inert materials, which are heavier than serum, but lighter than blood cellular

elements. It is commonly referred to as serum separator, which means that after the clotted

blood tube is centrifuged, the gel settles between the serum layer and blood cells layer thus

creating a barrier.

The recommended order of draw must be followed to prevent possible contamination of

specimens. Since some tubes contain anticoagulants/additives, there is a possibility of

contamination during multiple blood collection.

1. The Order of Draw should be: a) Blood cultures, b) Blue, c) Plain red or gold SST, d) Green, e) Lavender f) Grey.

2. When drawing tubes with additives/anticoagulants, the order of draw is: a. BLUE/citrated tube b. RED c. SST/Gold d. GREEN / heparinized tube e. LIGHT GREEN f. LAVENDER / EDTA g. GREY

NOTE: If only a blue top tube is needed, a clear hemoguard tube (no additive) should be

collected first before collecting the blue tube. Failure to do this will result in an under filled

tube and inaccurate results for the patient.

To guard against possible backflow, when drawing blood keep the patient’s arm in a downward

position, hold tube with the stopper uppermost, and follow venipuncture procedure.

SPECIMEN COLLECTION CONTAINER GUIDE:

Wooster Community Hospital Laboratory Specimen Collection Container Guide

LB-CM-2 EJT 9/2015 Page 1 of 7

Tube Type Additive Testing Performed Comments

Clear

NONE NONE Use as Discard tube only

Blue: Purple: Pink

Blood Culture Must be drawn Aseptically using approved WCH Policy to avoid contamination.

Blue

Sodium Citrate Coagulation testing: Protime/INR APPT Fibrinogen D-Dimer

Must be filled to the line marked on the tube or it must be rejected

o Full draw tube both 1.8ml and 2.7mL.

o Minimum fill line indicator on tube (frosted line) represents the minimum fill of blood required for appropriate analysis.

o Proper blood fill is key with this tube to maintain proper blood to additive ratio.

o Be sure to invert tubes 3-4 times to ensure proper mixing of Na Citrate with blood.

o When using a wingset (butterfly) for the phlebotomy, and the first tube drawn is a blue top coag tube, a discard tube should be drawn first to remove the air from the wing set to ensure proper blood fill volume.




Royal Blue w/Red Band.

NONE Copper & Zinc o Contains No additive. o Important to send to lab

ASAP for processing to avoid inaccurate results.

Gold or tiger top

Clot activator and gel for serum separation

Chemistry Testing o Contains spray coated clot activator.

o Important to invert SST tube 5 times to ensure proper mixing of clot activator with blood for better clot formation.

o Allow BD SST tube to clot for 30 minutes.

o Noticeable difference in cap color Greiner vs. BD, Greiner serum separator tube has a red cap with gold ring. The BD SST tube has a solid gold cap.

Red

Clot Activator Drug Levels o Serum tube contains spray dried clot activator.

o Important to invert Red Top tube 5 times to ensure proper mixing of clot activator with blood for better clot formation.

o Allow BD Red Top tube to clot 60 minutes.

Mint green

Lithium Heparin PST tube

Chemistry Testing o Important to invert PST tube 8-10 times to ensure adequate mixing of lithium heparin with blood.

o The BD cap is a solid mint green.




Dk Green

Sodium Heparin Ammonium o Important to place tube on ice & send to lab STAT

o Important to invert tube 8-10 times to ensure adequate mixing of sodium heparin with blood.

Lavender

K2EDTA Hematology Testing including ESR– 4.5ml tube

Should be full and unclotted. Be certain to invert the tube at least 8 times after collection

o Important to invert the BD K2 EDTA tube 8-10 times to ensure adequate mixing of EDTA with blood to avoid clotting.

Lavender

K2EDTA Blood Bank Testing – 6ml Tube Should be full and unclotted. Be certain to invert the tube at least 8 times after collection

o Blood Banking specimen tubes require specified information on label & will be rejected if tube is labeled incorrectly.

o Lavender caps and 6 ml draw tube volume.

Grey

Potassium Oxalate / Sodium Flouride

Lactic Acid Glucose level testing

o Important to place tube on ice & send to lab STAT

o Important to invert tube 8-10 times to ensure adequate mixing of blood.

Royal Blue

Royal Blue w/Blue Band

K2EDTA Trace Metals o Important to send to lab ASAP for processing to avoid inaccurate results.

o Important to invert tube 8-10 times to ensure proper mixing of specimen.



Urine Collection

Conical speckled top urine collection tube

Urine Preservative

Urinalysis o Tube should be as close to full as possible.

o Does not need to be refrigerated.

o Stable at room temperature for 72 hrs

Yellow top conical urine collection tube

No additive Random Urine Chemistries, Urine CT/NG testing Urine Drug Testing

o Deliver to lab within 1 hour of collection or refrigerate

o Tube should be as close to full as possible

Grey top urine collection tube

Boric Acid Urine Culture and Sensitivity

o Do not need to refrigerate.

o Stable at room temperature for 48 hrs.


Royal Blue w/Lavender Band

Na2EDTA LEAD o Important to send to lab ASAP for processing to avoid inaccurate results.

o Important to invert tube 8-10 times to ensure proper mixing of specimen.

Yellow

ACD or Acid Citrate

Special Testing o Testing Requirements and specimen collection are on specimen label.

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Amniotic Fluid in ROM Collection KIT

Rupture of Membranes o Transport to Lab Immediately


Sterile Cup

None Fluid, tissue, sputum collection

o Fluids and Tissue should be transferred to the laboratory without delay.

o Sputum Specimens can be refrigerated for up to three hours at 2-8 deg C.

Copan FloqSwab with orange cap

Nasopharengeal culture Influenza Testing RSV

o Transport to lab without delay

BD Anaerobic Collector

Anaerobic Cultures o Store at room temperature, process within 1-3 hours after collection

BD Cultre Swab Max V with red cap

Routine cultures

• Wound

• MRSA Screen

• Rapid Strep

o Store at room temperature for up to 7 hours

Remel Carey Blair and Empty Stool Collection Container

Cary Blair Medium

White Cap container: C diff, Stool for WBC Green Cap Container: Stool Culture

o Store without preservative at 2-8 deg C

o Non-preserved stools for culture must be received 2 hours after collection

o For delay in transport refrigerate at 2-8 deg C. Must be submitted within 24 hours of collection



Microbiology Specimen Collection

Important Blood Collection Tube Guide Hints

Coagulation tube fill guide:

Remel Stool Collection – Pink and Grey Stool Collection Container

PVA and 10% Formalin

Both Grey and Pink Cap container are for Ova and Parasite Collection

o Place specimen into media within 2 hours of collection.

o Store at room temperature



Special Note o ALL tubes should be held in place during the blood draw until the tube is completely filled and then

removed. o Fill all tubes to stated draw volume.

Labeling Policy

o Specimens collected for routine tests by syringe will immediately be transferred to appropriate specimen tubes for labeling using specimen transport device.

o Labeled specimens collected on “in patients” will be labeled and compared to the patient’s armband before leaving the patient bedside.

o Specimens collected should have, at a minimum, the patient’s full name, identification number, date and time of collection, and the collector’s first initial and last name.

o Prior to sending or tubing a specimen to Lab, compare the patient identification label on the specimen to the physician’s order or confirmation ticket to ensure accurate testing, processing and reporting of patient test results.

NOTE: Blood Bank Specimen Tubes Require the Following: o Patient’s full name (EXACTLY as it appears in Meditech) o Patient DOB o Patient MR# o Time and Date of Collection o Collector (First initial and last name) o Green Fenwal bracelet ID label Improperly labeled blood bank tubes will be rejected for patient safety.

Label Information o Color coded sidebar and notch. o Tube type and additive information on each label. o BD lot number and expiration date indicated on each label. o Draw volume information.

SPECIMEN LABELING: Computer Generated Labels

• In those locations with access to a label printer, computer generated labels, (by LIS or order entry

module) should be used in place of handwritten specimen labels.

• Computer generated labels serve as a requisition (large label printing in first position), and

provide a specimen label and smaller aliquot labels. The labels contain the required information

including specimen numbers, bar codes, and a space to indicate the time of collection and the first

initial and last name of the person who has collected the specimen.

1. Blood Specimens for Testing other than for Blood Bank.

a. Complete first and last name

b. Date of birth

c. ID number of the patient (Visit number, Med Rec, SS #).

d. Date and time that the specimen was drawn or collected.

e. First initial and last name of the person who has collected the specimen.

2. Blood Bank Specimens Using the Fenwal Patient/Specimen ID System

a. Complete first and last name (spelled correctly) must be noted on the Fenwal label

b. Date of birth

c. ID number of the patient (Med Rec & Date of Birth) on the Fenwal label

d. Date and time that the specimen was drawn.

e. First initial and last name of the person who collected the specimen

See Also: Fenwal Identification Procedure for Blood Bank Specimens

3. Culture specimens or urine specimens

a. Complete first and last name directly on the container, not the lid. b. ID number of the patient (Visit #, Med Rec #, SS#). c. Source of the specimen. d. Date and time that the specimen was collected. e. Initials of the person who has collected the specimen.

4. Surgical Specimens Submitted to Pathology

a. Complete first and last name

b. Date of birth

c. ID number of the patient (Visit #, Med Rec #, SS #)

d. Source of the specimen

e. Formalin warning label must be attached to container

f. Date and time that the specimen was collected

g. Initials of the person who has collected the specimen

h. The specimen must be clocked in when arrives at the laboratory.

INFORMATION THAT MUST BE NOTED ON THE REQUISITION OR ORDER FORM:

1. Complete first and last name

2. Date of birth

3. ID number of the patient (Visit #, Med Rec #, or SS #)

4. Patient location, i.e. room number or outpatient

5. Physician's name and address

6. Source of the specimen

7. Date and time that the specimen was collected

8. First initial and last name of the person who has collected the specimen

SPECIMEN INTEGRITY

The intent of the laboratory is to provide the most accurate and reliable test results possible. This

depends considerably on proper specimen collection, handling and transport. The laboratory

makes every effort to provide a timely and accurate test result. If a specimen is unsatisfactory for testing, we will notify you. Please note that any specimen submitted in unsanitary condition is dangerous to laboratory personnel and may not be accepted for testing. Be sure to follow the specimen guidelines for handling of specimens. These are found in the specimen collection section.

CRITERIA FOR REJECTION OF SAMPLES SUBMITTED TO THE LABORATORY

Quality laboratory testing requires specimens, which are properly collected, identified, labeled and

handled from the point of collection to delivery and preparation in the Laboratory. Improperly labeled

specimens present the risk of mis-identification of a patient sample. Improperly collected or stored

specimens are of inadequate quality for testing and may yield aberrant results. Specimens that are not

collected with the proper type and amount of anticoagulant are not acceptable for testing due to

improper ratio/type of anticoagulant.

NOTES: (All Departments)

See FENWAL IDENTIFICATION PROCEDURE FOR UNREGISTERED OR UNIDENTIFIED EMERGENCY ROOM

PATIENTS for alternative identification procedures

If the identification or integrity of any specimen is suspect for any reasons other than those noted below

corrective action should be taken.

Any special considerations, specimen integrity issues, or corrections made must be documented

in specimen or results comments on the LIS. Issues potentially affecting patient care should be

noted as an "external" comment - reportable to the physician and staff outside the lab.

HEMATOLOGY - URINALYSIS:

1. Unlabeled specimens - redraw patient in question

2. Incorrect patient name -redraw patient in question

3. Incorrect spelling of patient name - person who collected specimen must verify and correct spelling

or redraw sample

4. Incorrect Date of Birth – re-draw or recollect specimen.

5. Missing Identification number (i.e. Medical Record or V#, date of birth) - redraw patient

6. Incorrect date on specimen - verify the date and correct on specimen.

7. Too little blood in tubes with anticoagulant - reject specimen. Lavender top tube must be at least 1/2 full

Black Excyte SedRate tube must be filled within white lines.

8. Too much blood in tubes with anticoagulant – reject specimen

9. Moderate to severe hemolysis - redraw specimen 10. Improperly labeled microsamples - redraw sample 11. Anticoagulated sample, which has clotted - redraw sample

12. Routine urine unlabeled - specimen must be re-collected unless it was a very difficult specimen to

collect, in which case the person who collected the urine may come to the Lab and label the

specimen. Indicate on the report that the specimen was received in the Lab unlabeled and was

subsequently labeled by nursing staff. Otherwise, it must be re-collected.

13. Urine specimen has spilled in the transport bag - recollect if possible or handle with gloves

14. Any specimen, which has not been maintained at the proper temperature or has not been

received in a timely manner. See individual procedures for timing of specimens. Recollect as

necessary.

15. Specimens drawn above an IV site - DISCARD and redraw patient

16. Urines remaining at room temperature more than 1 hour - recollect

17. Body Fluid samples that are clotted - recollect specimen if possible. If re-collection is not possible,

run the specimen, but indicate the following note on the cell count:

NOTE: SPECIMEN RECEIVED WITH (few, moderate, or many) CLOTS.RESULTS ARE QUESTIONABLE.

BLOOD BANK:

1. Unlabeled specimens - redraw patient in question


3. Incorrect spelling of patient name - redraw patient. If discrepancy is due to an abbreviation,

nickname, or punctuation (capital letters or spaces) the person collecting the specimen may correct

the spelling - but ONLY if all other identifying information (i.e. Medical Record number, SS#, DOB)

can be confirmed and there is no doubt regarding the identification of the patient.

4. Incorrect Date of birth - redraw patient.

5. Missing Date of Birth - redraw specimen

6. Incorrect date on specimen - person who collected the specimen must verify the date and correct on

specimen.

7. Improperly labeled microsamples - redraw sample

8. Anticoagulated sample which has clotted - redraw sample


10. Moderate to severe hemolysis redraw sample

NOTES:

See FENWAL IDENTIFICATION PROCEDURE FOR UNREGISTERED OR UNIDENTIFIED

EMERGENCY ROOM PATIENTS for alternative identification procedures

If the identification or integrity of any specimen is suspect for any reasons other than those noted above


Any special considerations, specimen integrity issues, or corrections made must be documented

in specimen or results comments on the LIS. Issues potentially affecting patient care should be

noted as an "external" comment - reportable to the physician and staff outside the lab.

COAGULATION:

l. Unlabeled specimens - redraw patient in question


3. Incorrect spelling of patient name person who collected specimen must verify and correct spelling

or redraw sample

4. Incorrect Date of Birth - redraw specimen.

5. Missing Identification number (i.e. Medical Record or V#, date of birth) redraw patient


7. Too little blood in tubes with anticoagulant - reject specimen. Blue citrated tube must be full draw

8. Too much blood in tubes with anticoagulant - reject specimen.

9. Anticoagulated sample, which has clotted - redraw sample

10. Any specimen, which has not been maintained at the proper temperature or has not been received in a timely manner. See individual procedures for timing of specimens. Recollect as necessary.

11. Specimens drawn above an IV site DISCARD and redraw patient

12. Moderate to severe hemolysis - redraw sample

NOTES:





Any special considerations, specimen integrity issues, or corrections made must be documented in

specimen or results comments on the LIS. Issues potentially affecting patient care should be noted

as an "external" comment - reportable to the physician and staff outside the lab.

CHEMISTRY:

1. Unlabeled specimens redraw patient in question


3. Incorrect spelling of patient name - person who collected the specimen must verify and correct

spelling or redraw sample

4. Incorrect Date of Birth – redraw specimen.



7. Moderate to severe hemolysis –

• Specimens displaying hemolysis readings of “H 1-3” on Vista may be accepted with no action required.

• Specimens displaying a hemolysis reading of “H 4” or higher on Vista should be rejected and recollected

• Specimens from the ED displaying a hemolysis reading of “H 4” on Vista may be accepted with the following course of action:

o TNP any DBIL result due to hemolysis o Attach the canned comment of “CH4S” for slight hemolysis and “CH4M” for

moderate hemolysis to all results with the H-interference flag. o The tech has the final determination of what is the proper course of action for each

specimen. 8. Improperly labeled microsamples redraw sample

9. Anticoagulated sample, which has clotted - redraw sample

10. Any unlabeled 24- hour urine - Call the nursing station and inform them that the specimen was

received unlabeled. If it is a 24- hour urine that was just recently received in the Lab, the person who

collected the specimen may come down and label the specimen. Indicate this fact on the report.

Otherwise, it must be re-collected.



necessary.

12. Specimens drawn above an IV site DISCARD and redraw patient

MICROBIOLOGY:

1. Unlabeled specimens - recollect specimen in question

2. Incorrect patient name - recollect specimen in question

3. Incorrect spelling of patient name - person who collected specimen must verify and correct spelling

or recollect specimen. Will be noted on final report.

4. Incorrect Date of Birth – recollect specimen.


6. Incorrect date on specimen - person who collected specimen must verify the date and correct on

specimen.

7. Urine/sputum specimen has spilled in the transport bag - recollect if possible or handle with gloves

under biohazard hood.



necessary.


10. Culturettes with gross external contamination - recollect if possible or handle with gloves under

biohazard hood.

7. Culturettes with dry swabs – recollect

8. Unsterile container for culture specimen or routine urine – recollect 9. Diapers containing stool - recollect in proper container

10. Urines remaining at room temperature more than 2 hours – recollect

11. For AFB specimens with less than 5 cc's of specimen - recollect

HISTOLOGY:

1. Unlabeled specimens - ask person collecting the specimen to label

2. Incorrect patient name - ask person collecting the specimen to correct name on container

3. Incorrect spelling of patient name ask person collecting the specimen to correct name on container

4. Incorrect Date of birth – recollect, if possible. Analyze on a case by case basis.

5. Missing Identification number (i.e. Medical Record or V#, date of birth) ask person collecting the

specimen to correct number on container.


7. Specimen received with no formalin - place formalin on specimen and notify pathologist.

NOTES:





Any special considerations, specimen integrity issues, or corrections made must be documented in

specimen or results comments on the LIS. Issues potentially affecting patient care should be noted

as an "external" comment - reportable to the physician and staff outside the lab.

RESULT REPORTING

Most routine results are reported within 24 hours. Culture results and tests sent to the reference lab might take longer to report. Results are routinely faxed to the referring physician or client (unless the referral source has an

interface). Additional copies will be faxed to consulting physician(s) if indicated on the Test Order. Critical values will be called to the physician’s office / responsible caregiver as soon as they are resulted. See the complete list of Critical Values in this manual. When contacting a physician / client with a critical value, the laboratory representative will

provide the following information: • Patient's name • The test name • The result(s) • The lab respresentative will ask the recipient of the information write down the information

AND read the information back to them. • The lab representative will document the time the result was called and the name of the

recipient of the information on the laboratory report.

CRITICAL VALUES

WCH CRITICAL VALUES

TEST CRITICAL LOW CRITICAL HIGH

pH < 7.20 > 7.60pH (cord blood arterial) < 7.15 > 7.50

pH (cord blood venous) < 7.20 > 7.60

PO2 < 40 mmHg >200 mmHg

PO2 (cord blood arterial) < 9 mmHg >300 mmHg

PO2 (cord blood venous) < 10 mmHg >300 mmHg

PCO2 < 20 mmHg > 70 mmHg

PCO2 (cord blood arterial) < 20 mmHg > 70 mmHgPCO2 (cord blood venous) < 20 mmHg > 70 mmHg

tHb < 6 g/dL >18 g/dL

O2Hb (arterial) < 6 g/dL NONE

COHb NONE > 20%

MetHb NONE > 5%

IAT

Antibody ID

DAT

Rh titer (2 tube rise on a fillow up pre-

natal)

Inability to obtain or delay in

obtaining compatible units for either transfusion or surgery

Notification from Red Cross of

confirmed positive culture on a

plateletpheresis that we have

transfused. Notify physician, pathologist, and Infection Preventionist immediately

Appendix AA critical value isdefined as any results of tests and diagnostic procedures that fall significantly outside the normal

range and may indicate a life threatening situation (TJC definition); defined as any diagnostic test result that is so

abnormal that it represents an immediate threat to life (Lab definition); any new diagnostic test result or result

which is not addressed in the physician's plan of care which requires immediate intervention (nursing definition).

Positive Pre-surgical / Pre-transfusion / Post-transfusion

Positive Pre-surgical / Pre-transfusion / Post-transfusion

Hemolysis / Post transfusion

Transfusion Raction Workup

Positive Pre-surgical / Pre-transfusion / Post-transfusion / Newborn

Positive IAT Post transfusion

Any positive on pre-natal workup or post delivery

ARTERIAL BLOOD GASES:

BLOOD BANK:

Positive DAT Post transusion

Wrong Patient Transfused

Bilirubin - increased post transfusion

Occult blood (moderate or marked)

Wrong unit transfused

Cooximetry:

Page 1 Critical Values - Appendix A 7_2017

WCH CRITICAL VALUES

ALCOHOLNONE >300 mg/dL

BUNNONE >100 mg/dL

CALCIUM<6.6 mg/dL >12.5 mg/dL

CHLORIDE<75 mmol/L >126 mmol/L

CO2<10 mmol/L >45 mmol/L

CREATININENONE 7.4 mg/dL

GLUCOSE <45 mg/dL >450 mg/dL

GLUCOSE - CSF 37 mg/dL 438 mg/dL

LACTATE NONE >2.0 mmol/L

MAGNESIUM (MG)<1.0 mg/dL >5.0 mg/dL

PHOSPHORUS<1.2 mg/dL >8.9 mg/dL

POTASSIUM (K)<2.8 mmol/L >5.9 mmol/L

SODIUM (NA)<120 mmol/L >160 mmol/L

T BILIRUBIN NONE >15.0 mg/dL


ACETAMINOPHENNONE >50 ug/mL

CARBAMAZAPINENONE >12.0 ug/mL

DIGOXINNONE >2.1 ng/mL

GENTAMICINNONE >10.0 ug/dL

GENTAMICIN OD TroughNONE >1.0 ug/dL

GENTAMICIN OD PeakNONE >15.0 ug/dL

GENTAMICIN Conv. TroughNONE >2.0 ug/dL

GENTAMICIN Cov. PeakNONE >10.0 ug/dL

LITHIUMNONE >1.4 mmol/L

PHENOBARBITALNONE >40 ug/mL

PHENYTOINNONE > 20 ug/dL

THERAPEUTIC DRUG MONITORING (TDM):

CHEMISTRY:


WCH CRITICAL VALUES

SALICYLATENONE >30 mg/dL

THEOPHYLLINENONE >20 ug/mL

TOBRAMYCIN OD TroughNONE >10.0 ug/dL

TOBRAMYCIN OD PeakNONE >1.0 ug/dL

TOBRAMYCIN Conv. TroughNONE >15.0 ug/dL

TOBRAMYCIN Cov. PeakNONE >2.0 ug/dL

VALPROIC ACID NONE >150 ug/mL


D-DIMERNONE > 0.5 ug/mL FEU

FIBRINOGEN< 100 mg/dL NONE

HEMOGLOBIN (HGB)< 6.0 g/dL > 18.0 g/dL

HEMOGLOBIN (HGB) Newborns< 12.0 g/dL

MCV Newborns > 120 mm3

PLATELET COUNT (PLT)< 50,000 /ul > 750,000 /ul

WHITE BLOOD COUNT (WBC)< 1500/ul > 30,000/ul

INR (INTERNATIONAL NORMALIZED RATIO)NONE 3.5

PTT NONE >90 seconds

GLUCOSENONE

Pediatric: Presence of any glucose or reducing

substance

KETONENONE 150 mg/dL

CASTS

CRYSTALS

Unusual (i.e. waxy, RBC)

Unusual (i.e. leucine, cycteine, etc.)

URINALYSIS:

HEMATOLOGY / COAGULATION:


WCH CRITICAL VALUES

TEST

Blood culture

CSF

MRSA

Beta Strep - Group A

Salmonella, Shigella,

Campylobacter, or C. Difficile

Shiga-toxinFungus or Yeast isolated from

normally sterile body sites or

yeast (80%) or more dominant in

sites with normal flora

AFB smear or culture

Legionella

KPC producing

Enterobacteriaceae

Broup Beta Strep in upper

respiratory tract

Beta Lactamase Positive

Haemophilus Influenza

neisseria Gonorrhoeae

Vancomycin Resistant

EnterococcusIntestinal Parasites

Inner Eye, Mastoid

Positive Gram stain / culture / Antigren studies

Positive

Positive

Gram Stain or Culture

Poistive Internal Body Fluid

Biopsy Specimens

CRITICAL RESULT

Positive

in sputum, lower respiratory

in stool

Positive

Positive

Internal Organ or Tissues

Lung Aspirates

Microbiology:


SPECIMEN COLLECTION INFORMATION

Wooster Community Hospital Laboratory

TEST NAME ABO/RH BLOOD TYPESPECIMEN TYPE Plasma

OTHER SPEC TYPE Serum

COLLECTION CONTAINER EDTA / LAV / 6ml

OTHER CONTAINER 10ml Plain

MINIMUM VOLUME 3ml

STABILITY 72 hours refrigerated

TRANSPORT INSTRUCTIONS Biohazard Bag

OTHER INSTRUCTIONS Not qualified for transfusion workup

STORAGE CONDITIONS Refrigerated

STAT 1 hour

ROUTINE 6 hours

TEST NAME ABSOLUTE NEUTROPHIL COUNTSPECIMEN TYPE Whole Blood

OTHER SPEC TYPE

COLLECTION CONTAINER EDTA / Lav

OTHER CONTAINER

MINIMUM VOLUME Tube must be half full

STABILITY 24 hrs @ RT or 48 hours if Refrigerated

TRANSPORT INSTRUCTIONS

OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

Monday, July 17, 2017

TEST NAME ACETAMINOPHEN (TYLENOL)SPECIMEN TYPE Serum

OTHER SPEC TYPE

COLLECTION CONTAINER RED

OTHER CONTAINER

MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS

STORAGE CONDITIONS 2-8° C

STAT 1 hour

ROUTINE 4 hours

TEST NAME ACETONE SERUMSPECIMEN TYPE Serum

OTHER SPEC TYPE

COLLECTION CONTAINER RED / SST

OTHER CONTAINER

MINIMUM VOLUME 1 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME ACID FAST CULTURE AND SMEAR (sendout)SPECIMEN TYPE SEE LABCORP

OTHER SPEC TYPE

COLLECTION CONTAINER

OTHER CONTAINER Sterile Container

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS Specimen should be refrigerated until transport


STAT

ROUTINE up to 8 weeks


TEST NAME ALBUMINSPECIMEN TYPE Plasma


COLLECTION CONTAINER LiHep / Green

OTHER CONTAINER Yellow or Red Top Tube

MINIMUM VOLUME 1 ml

STABILITY 3 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME ALCOHOL, BLOOD (MEDICAL)SPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 3 days


OTHER INSTRUCTIONS Tightly Capped


STAT 1 hour

ROUTINE 4 hours

TEST NAME ALKALINE PHOSPHATASESPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME ALT (SGPT)SPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 7 DAYS


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME AMMONIASPECIMEN TYPE Plasma

OTHER SPEC TYPE

COLLECTION CONTAINER LiH / Grn / in ICE

OTHER CONTAINER

MINIMUM VOLUME 1 ml

STABILITY 2 hrs.

TRANSPORT INSTRUCTIONS On Ice

OTHER INSTRUCTIONS Spun in 30 min


STAT 1 hour

ROUTINE NOT ROUTINE

TEST NAME AMYLASESPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME ANCSPECIMEN TYPE Whole Blood

OTHER SPEC TYPE


OTHER CONTAINER




OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME ANTIBODY SCREENSPECIMEN TYPE Plasma




MINIMUM VOLUME 3ml





STAT 1 hour

ROUTINE 6 hours

TEST NAME ARTERIAL BLOOD GASSPECIMEN TYPE Whole Blood

OTHER SPEC TYPE

COLLECTION CONTAINER ABG Syringe

OTHER CONTAINER

MINIMUM VOLUME 800uL

STABILITY 10 min w/o ice

TRANSPORT INSTRUCTIONS > 10 min on ice

OTHER INSTRUCTIONS analyze ASAP

STORAGE CONDITIONS

STAT 30 min

ROUTINE 1 hour


TEST NAME AST (SGOT)SPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME BASIC METABOLIC PROFILE (BMP)SPECIMEN TYPE Plasma



OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME BILIRUBIN, DIRECTSPECIMEN TYPE Plasma




MINIMUM VOLUME 3 ml

STABILITY 5 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME BILIRUBIN, INDIRECTSPECIMEN TYPE Plasma



OTHER CONTAINER Yellow or Red Top

MINIMUM VOLUME 1 ml

STABILITY 5 days

TRANSPORT INSTRUCTIONS Protect from light

OTHER INSTRUCTIONS Protect from light


STAT 1 hour

ROUTINE 4 hours

TEST NAME BILIRUBIN, TOTALSPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 5 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME BILIRUBIN,TOTAL DIR, INDSPECIMEN TYPE Plasma

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 1 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME BNPSPECIMEN TYPE Plasma

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 1 ml

STABILITY 24 hrs.


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE <4 hours

TEST NAME BOOD CULTURE PANEL, GRAM POSITIVESPECIMEN TYPE Positive Blood Culture

OTHER SPEC TYPE

COLLECTION CONTAINER Aerobic/Pediatric Bottle

OTHER CONTAINER

MINIMUM VOLUME

STABILITY 12 hours

TRANSPORT INSTRUCTIONS RT

OTHER INSTRUCTIONS Process <12 hours or freeze

STORAGE CONDITIONS Room Temp

STAT

ROUTINE

TEST NAME BORDATELLA PANEL MOLECULARSPECIMEN TYPE NP Swab

OTHER SPEC TYPE

COLLECTION CONTAINER NP Swab in Viral Media

OTHER CONTAINER

MINIMUM VOLUME

STABILITY 48 Hrs. in Viral Media

TRANSPORT INSTRUCTIONS Specimen should be refrigerated until transport

OTHER INSTRUCTIONS Place NP Swab in Viral Media ASAP


STAT 2.5 hours

ROUTINE 24 hours


TEST NAME BUNSPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME BUPRENORPHINESPECIMEN TYPE Urine

OTHER SPEC TYPE

COLLECTION CONTAINER URINE


MINIMUM VOLUME 5 ml

STABILITY 96 hrs


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME CALCIUMSPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 3 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME CAPILLARY BLOOD GASSPECIMEN TYPE Whole Blood

OTHER SPEC TYPE

COLLECTION CONTAINER Cappillary Tube

OTHER CONTAINER





STORAGE CONDITIONS

STAT

ROUTINE

TEST NAME CARBAMAZEPINE (TEGRETOL)SPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME CARBON DIOXIDESPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 3 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME CBC WITH DIFFERENTIALSPECIMEN TYPE Whole Blood

OTHER SPEC TYPE Blue (platelet clumping)


OTHER CONTAINER




OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME CBC, NO DIFFERENTIALSPECIMEN TYPE Whole Blood

OTHER SPEC TYPE Blue (platelet clumping)


OTHER CONTAINER




OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME CELL COUNT & DIFFERENTIAL, CSFSPECIMEN TYPE CSF fluid

OTHER SPEC TYPE

COLLECTION CONTAINER CSF tube(s)

OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY

TRANSPORT INSTRUCTIONS Transport immediately to laboratory

OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME CELL COUNT & DIFFERENTIAL, SPINAL FLUIDSPECIMEN TYPE CSF fluid

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME CELL COUNT & DIFFERENTIAL, SYNOVIAL FLUIDSPECIMEN TYPE Synovial Fluid

OTHER SPEC TYPE

COLLECTION CONTAINER Sterile Container

OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME CELL COUNT+DIFF, BODY FLUIDSPECIMEN TYPE Plasma

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME CHLAMYDIA / GONORRHOEAESPECIMEN TYPE Urine Cup

OTHER SPEC TYPE

COLLECTION CONTAINER Xpert Collection Kit

OTHER CONTAINER

MINIMUM VOLUME 20ml

STABILITY 72 hours


OTHER INSTRUCTIONS

STORAGE CONDITIONS 2-15 deg C

STAT 90 min

ROUTINE 24 hours

TEST NAME CHLORIDESPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME CHLORIDE, URINESPECIMEN TYPE Urine

OTHER SPEC TYPE

COLLECTION CONTAINER Sterile Nonadditive Urine Container


MINIMUM VOLUME 5 ml

STABILITY


OTHER INSTRUCTIONS Run Immediately

STORAGE CONDITIONS

STAT 1 hour

ROUTINE 4 hours


TEST NAME CHOLESTEROLSPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME CLOSTRIDIUM DIFFICILESPECIMEN TYPE Stool

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME

STABILITY 7 Days


OTHER INSTRUCTIONS


STAT 2.5 hours

ROUTINE within 8 hours

TEST NAME COMPLETE METABOLIC PROFILE (CMP)SPECIMEN TYPE Plasma



OTHER CONTAINER

MINIMUM VOLUME 3 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME COOXIMETRYSPECIMEN TYPE Whole Blood

OTHER SPEC TYPE

COLLECTION CONTAINER LiHep Tube no gel

OTHER CONTAINER LiHep Syringe

MINIMUM VOLUME 50uL

STABILITY


OTHER INSTRUCTIONS

STORAGE CONDITIONS RT

STAT 30 min

ROUTINE

TEST NAME CORD ARTERIAL BLOOD GASSPECIMEN TYPE Cord Blood

OTHER SPEC TYPE


OTHER CONTAINER





STORAGE CONDITIONS

STAT

ROUTINE

TEST NAME CORD VENOUS BLOOD GASSPECIMEN TYPE Cord Blood

OTHER SPEC TYPE


OTHER CONTAINER





STORAGE CONDITIONS

STAT

ROUTINE


TEST NAME CORTISOLSPECIMEN TYPE Serum

OTHER SPEC TYPE

COLLECTION CONTAINER SERUM / SST

OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 48 hrs


OTHER INSTRUCTIONS


STAT

ROUTINE Mon,Weds,Fri

TEST NAME COTININE (NICOTINE)SPECIMEN TYPE Urine

OTHER SPEC TYPE



MINIMUM VOLUME 5 ml

STABILITY 48 hrs


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME CPKSPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME C-REACTIVE PROTEIN - CRPSPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME CREATININE CLEARANCE URINE 24 HRSPECIMEN TYPE Plasma and 24 hour Urine

OTHER SPEC TYPE Serum and Urine

COLLECTION CONTAINER LIH / 24 HR UA no preservative

OTHER CONTAINER SST / Red and 24 hr urine

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS Refrigerate urine during collection


STAT

ROUTINE 4 hours

TEST NAME CREATININE URINESPECIMEN TYPE Urine

OTHER SPEC TYPE

COLLECTION CONTAINER Sterile container

OTHER CONTAINER No addidtive tube

MINIMUM VOLUME 5 ml

STABILITY 4 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME CREATININE, SERUMSPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME CREATININE, URINE 24HRSPECIMEN TYPE Urine, 24 hour collection

OTHER SPEC TYPE

COLLECTION CONTAINER 24 hour urine container / no preservative

OTHER CONTAINER

MINIMUM VOLUME

STABILITY 4 days


OTHER INSTRUCTIONS


STAT

ROUTINE 4 hours

TEST NAME CRP, HIGH SENSITIVITYSPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME CULTURE, ANAEROBICSPECIMEN TYPE Anaerobic Swab, Fresh Tissue,aspirate

OTHER SPEC TYPE

COLLECTION CONTAINER Sterile Container, Anaerobic Swab

OTHER CONTAINER

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS Process immediately (STAT)


STAT

ROUTINE

TEST NAME CULTURE, BALSPECIMEN TYPE Bronchial Lavage

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS Process immediately


STAT

ROUTINE

TEST NAME CULTURE, BLOODSPECIMEN TYPE Blood

OTHER SPEC TYPE

COLLECTION CONTAINER Anaerobic and Aerobic Bottles

OTHER CONTAINER Pediatric bottles if pateint <18 yr.

MINIMUM VOLUME 8-10 ml

STABILITY 24 Hours


OTHER INSTRUCTIONS


STAT

ROUTINE


TEST NAME CULTURE, BODY FLUIDSPECIMEN TYPE

OTHER SPEC TYPE


OTHER CONTAINER Syringe W/O Needle

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS Process tissues or aspirates ASAP


STAT

ROUTINE

TEST NAME CULTURE, BRONCIAL BRUSH QUANT.SPECIMEN TYPE Brush Bronchial

OTHER SPEC TYPE

COLLECTION CONTAINER Brush in 1mL sterile saline

OTHER CONTAINER

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS Process Immediately


STAT

ROUTINE

TEST NAME CULTURE, CSFSPECIMEN TYPE CSF

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 1 ml

STABILITY


OTHER INSTRUCTIONS Process immediately (STAT)


STAT

ROUTINE


TEST NAME CULTURE, DEEP WOUNDSPECIMEN TYPE Deep Wound

OTHER SPEC TYPE

COLLECTION CONTAINER Swab

OTHER CONTAINER Tissue

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS Process immediately (aerobic and anaerobic)


STAT

ROUTINE

TEST NAME CULTURE, EARSPECIMEN TYPE Ear, Fluid

OTHER SPEC TYPE



MINIMUM VOLUME

STABILITY 72 Hours for Swabs


OTHER INSTRUCTIONS Process fluid immediately


STAT

ROUTINE

TEST NAME CULTURE, ENVIROMENTALSPECIMEN TYPE Enviromental

OTHER SPEC TYPE


OTHER CONTAINER Swab

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS


STAT

ROUTINE


TEST NAME CULTURE, EYESPECIMEN TYPE Eye

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME



OTHER INSTRUCTIONS


STAT

ROUTINE

TEST NAME CULTURE, FUNGAL (SENDOUT)SPECIMEN TYPE SEE LABCORP

OTHER SPEC TYPE



MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS


STAT

ROUTINE

TEST NAME CULTURE, FUNGAL WITH SMEAR (SENDOUT)SPECIMEN TYPE SEE LABCORP

OTHER SPEC TYPE



MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS


STAT

ROUTINE


TEST NAME CULTURE, GCSPECIMEN TYPE Genital

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS Process ASAP


STAT

ROUTINE

TEST NAME CULTURE, GENITAL COMPREHENSIVESPECIMEN TYPE Genital

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME

STABILITY




STAT

ROUTINE

TEST NAME CULTURE, GROUP B STREPSPECIMEN TYPE Genital

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME



OTHER INSTRUCTIONS


STAT

ROUTINE


TEST NAME CULTURE, MISCELLANEOUSSPECIMEN TYPE

OTHER SPEC TYPE

COLLECTION CONTAINER

OTHER CONTAINER

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS Order only when unable to find proper order


STAT

ROUTINE

TEST NAME CULTURE, NASOPHARYNGIALSPECIMEN TYPE Nasal Swab

OTHER SPEC TYPE

COLLECTION CONTAINER Dual Swab

OTHER CONTAINER NP Swab

MINIMUM VOLUME



OTHER INSTRUCTIONS


STAT

ROUTINE

TEST NAME CULTURE, SPUTUMSPECIMEN TYPE Sputum

OTHER SPEC TYPE


OTHER CONTAINER Lukens Tube

MINIMUM VOLUME

STABILITY




STAT

ROUTINE


TEST NAME CULTURE, STREP ASPECIMEN TYPE Throat Swab

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME



OTHER INSTRUCTIONS Rule out ONLY Strep A


STAT

ROUTINE

TEST NAME CULTURE, SURGERY DEEP WOUNDSPECIMEN TYPE Tissue

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS Process immediately (aerobic and anaerobic)


STAT

ROUTINE

TEST NAME CULTURE, THROATSPECIMEN TYPE Throat Swab

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME

STABILITY 72 Hours


OTHER INSTRUCTIONS


STAT

ROUTINE


TEST NAME CULTURE, TISSUESPECIMEN TYPE Tissue

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME

STABILITY




STAT

ROUTINE

TEST NAME CULTURE, URINESPECIMEN TYPE Urine

OTHER SPEC TYPE

COLLECTION CONTAINER Sterile Urine Container

OTHER CONTAINER Gray Top Urine Tube

MINIMUM VOLUME 5 ml

STABILITY 4 hours


OTHER INSTRUCTIONS


STAT

ROUTINE

TEST NAME CULTURE, WOUNDSPECIMEN TYPE

OTHER SPEC TYPE



MINIMUM VOLUME





STAT 1 hour

ROUTINE


TEST NAME D-DIMER, QUANT.SPECIMEN TYPE Plasma

OTHER SPEC TYPE

COLLECTION CONTAINER Blue

OTHER CONTAINER

MINIMUM VOLUME Tube must be full

STABILITY 8 hrs @ RT / 2 Months Frozen


OTHER INSTRUCTIONS Do not use syringe for draw


STAT 1 hour

ROUTINE 4 hous

TEST NAME DIGOXINSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 1 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME DIGOXINSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME DIRECT ANTIBODY TESTSPECIMEN TYPE Plasma

OTHER SPEC TYPE



MINIMUM VOLUME 2ml



OTHER INSTRUCTIONS Fresh sample optimal


STAT 50 min

ROUTINE 6 hours

TEST NAME DRUG SCREEN, URINESPECIMEN TYPE Urine

OTHER SPEC TYPE



MINIMUM VOLUME 30 ml

STABILITY 24 hrs


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME ELECTROLYTE PANELSPECIMEN TYPE Plasma



OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME ELECTROLYTE PANEL-URINESPECIMEN TYPE Urine

OTHER SPEC TYPE

COLLECTION CONTAINER Sterile urine container

OTHER CONTAINER No addidtive tube

MINIMUM VOLUME 5 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME ELECTROLYTE PANEL-URINE 24 HRSPECIMEN TYPE Urine, 24 hour collection

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS refrigerate urine during collection


STAT 1 hour

ROUTINE 4 hours

TEST NAME ELECTROLYTES, URINESPECIMEN TYPE Urine

OTHER SPEC TYPE

COLLECTION CONTAINER Sterile Nonadditive Urine Containeriner

OTHER CONTAINER

MINIMUM VOLUME 5 ml

STABILITY


OTHER INSTRUCTIONS

STORAGE CONDITIONS

STAT 1 hour

ROUTINE 4 hours


TEST NAME ENTERIC PANELSPECIMEN TYPE Stool

OTHER SPEC TYPE

COLLECTION CONTAINER Cary Blair Media

OTHER CONTAINER

MINIMUM VOLUME

STABILITY 48 hours in CB Media


OTHER INSTRUCTIONS Liquid or Soft Stool Only


STAT 2.5 hours

ROUTINE 24 hours

TEST NAME ERYTHROCYTE SEDIMENTATION RATESPECIMEN TYPE Whole Blood

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME Fill Excyte tubes within fill lines

STABILITY Excyte tube-4 hrs @ RT / 12 hrs refrigerated EDTA-


OTHER INSTRUCTIONS


STAT 1.5 hour

ROUTINE 4 hours

TEST NAME ESTRODIALSPECIMEN TYPE Plasma

OTHER SPEC TYPE Seum



MINIMUM VOLUME 2 ml

STABILITY 2 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME FECAL OCCULT BLOODSPECIMEN TYPE Stool

OTHER SPEC TYPE


OTHER CONTAINER Quidel iFob Collection Kit

MINIMUM VOLUME

STABILITY 8 Days


OTHER INSTRUCTIONS


STAT 1 hour


TEST NAME FERRITINSPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME FETAL FIBRONECTINSPECIMEN TYPE Adeza Biomedical Specimen Collection Kit

OTHER SPEC TYPE

COLLECTION CONTAINER Call Laboratory

OTHER CONTAINER

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE NOT ROUTINE


TEST NAME FETAL SCREEN F/M BLEEDSPECIMEN TYPE Plasma




MINIMUM VOLUME 3ml





STAT 1 hour

ROUTINE 6 hours

TEST NAME FIBRINOGENSPECIMEN TYPE Plasma

OTHER SPEC TYPE

COLLECTION CONTAINER NaCi / Blue

OTHER CONTAINER


STABILITY 4 hrs @ RT / 2 WKS Frozen


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME FLU MOLECULARSPECIMEN TYPE NP Swab

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME

STABILITY 48 Hrs. in Viral Media Refergirated


OTHER INSTRUCTIONS


STAT 2.5 hours

ROUTINE 24 hours


TEST NAME FLU RSV MOLECULARSPECIMEN TYPE NP Swab

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME



OTHER INSTRUCTIONS


STAT 2.5 hours

ROUTINE 24 hours

TEST NAME FOLATESPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 8 hrs.


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME FOLLICLE STIMULATING HORMONE (FSH)SPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME GASTRIC OCCULT BLOODSPECIMEN TYPE Gastric Fluid

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME

STABILITY 24 Hours


OTHER INSTRUCTIONS Process Immediately


STAT 1 hour

ROUTINE

TEST NAME GENTAMICIN PEAKSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME GENTAMICIN ONCE DAILY PEAKSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME GENTAMICIN ONCE DAILY TROUGHSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME GENTAMICIN RANDOMSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME GENTAMICIN TROUGHSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME GGTSPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME GLUCOSESPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 3 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME GLUCOSE , 2H POST PRANDIAL - 75GMSPECIMEN TYPE Plasma

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME GLUCOSE CHALLENGE GEST 1H-50GSPECIMEN TYPE Plasma

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME GLUCOSE SPINAL FLUIDSPECIMEN TYPE CSF

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 1 ml

STABILITY

TRANSPORT INSTRUCTIONS Deliver to lab immediately


STORAGE CONDITIONS

STAT 1 hour

ROUTINE 4 hours

TEST NAME GLUCOSE-BODY FLUIDSPECIMEN TYPE Body Fld.

OTHER SPEC TYPE



MINIMUM VOLUME 2 ml

STABILITY 3 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME GRAM STAINSPECIMEN TYPE

OTHER SPEC TYPE



MINIMUM VOLUME

STABILITY 24 Hours


OTHER INSTRUCTIONS

STORAGE CONDITIONS

STAT

ROUTINE

TEST NAME HCG TITER QUANT.SPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME HDL (HIGH DENSITY LIPOPROTEIN)SPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME HEMATOCRITSPECIMEN TYPE Whole Blood

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME tube must be half full



OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME HEMOGLOBINSPECIMEN TYPE Whole Blood

OTHER SPEC TYPE


OTHER CONTAINER




OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME HEMOGLOBIN & HEMATOCRIT (H&H)SPECIMEN TYPE Whole Blood

OTHER SPEC TYPE


OTHER CONTAINER




OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME HEMOGLOBIN A1CSPECIMEN TYPE Plasma

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME HIV (RAPID) Exposure ProtocolSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER TIGER TOP

MINIMUM VOLUME 3 ml

STABILITY 6 days

TRANSPORT INSTRUCTIONS Deliver to lab immediately


STORAGE CONDITIONS

STAT 2 hours

ROUTINE

TEST NAME HOMOCYSTEINESPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME INFLUENZA A & B RAPID AGSPECIMEN TYPE NP Swab

OTHER SPEC TYPE

COLLECTION CONTAINER Swab / Washing

OTHER CONTAINER Viral Media

MINIMUM VOLUME



OTHER INSTRUCTIONS


STAT 1 hour


TEST NAME INFLUENZA A&B (RAPID FIA)SPECIMEN TYPE NP Swab

OTHER SPEC TYPE

COLLECTION CONTAINER NP Swab/ or Wash


MINIMUM VOLUME

STABILITY 48 Hrs in Viral Media


OTHER INSTRUCTIONS


STAT 1 hour


TEST NAME IRONSPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME IRON BINDING CAPACITY, TOTAL (TIBC)SPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME IRON+IRON BINDING CAPACITYSPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME KOHSPECIMEN TYPE Genital

OTHER SPEC TYPE

COLLECTION CONTAINER Swab in 1mL Sterile Saline

OTHER CONTAINER

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour



TEST NAME LACTIC ACIDSPECIMEN TYPE Plasma

OTHER SPEC TYPE

COLLECTION CONTAINER GREY

OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 3days

TRANSPORT INSTRUCTIONS Collect on Ice, deliver to lab immediately

OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE NOT ROUTINE

TEST NAME LACTOFERIN, STOOLSPECIMEN TYPE Stool

OTHER SPEC TYPE

COLLECTION CONTAINER Stool in Sterile Container

OTHER CONTAINER

MINIMUM VOLUME

STABILITY 7 Days


OTHER INSTRUCTIONS


STAT 1 hour


TEST NAME LDHSPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 3 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME LDH, BODY FLUIDSPECIMEN TYPE Body Fld.

OTHER SPEC TYPE



MINIMUM VOLUME 1 ml

STABILITY 3 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME LEGIONELLA AG URINESPECIMEN TYPE Urine

OTHER SPEC TYPE



MINIMUM VOLUME 5 ml

STABILITY 72 Hours




STAT 1 hour


TEST NAME LIPASESPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME LIPID PROFILESPECIMEN TYPE Plasma

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 3 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME LITHIUMSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME LIVER PROFILESPECIMEN TYPE Plasma




MINIMUM VOLUME 3 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME LUTEINIZING HORMONE (LH)SPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME MAGNESIUMSPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME MALARIA, BLOOD PARASITESSPECIMEN TYPE Whole Blood

OTHER SPEC TYPE


OTHER CONTAINER


STABILITY RT; make slides within 24 hours


OTHER INSTRUCTIONS


STAT

ROUTINE


TEST NAME MICROALBUMINSPECIMEN TYPE Urine

OTHER SPEC TYPE

COLLECTION CONTAINER URINE -Yellow Top


MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME MICROALBUMIN;CREAT RATIO-RANDOMSPECIMEN TYPE Urine

OTHER SPEC TYPE

COLLECTION CONTAINER Urine collection container

OTHER CONTAINER Other non-additive container

MINIMUM VOLUME 5 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME MONO SCREENSPECIMEN TYPE Serum

OTHER SPEC TYPE EDTA Plasma

COLLECTION CONTAINER SST

OTHER CONTAINER EDTA / Lav 4ml

MINIMUM VOLUME 2ml



OTHER INSTRUCTIONS Cannot be hemolyzed


STAT 1 hour

ROUTINE 6 hours


TEST NAME MRSA NASAL SCREEN DNASPECIMEN TYPE Nasal Swab

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME Dual Swab

STABILITY 5 days refrigerated

TRANSPORT INSTRUCTIONS RT in Biohazard Bag

OTHER INSTRUCTIONS Specify nasal as site.


STAT 90 min

ROUTINE 24 hours

TEST NAME MRSA SCREENSPECIMEN TYPE Nasal Swab

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME

STABILITY 72 Hours


OTHER INSTRUCTIONS


STAT

ROUTINE

TEST NAME MRSA SSTI WOUND SA/MRSA DNASPECIMEN TYPE Wound Swab

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME


TRANSPORT INSTRUCTIONS RT in Biohazard Bag

OTHER INSTRUCTIONS Specify specific wound site


STAT 90 min

ROUTINE 24 hours


TEST NAME OSMOLALITY,SERUMSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 3 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME OSMOLALITY,URINESPECIMEN TYPE Urine

OTHER SPEC TYPE

COLLECTION CONTAINER Urine collection container

OTHER CONTAINER Other nonadditive container

MINIMUM VOLUME 5 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME OVA AND PARASITE (SENDOUT)SPECIMEN TYPE Stool

OTHER SPEC TYPE

COLLECTION CONTAINER Para Pack

OTHER CONTAINER

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS


STAT

ROUTINE


TEST NAME OXYCODONESPECIMEN TYPE Urine

OTHER SPEC TYPE



MINIMUM VOLUME 5 ml

STABILITY 48 hrs


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME PARATHYROID HORMONE INTACT (PTH)SPECIMEN TYPE Plasma

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 48 hrs


OTHER INSTRUCTIONS Freeze if >48hrs


STAT


TEST NAME PARTIAL THROMBOPLASTIN TIME (PTT)SPECIMEN TYPE Plasma

OTHER SPEC TYPE


OTHER CONTAINER




OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME PHENOBARBITOLSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME PHENYTOIN (DILANTIN)SPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME PHOSPHORUSSPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 3 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME POTASSIUMSPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME POTASSIUM, URINESPECIMEN TYPE Urine

OTHER SPEC TYPE



MINIMUM VOLUME 5 ml

STABILITY



STORAGE CONDITIONS

STAT 1 hour

ROUTINE 4 hours

TEST NAME PREALBUMINSPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME PREGNANCY, SERUM, HCG QUALI.SPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2ml



OTHER INSTRUCTIONS Serum separated within 24 hours


STAT 1 hour

ROUTINE 6 hours

TEST NAME PREGNANCY, URINESPECIMEN TYPE Urine

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 1 ml



OTHER INSTRUCTIONS

STORAGE CONDITIONS

STAT 1 hour

ROUTINE 4 hours

TEST NAME PROGESTERONESPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 48 hrs


OTHER INSTRUCTIONS


STAT



TEST NAME PROLACTINSPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME PROSTATIC SPECIFIC ANTIGEN (PSA)SPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 8 hrs


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME PROSTATIC SPECIFIC ANTIGEN-DIAGNOSTICSPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 8hrs


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME PROTEIN SPINAL FLUIDSPECIMEN TYPE CSF

OTHER SPEC TYPE

COLLECTION CONTAINER CSF

OTHER CONTAINER

MINIMUM VOLUME 1 ml

STABILITY

TRANSPORT INSTRUCTIONS Transport IMMEDIATELY to Lab


STORAGE CONDITIONS

STAT 1 hour

ROUTINE 4 hours

TEST NAME PROTEIN, BODY FLUIDSPECIMEN TYPE Body Fld.

OTHER SPEC TYPE



MINIMUM VOLUME 1 ml

STABILITY

TRANSPORT INSTRUCTIONS Transport IMMEDIATELY to Lab


STORAGE CONDITIONS

STAT 1 hour

ROUTINE 4 hours

TEST NAME PROTEIN, TOTALSPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 3 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME PROTEIN, URINE 24HRSPECIMEN TYPE Urine, 24 hour collection

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME

STABILITY 3 days


OTHER INSTRUCTIONS Refrigerate urine during collection


STAT

ROUTINE 4 hours

TEST NAME PROTEIN, URINE RANDOMSPECIMEN TYPE Urine

OTHER SPEC TYPE



MINIMUM VOLUME 5 ml

STABILITY 3 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME PROTHROMBIN TIME (PT / INR)SPECIMEN TYPE Plasma

OTHER SPEC TYPE


OTHER CONTAINER




OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME RED BLOOD CELL COUNT, CSFSPECIMEN TYPE CSF fluid

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME RENAL PROFILESPECIMEN TYPE Plasma

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 3 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME RESPIRATORY VIRAL PANEL MOLECULARSPECIMEN TYPE NP Swab

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME



OTHER INSTRUCTIONS


STAT 2.5 hours

ROUTINE 24 hours


TEST NAME RETICULOCYTE COUNTSPECIMEN TYPE Whole Blood

OTHER SPEC TYPE


OTHER CONTAINER


STABILITY 48 hrs @ room temp


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME RHEUMATOID FACTOR (RF)SPECIMEN TYPE Plasma




MINIMUM VOLUME 3 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME RPR SEROLOGYSPECIMEN TYPE Serum

OTHER SPEC TYPE

COLLECTION CONTAINER Serum / SST

OTHER CONTAINER

MINIMUM VOLUME 2 ml



OTHER INSTRUCTIONS Serum separated ASAP


STAT tested in batch: weekly

ROUTINE


TEST NAME RSV AG (RAPID FIA)SPECIMEN TYPE NP Swab

OTHER SPEC TYPE

COLLECTION CONTAINER NP Swab

OTHER CONTAINER Wash

MINIMUM VOLUME



OTHER INSTRUCTIONS


STAT 1 hour


TEST NAME RUBELLASPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT


TEST NAME RUPTURE OF MEMBRANES (ROM)SPECIMEN TYPE Sterile Polyester vaginal swab/ Plastic vial with water solvent

OTHER SPEC TYPE

COLLECTION CONTAINER Call Laboratory

OTHER CONTAINER

MINIMUM VOLUME

STABILITY Must be tested within 6 hours after collection or stored at 2-8°C for


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE NOT ROUTINE


TEST NAME SALICYLATESPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME SEMEN ANALYSIS, POST VASSPECIMEN TYPE Semen

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 1 ml

STABILITY 24 hrs @ Room temp

TRANSPORT INSTRUCTIONS Transport immediately to laboratory protecting specimen from cold

OTHER INSTRUCTIONS See collection instruction sheet


STAT

ROUTINE

TEST NAME SODIUMSPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME SODIUM, URINESPECIMEN TYPE Urine

OTHER SPEC TYPE



MINIMUM VOLUME 5 ml

STABILITY



STORAGE CONDITIONS

STAT 1 hour

ROUTINE 4 hours

TEST NAME SPECIFIC GRAVITY, URINESPECIMEN TYPE Urine

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 5 ml

STABILITY


OTHER INSTRUCTIONS

STORAGE CONDITIONS

STAT 1 hour

ROUTINE 4 hours

TEST NAME STREP PNEUMO AGSPECIMEN TYPE Urine

OTHER SPEC TYPE



MINIMUM VOLUME

STABILITY 72 Hours




STAT

ROUTINE


TEST NAME STREP THROAT, BETA (Rapid FIA)SPECIMEN TYPE Throat Swab

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME

STABILITY 72 Hours


OTHER INSTRUCTIONS


STAT 1 hour


TEST NAME T3 FREESPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME T3 TOTAL (TRIIODOTHYRONIE)SPECIMEN TYPE Plasma

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 48 hrs




STAT 1 hour



TEST NAME T3 UPTAKESPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 2 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME T3, FREESPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME T4 (THYROXIN)SPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME T4 FREE DIRECTSPECIMEN TYPE Plasma

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME T4, FREESPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME T7 (FREE THYROXIN INDEX)SPECIMEN TYPE Plasma

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY


OTHER INSTRUCTIONS This is a calculation

STORAGE CONDITIONS

STAT 1 hour

ROUTINE 4 hours


TEST NAME TESTOSTERONESPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 48 hrs


OTHER INSTRUCTIONS


STAT


TEST NAME THEOPHYLLINE (AMINOPHYLLINESPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME THYROID STIMULATING HORMONE (TSH)SPECIMEN TYPE Plasma




MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME TOBRAMYCIN, ONCE DAILY PEAKSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 3 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME TOBRAMYCIN, ONCE DAILY TROUGHSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 3 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME TOBRAMYCIN, PEAKSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 3 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME TOBRAMYCIN, RANDOMSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 3 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME TOBRAMYCIN, TROUGHSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 3 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME TRICYCLIC ANTIDEPRESSANTS (TCA)SPECIMEN TYPE Urine

OTHER SPEC TYPE


OTHER CONTAINER Nonadditive tube

MINIMUM VOLUME 5 ml

STABILITY 48 hrs


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME TRIGLICERIDESSPECIMEN TYPE Plasma

OTHER SPEC TYPE Seum



MINIMUM VOLUME 1 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME TROPONIN-I (CTNI)SPECIMEN TYPE Plasma




MINIMUM VOLUME 3 ml

STABILITY 2 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME TYPE AND SCREENSPECIMEN TYPE Plasma




MINIMUM VOLUME 3ml





STAT 1 hour

ROUTINE 6 hours


TEST NAME URIC ACIDSPECIMEN TYPE Plasma




MINIMUM VOLUME 1 ml

STABILITY 5 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME URINALYSIS,COMPLETESPECIMEN TYPE Urine

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 10ml



OTHER INSTRUCTIONS Order should specify the collection method


STAT 1 hour

ROUTINE 4 hours

TEST NAME URINALYSIS,ROUTINESPECIMEN TYPE Urine

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 10ml



OTHER INSTRUCTIONS Order should specify the collection method


STAT 1 hour

ROUTINE 4 hours


TEST NAME VALPROIC ACID (DEPAKENE)SPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME VALPROIC ACID (DEPEKENE)SPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME VANCOMYCIN PEAKSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME VANCOMYCIN RANDOMSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME VANCOMYCIN TROUGHSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7days


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME VENOUS BLOOD GASSPECIMEN TYPE Whole Blood

OTHER SPEC TYPE


OTHER CONTAINER





STORAGE CONDITIONS

STAT

ROUTINE


TEST NAME VITAMIN B12SPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 1 ml

STABILITY 48 hrs.




STAT


TEST NAME VITAMIN DSPECIMEN TYPE Serum

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY 7 days


OTHER INSTRUCTIONS


STAT


TEST NAME WBC COUNT+DIFF, BODY FLUIDSPECIMEN TYPE Plasma

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


TEST NAME WET PREPSPECIMEN TYPE Genital

OTHER SPEC TYPE

COLLECTION CONTAINER Swab in 1mL Sterile Saline

OTHER CONTAINER

MINIMUM VOLUME

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE

TEST NAME WHITE BLOOD COUNT WITH DIFFERENTIAL, CSFSPECIMEN TYPE CSF fluid

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours

TEST NAME WHITE COUNT, FLUIDSPECIMEN TYPE Fluid

OTHER SPEC TYPE


OTHER CONTAINER

MINIMUM VOLUME 2 ml

STABILITY


OTHER INSTRUCTIONS


STAT 1 hour

ROUTINE 4 hours


24 HOUR URINE PRESERVATIVE CHART

Urine Testing:

Preservative Reference Chart

Analyte Collection Time Preservative Storage Also Acceptable Comments

Aldosterone 24 hour None or Boric Acid Refrigerate pH must be <2 (With boric acid: RT: 7 dd,frozen: 1mm)

Amino Acids, quantitative Random or 24 hr None Freeze

Aminolevulinic acid (ALA) Random or 24 hr Acetic acid Freeze Do not use sodium carbonate; protect from light; final pH <6.0

Amylase 24 hour None Refrigerate

Arsenic Random or 24 hr None Room Temperature

B2-microglobulin Random None Refrigerate pH 6-8; use 6N HCL or 1N NaOH as needed

Benzene metabolite Random None Room Temperature

Sampling time is end-of-shift of industrial exposure

monitoring.

C-Peptide, urine Random or 24 hr None or Boric Acid Freeze pH <3; pH >8 RT: 19 hh, refrigerated: 6 dd

Cadmium Random or 24 hr None Room Temperature

Calcium 24 hour 6N HCl Room Temperature pH must be <2

Cannabinoids/creatinine Ratio Random None Refrigerate

Catecholamines, fractionated 24 hour 6N HCl Refrigerate Final pH <5; do not use boric acid or acetic acid

Chloride Random or 24 hr None Room Temperature

Chromium Random None Room Temperature

Citric acid 24 hour 6N HCl Refrigerate Frozen, no pres. pH must be 1-3; do not use boric acid or acetic acid

Cobalt Random or 24 hr None Room Temperature

Copper Random or 24 hr None Room Temperature

Cortisol, free 24 hour None Refrigerate any

Creatine 24 hour None Freeze Do not use acid or alkali preservatives

Creatinine Random or 24 hr None Room Temperature

Cyclic AMP Random None Freeze

Cystine 24 hour None Room Temperature

Glucose 24 hour Boric acid Refrigerate NaF

Growth hormone, urine Random or 24 hr None Freeze Boric Acid pH <3; pH >8

Heavy metals Random or 24 hr None Refrigerate

Histamine 24 hour None Refrigerate

Homovanillic acid Random or 24 hr None Room Temperature 6N HCl Final pH must be 1-3

Hydroxycorticosteroids 24 hour None Refrigerate Boric acid

Hydroxyindoleacetic acid (HIAA) Random or 24 hr None Refrigerate Boric acid

Hydroxyproline 24 hour None Refrigerate 6N HCl

Immunofixation Random or 24 hr None Refrigerate

Ketosteroids, total 24 hour None Refrigerate Boric Acid

Lead Random or 24 hr None Room Temperature

Lysozyme Random None Freeze

Magnesium 24 hour 6N HCl Refrigerate pH must be 1.5 - 2.0

Mercury Random or 24 hr None Room Temperature

Metanephrines Random & 24 hr None Refrigerate 6N HCl pH must be <3; do not use boric acid or acetic acid

Microalbumin Random or 24 hr None Refrigerate ph= 4-8

Myoglobin Random None Refrigerate

Nickel Random or 24 hr None Room Temperature

Osmolality Random or 24 hr None Refrigerate

Oxalate 24 hour 6N HCl Room temp. or Ref. pH must be <3.0

Phenol Random None Room Temperature

Phosphorus Random or 24 hr 6N HCl Room Temperature pH = 0-2

Porphobilinogen (PBG) Random or 24 hr Acetic acid Freeze Protect from light

Porphyrins Random or 24 hr None Refrigerate None Protect from light

Potassium Random or 24 hr None Room Temperature

Pregnancy test Random None Refrigerate Use first morning specimen

Protein, total , quantitative Random or 24 hr None Room Temperature

Selenium Random or 24 hr None Room Temperature

Sodium Random or 24 hr None Refrigerate

Urea nitrogen (BUN) 24 hour None Room temperature

Uric acid 24 hour None Refrigerate or RT

Vanillylmandelic acid (VMA) Random or 24 hr None Room Temperature

Xylose tolerance 5 hour None Room Temperature

Zinc Random or 24 hr None Room Temperature

LB-CM-06 7/2017 EJT

REFERENCES:

• Todd, Sanford,Davidsohn “Clinical Diagnosis and Management”, 21st ed.

• BD Evacuated vacutainer system Package inserts.

• Greiner system Package inserts.

• Vital Accu-Sed Plus Package insert.

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