Laboratory Quick Reference Guide to Test Orders

2019-20

Laboratory Quick Reference Guide to Test Orders

Health PEI Provincial Laboratory Medicine

Provincial Laboratory Medicine

Guide Information This guide has been developed by Provincial Laboratory Services as an aid for all clients when placing laboratory test orders. This document provides an alphabetical listing of laboratory tests; in addition, limited information is also provided which relates to:

The Cerner Orderable Name Specimen Type Collection Container requirements Transport and Storage conditions Special Notes and Additional Information

While every effort is made to keep this version up to date, the electronic copy that resides on the document control system is the valid document. The electronic version of this document can also be found on the Provincial Laboratory Services website at: healthpei.ca/laboratoryservices. Any paper document labeled "Uncontrolled" must be verified against the electronic version prior to use.

Test Requirements Referring labs: Refer to the Laboratory Information Manual if additional detailed information is required. Please contact the QEH laboratory for any questions/concerns around sample collection and preparation.

All Clients: If your service is unable to provide the specimen handling requirements for the requested analysis, please refer your patient to a Health PEI Hospital Laboratory Collection Centre.

Provincial Laboratory Medicine

Tests Not in Catalogue Please contact QEH Laboratory at 894-2300 for information on tests not found in this catalogue.

Guide to Laboratory Services The Guide to Laboratory Services is an additional document which can be viewed at on the Health PEI Provincial Laboratory Services website. This document will provide information related to:

Provincial Site Locations Hours of Operation Laboratory Directory Scheduling of Appointments Requisition Information Specimen Collection Info:

Patient Preparation Collection Procedures Sample Labeling Ordering of Laboratory Supplies

Reference Ranges Reference values and interpretive data are reported with test results. The Laboratory Information Manual also provides these values with each test listing.

Provincial Laboratory Medicine

Abbreviations

?C

Degrees Celsius

BAL

Bronchial Alveolar Lavage

C&S Culture and Sensitivity

CSF Cerebrospinal Fluid

CPHO Chief Public Health Office

ETOH Ethanol

HR

Hour

mL

Milliliter

NPA Nasopharyngeal Aspirate

NPS Nasopharyngeal Swab

PCH Prince County Hospital Lab

QEH Queen Elizabeth Hospital Lab

RT

Room Temperature

SST Serum Separator Tube

TEST

CERNER ORDERABLE

17-Hydroxyprogesterone 17 OH Progesterone

5HIAA 24 HR Urine Quantitative

5HIAA 24 Hour Urine Quantitative

5HIAA Random Urine Screen

5HIAA Screen Urine

Acanthamoeba Culture Acanthamoeba Culture

ACE

ACE

Acetaminophen

Acetaminophen Level

SPECIMEN TYPE

Serum 24 Hour Urine

Random urine

Eye Swab/Scrapings, Lens or contact lens solution Blood Blood

Container

6 mL Red/SST

24 Hour Urine Container for collection; Sterile Urine Container for

specimen submission

TRANSPORTATION & STORAGE

Store and Ship Frozen

Store and Ship Frozen

ADDITIONAL INFORMATION

Department: Chemistry Referred-Out Testing Notes: Centrifuge and separate serum from cells Department: Chemistry Referred-Out Testing Notes: Diet and drug restrictions: To be avoided for 48 hours ASA, chloralhydrate, coffee, cola drink, dopamine, erythromycin, methyldopa, niacin, phenothiazines, quinidine, quinine, riboflavin, smoking, tea, tetracycline, vitamin B. To be avoided for 72 hours avocados, bananas, chocolate, eggplant, fruit and juice, hypertensive drugs (especially Aldomet), pineapple, plums, Tylenol (acetaminophen), walnuts. Specimen Collection: Collect urine in a 24 hour urine container with 25 mL of 6N HCl as a preservative. Transfer 50 mL aliquot of the measured 24 hour urine to a sterile container. Indicate 24 hour volume on requisition.

Sterile urine container

50 mL Sterile container or C&S Swab with transport media

Store and ship refrigerated Department: Chemistry Referred-Out Testing

or frozen

Notes: Diet and drug restrictions: To be avoided for

48 hours: ASA, chloralhydrate, coffee, cola drink,

dopamine, erythromycin, methyldopa, niacin,

phenothiazines, quinidine, quinine, riboflavin,

smoking, tea, tetracycline, vitamin B. To be avoided

for 72 hours: avocados, bananas, chocolate, eggplant,

fruit and juice, hypertensive drugs (especially

Aldomet), pineapple, plums, Tylenol

(acetaminophen), walnuts.

Specimen holding

Department: Microbiology-Referred Out

temperature 4?C

Notes: Cover contact lens with Page's Saline (Found

in eye kit in specimen receiving.)

6 mL Red/SST

RT

Department: Chemistry

Notes: Serum must be removed from clot or SST

ASAP

6 mL Red/SST

RT

Department: Chemistry

Notes: Do not use yellow-gel separator tube.

TEST

CERNER ORDERABLE

Acetylcholine Receptor Antibody

Activated Protein C Resistance

Immunology Other

Activated Protein C Resistance

SPECIMEN TYPE

Blood Blood

Acylcarnitine

Acylcarnitines Quantitative Capillary Blood on a Blotter Card (Alternate: serum to HICL)

Container

6 mL Red 2 X Sodium Citrate - Blue

See notes

Blotter Card

TRANSPORTATION &

ADDITIONAL INFORMATION

STORAGE

Department: Immunology - Referred Out

RT

Department: Hematology-Referred Out

Notes: Tube must be filled. Hemolyzed specimens will

be rejected. If delay in transport >4 hrs, tube should

be double spun, placed in 1 mL aliquots and sent

frozen.

RT

Department: Chemistry Referred Out Testing

Notes: Capillary collection applied directly to blotter

card. Three circles must be filled completely and

soaked all the way through. Allow circles to dry at

room temperature, lying horizontally for three hours

before placing in envelope. Requisition: IWK

"Request for Metabolic Investigation".

Acylcarnitine (serum)

Acylcarnitines Quantitative (add order comment for serum specimen)

Adeno and Rotavirus Screen

Adenovirus Antigen (Rota/Adeno Antigen

Stool)

Adenovirus Culture

Adeno and Rotavirus Screen

Adenovirus Antigen (Rota/Adeno Antigen

Stool)

Adenovirus Culture

Serum

Stool Stool Throat/Eye Swab/Tissue

6 mL Red/SST

Store and transport frozen. Department: Chemistry Referred Out Testing Notes: Allow specimen to clot fully. Centrifuge and separate serum from cells.

Plain Stool Container or 50 mL Sterile container

Plain Stool Container

Specimen holding temperature 4?C

Specimen holding temperature 4?C

Department: Microbiology Department: Microbiology

Swab in Viral Transport Media (VTM)

Specimen holding temperature 4?C for 24hrs

Department: Microbiology -Referred Out Notes: Referring Labs: For culture only; Specimen that will be sent to the lab outside of 24 hours should be frozen at -20?C and sent to Lab frozen on ice. If sent to lab on same day of collection then 4?C is fine.

Adenovirus PCR

Adenovirus PCR

Washings/NPA/NPS

50 mL Sterile container

Specimen holding temperature 4?C

Department: Microbiology -Referred Out Note: Adenovirus PCR is part of the Viral Respiratory Panel

TEST

CERNER ORDERABLE

Adrenal Antibodies

Immunology Other

Adrenocorticotrophic Hormone (ACTH)

ACTH

Albumin Albumin

Albumin - Urine

Albumin Level Urine Albumin Random

Urine Albumin 24 Hour

Alcohol Aldosterone 24 HR Urine

Urine Other (Add test name in Order

Comment)

SPECIMEN TYPE

Blood Plasma

Blood Random Urine 24 Hour Urine 24 Hour Urine

Container

6 mL Red EDTA (Lavender)

TRANSPORTATION &

ADDITIONAL INFORMATION

STORAGE

Store and Ship Refrigerated Department: Immunology - Referred Out

Ship on dry ice See Notes

Department: Chemistry Referred Out Testing Notes: Collect specimen after a 10 hour fast. Morning specimen is preferred. Specimen for this test must be collected, processed, aliquoted and frozen within 30 minutes of collection. If unable to meet these requirements, patients for this test must be referred to a Health PEI hospital specimen collection centre. Pre-chill specimen for 10 minutes in ice water; Centrifuge; Separate plasma from red cells within 30 minutes; Aliquot plasma to a transport aliquot tube; Indicate date and time of specimen collection Dexamethasone Suppression Test and ACTH Stimulation Test may sometimes also request ACTH levels. For both these tests the only hormone that needs to be measured in the timed collections is Cortisol unless prior approval is obtainedfrom the Chemistry Clinical Lead.

6 mL Red/SST Plastic C&S container

24 hour urine container - no additive

RT

Department: Chemistry

RT

Department: Chemistry

RT

Department: Chemistry

See Ethanol

24 hour urine container for specimen Store and ship frozen on dry Department: Chemistry Referred Out Testing

collection. Sterile urine container for

ice

Notes: Patient must be on normal sodium intake and

specimen submission

not receiving diuretics for one week before urine

sample is collected for this test. Collect urine in a 24

hour urine container with no preservative. Transfer

50 mL aliquot of the measured 24 hour urine to a

sterile container. Indicate 24 hour volume on

requisition.

TEST

CERNER ORDERABLE

Aldosterone Serum

Aldosterone

Alkaline Phosphatase

Alkaline Phosphatase Bone Specific

Alkaline Phosphatase

Alkaline Phosphatase: Bone Specific

SPECIMEN TYPE

Serum

Blood Serum

Allergens

Alpha 1 Antitrypsin (AAT)

Alpha 1 Antitrypsin Phenotype

Alpha 2 Plasminogen Inhibitor

Allergens Alpha 1 Antitrypsin Immunology Other Alpha 2 Antiplasmin

Alpha-fetoprotien

AFP

Blood Blood Blood Blood

Blood

Container

6mL Red/SST

6 mL Red/SST 6 mL Red/SST

6 mL Red 6 mL Red 6 mL Red 2 x Sodium Citrate - Blue See notes

6 mL Red/SST See notes

TRANSPORTATION &

ADDITIONAL INFORMATION

STORAGE

Store and ship frozen on dry Department: Chemstry Referred Out Testing

ice

Notes: Centrifuge and aliquot serum to a transport

tube. Collect as routine venipuncture.

RT

Department: Chemistry

Store frozen and ship on Department: Chemistry Referred Out Testing

dry ice

Notes: Specimen for this test must be collected,

See Notes

processed, aliquoted and frozen within 30 minutes of

collection. If unable to meet these requirements,

patients

for this test must be referred to a Health PEI Hospital

Specimen Collection Center for collection. Centrifuge

and aliquot serum to a transport tube; Freeze

immediately. Collect as routine venipuncture.

Store and Ship Refrigerated Department: Immunology Store and Ship Refrigerated Department: Immunology

Store and Ship Refrigerated Department : Immunology - Referred Out

RT

Department: Hematology-Referred Out

Notes: Tube must be filled. Hemolyzed specimens will be rejected. If delay in transport >4 hrs, tubes should be double spun, placed in 1 mL aliquots and sent frozen.

RT

Department: Chemistry

Notes: If delay in testing, serum should be seperated and frozen. Avoid hemolysis.

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