DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER 5-HIAA 5 ' Nucleotidase A...
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DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

5-HIAA 5 ' Nucleotidase A1C, Hemoglobin Acetaminophen Acetylcholine Receptor Abs Adenocorticotropic Hormone (ACTH) Acylglycines, Quantitative Urine Adenosine Deaminase Adenovirus Antibody AFP Maternal, 2.5 MoM AFP Quad Screen, 2.5 MoM AFP (non-preg) Tumor Marker Albumin Albumin, Body Fluid Alcohol Aldolase Aldosterone Alkaline Phosphatase

5HIAAU24 5NT A1C ACETA ACHRA ACTH ACYLGLU ADENOS ADENOVAB AFPM AFPQD AFPTM ALB BFALB ALC ALD ALDOS ALKP

24 HR JUG MARBL LAV GREEN MARBL LAV URINE, RANDOM MARBL MARBL MARBL MARBL MARBL GREEN RED GREEN MARBL MARBL GREEN

Alkaline Phos, Bone-Specific Alkaline Phoshatase Isoenzymes Childhood Allergy Food&Enviro Allergen Panel - Food Resp Allergy Profile Region X Alpha-1-Antitrypsin ALT (SGPT)

12/15/2016

ALKPBS ALKPISO ALLCHILDHD ALLFOOD ALLRESPOK A1AT ALT

MARBL MARBL MARBL MARBL, QTY 2 MARBL, QTY 2 MARBL GREEN

SPECIMEN STORAGE Frozen urine, 3 ml, wellmixed aliquot; Record total volume. Refrig serum, 2 mL Refrigerate up to 1 week Refrig, up to 2 wks Refrig serum, 2 mL Frozen plasma, 1 mL Frozen urine, 5 mL Refrig serum, 1 mL Refrig serum, 1 mL Frozen serum, 3 ml Frozen serum, 3 mL Refrig serum, 1 mL Refrig, up to 1 wk Refrig, up to 1 wk Refrig, up to 1 wk Frozen serum, 2 mL Refrig serum, 2 mL Refrig, up to 4 days Refrig serum, 1 mL Refrig serum, 2 mL Refrig serum, 4 mL (2) Refrig serum, 5 mL Refrig serum, 5 mL Refrig serum, 1 mL Refrig, up to 1 wk

SPECIAL INSTRUCTIONS

TESTED AT DRH SEND-OUT

Refrigerate during collection

3310U 4174 X X

Separate from cells ASAP Avoid Hemolysis

206 3102 S47310 3131 S50095 3090 3092 237

Avoid gross lipemia Avoid gross lipemia Avoid gross lipemia Specify Source USE BETADINE SWAB

X X X 1392 17181

Separate from cells ASAP X Avoid gross lipemic, hemolyzed, and icteric Stable up to 72 hrs. 12 different Allergens 10 different Allergens 17 different Allergens

29498 3996 10659 10715 10651 1513 X

1

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB MEDITECH TEST CODE

TUBE or CONTAINER

Ammonia Amphetamines Confirm Urine Amylase Amylase, Body Fluid Amylase Urine 2 h Amylase Urine 24 h Amylase Urine Random ANA IFA Screen w/reflex to Titer & Pattern

AMM DGUQAMP AMYL BFAMY AMYLU2 AMYLU24 AMYLURN

GREEN, LAV UACONT GREEN GREEN UACONT 24 HR JUG UACONT

SPECIMEN STORAGE on ice - must be run within 30 min. Refrig Urine, 4 mL Refrig, up to 60 days Refrig, up to 60 days Refrig, up to 60 days Refrig, up to 60 days Refrig, up to 60 days

ANA

MARBL

Refrig serum, 1 mL

Analyzer - Lupus Screen

ANALYZER or LUPSC

MARBL X 2

Refrig serum, 4 mL

Angiotensin Converting Enzyme

ACE

MARBL

Refrig serum, 2 mL

TEST NAME

Anti-Mullerian Hormone Assr Antiphospholipid Evaluation Antistreptolysin O Ab Antithrombin III Activity

AMH ANTIPHSLPD ASO ANTHRIIIACT

MARBL MARBL MARBL BLUE

Frozen serum, 1 mL Frozen serum, 5 mL Refrig serum, 1 mL Frozen plasma, 2 mL

Antithrombin III, Antigen Apolipoprotein A-1 Arginine Vasopressin (AVP) (Antidiuretic Hormone)

ANTIHRIIIAG APOLIPA1

BLUE MARBL

Frozen plasma, 2 mL Refrig serum, 1 mL

AVP

LAV

Arsenic, 24 hr Urine Arsenic, Whole Blood ABG - Arterial Blood Gas ABG - Patient Temp Corrected ABG with Carbon Monoxide (CO)

ARSU24 ARSWB ABG ABGTC ABGCO

24 HR JUG ROYAL EDTA ABG KIT ABG KIT ABG KIT

Frozen 4 ml Plasma Record total volume; Frozen 7 ml well-mixed aliquot Refrig whole blood Room temp up to 20 m Room temp up to 20 m Room temp up to 20 m

12/15/2016

SPECIAL INSTRUCTIONS

TESTED AT DRH SEND-OUT X 4189U X X X X X

Avoid gross hemolysis, lipemia Lipemic, Hemolyzed or Icteric samples not suitable for testing.

249

1000 3114

Unspun SST tubes are unacceptable.

3138 1776 2376 216

Freeze immediately Spin, remove and freeze plasma ASAP Avoid Hemolysis, ict, lip. Spin, remove and freeze plasma ASAP

5158 5223 252

Ref during collection

4867U 4867W X X X

2

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

SPECIMEN STORAGE

Arginine Vasopressin (AVP)

AVP

LAV

Frozen 4 ml Plasma

Aspirin Resistance (11-D B2) AST (SGOT) Bartonella Henselae Abs IgG/M BCR/ABL1, Quantitative PCR Benzodiazepines, Quant, Urine Beta-2 Glycoprotein 1 Abs Beta-2-Microglobulin Serum Beta Hydroxybutyrate Bile Acid Fractionated Bile Acid Total Bilirubin Direct (conj) Bilirubin Total Bilirubin Total, Body Fluid

ASPRES AST BARTHENSAB BCR-ABL DGUQBENZ BETA2GLY BETA2MIC BHB BILEF BILEACID BILID BILIT BFBILIT

UR PRESERV TUBE GREEN MARBL LAV X 2 UACONT MARBL MARBL GREEN MARBL MARBL GREEN GREEN GREEN

Bilirubin, Indirect Bilirubin, Profile (T, D & I)

BILIIND BILIPROF

GREEN

Refrig Urine, 4 mL Refrig, up to 1 wk Refrig serum, 1 mL Refrig, 8 mL whole blood *Only stable for 72 hours* Refrig Urine, 6 mL Refrig serum, 1 mL Refrig serum, 2 mL serum or plasma Refrig serum, 1 mL Overnight fasting preferred Refrig serum, 1 mL Refrig, up to 5 days Refrig, up to 5 days Refrig, up to 5 days Specify Source Calculated from Total & Refrig, up to 5 days Direct Bilirubin Refrig, up to 5 days

BK Virus DNA Quant, PCR Blood Urea Nitrogen BMP - Basic Metabolic Panel BMP w/ Corrected CA

BKVIRUSDNA BUN BMP BMPCCA

Bone Marrow Aspir/Core Bx

BMCORE

LAV GREEN GREEN GREEN MARBL, LAV, FORMALIN VIAL

Refrig 1ml EDTA Plasma Refrig. Up to 5 days Refrig, up to 3 days Prefer pt fasting Refrig, up to 3 days Prefer pt fasting Lab Tech assists to make smears

Bordetella pertussis/parapertussis Smear DFA BNP (Pro)

PERTAG, BORDPER, or WHOOPINGCOUGH SLIDE BNP GREEN

12/15/2016

Refrigerated Refrig, up to 3 days

SPECIAL INSTRUCTIONS Spin, remove and freeze plasma ASAP

TESTED AT DRH SEND-OUT 252 S52443 X 8851 91065 90264 30340 852 X 4668 6820 X X X X X 11274 X X X HPC

2 air-dried slides made from nasopharyngeal swab.

34966 X

3

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

BNP - Send Out to Ref Lab

BNPSO

Bone Marrow Aspir/Core Bx

BMCORE

BRAC Analysis C-Peptide

BRAC CPEP

C-Reactive Protein - Inflammatory Complement C3c component Complement C4c Component CA 125 CA 15-3

CRPI C3 C4 CA 125 CA 15-3

CA 19-9 CA 27.29 Calcitonin (Thyrocalcitonin) Calcium

CA 19-9 CA 27.29 CALCIT CA

Calcium Urine 24hr

UR24-HCL

SPECIMEN STORAGE SPECIAL INSTRUCTIONS Frozen EDTA plasma, 1 Transfer plasma to Quest LAV mL pour-off tube. MARBL, LAV, Lab Tech assists to make FORMALIN VIAL smears Special collection kit must be ordered from Myriad LAV (10 ML) Genetics via DRH Lab MARBL Refrig serum, 1 mL fast 12 hrs prior to collect. Froz serum or plasma, MARBL or GREEN 0.5 mL MARBL or GREEN Frozen serum, 1 mL MARBL or GREEN Frozen serum, 1 mL MARBL Frozen serum, 2 mL MARBL Frozen serum, 2 mL Avoid hemolysis Separate from cells ASAP; MARBL Frozen serum, 2 mL Avoid hemolysis MARBL Frozen serum, 2 mL MARBL Frozen serum, 1 mL Avoid gross hemolysis GREEN Refrig, up to 7 days Obtain 24hr jug from Laboratory; Include total 24HR JUG+ HCl Acid Frozen 15 ml aliquot volume

Calcium Urine Random

UR24-HCL

24HR JUG+ HCl Acid Frozen 15 ml aliquot

Calcium, Ionized Calprotectin, Stool Carbamazepine (Tegretol)

CAION CALPRO CARB

MARBL STOOL GREEN

Ambient Refrig stool, 1 gm Refrig, up to 5 days

Carbon Dioxide (CO2) Carbon Monoxide (Carboxyhgb)

CO2 COHB

GREEN GREEN, NO GEL

Refrig, up to 1 wk

CRPC

Refrig serum or plasma, MARBL OR GREEN 1 mL

Cardio hs-CRP

12/15/2016

TESTED AT DRH SEND-OUT 37386 HPC Myriad Genetics Lab 372 4420 351 353 3121 3119 4698 3134 3126 X

4836U 4836UR

Do not open stopper. Centrifuge ASAP.

4831 S52034 X

Do not centrifuge.

X X 10124

4

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

Cardiolipin IgG, IgA, & IgM Abs

CARDIOL

Catecholamines Urine 24hr CBC - Hemogram only (no diff) CBC - w/automated diff CBC - w/manual diff CD4 Lymphocyte Subset Panel

CATECU24 CBC CBCAD CBCMD CD4

C Diff toxins A & B, stool CEA (Carcinoembryonic Antigen)

Celiac Disease Comp Panel Cell Count, Body Fluid Cell Count, CSF Centromere B Antibody Ceruloplasmin

Chlamydia Antigen Detection Chlamydia psittaci IgG & IgM

Chlamydia RRNA Detection, Urine

12/15/2016

CDIFF A-B CEA

CELIACPNL BFCELL CSFCELL CENT AB CERU

CHLSW CHLPSIT

CHLURN

SPECIAL INSTRUCTIONS

BLUE

SPECIMEN STORAGE Frozen plasma or serum,1 mL

24HR JUG LAV LAV LAV LAV

Frozen 50 ml aliquot Refrig, up to 36 hrs Refrig, up to 36 hrs Refrig, up to 36 hrs Ambient Whole Blood

Include total volume

STOOL MARBL

MARBL X 2 BODY FLD CSF MARBL MARBL

SLIDE VIRAL MARBL

UACONT

Refrig, up to 4 days Refrig serum, 2 mL

Refrig serum, 5 mL

TESTED AT DRH SEND-OUT

Separate from cells ASAP

7352 3304U X X X 83608

Refrigerate as soon as possible or tranfer to ETM stool preservation vial.

X 978

Note: Order Quest test code 15981 for testing on an infant.

19955 X X

Refrig serum, 1 mL Refrig serum, 1 mL

Refrig Swab OR Slides Refrig serum, 1 mL

Refrig urine, 20 mL

16088 1516 Collect swab specimen and place swab into the VTM or UTM vial. For body fluid, two slides are prepared by the Lab and submitted. Pt should not have urinated for at least 1 hour prior to collection. Collect first 20 mL voided.

2440 8024

7437U

5

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

SPECIMEN STORAGE

Chlamydia trach/N gonorr Urine

CHLGCUR

UACONT

Refrig urine, 20 mL

Chlamydia trachomatis rRNA Complement, Total CH50

CHLRNASW CH50

GEN-PROBE MARBL

Refrig Frozen serum, 2 mL

Chlamydia/GC - Urine

CHLGCUR

UACONT

Refrig urine, 20 mL

Chlamydia/Gonorrhoea rRNA Swab Chloride Chloride w/o Creat, Urine Random Cholesterol

CHLGCSW CL CLURN CHOL

GEN-PROBE GREEN UACONT GREEN

Refrig Refrig, up to 1 wk Refrig urine, 10 mL Refrig, up to 1 wk

Chromogranin A

CHROMGA

MARBL

Refrig serum, 1 mL

Chromosome Analysis, Blood

CHROMBQ

NA HEP

BLOOD: whole blood 1 tube green, sodium heparin. BONE MARROW: bone marrow in 1 tube green, sodium heparin tube.

Chromosome Analysis, Tissue Citrate 24hr Urine CK (Total Only) CK Screen w/ Reflex MB & Index CK Isoenzymes CK with MB and Index

CHROMTQ CITU24 CKT CKS CKISO CKMBI

RPMI MEDIA 24HR JUG GREEN GREEN MARBL GREEN

Ambient or Refrig Frozen Urine, 3 mL Refrig, up to 5 days Refrig, up to 3 days Frozen serum, 2 mL Refrig, up to 3 days

12/15/2016

SPECIAL INSTRUCTIONS Pt should not have urinated for at least 1 hour prior to collection. Collect first 20 mL voided. Alternate: Universal Transport Media

TESTED AT DRH SEND-OUT

7438U 7437SW 1600

Pt should not have urinated for at least 1 hour prior to collection. Collect first 20 mL voided. Alternate: Universal Transport Media

7438U 7438SW X 5303UR

Prefer patient fasting Avoid gross lipemia, grossly icteric

X 16379

S51689 Fetal Demise tissue, RPMI media or Saline to moisten Include total volume Avoid gross hemolysis

S51688 3970U X X 3851 X

6

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME CMP - Comprehensive Metab Prof Cocaine Metabolite Qnt Urine

MEDITECH TEST CODE CMP DGUQCOC

TUBE or CONTAINER GREEN UACONT

SPECIMEN STORAGE Refrig, up to 3 days Refrig, 10 mL urine

Coenzyme Q10 Complement, Total (CH50 )

COQ10 CH50

MARBL MARBL

Frozen serum,1 mL Frozen serum, 2 mL

Copper Level

COP

Cord Blood Gas

CORDBG

Cord Blood pH

CORDPH

ROYAL AVL Capillary Blood Gas Collection Set AVL Capillary Blood Gas Collection Set

Refrig serum, 2 mL

SPECIAL INSTRUCTIONS Patient fasting Refrig up to 24 hours. Light protect amber tube or foil covered.

Send to Lab ASAP Send to Lab ASAP

X Results include calcium, albumin & corrected calcium results.

GREEN

Cortisol Cortisol Free, 24 hr Urine Cortisol, Free

CORTI CORTU24 CORTIF

GREEN or MARBL 24HR JUG RED

Refrig, up to 3 weeks Refrig plasma or serum, up to 5 days Frozen 2 ml aliquot Include total volume Refrig serum, 1 mL

Creatine Kinase (CK) Isoenzymes Creatinine

CKISO CREAT

MARBL GREEN

Frozen serum, 2 mL Refrig, up to 7 days

24 P JUG, GREEN 24HR JUG UA CONT RED

Cryoglobulin

CRYOG

RED or CSF

12/15/2016

Refrig, up to 1 wk Refrig, up to 7 days Refrig, up to 7 days Refrig, up to 7 days

4870 X

CCA

CREAUCL CREAU24 CREAUR BFCREAT

19826 1600

Either No Additive Royal or EDTA Royal tubes accepted.

Corrected Calcium

Creatinine Clearance Profile Creatinine Urine 24 hr Creatinine Urine Random Creatinine, Body Fluid

TESTED AT DRH SEND-OUT X 4171U

X X S51655 S51285

No gel or SST Tubes

3851 X

Must submit 24 hr urine with a green top tube for serum creatinine. Include total volume

Specify Source Incubate tube at 37 C for 1 hr, centrifuge, and transfer Ambient serum, 4 mL or serum into 2 plastic vials 1 mL CSF labeled "serum".

X X X X

1156

7

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB MEDITECH TEST CODE

TUBE or CONTAINER

CRYPTS BFCRYX CCP

MARBL RED MARBL

Cyclosporin A, Blood - Quest Lab

CYCLOSQ

LAV

Cystic Fibrosis Screen

CYSTFBSCR

LAV

Cyto PRA - Baptist Cytogenetics, Cancer

CYTO PRA BAPTST CYTOGCANCR

YELLOW ACD X 3 AND RED X 1 VARIOUS

Cytology Processing Fee Cytomegalovirus Abs IgG & IgM

CYTO CMVABS

MARBL

CMV Detection, DFA, Buffy Coat

CMVAG

SLIDES

Deliver to Lab ASAP Refrig 1 mL serum Frozen primary slides/smears x 2

TEST NAME Cryptococcus Antigen Screen Rflx/Titer Crystal Exam Cyclic Citr Peptide (CCP) Abs

SPECIMEN STORAGE SPECIAL INSTRUCTIONS Frozen serum, 2 mL OR CSF CSF, 1 mL Refrig Specify Source Refrig serum, 1 mL Ambient whole blood EDTA, 4 mL Ambient 5 mL Whole Blood

Refrigerate

Cytomegalovirus DNA, Quant PCR

CMVDNAPCR

LAV

Refrig 1 ml Whole Bld EDTA (Lavendar-top)

Cytomaglovirus IgG Abs Cytomaglovirus IgM Abs

CMVIGG CMVIGM

MARBL MARBL

Refrig 1 mL serum Refrig 1 mL serum

D-Dimer (Quantitative) Dehydroepiandrosterone (DHEA)

DDIM DHEA

BLUE MARBL

Ambient, up to 8 hours Frozen serum, 2 mL

Dehydroepiandrosterone-Sulfate

DHEAS

MARBL

Frozen serum, 2 mL

12/15/2016

TESTED AT DRH SEND-OUT 11196 X 11173 15220 10458 Integris Baptist Medical Center Lab Genoptix

See User Notes Non-Resp Fld: Fix w/50% Reagent Alcohol 1:1 Resp Fld: Fix 2/70% Reagent Alcohol 1:1

HPC 9436 34989

Alternate specimens: ACD, amniotic fld, CSF, Serum, Urine. Centrifuge tube ASAP after blood has clotted

S52333 9431 8503 X

Collect in a.m. Centrifuge ASAP after clottted.

3146 402

8

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

LAV, SLIDE RED GREEN GREEN MARBL MARBL

SPECIMEN STORAGE Refrig 4 mL LAV whole bld and 2 unstained smears. Stable up to 36 hrs refrig. Refrig serum, 1 mL Refrig, up to 1 wk Refrig, up to 4 days Refrig serum, 1 mL Refrig serum, 1 mL

DNA Paternity Spec/Handling DNA PAT or PAT Drug Abuse Screen Serum *Sendout DGSCRNSERM

Buccal Swabs RED

Ambient Frozen serum, 2 mL

Drug Screen Urine (DRH)

DGDRH

URINE, RANDOM

dRVVT Screen w/Rfx confirmation Ehrlichia chaffeensis Abs

LUPACDRVVT EHRLCHAF

BLUE X 2 MARBL

Differential Consult Digitoxin Digoxin Dilantin (Phenytoin) DNA Antibody, Double-Stranded DNA Autoabs, Single Stranded

12/15/2016

DIFFC DIGIT DIG DIL DNA DS DNA SS

SPECIAL INSTRUCTIONS Provide pt's date of birth, date/time of collection, and history or EDTA Plasma BLUE, LAV, GRAY all ok.

TESTED AT DRH SEND-OUT

HPC S52434 X X

Use kit shipped for specific patient. No gel or SST Tubes Fresh urine only. Other Refrig, up to 24 hrs X fluids not acceptable. Frozen platelet-poor plasma:1. Draw a plain red top tube to remove tissue fluid contamination and discard. 2. Draw blood into a light blue top tube filled to the proper level. Do not overfill. 3. The bloodto-anticoagulant ratio should be 9:1; inadequate filling of the tube will decrease this ratio and may lead to inaccurate results. 5. The needle gauge may be between 19-22. For pediatric patients a 2123 gauge needle may be used. 6. Invert gently 6 times to mix. Process immediately. 7. Centrifuge for 15 min at 2500 x g. 8. Remove plasma using a plastic pipette and transfer to a new tube. 9. Repeat centrifugation for 15 min to assure complete platelet removal. 10. Dispense the plasma into 2 or more plastic tubes using a plastic transfer pipette. label tubes appropriately. 11. Freeze immediately. Stable for 2 months at -20 C. 12. Specimen must remain frozen at all times. Ship to Specialty within 24 hours on dry ice. 13. Specimen should not be submitted if it is hemolyzed, microclots are present, the tube is less than 90% filled or a specimen with hematocrit >55% is collected without Refrig serum, 1 mL

255 1290

4125

15780 20103

9

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME A. phago and E. chaff Panel Electrolytes Endomysial IgA Scr Rfx/Titer Enterovirus RNA, Qual (PCR)

MEDITECH TEST CODE EHRLANAPNL LYTES ENDOMYSIGA ENTVRNA

TUBE or CONTAINER MARBL GREEN MARBL MARBL

Eosinophil Smear Epstein-Barr Viral Capsid Abs

EOSSM EBVCAPABS

MARBL

Epstein Barr Virus DNA, Qual, PCR Epstein-Barr Virus Early IgG Epstein-Barr Virus Evaluatr ER Serum Drug Panel (DRH)

EBVDANPCR EBVEARLYIGG EBVEVAL DGERDRH

LAV MARBL MARBL GREEN

SPECIMEN STORAGE Refrig serum, 1 mL Refrig, up to 3 days Refrig serum, 1 mL Refrig serum, 1 mL

SPECIAL INSTRUCTIONS

Smear of fluid for eosinophils dried on slide Refrig serum, 1 mL Refrig 1 ml Whole Bld EDTA (Lavendar-top) Refrig serum, 2 mL Refrig serum, 2 mL Refrig, up to 24 hrs

TESTED AT DRH SEND-OUT 4720 X 15064 15082 X 2122 34179 2126 2211 X

Due to diurnal variation, it is recommended that specimens be collected between 7:30 and noon.

Erythropoietin Level

ERYTH

MARBL

ESR - Erythrocyte Sed Rate Estradiol (E2) Estriol (E3) Unconjugated

ESR ESTRADIOL ESTRIOL

LAV MARBL MARBL

Refrig serum, 1 mL Ambient, up to 2 hrs Refrig, up to 12 hrs Frozen serum, 1 mL Frozen serum, 1 mL

Estrogens, Total Extractable Nuclear Ag IgG Abs

ESTROGTOT ENA

MARBL MARBL

Refrig serum, 2 mL Refrig serum, 1 mL

Factor II (Prothrombin) Mutation

FACTOR 2

LAV

Ambient Whole Blood

17909

Factor IX Activity, Clotting Factor V Leiden

FACTOR 9 FACTOR 5

BLUE LAV

352 17900

Factor VII Activity, Clotting Factor VIII Activity, Clotting

FACTOR 7 FACTOR 8

BLUE BLUE

Frozen plasma, 2 mL Ambient Whole Blood Frozen platelet-poor plasma, 2 mL Frozen plasma, 2 mL

12/15/2016

1160 X 3155 3156

Alternate specimen plasma

Platelet-poor plasma

439 1210

346 347

10

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME Factor IX Activity, Clotting

MEDITECH TEST CODE FACTOR 9

TUBE or CONTAINER BLUE

Factor X Activity, Clotting

FACTOR 10

BLUE

Fecal Fat Qualitative Fern Crystals Ferritin

FFAT FERN FER

STOOL SLIDE GREEN

12/15/2016

TESTED AT DRH SPECIMEN STORAGE SPECIAL INSTRUCTIONS SEND-OUT Frozen plasma, 2 mL Platelet-poor plasma Frozen platelet-poor plasma:1. Draw a plain red top tube to remove tissue fluid contamination and discard. 2. Draw blood into a light blue top tube filled to the proper level. Do not overfill. 3. The bloodto-anticoagulant ratio should be 9:1; inadequate filling of the tube will decrease this ratio and may lead to inaccurate results. 5. The needle gauge may be between 19-22. For pediatric patients a 2123 gauge needle may be used. 6. Invert gently 6 times to mix. Process immediately. 7. Centrifuge for 15 min at 2500 x g. 8. Remove plasma using a plastic pipette and transfer to a new tube. 9. Repeat centrifugation for 15 min to assure complete platelet removal. 10. Dispense the plasma into 2 or more plastic tubes using a plastic transfer pipette. label tubes appropriately. 11. Freeze immediately. Stable for 2 months at -20 C. 12. Specimen must remain frozen at all times. Ship to Specialty within 24 hours on dry ice. 13. Specimen should not be submitted if it is hemolyzed, microclots are present, the tube is less than 90% filled or a specimen with hematocrit >55% is collected without 359 anticoagulant adjustment. Frozen stool, 2 ml aliquot Refrig, up to 7 days

3967 Send to lab in slide holder Can use serum or plasma

X X

11

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

Fetal Fibronectin Fibrinogen Fibrinogen

FFN FIB FIB

FFN BLUE BLUE

Fine Needle Aspiration

FNA

Fluid

12/15/2016

SPECIMEN STORAGE SPECIAL INSTRUCTIONS Specimen Stability: Room temperature up to 8 hours. Refrigerated up to 3 day Frozen up to 3 months. Specimen Collection Precautions and Warnings: 1. Specimens for testing should be collected prior to collection of culture specimens. 2. Specimens should be obtained prior to digital cervical examination or vaginal probe ultrasound examinination as manipulation of the cervix may cause the release of fetal fibronectin. 3. Specimens should not be tested if the patient has had sexual intercourse within 24 hours prior to the sampling time because semen and/or sperm present in the sample may increase the possibility of a false positive result. 4. Care must be taken not to contaminate the swab or cervicovaginal secretions with lubricants, soaps, disinfectants or cream (e.g., K-Y Jelly lubricant, Betadine disinfectant, Monistat cream, hexachlorophene). These substances may interfere with absorption of the specimen by the swab or with the antibody-antigen reaction of Fetal Fibronectin tests. 5. Fetal Fibronectin tests are not intended for use in women with moderate or gross vaginal bleeding. Testing a bloody sample may lead to false positive Refrig, up to 8 hrs Ambient, up to 8 hours Fluid aspirations must be fixed w/50% reagent alchohol 1:1

TESTED AT DRH SEND-OUT

X X X

HPC

12

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

SPECIMEN STORAGE

SPECIAL INSTRUCTIONS

TESTED AT DRH SEND-OUT

FISH - BCR/ABL Translocation

FISHBCR TR

GREEN

Folate Follicle Stimulating Hormone

GREEN or MARBL MARBL

Francisella tularensis Ab Free Kappa & Lambda, w/Ratio (Myeloma Evaluatr)

FOL FSH TULAB; also listed as FRATULAB and RABBITFEVER KAP-LAM SERUM or MYELOEVAL

Do not use gel tube! Bone Refrig whole blood, up to Marrow (heparinized) also 4 days acceptable. Refrig plasma or serum, **Protect From Light** up to 8 hours Frozen serum, 2 mL

MARBL

Refrig serum, 1 mL

S49835

MARBL

Refrig serum, 1 mL

1760

Free T3 Free T4 (Free Thyroxine) Fructosamine

T3F T4F FRUC

GREEN GREEN MARBL

Gastrin

GASTR

MARBL

Refrig , up to 7 days Refrig, up to 14 days Frozen serum, 1 mL Frozen serum, 2 mL - 2 vial split

GC Ursure N. gonorrhoeae rRNA

GC URSURE

UACONT

Refrig urine, 20 mL

Gentamycin Level Peak Gentamycin Level Random

GENTP GENTR

GREEN GREEN

Refrig, up to 1 wk Refrig, up to 1 wk

Gentamycin Level Trough GGT (Gamma-Glutamyl Trans) Gliadin (Deaminated) Abs Glomerular Basement Memb IgG

GENTT GGT GLIADIN GLOMBASIGG

GREEN GREEN MARBL MARBL

Refrig, up to 1 wk Refrig, up to 1 wk Refrig serum, 1 mL Refrig serum, 1 mL

Glucagon

GLUCA

LAV

Froz EDTA plasma, 3 ml

12/15/2016

S51686 X 470

X X 8340 Freeze immediately; Avoid hemolysis Pt should not have urinated for at least 1 hour prior to collection. Collect first 20 mL voided. Collect 30 min after 3rd dose. No line draws. No Line Draws. Collect 30 min before 4th dose. No line draws.

478

2932U X X X X 8889 257 S51631

13

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

Glucose Glucose 2 hr Postprandial Glucose Body Fluid Glucose CSF

GLUC GLU2PP BFGLU CSFGLU

Glucose Tolerance 2 hrs

TESTED AT DRH SEND-OUT

SPECIMEN STORAGE

SPECIAL INSTRUCTIONS

GREEN GRAY, GREEN RED CSF Tube #2

Refrig, up to 3 days Refrig, up to 3 days Refrig, up to 3 days

fast 8-10 hrs prior to collect. 2 Hrs Post-prandial Specify Source

X X X X

GTT2

GREEN

Refrig, up to 3 days

fast 8-10 hrs prior to collect.

X

Glucose Tolerance 3 hrs

GTT3

GREEN

Refrig, up to 3 days

fast 8-10 hrs prior to collect.

X

Glucose Tolerance 4 hrs

GTT4

GREEN

Refrig, up to 3 days

fast 8-10 hrs prior to collect.

X

Glucose Tolerance 5 hrs

GTT5

GREEN

Refrig, up to 3 days

fast 8-10 hrs prior to collect.

X

Glucose, Fasting Glucose-6 Phos Dehyd (G-6-PDH) Gross and Micro Processing Fee Gross Only Processing Fee Growth Hormone (GH) H. pylori Stool Antigen Haptoglobin HCG Beta Quantitative (Blood)

GLUCF G6PDH GR&M GROSS GH HPSA HAPTO HCGQ

GREEN LAV FORMALIN CONT. FORMALIN CONT. MARBL STOOL MARBL GREEN

Refrig, up to 3 days Refrig whole blood

fast 8-10 hrs prior to collect.

X

HCG Beta Quant Bld (MALE only) HCG Bld Reflex Quant if Pos HCG, Bld, Qualitative Screen HCG, Urine Qualitative Screen HCV RNA, Quantitative PCR Heavy Metals Panel, 24hr Urine Heavy metals Panel, Whole Bld Hematocrit

HCGQM HCGR HCGB HCGU HPCVRNAQT HMPU24 HMPWB HCT

GREEN MARBL MARBL UACONT YELLOW ACD 24HR M JUG ROYAL EDTA LAV

Refrig, up to 48 hrs Refrig, up to 48 hrs Refrig, up to 48 hrs Refrig, up to 48 hrs Frozen plasma, 3 mL Refrig 7 ml aliquot Refrig Whole Blood Refrig, up to 36 hrs

12/15/2016

1398 HPC HPC 3182

Provide specimen source. Provide specimen source. Refrig serum, 1 mL Refrigerate Refrig serum, 1 mL Refrig, up to 48 hrs

X Overnight fasting preferred

502 X

Serum or plasma (EDTA or heparin)

X X X X 35645 4080U 4080W

Include total volume X

14

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME Hemochromatosis DNA Mutation Analysis Hemoglobin Hemoglobin A1c Hemoglobin & Hematocrit Hemoglobinopathy Evaluation Hep B Surface Ab - Vaccination Hepatitis A Antibody, IgM Hepatitis Acute Profile Hepatitis B Core Antibody, IgM Hepatitis B Virus DNA Quantitative, Real-Time PCR Hepatitis B Srf Antgn Hepatitis B Surf Antibody, Qual HepC Ab Rflx HCV RNA Quant PCR Hepatitis C Virus Genotype Hepatitis C Viral RNA Qual TMA Herpes Simplex DNA CSF Herpes Simplex DNA Detectr

MEDITECH TEST CODE

TUBE or CONTAINER

HEMOCHR HGB A1C H&H HGBEVAL HPBSABE-VAC HPAAB HP HPBCA

LAV LAV LAV LAV LAV MARBL MARBL MARBL, QTY 2 MARBL

SPECIMEN STORAGE Ambient, Whole blood EDTA Refrig, up to 36 hrs Refrig, up to 1 wk Refrig, up to 36 hrs Refrig whole blood Refrig serum, 1 mL Refrig serum, 1 mL Frozen serum, 4 mL Refrig serum, 1 mL

HPBDNAQUANT HPBSANTG HPBSAB HPC HPCRNAGENO HPCVRNAQL HSVDNACSF HSVDNA

MARBL MARBL MARBL MARBL LAV LAV CSF LAV

Refrig serum, 3 mL Frozen serum, 4 mL Refrig serum, 1 mL Refrig serum, 1 mL Refrig plasma, 2 mL Frozen plasma, 2 mL Frozen CSF, 2 ml Ambient Whole Blood

Herpes Simplex Virus Types 1&2 HIV-1 RNA, Quantitative, Real-Time PCR

HERPT

MARBL

Refrig serum, 2 mL

HIVRNAVL

LAV

Frozen plasma, 3 mL

HIV-1/2 Ag/Ab, 4th Gen, w/Refl HLA-B27 Antigen

HIV HLAB27

MARBL YELLOW ACD

Frozen serum, 3 mL Ambient Whole Blood

12/15/2016

SPECIAL INSTRUCTIONS

TESTED AT DRH SEND-OUT 35079 X X X 4983 P43287C 2451 7757 2457

two-vial split Abnormal HSV 1 and/or HSV2 IgM abs results will automatically reflex to IFA confirmation methodology for an additional fee, (Quest # 9339). 1.5 ml plasma in two vials. **Send unopened, spun Marble-top tube** Do not centrifuge.

8369 2454 2453 8472 37811 37273 9474C 7581

8051 40085 91431 528

15

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME Homocysteine

MEDITECH TEST CODE HOMO

TUBE or CONTAINER MARBL

H. pylori Urea Breath Test

HPBREATH

UBT BAG

H.pylori Urea Breath Test Peds Hydroxyprogesterone, 17 Hydroxytryptamine5-(Serotonin) IBD Differentiation Panel IgA, Serum IgA, IgG, IgM Immunoglob Quant IgG Total w/Subclass 1,2,3 & 4 Immunoglobulin E (IgE) Immunoglobulin G (IgG) Immunoglobulin M (IgM)

Influenza A/B Antigen Screen

HPBREATHPED HYDROXYPRG SEROTONIN or HYDROXYTRYPTAMN IBDPNL IGA IMMUNOGLOB IGGSUB IGE IGG IGM

INFSCR

UBT BAG RED RED MARBL MARBL MARBL MARBL MARBL MARBL MARBL

SPECIMEN STORAGE Frozen serum, 2 mL Breath collected in capped UBT bag Breath collected in capped UBT bag Refrig serum, 0.5 mL Frozen serum, 1 mL - 2 vial split Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 2 mL

SWAB

Refrig up to 48 hrs

INHIBA INS IFE or Monoclonal Gammopath Serum (IFE) IMMUNOFIXSERUM Insulin INS Insulin-like Growth Factor 1 IGF1 Insulin-like Growth Factor BP-3 IGFBP3

MARBL MARBL

Refrig serum, 1 mL Frozen serum, 2 mL

MARBL MARBL MARBL MARBL

Interleukin-6 High Sensitive Intrinsic Factor Blocking Abs

LAV MARBL

Refrig serum, 1 mL Frozen serum, 2 mL Frozen serum, 1 mL Refrig serum, 1 mL Frozen plasma, 1 mL EDTA Refrig serum,1 mL

Inhibin A Insulin

12/15/2016

INTRLKN6HS INFBA

SPECIAL INSTRUCTIONS Separate from cells ASAP

TESTED AT DRH SEND-OUT 31789 14839

From patients 3-17 years of age, UBT Kit No gel or SST Tubes

92491 17180 3286 16503 539 7083 1623 1245 1505 1508

Collections done by Nursing staff. Collect 1 flocked swab Rejected for gross hemolysis or lipemia.

X 3984 3192 549 3192 S51997 3959 S51587 568

16

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

Iron

IRON

Iron Profile

IRONP

JCV Ab Stratify w/Rflx Inhibition

TUBE or CONTAINER GOLD, RED, OR MARBL GOLD, RED, OR MARBL

JCV Kappa Lambda light Chains 24hr Urine KAPLAMU24 Beta Hydroxybutyrate KETONES Lactate Dehydrogenase Isoenzymes LDISO

MARBL or LAV 24 HR JUG GREEN MARBL

Lactic Acid Lactic Acid, CSF Lamotrigine (Lamictal)

LA CSFLA LAMO or LAMI

GRAY CSF RED

LAP Smear (Leukocyte Alk Phos) LDH - Lactate Dehydrogenase LDH, Body Fluid LDL Chol, Direct Measured

LAP LDH BFLDH LDLD

LAV GREEN RED MARBL

Lead Whole Blood Leflunomide Metabolite Levetiracetam (Keppra) Lipase Lipid Panel Lipid Panel-Employee Lipid Panel Advanced, Cardio IQ Lipoprotein (a) Listeria Antibody

12/15/2016

LEAD LEFLUNO LEVET LIP LP LP-E CARDIQLP or VAPCHOL LPA LISTAB

SPECIMEN STORAGE

Refrig, up to 1 wk

SPECIAL INSTRUCTIONS GREEN top tube may be used IF not needed for TIBC.

Refrig, up to 4 days Refrig serum, 1 mL Refrig urine, 10 mL

Ambient Ambient Ambient Refrig serum, 1 mL

LAV, ROYAL EDTA RED RED GREEN GREEN GREEN

Refrig whole blood Refrig serum, 1 mL Refrig serum, 2 mL Refrig, up to 1 wk Refrig, up to 3 days Refrig, up to 3 days

MARBL MARBL MARBL

Refrig serum, 4 mL Refrig serum, 1 mL Refrig serum, 1 mL

X X

Total Volume needed serum or plasma

Ambient serum, 2 mL On ice - stable refrig up to 24 hrs once plasma is Centrifuge and run removed from cells. immediately!! Refrig serum, 1 mL

TESTED AT DRH SEND-OUT

No SST gel tubes. Prepare 5 slides within 24 hrs of collection. Do not refrigerate. Specify Source

91665 1741U X 3453

X X 22060 S49482 X X 3351

Use lead-free alcohol to cleanse skin prior to coll. No gel or SST Tubes Avoid SST gel tubes Avoid hemolysis

Avoid gross hemolysis; Avoid mod-gross icterus Avoid gross hemolysis

4861W 4191 4963 X X X 92145 3446 S49766

17

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

Lithium Liver Panel Liver-Kidney Microsome IgG

LI LIVER LKM

MARBL GREEN MARBL

Lupus Anticoag & Cardiolipin Abs

LUPASCR1

BLUE x 2 MARBL

Lupus Anticoagulant Eval w/Rfx Luteinizing Hormone (LH)

LUPAEVAL LH

BLUE X 2 MARBL

Refrig, up to 1 wk Refrig, up to 3 days Frozen serum, 1 mL Frozen 3 mL serum and 3 mL platelet-poor plasma Frozen 3 mL plateletpoor plasma Frozen serum, 2 mL

Lyme Disease Abs w/Rflx Ab Lymphoma/Leukemia Eval (Flow) Magnesium

LYMEABS LLE MAG

MARBL GREEN, NA HEP GREEN

Refrig serum, 2 mL Refrig whole blood Refrig, up to 1 wk

SPECIMEN STORAGE

Malaria Organism Detection

MALARIACNF

LAV

Ambient, 5 mL EDTA Whole Blood

Malaria Screen Marijuana (Cannabinoid), Qnt Urine

MAL DGUQCANB MEASLESIGG or RUBEOLAIGG METU24

LAV UACONT

Refrig Urine, 10 mL

Rubeola (Measles) Ab IgG Metanephrines 24 hr Urine

12/15/2016

MARBL 24HR JUG

Refrig serum, 1 mL Frozen 10 ml aliquot

SPECIAL INSTRUCTIONS Run or separate serum from cells within 2 hours

TESTED AT DRH SEND-OUT X X 1112

9762 7079 3198 Avoid hemolysis and lipemia. No SST gel tubes

6646 Genoptix X

Make Thick/Thin Slides STAT! See Quest Specimen Instructions. Warm before testing, if refrigerated.

2945 X 4133U

Avoid gross hemolysis, lipemia, and icteric Include total volume

8776 3315U

18

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

SPECIMEN STORAGE

SPECIAL INSTRUCTIONS Draw in a pre-chilled lavender-top tube; keep on wet ice until centrifuge within 2 hrs of venipuncture. Transfer plasma to a plastic vial and immediately refrigerate. Pt should be in a relaxed position prior to blood draw. Pt should avoid alcohol, coffee, tea, tobacco and strenuous exercise prior to collection. Overnight fasting is preferred.

Metanephrines, Fractionated, Plasma METANEPH Methylmalonic Acid MMA

LAV MARBL

Refrig plasma, 2.5 ml; 2 vial split required Frozen serum, 3 mL

Microalbumin Urine 24hr

MICROALBU24

24 HR JUG

Refrig urine, 10 mL

Microalbumin Urine Random

MICROALBURN

UACONT

Refrig urine, 10 mL

STOOL

SAF fixative vial obtained SAF fixative vial, Yellow- from DRH Lab capped. Accessioning.

Microsporidia Spore Stain (Stool)

MICROSPRD

Miscellaneous Lab Test Quest

MISC QUEST-AMB, FRO, or REF

Miscellaneous Lab Test Non-Quest Mitochondrial M2 Ab IgG, EIA Mono (Quant) Epstein-Barr

12/15/2016

MISC NON-QUEST MITO MONOQNT

Used when test not found in Lab Test Dictionary; Enter test name in prompt.

Test Dependent

Test Dependent MARBL MARBL

Inludes Microalb Excretion Rate, but not Creat! Random collection - also includes Creat & MicroAlb/Creat Ratio

Used when test not found in Lab Test Dictionary; Enter test name in prompt. Refrig serum, 1 mL Refrig serum, 2 mL

TESTED AT DRH SEND-OUT

S51767 34879 3441U

3441UR

5720

Quest Other Lab (Non-Quest) 1101 2211

19

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

SPECIMEN STORAGE

Monoclonal Gammopath Srm (IFE)

IFE, IMMUNOFIXSERUM, MONOGAMMS

MARBL

Refrig serum, 1 mL

Monoclonal Gammopath Urine Monoscreen

BENCEJONES,IFEURN MONO MARBL

SPECIAL INSTRUCTIONS Immunoelectrophoresis is same as Monoclonal Gammapathy. Overnight fasting is preferred. Immunoelectrophoresis is same as Monoclonal Gammapathy.

TESTED AT DRH SEND-OUT

549

3125U X

Liquid Amies Collection tube or nasal swab collected in Liquid Stuart's or Cepheid Collection Device.

MRSA, Real-Time PCR

MRSAPCR

SWAB-AMIES

MTHFR Gene Mutation Mumps Virus IgG Antibody Mumps Virus IgM Antibody MUSK Antibody Myasthenia Gravis Evaluation Mycoplasma pneumoniae IgG Abs Myeloma Panel Duncan Cancer Center (Custom)

MTHFR MUMIGG MUMIGM MUSK MYAGRA MYCOP

EDTA MARBL MARBL MARBL MARBL MARBL

Refrig Ambient 4 mL whole blood EDTA Refrig serum,1 mL Refrig serum,1 mL Refrig serum, 2 mL Refrig serum, 1 mL Refrig serum, 1 mL

MYELOMA PNL CC

MARBL X 2

Refrig serum, 6 mL

P432870

Myeloperoxidase Autoantibodies

MYELOPEROX; PANCA MARBL

Refrig serum, 1 mL

8796

Myoglobin Urine Random

12/15/2016

MYOGURN

UACONT

Frozen urine, 1 ml

17656 17911 8624 36565 18842 1025 8746

**IMPORTANT**: Transfer urine to Myoglobin transport tube within 1 hr of collection. Freeze and ship frozen. (transport tube, product #170764, is available through Quest Client Supply.

661

20

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME N-Telopeptides (NTx) w/Creatinine, 24hr Urine Newborn Metabolic Screen Nicotine & Cotinine, LC/MS/MS Nicotine & Cotinine, Urine Nortriptyline

MEDITECH TEST CODE

TUBE or CONTAINER

NTXU24 NBMS NICOT NICOTURN NORTRIP

24HR URINE JUG PKU Filter Paper RED UR CONT RED

Obstetric Panel

ZOBPLAB

Obstetric Panel w/HIV

ZOBPLABHIV

Oligoclonal Bands Opiates Confirmation Urine Osmolality Serum (Measured) Osmolality Urine Random O'Sullivan Glucose - 1hr PP 50 gm

OLIGO DGUQOPI OSMOS OSMOURN GLUCO or OSULLIVAN SCRN

Ova & Parasite (Parasite Diag) Oxcarbazepine (Trileptal) PAN-ANCA Evaluation Pancreatic Elastase-1, Stool PAP Smear

SPECIMEN STORAGE

Record total volume. Allow to air-dry Refrig serum, 1 mL No SST gel tube Refrig urine, 1 mL Random collection Refrig serum, 3 mL No SST gel tube Includes CBC, Rubella, MARBLX2,RED,LAV, RPR, Hep B Surf antigen, Refrigerate Type & Antibody Screen & PINK Includes CBC, Rubella, RPR, Hep B Surf antigen, MARBLX3,RED,LAV, Type & Antibody Screen, & PINK HIV Refrig 1 ml CSF *and* 1 Both CSF and serum must MARBL & CSF mL Serum be sent. UACONT Refrig Urine, 6 mL MARBL Refrig serum, 1 mL UACONT Refrig 10 ml aliquot

TESTED AT DRH SEND-OUT

Frozen urine, 2 mL

GREEN or GRAY

Refrig, up to 3 days

O&P or PARAD TRILEPTAL PANANCAEVL PANCELASSTL PAPSM

SAF vial RED MARBL STOOL Slide Prep

Ambient, SAF vial Refrig serum, 2 mL Refrig serum, 3 mL Refrig stool, 1 mL Ambient

Parasite Screen (Giardia&Crypto)

PARAS

ETM (Enteric Transport Media)

Parathyroid Hormone (PTH)

PTH

MARBL

12/15/2016

SPECIAL INSTRUCTIONS

Ambient Refrig serum, up to 2 days

Separate from cells Collect stool and transfer to SAF vial up to line. Mix well. No SST gel tubes

Collect stool and transfer to maroon-capped ETM vial up to line. Mix well.

4266U OSDH 4190 4190U 272 CBCAD Type, Abs

802, 799, 2454

CBCAD Type, Abs

802, 799, 2454, 91431 1557 4185UR 3204 3204UR

X

681 36637 1866 14693 HPC

X X

21

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME Parvovirus B19 IgG & IgM Abs

MEDITECH TEST CODE PARVO

TUBE or CONTAINER MARBL

SPECIMEN STORAGE Refrig serum, 1 mL

Penta Screen

PENTA

MARBL

Frozen serum, 4 mL

Pertussis (Bordetella pertussis/ parapertussis) Antigen Pertussis IgG/A Antibodies pH, Body Fluid

PERTAG or BORDPERAG or WHOOPINGCOUGHAG Slide Prep PERAB MARBL BFPH GREEN STOOL GREEN GREEN GREEN 24HR JUG UACONT LAV

Refrigerated Refrig serum, 1 mL Refrig

pH, Stool Phenobarbital Phenytoin (Dilantin) Phosphorus Phosphorus Urine 24 hr Phosphorus Urine Random Platelet Count Platelet Antibody, Direct, Flow Cytometry

PHST PHEN PHENYT PHOS PHOSU24 PHOSURN PLT PLAB

LAV X 2

Frozen stool, 5 mL Refrig, up to 2 days Refrig, up to 4 days Refrig, up to 1 wk Frozen 10 ml aliquot Frozen 10 ml aliquot Refrig, up to 36 hrs Ambient, 7 ml whole blood EDTA

Porphobilinogen Urine 24 hr Qnt

PORPHBU24

24HR JUG

Porphobilinogen Urine Random

PORPHBURN

Porphyrins Fractionated Quant Ur Random

SPECIAL INSTRUCTIONS

TESTED AT DRH SEND-OUT 8221

Must complete Maternal Info Sheet.

A51775

2 air-dried slides made from nasopharyngeal swab. Specify Source must be naturally occurring, watery stool Draw 4-10 hrs after dose.

34966 S51776 X S51374 X X X

Include total volume

5308U 5308UR X

Frozen, 10 ml aliquot

Minimum 5 mL whole blood EDTA Include total volume; Protect from light

S51657

UACONT

Frozen 10 ml aliquot

Protect from light

S51658

PORFRURN

UACONT

Refrig urine, 2 mL split in Must protect from light and refrigerate during collection amber tubes

Post Vasectomy Exam for Sperm

SPVC

UACONT

Ambient

Potassium

K

GREEN

Refrig, up to 1 wk

Potassium, Stool Potassium Urine 24 hr

KST KU24

STOOL 24HR JUG

Refrig stool, 10 mL Refrig, up to 1 week

12/15/2016

Deliver to Lab within 30 minutes of collection Hemolyzed specimens NOT Acceptable must be naturally occurring, watery stool Include total volume

5019

36592 X X S51346 X

22

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

SPECIMEN STORAGE

Potassium Urine (Random) Pre-Albumin Primidone

KURN PREALB PRIM

UACONT GREEN RED

Refrig, up to 1 week Refrig, up to 7 days Refrig serum, 1 mL

Progesterone

PROG

MARBL

Prograf (Tacrolimus) Non-Quest

LAV

Prograf (Tacrolimus), Quest Proinsulin Prolactin

PROGRNQ PROGRQ or FK506 or TACROQ PROINS PROLAC

LAV MARBL MARBL

Refrig 1 ml serum Ambient whole blood EDTA Ambient whole blood EDTA Frozen serum, 1 mL Frozen serum, 2 mL

Prostatic Acid Phosphatase Protein C Activity Protein S Activity Protein Electrophoresis Urine 24hr PSA, Free & Total PSA, Total, Diagnostic PSA, Total, Screening

PAP PROTC PROTS PEPU24 PSAFREETOT PSAD PSA

MARBL BLUE BLUE 24HR JUG MARBL GREEN GREEN

Frozen serum, 1 mL Frozen plasma, 2 mL Frozen plasma, 2 mL Frozen 4 ml aliquot Frozen serum, 2 mL Refrig, up to 14 days Refrig, up to 14 days

PTI Prothrombin Time INR PT and PTT

PTI PTPTT

BLUE BLUE

Ambient, up to 24 hrs Ambient, up to 4 hours

PTH (Send Out)

PTHS

MARBL

PTH-Related Protein

PTHRP

DK GREEN

12/15/2016

SPECIAL INSTRUCTIONS

TESTED AT DRH SEND-OUT X X

No gel or SST Tubes No serum stored on barrier gel for >72 hrs

4146 745 Baptist Med Center

Send to Baptist Med Center

70007 S51596 746 Diagnosis must be submitted

3100 1777X 1779X 1595U 31348

Include total volume X X X X Transfer to plastic vial and freeze immediately; Avoid hemolysis

Frozen serum, 2 mL Frozen plasma, 1 mL Sodium Heparin plasma only Spin and separate ASAP

35202

S51608

23

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

SPECIMEN STORAGE

PTT (Partial Thromboplastin Time)

PTT

BLUE

Ambient, up to 4 hours

Quantiferon-TB Gold, Incubated

QFRN-3TUBE

Refrig up to 72 hrs

Rapamune (Sirolimus) - Baptist Sirolimus, LC/MS/MS (Rapamune) Reducing Substances, Stool

QUANTFRN RAPBAPTIST or SIROLBAPTIST SIRO or RAP REDSUBST

LAV LAV STOOL

Refrig whole blood Refrig whole blood Frozen stool, 10 gm

Reichlin (SLE) Profile Renal Function Panel

REICHLIN RFP

MARBL GREEN

Refrig serum, 2 mL Refrig, up to 5 days

Renin Activity, Plasma Reticulocyte Count

RENIN RET%A

LAV LAV

Frozen plasma, 1 mL Refrig, up to 36 hrs

SPECIAL INSTRUCTIONS

TESTED AT DRH SEND-OUT

X Add to special tubes - See Quest Lab Instructions

16603 Baptist Med Center 36712 S52564

Sent to Baptist Med Center

Sent to OK Medical Research Foundation

OMRF X

Split into 2 vials before freezing. See Quest directory for specimen patient prep instructions.

S52046 X

Avoid hemolyzed, lipemic or turbid serum.

RF - Rheumatoid Factor Screen Rheumatic Evaluation #1004 Rheumatoid Arthr Evaluatr #1013 Rheumatoid Factor Quant #1540

RF RAEVAL RAEVALR RFQNT

MARBL MARBL MARBL MARBL

Refrig, up to 48 hrs Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 1 mL

Rickettsia rickettsii IgG,IgM

RMSFAB or RICKRICKET

MARBL

7896

Ristocetin Cofactor

RIST

BLUE

Refrig serum, 2 mL Frozen platelet-poor plasma, 1 mL; transfer to plastic vial

RNP/Smith IgG Autoantibodies

RNPSM AB

MARBL

Refrig serum, 2 mL

38567

12/15/2016

Avoid hemolysis

X 1004 1013 1540

4459

24

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME Rocky Mt Spotted Fever Ab's Rotavirus Antigen Stool

MEDITECH TEST CODE RMSFAB ROTA

TUBE or CONTAINER MARBL STOOL

SPECIMEN STORAGE Refrig serum, 2 mL Refrigerate

RPR Screen w/Rflx Titer

RPR

MARBL

Refrig serum, 1 mL

Resp Syncytial Virus Ab Serum

RSVAB

MARBL

Refrig serum, 1 mL

RSV RUBIGG

NASAL SWAB, FOAM TIP MARBL

Frozen serum, 1 mL

Rubeola (Measles) Ab IgG

RUBEOLAIGG

MARBL

Refrig serum, 1 mL

Rupture of Fetal Membrane Test Salicylate SCL-70 IgG Autoantibodies

ROM SAL SCL70

CBN GREEN MARBL

Ambient Refrig, up to 1 wk Refrig serum, 2 mL

Semen Analysis

Ambient Frozen serum, 1 mL - 2 vial split

Serum Immuno Fixation Electro.

SEMEN UACONT SEROTONIN or HYDROXYTRYPTAMN RED IFE, IMMUNOFIXSERUM, MONOGAMMS MARBL

Serum Integrated Screen, Part 1

SERINTSCR-1

Refrig serum, 1.5 mL

12/15/2016

MARBL

Refrig serum, 1 mL

TESTED AT DRH SEND-OUT 7896 X

Avoid gross hemolysis and gross lipemia Alternate specimens: Heparin, EDTA, or ACD plasma. Collections done by Nursing staff. Swish swab in elution vial for 3 seconds. Discard swab. Label vial. RSV testing only on patient < 5 years of age.

RSV Antigen Rubella IgG (immune)

(Serotonin) Hydroxytryptamine 5

SPECIAL INSTRUCTIONS

799

S50347

X 802

Avoid gross hemolysis, lipemia, and icteric Collected by Nursing at DRH

8776 X X 4942

Bring to Lab within 30 min. after collection. No gel or SST Tubes Immunoelectrophoresis is same as Monoclonal Gammapathy. Must submit complete Maternal Info sheet. Gestational Criteria is 9 - 13 6/7 weeks

X 3286

3125

16165

25

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

Serum Integrated Screen, Part 2 Sex Hormone Binding Globulin

SERINTSCR-2 SHBG

MARBL MARBL

Sirolimus (Rapamune) Sm (Smith) IgG Autoantibodies Sm/RNP Antibody Smooth Muscle Total Autoabs Sodium

SIRO SMABS SMRNP SMMAB NA

LAV MARBL MARBL MARBL GREEN

Sodium, Stool Sodium Urine 24 hr Sodium Urine (Random)

NAST NAU24 NAURN

STOOL 24HR JUG UACONT

Somatostatin SPE w/Monoclonal Region/M Spike Specific Gravity, Body Fluid Specific Gravity, Spinal Fluid SS-A & SS-B IgG Abs (Sjogrens)

SOMA SPE SPGRA SFSG SSA-SSB

LAV MARBL RED CSF Tube #3 MARBL

Stone Analysis Stool Lactoferrin (WBC) Stool Occult Blood Strep Gr A Abs (Streptozyme)

STONE LACTOFRN STOCC STREPZYME

UACONT STOOL STOOL RED

T3, Free

T3F

GREEN or MARBL

12/15/2016

SPECIMEN STORAGE

Refrig serum, 3 mL Refrig serum, 1 mL Refrig Whole Blood, 4 mL Refrig serum, 2 mL Refrig serum, 1 mL Refrig serum, 2 mL Refrig, up to 1 wk Refrig stool, 10 mL Refrig, up to 1 week Refrig, up to 1 week

SPECIAL INSTRUCTIONS Must complete Maternal Info Sheet; Collect between 14.0 weeks to 22 6/7 weeks.

TESTED AT DRH SEND-OUT

16167 30740 36712 37923 38567 1106 X

must be naturally occurring, watery stool

S51323 X X

Draw in a pre-chilled lavender-top tube. Separate and freeze plasma immediately. Do not thaw.

Froz plasma, 2 mL Refrig serum, 1.5 mL Refrig

Specify Source

Refrig serum, 2 mL

Separate from cells ASAP

Lab accessioning prepares Ambient stone kit for send-out Refrigerate Refrigerate Refrig serum, 1 mL Refrig plasma or serum, Separate from cells ASAP up to 7 days

S49916 747 X X 7832 Dianon Lab OKC via UPS X X 1337 X

26

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

SPECIMEN STORAGE

T3, Reverse LC/MS/MS T3, Total T3, Uptake Tegretol (Carbamazepine) Tegretol, Free (Carbamazepine) Tegretol, Free (Carbamazepine) Testosterone, Free, Bio & Total Testosterone, Free LC/MS/MS Testosterone, Total Theophylline Thyroglobulin Antibodies

T3R T3TOT T3U TEG CARBFREE TEGF TESTOBIO TESTOF TESTO THEO THYGLOBAB

MARBL MARBL MARBL GREEN RED RED RED RED RED GREEN MARBL

Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 2 mL Refrig, up to 5 days Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 4 mL Refrig serum, 1 mL Refrig serum, 2 mL Refrig, up to 1 wk Refrig serum, 1 mL

SPECIAL INSTRUCTIONS Remove serum from gel within 24 hrs.

90963 3224 3232 X S51361 S51361 3924 3201 15983

No SST gel tubes No SST gel tubes No SST gel tubes X

267 Includes Thyroglobulin & Thyroglob Autoabs

Thyroglobulin Panel

THYGLOBPNL

MARBL

Refrig serum, 2 mL

Thyroglobulin Qnt w/o Abs Thyroid Ab's - Thyroglob & Peroxid

MARBL MARBL

Refrig serum, 2 mL Refrig serum, 1 mL

Includes Thyroglobulin only

Thyroid Peroxidase Antibodies Thyroid Stimulating Immunoglob. Thyrotropin-Binding Inhibit Ig Thyroxin Binding Globulin Thyroxine, Free Index Thyroxine (T4) *Send-Out* Tick Antibody Panel

THYGLOB THYAB THYPRX or MICROSOMAL ABS TSI THYBIND or TBII TBG FTI T4 TICKPNL

MARBL MARBL MARBL MARBL MARBL MARBL MARBL X 2

Refrig serum, 1 mL Refrig serum, 1 mL Frozen serum, 2 mL Refrig serum, 1 mL Frozen serum, 2 mL Frozen serum, 1 mL Refrig serum, 5 mL

Avoid gross hemolysis

Tissue Transglutaminase Ab IgA

TTGIGA

MARBL

Refrig serum, 1 mL

Tobramycin Level Peak

TOBRP

GREEN

Refrig, up to 3 days

12/15/2016

TESTED AT DRH SEND-OUT

Avoid gross hemolysis, gross lipemia Collected 30 min after 3rd dose. NO LINE DRAWS.

30278 15561 1016 5081 30551 1093 3238 3230 3226 P43287 8821 X

27

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

SPECIMEN STORAGE

Tobramycin Level Random

TOBRR

GREEN

Refrig, up to 3 days

Tobramycin Level Trough Topiramate (Topamax) Torch IgG & IgM Abs Evaluation Total Protein Total Protein, Body Fluid Total Protein CSF Total Protein Urine 24hr Total Protein Urine Random Toxoplasma gondii IgG & IgM Ab

TOBRT TOPIR or TOPAMAX TORCHABS TP BFTP CSFTP TPU24 TPUR TOXOP

GREEN RED MARBL X 2 GREEN RED CSF Tube #2 24HR JUG UACONT MARBL

Refrig, up to 3 days Refrig serum, 1 mL Refrig serum, 3.5 mL Refrig, up to 3 days Refrig, up to 3 days Refrig, up to 3 days Refrig, up to 3 days Refrig, up to 3 days Refrig serum, 2 mL

Transferrin Transglutaminase IgG & IgA Abs Treponema Pallidum Total Abs Triglycerides Troponin I

TRANSF MARBL TRANSGLUT MARBL TREP PALL ABS or FTARED ABS TRIG GREEN TROPI GREEN

Tryptase TSH Thyroid Stimulating Hormone Uric Acid Uric Acid, Body Fluid

TRYPTASE TSH URICA BFURICA

RED or LAV GREEN GREEN RED

Avoid hemolysis, lipemia Avoid hemolysis; 12hr Refrig serum, 1 mL fasting is required. Refrig serum, 1 mL Avoid hemolysis, lipemia Do not use for State RPR Refrig serum, 1 mL confirmation. Refrig, up to 7 days Fasting for 12-14 hrs prior Refrig, up to 3 days Avoid hemolysis Refrig serum or plasma, Separate from cells ASAP; 1 mL NO GEL TUBES. Refrig, up to 1 wk Refrig, up to 5 days Refrig, up to 5 days Specify Source

Uric Acid Urine 24 hr

URICU24

24HR JUG

Frozen 10 ml aliquot

Uric Acid Random Urine Urine Dipstick only Urinalysis Routine

URICURNDM UAD UA

UACONT UACONT UACONT

Refrig 10 ml aliquot Refrig, up to 24 hrs Refrig, up to 24 hrs

12/15/2016

SPECIAL INSTRUCTIONS Random level - Collect at any time. NO LINE DRAWS. Collected 30 min before 4th dose. NO LINE DRAWS. No SST gel tubes

Specify Source

TESTED AT DRH SEND-OUT

X

X 4925 9901 X X X X X 2263 891 11073 2104 X X 3460 X X X

Include total volume

4333U 4333UR X X

28

DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME

MEDITECH TEST CODE

TUBE or CONTAINER

SPECIMEN STORAGE

Urinalysis Screen Valproic Acid (Depakene)

UASC VALP or DEPAKN

UACONT GREEN

Refrig, up to 24 hrs Refrig, up to 1 wk

Vancomycin Level Peak

VANP

GREEN

Refrig up to 48 hrs

Vancomycin Level Random

VANR

GREEN

Refrig up to 48 hrs

Vancomycin Level Trough

VANT

GREEN

Refrig up to 48 hrs

Vanillylmandelic Acid 24hr Ur Varicella-zoster IgG & IgM Abs

VMAU24 VARZ

24HR JUG RED

Frozen urine, 5 ml aliquot Refrig serum, 1 mL

Vasoactive Intestinal Peptide (VIP)

VIP

LAV

Frozen plasma,1 mL

VDRL, CSF VDRL, Serum Venous pH

VDRLCSF VDRLS PHV

CSF Tube RED Blood Gas Kit

Refrig CSF, 1 mL Refrig serum, 1 mL

Vitamin A (Retinol)

VITA

MARBL

Frozen serum, 2 mL

12/15/2016

SPECIAL INSTRUCTIONS Reflex to C&S, if WBC's >=5 & epi's