IU Health Pathology Laboratory. DOS Updates

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1 IU Health Pathology Laboratory News Bulletin February 23, 2012 DOS Updates Apolipoprotein B QN Ship refrigerated plasma instead of frozen; Frozen plasma is acceptable however. Myoglobin, Serum Discontinued Test effective February 28. This test is being replaced by Myoglobin, SerPl QN. Myoglobin, SerPl QN Preferred container Orange SST; Gold, Red, Lt Green, Green and Lavender are acceptable. Minimum volume 0.5 ml refrigerated ser/plas. Method Immunoenzymatic Assay; TAT 2-4 hours. Protein Elp Ser IFE Rflx New Test to meet regulatory compliance, effective Feb 23. Physicians must authorize the reflex to IFE on abnormal serum protein electrophoresis results. Specimen requirements are the same as for Protein Elp Ser QN Protein Elp Ser QN Current test will no longer reflex to IFE upon pathologist interpretation, effective Feb 23. Only the results of serum protein electrophoresis will be reported. Protein Elp Urn IFE Rflx New Test to meet regulatory compliance, effective Feb 23. Physicians must authorize the reflex to IFE on abnormal urine protein electrophoresis results. Specimen requirements are the same as for Protein Elp Ur QN Protein Elp Ur QN Current test will no longer reflex to IFE upon pathologist interpretation, effective Feb 23. Only the results of urine protein electrophoresis will be reported. Sulfonylurea Hypogly Ur Discontinued Test. An appropriate replacement is serum test, Hypoglycemic Agent Scrn. Trichomonas PCR QL The Gen-Probe Aptima specimen transport system will be validated for Trich PCR QL by March 1. For any questions about the test please contact the Molecular Pathology Laboratory at (317) Normal Range Change On Wednesday, Feb. 15, the IU Health Pathology Chemistry Laboratory changed the reference range for Hepatitis B Surface Antibody. This change is in accordance with CDC guidelines. Current reference range: < 5 miu/ml = Negative (presumed not immune) miu/ml = Borderline (immune status indeterminate) 12 miu/ml = Positive (considered immune) New Reference Range: < 10 miu/ml = Negative (presumed not immune) 10 miu/ml = Positive (considered immune) With questions on test requirements or ordering, please call Client Services at With other concerns/questions, please contact Dr. Michelle Zimmerman, director of Clinical Chemistry, IU Health Pathology Laboratory at or mkzimm@iupui.edu. Enhancements to the On-Line Directory of Services Effective End of February Instructions have been updated for using the IUHPL On-Line DOS and reflect changes in red. See the following pages for the updated user instructions. IU Health Pathology Laboratory 350 W 11th Street Indianapolis, IN Fax:

2 Pathology Laboratory Patient Service Centers Saturday Hours Change Effective April 7, 2012 MMP South 8830 South Meridian Street Indianapolis, IN Phone: (317) Monday, 6:30 am - 7 pm Tuesday - Thursday, 6:30 am - 5:30 pm Friday, 6:30 am - 5 pm Saturday 8 am - Noon MMP East 9660 East Washington Street Indianapolis, IN Phone: (317) Monday, 6:30 am - 7 pm Tuesday - Thursday, 6:30 am - 5:30 pm Friday, 6:30 am - 5 pm Closed on Saturday MMP Eagle Highlands 6850 Parkdale Place Indianapolis, IN Phone: (317) :30 am - 5 pm Closed on Saturday MMP North 151 Pennsylvania Parkway Indianapolis, IN Phone: (317) :30 am - 5:30 pm Closed on Saturday IU Health West Hospital 1111 North Ronald Reagan Parkway A1204 Avon, IN Phone: (317) am - 6 pm Mooresville PSC 820 Samuel Moore Parkway Mooresville, IN Phone: (317) Monday - Thursday, 7:30 am - 8 pm Friday, 7:30 am - 5:30 pm Methodist Professional Center 1801 North Senate Boulevard MPC1/AG1410 Indianapolis, IN Phone: (317) am - 5:30 pm IU Health North Hospital North Meridian Street Carmel, IN Phone: (317) am - 7 pm Saturday 7 am - 1 pm IU Health Saxony Hospital East 136th Street Fishers, IN Phone: (317) am - 5 pm Acute Medical Care Laboratory 1145 Indianapolis Road Greencastle, IN Phone: (765) ext 219 Fax: (765) Monday - Friday 8 am 4:30 PM *Spring Mill Medical Clinic 200 West 103rd Street Suite 1200 Indianapolis, IN Phone: (317) am - 5 pm * Open for Spring Mill patients only. All others, use Methodist Medical Plaza (MMP) North Laboratory Zionsville Internal Medicine 1650 West Oak Street Suite 104 Zionsville, IN Phone: (317) Fax: (317) Monday - Friday 8 am 5 pm Methodist Medical Tower 1633 North Capital Avenue, MT 335 Indianapolis, IN Phone: (317) am - 4:30 pm Brownsburg Medical Laboratory` 1375 North Green Street Brownsburg, IN Phone: (317) :30 am - 4:30 pm Georgetown Medical Care 4880 Century Plaza Drive, Suite 125 Indianapolis, IN Phone: (317) Mon, Tues, Thurs, Fri, 7:30 am - 5 pm Wednesday: 7:30 am - 6 pm Closed on Saturday February 23, 2012

Client Services: 317-491-6000 or 800-433-0740 Pathology

net/pathologylab Using the CPL Website February 2010 1)

org/pathologylab 2 A 2) Lab Test Search: A.

Once displayed, click on the test you want to view - Or-

3 Client Services: or Pathology Laboratory Website Instructions Using the CPL Website February ) Go to 2 A 2) Lab Test Search: A. Select the beginning number or letter of the test. Once displayed, click on the test you want to view - Or- B. Type the test name or part of the name into the search field. Click the search button. Select the test you want to view. CBC 2 A 2 B

New: Click on image to open picture of collection container.

The information you will see includes: Test Name and Label Name Method Performing Laboratory (New field)

Container image (New) Container Type and Other Acceptable Containers Preferred Draw Volume, Minimum Draw and

Stabilities) Comments that include handling information Unacceptable Conditions Reference Range (New Field) CPT

Field) 4) Read the test information carefully. This is important when determining the required sample types.

4 New: Click on image to open picture of collection container. 3) Once you have selected the test you want to view, the Lab Test Display screen will appear. See example above. The information you will see includes: Test Name and Label Name Method Performing Laboratory (New field) Reference Laboratory (New field for test send outs) Test Performance Schedule Average TAT Specimen Type Container image (New) Container Type and Other Acceptable Containers Preferred Draw Volume, Minimum Draw and Processed Volume (for peds) Transport Temp for off site client locations (New Name is changed from Shipping Stabilities) Comments that include handling information Unacceptable Conditions Reference Range (New Field) CPT Codes Synonyms (New Synonyms are now displayed) Clinical Utility (New field) Clinical Interpretation (New Field) 4) Read the test information carefully. This is important when determining the required sample types. See some examples in sections 5 and 6 below. Remember that if you have any questions regarding specific test information, you may contact Client Services at or

5) Cultures can be performed on a variety of sample

5 5) Cultures can be performed on a variety of sample types and require that you provide the source of the sample when ordering the test. New: Click on image to open picture of collection container. Here you will see the Viral Transport Media (UTM) and a Green tube for Blood 5 6) Some tests require two different sample types. 6

6 The menu on the left side of the home page provides additional useful information. Laboratory Overview & Administration Laboratory Administration Team Organizational Chart Patient Service Centers General Summary of our Services Test Information : Normal Ranges Stat Test List Critical Alert Values Specimen Collection and Preparation : Phlebotomy Completing Requisitions Specimen Transport Guidelines for: Flow and Special Coagulation Microbiology and Virology Transfusion Medicine Urine Sample Collection POC Testing Patient Instructions Tube and Urine Charts: Tube Charts Micro Supply Charts Urine Collection Guide Draw Order Charts Processing Guidelines

7 Pathology Services and Consultation: Guidelines & instructions for submitting specimens to the different areas of anatomic and clinical pathology Production Schedules Special requisition forms Information on the pathologists who specialize in areas of pathology

8 Requisitions can be printed and sent with specimen: Clinical Pathology Cytopathology Anatomic Pathology Forms for supplies, research studies and ABN s can be printed. Compliance and Accreditation: Lab Accreditation Certificates that can be printed Proficiency Testing Compliance Bulletins

Contact Information includes IUHPL address and phone numbers

9 News Bulletins can be viewed and printed from two locations. One on the home page and one in the grey left navigation bar. Contact Information includes IUHPL address and phone numbers PathLab Home Button makes it easier to navigate back to the home page.

HML Update. Summer 2009 Volume 15, No. 3. Keeping Our Clients Informed Questions or Comments: Call

HML Update. Summer 2009 Volume 15, No. 3. Keeping Our Clients Informed Questions or Comments: Call HML Update Summer 2009 Volume 15, No. 3 Keeping Our Clients Informed Questions or Comments: Call 651-232-3500 Inside: Panel Changes...1-2 New Panels...2-3 H1N1... 3 Note of Appreciation... 3 BD Vacutainer