Alaska Native Medical Center Anchorage, AK

Transcription

1 ANMC Lab Test Requirements Key: Room Temp (20-25C), Refrigerated (2-8C), (-15 to -25C), Hr (Hours), D (Days), W (Weeks), Mo (Months), Yr (Years). Basic Processing Instructions: Centrifuge all blood specimens (except "whole blood") and pour off supernatant (serum or plasma) into leak-proof transport tube. Leave "whole blood" specimens in primary collection tube. Seal lids tightly and use parafilm or tape around caps. for chemistry testing should be sent in a sterile red-top tube or carefully sealed urine cup. Urinalysis specimens must be sent using BD UA Preservative tubes (yellow/red). cultures must be sent using BD Culture Preservative tubes (grey). Clinics with ANMC Warehouse accounts may call (907) to place orders for BD urine preservative tube kits (Item # N50110). Labeling: Each individual specimen must be labeled with collection date and time and at least two patient identifiers including full name and date of birth or ANMC MR#. Specimens with one or fewer identifiers will be rejected in the interest of patient safety. Minimum Volumes and Other Questions: Contact ANMC Lab (907) Transport: Most specimens must be shipped with a gel cold pack. Refer to Transport Requirements below. Clinics with ANMC Warehouse accounts may call (907) to place orders for gel cold packs (Item #s: X-Small: , Small: , Medium: ). specimens must be shipped with dry ice. Chemistry/Hepatitis (Panel Tests) Acute Hepatitis Panel Basic Metabolic Panel Chronic Hepatitis Screen Comprehensive Metabolic Panel Diabetes Chem Panel Diabetes Panel Electrolyte Panel Hepatic Function Panel BD Preservative Room Temp: 8 Hr Refrigerated (2-8C): 48 Hr Refrigerated (2-8C): 6D : 3D Room Temp: 5D Room Temp,, or

2 Hepatitis B Carrier Panel w AFP Hepatitis C Follow-Up Panel Lipid Panel Fasting Renal Function Panel Tox Screen Chemistry/Hepatitis (Individual Tests) A1c Acetaminophen Whole Blood (K2 EDTA) Refrigerated (2-8C): 2D : 4W AFP Albumin Room Temp: 10W Refrigerated (2-8C): 5Mo : 4Mo Room Temp,, or, Refrigerated (2-8C): 2W Alcohol : 4W : 30D, Plasma (Li Hep), Uncapped (Any Temp): 30min DO NOT SEND Alk Phos ALT : 2Mo : >7D Room Temp,, or Ammonia Plasma (K2 EDTA) MIN DO NOT SEND Amphetamine

3 Amylase Refrigerated (2-8C): 30D Refrigerated (2-8C): 10D AST Barbiturates Benzodiazapine Bilirubin, Direct Bilirubin, Total Protect from Light Protect from Light Refrigerated (2-8C): 3W Calcium : 8Mo : 3W Cannabinoids Cholesterol CKMB Plasma (Li-Hep) Room Temp: 4Hr Refrigerated (2-8C): 8Hr CO2 Cocaine Cortisol Room Temp or. Protect from Light.. Protect from Light. Room Temp,, or Creatine Kinase : 4W

4 Room Temp,, or Creatinine Refrigerated (2-8C): 6D BD Preservative Digoxin Dilantin/ Phenytoin Electrolytes Na+K+Cl- Ferritin Folate Free PSA Free T3 Free T4 FSH GGT,, Protect from Light : 3D Refrigerated (2-8C): 2D Room Temp: 4D : 2Mo Room Temp: K/Na 14D, Cl 7D Refrigerated (2-8C): K/Na 14D, Cl 7D : All Stable Room Temp: 2Hr Refrigerated (2-8C): 24Hr Gel Tube: Refrigerated (2-8C): 48Hr Separated: : 30D Gel Tube: Refrigerated (2-8C): 48Hr Separated: Refrigerated (2-8C): 14D Room Temp,, or Room Temp,, or. Protect from Light. Room Temp,, or Glucose, CSF/body fluid CSF/body fluid: ASAP or Freeze HCG

5 HDL : 30D Hep A IgM Hep A Total Hep B Core IgM Hep B Core Total Hep B Surface Ab Hep B Surface Ag Hep C Ab HIV Screen Refrigerated (2-8C): 48Hr Room Temp: 12Hr Refrigerated (2-8C): 48Hr Room Temp: 12Hr Refrigerated (2-8C): 72Hr Refrigerated (2-8C): 72Hr Refrigerated (2-8C): 14D Refrigerated (2-8C): 14D hscrp Insulin Room Temp: 11D Refrigerated (2-8C): 2Mo : 3Yr Refrigerated (2-8C): 24Hr Room Temp,, or Iron LDH Refrigerated (2-8C): 3W : 4Yr Room Temp,, or Room Temp,, or LDL : 6W : 30D LH Refrigerated (2-8C): 14D Lipase Lithium Room Temp,, or

6 Magnesium Room Temp,, or Methadone Microalbumin Myoglobin NT-Pro-BNP BD Preservative Plasma (Li-Hep) Refrigerated (2-8C): 1Mo : 3D Room Temp: 4Hr Refrigerated (2-8C):7D Refrigerated (2-8C):6D Room Temp,, or : 2Yr Opiates Phencyclidine Phosphate Prealbumin Prolactin Gel Tube: Refrigerated (2-8C): 24Hr Separated: Refrigerated (2-8C): 14D Protein, Fluid Protein, Total BD Preservative CSF/Body Fluid : 3D Refrigerated (2-8C): 6D Refrigerated (2-8C): 1Mo PSA, Total

7 Rheumatoid Factor Rubella : 4W Refrigerated (2-8C): 3W Salicylate Refrigerated (2-8C): 2W Total T4 Triglyceride Refrigerated (2-8C): 5-7D Troponin I Plasma (Li-Hep) Room Temp: 2Hr : 12Mo TSH UIBC Room Temp: 4D Urea Nitrogen Room Temp: 4D Uric Acid Valproic Acid/Depakene

8 Vancomycin Room Temp: 2Hr Refrigerated (2-8C): 2D : 4W Vitamin B12, Protect from Light. Protect from Refrigerated (2-8C): 2D Light. : 2Mo Vitamin D, Total : 24Wk Urinalysis UA in BD UA Preservative Tube BD UA Preservative Room BD UA Preservative tube ONLY. (Red/Yellow) Temp: 3D Room Temp. Culture in BD C&S Preservative Tube BD C&S Preservative C&S BD C&S Preservative tube ONLY. (Grey) Room Temp: 5D Room Temp. Misc/Rapid Tests Fecal Occult Blood Stool Smear on Hemoccult Card Room Temp: 14D Room Temp Fetal Fibronectin FFN Collection Kit Gastric Occult Blood Fresh Gastric Specimen Room Temp: 24H Fresh: Specimen on Gastroccult Card Room Temp: 4D Card: Room Temp Monotest Refrigerated (2-8C): 48Hr Whole Blood (K2 EDTA) Refrigerated (2-8C): 24Hr Hematology CBC (no Diff) Whole Blood (K2 EDTA) CBC with Differential Whole Blood (K2 EDTA) Diabetes Heme Panel Whole Blood (K2 EDTA) ESR Whole Blood (K2 EDTA) Room Temp: 4Hr Refrigerated (2-8C): 12Hr DO NOT SEND Retic Whole Blood (K2 EDTA)

9 Coagulation D-Dimer Fibrinogen Heparin (Unfrac. & LMW) PT/INR PTT : Stable : Stable Room Temp: 2Hr : Stable Room Temp: 4Hr : Stable Blood Bank / Transfusion Service Antibody Titer 2 Whole Blood (EDTA - pink or lavender) Antigen Typing (specify antigen(s)) Whole Blood (EDTA - pink or DAT Whole Blood (EDTA - pink or Type and Screen Whole Blood (EDTA - pink or lavender) Pathology / Cytology Pathology Tissue Specimens in Formalin Deliver ASAP Room Temp Chromosomal Studies Tissue/Blood (Call ANMC) Deliver ASAP Pathology Fetus (*If > 20 weeks or > 500g ANMC consent required for autopsy) Deliver ASAP & Gold Streak Cytology All Body Fluids Deliver ASAP Cytology Nipple Discharge Slides Deliver ASAP Room Temp Cytology Other Deliver ASAP