Word: Lab Sample Collection: HIV Intrapartum Orders ...



Patient StatusTestsTest CodeTubesCollection VolCommentsRequisitionWoman who is KNOWN HIV positiveCBC and diffCBCDCWLavender top EDTAOptimal 4 mLMinimum 2 mLUCC– CW Health Centre of BC Laboratory Requisition – Outpatients Only (Form 00051975) OrTACC – CW Health Centre of BC Hematology/Chemistry – Inpatients Only (Form 00051979)GLU, ALT, AST, Bili, Crea GLUC, ALT, AST, BUC,CRELight Green Lithium Heparin gel sepOptimal 2 mLCD4TBLLavender top EDTAOptimal 5 mLMinimum 1 mLDedicated tube required(Handwrite CD4 in Miscellaneous or Other box on req)HIV Viral LoadVLBLavender top EDTAOptimal 2 x 4 mL tubesMinimum 4 mL Dedicated tube requiredVCH/PH Diagnostic Virology & Reference Laboratory Requisition(Form PHC-LA186)If no prenatal care add these tests:Woman who is KNOWN HIV positive and has not had prenatal carePerinatal Syphilis HBsAg Anti-HCV Rubella IgG Varicella IgG PDSYPHBVSAHEPCBRUBEBVZIGBGold top gel separatoror red topOptimal 4 mLMinimum 2 mLCombine all serology testing in one gold top or red top tubePublic Health Laboratory Serology Screening Requisition(Form CPSE-100-00001f)HCV RNA QuantitativeHPCRBBLavender top EDTAOptimal 2 mLMinimum 1 mLDedicated tube requiredInfant of mother who is known HIV positiveSEND BLOOD WORK WITHIN 90 MINUTES AFTER BIRTHHIV PCR HIVTQLavender top EDTA vacutainerMinimum 2 mLDedicated tube requiredWrite HIV PCR under “Other” and Infant Diagnostic under “Clinical Information”Public Health Laboratory Serology Screening Requisition (Form CPSE-100-00001f)CBC and diffCBCDCWLavender top EDTA microtainerOptimal 0.5 mLMin 0.25 mLCW Health Centre of BC Hematology/Chemistry – Inpatients Only (Form 00051979)ALT, AST, Bili, Urea, CreaALT, AST, BUC, URE, CRELight Green Lithium Heparin gel sep microtainerOptimal 0.6 mLMinimum 0.4CMV NAT Congenital SwabCCMPSaliva swab (UTM – Universal Transport Medium)N/AAlign collection with NBS @ 24 hoursDocument swab collection on Newborn Record Part 2CW Rapid Microbiology (including Virology) (Form 00051977A)Developed ByHIV Working GroupVersion HistoryDATEDOCUMENT NUMBER and TITLEACTION TAKEN08-Sept-2020C-06-14-60813 Lab Sample Collection: HIV Intrapartum Orders: Mothers And Infants Known HIV StatusApproved at: Laboratory Joint Medical Operations MeetingDisclaimerThis document is intended for use?within?BC Children’s and BC Women’s Hospitals only. Any other use or reliance is at your sole risk. The content does not constitute and is not in substitution of professional medical advice. Provincial Health Services Authority (PHSA) assumes no liability arising from use or reliance on this document.?This document is protected by copyright and may only be reprinted in whole or in part with the prior written approval of PHSA.? ................
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