Table of Contents

Table of Contents:

Directory of Services ............................................................................................. 4 Laboratory Clients Services Reference Laboratories Quality Assurance Confidentiality Department Contacts Satellite Offices Hours of Operation

Supplies .............................................................................................................. 6 Compliance ......................................................................................................... 7

Medicare Diagnosis Codes Advance Beneficiary Notice (ABN) Receiving Laboratory Specimens ........................................................................... 8 Unacceptable Specimens ...................................................................................... 8 Test Requisition Requirements .............................................................................. 8 Transcribing Laboratory Orders ............................................................................. 9 Adding Tests after Submission .............................................................................. 9 Stat Services ........................................................................................................ 9 Reporting ............................................................................................................ 10 Critical Values Patient Preparation and Specimen Collection ........................................................... 11 Health and Safety Patient Preparation Proper Patient and Specimen Identification

Blood Sample Collection and Processing .................................................................. 12 Whole Blood Serum Plasma Centrifuge Frozen Serum and Plasma Body Fluid Collection .................................................................................. 14 Transfusion Services ................................................................................... 14 Therapeutic Phlebotomy .............................................................................. 14 Urine Collection .......................................................................................... 15 Random and Clean Catch Urine 24-Hour Urine Collection Sputum ...................................................................................................... 16 Stool .......................................................................................................... 17 Semen ........................................................................................................ 18

Blood Smear Preparation ....................................................................................... 19 Microbiology Cultures ............................................................................................ 20

Aerobic Anaerobic Mycobacteria/TB Fungal Cultures Parasites Blood Cultures

Cytology ............................................................................................................... 22 ThinPrep Pap Collection FNA Smear Preparation Respiratory Tract Specimens Gastrointestinal Tract Specimens Body Fluids Urine Breast Secretions

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Flow Cytometry .................................................................................................... 26 Virology ............................................................................................................... 26 Anatomic Surgical Pathology ................................................................................. 27 Specimen Storage ................................................................................................ 28 Specimen Packing and Transport ........................................................................... 29 Packing List Creation ............................................................................................ 30 Computer Downtime ............................................................................................. 32

Appendix A ........................................................................................................... 33 Lab Test Requisition Toxicology Requisition Lab Supply Requisition

Appendix B ............................................................................................................. 37 Patient Specimen Collection Instruction Handouts

Appendix C ............................................................................................................ 42 Blood Collection Order of Draw Microbiology Collection Guide Guthrie Panels and Profiles Packing List

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Directory of Services

This directory of services provides procedures for specimen collection and transport. It provides information on ordering and procuring laboratory tests available through the Guthrie Laboratories. The directory of services is available on the internet at and on Guthrie's Intranet.

Internal Epic Procedure Catalog / External Test Catalog

Individual test requirements are available in the Laboratory Procedure Catalog. The Laboratory Procedure Catalog is located on the Guthrie website (patient services>other services>laboratory services) and internally located electronically within the EPIC computer system. The electronic Laboratory Procedure Catalog provides the most up-to-date specimen collection requirements as test requirements change frequently. Contact Laboratory Client Services by calling toll free (844)617-4719 for tests that are not listed. Printed information is available upon request. Guthrie and its reference laboratories are constantly increasing their test menus and improving their services. The most significant changes are communicated by memo.

Laboratory Client Services

Sayre laboratory support representatives are available Monday ? Friday 7:30 AM ? 5:00 PM Phone: (570)887- 4719 or toll free: (844)617-4719 Fax: (570)887- 4729

Corning laboratory office support is available Monday ? Friday 8:00 AM ? 4:30 PM Phone: (607)937-7271 Fax: (607)937-7851

Towanda laboratory office support is available Monday ? Friday 7:30 AM ? 5:00 PM Phone: (570)268-2228 ext. 2466 Fax: (570)268-2399

Troy laboratory office support is available Monday ? Friday 7:30 AM ? 5:00 PM Phone: (570)297-9289 Fax: (570)297-3910

Guthrie Reference Laboratories

Tests not performed in the Guthrie laboratory system are sent to one of the following New York State accredited laboratories:

? Quest Diagnostics ? LabCorp ? Specialized laboratories

Quality Assurance

Guthrie Laboratories primary goal is to provide accurate patient test results. Guthrie's Quality Assurance (QA) program provides systematic monitoring and evaluation of the pre-analytical, analytical and post-analytical testing process. Performance improvement indicators are monitored regularly. QA is incorporated into every department. Guthrie is accredited by the Joint Commission and conforms to stringent regulations required by CLIA, OSHA and CMS.

Confidentiality

Guthrie is committed to protecting the confidentiality of individuals' lab test results and other personal information in compliance with all federal, state and local regulations. Anonymous testing is only available through the County Health Department. A complete list of health departments is available on the Guthrie Intranet or by calling the laboratory client services department.

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Lab Department Contacts

Administration Vice President of Laboratory Services

Sayre Quality Assurance Manager Director of the Clinical Laboratory Regional Office Coordinator Point of Care Coordinator Blood Bank Supervisor Chemistry / Processing Supervisor Hematology Supervisor Histology Supervisor Microbiology Supervisor Phlebotomy / Courier Supervisor

Corning Assistant Administrator Quality Core Lab Blood Bank Micro/Send outs Histology

George Deratany, MA, MT(ASCP), CHC, CHPC

Michael Oyerinde, MHA, MLS(ASCP), SC, DLM Nicole Osman M.T. Tonya Wilhelm M.T. Mike Katchuk M.T. Barb Tubby M.T. SBB Nikki Wolfe MLS (ASCP) Donna Owen, MT Ed Sperduto Maureen Villanti M.T. SM Valerie Bowie, BSMT (ASCP)

Patricia Butray-Frey, MT, MS Mary Ann Plumley, MT Kathy Lovell-Gill, MT Melissa Bevins, MT John Haig, MT Linda Stirpe

Towanda Lab Manager

Kellie Perri, MT

Troy Supervisor

Pathology Medical Director Pathologists

Supervisor Laboratory Services

Sayre Laboratory Department Fax Numbers Blood Bank Client Services Microbiology Phlebotomy Off hours

Stacy Pond, MS, MLS

Rick Hartman, D.O. Javad Beheshti, M.D. Perry Bradstreet, M.D. Dilip Gupta, M.D. Hani Hojjati, M.D. Ashit Sarker, M.D Maria Mars

(570)887-4871 (570)887-4729 (570)887-5528 (570)887-3904 (570)887-5329

Corning Fax Number General

(607)937-7851

Sayre Fax Number General

(570)887- 4729

Towanda Fax Number General

(570)268-2399

Troy Fax Number General

(570)297-3910

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