CAPITAL HEALTH Department of Pathology and Laboratory Medicine Blood Transfusion, Clinical Chemistry and Hematology TURN-AROUND TIMES KEY:

Transcription

1 CAPITAL HEALTH Department of Pathology and Laboratory Medicine Blood Transfusion, Clinical Chemistry and Hematology TURN-AROUND TIMES Blood Transfusion Service 3 hr / ABO and Rh typing 30 m 24 h 45 m 24 h ABO,Rh typing; antibody screen and crossmatch 24 h Crossmatch (type and screen previously completed) 15 m 24 h Specialized Antibody investigation 4 h 2 d Cold Agglutinins Thermal amplitude 28 d Transfusion Reaction Investigation 4 d Chemistry Issuing ABO unmatched blood 15 m Plasma- thawed and issued 35 m 90 m Platelet issue 15 m 90 m Cryoprecipitate- thawed, pooled and issued 35 m 90 m Manufactured product issue 30 m 90 m Immunochemistry Alpha Fetoprotein Tumor Marker Antithyroid Peroxidase Ab LEC/Turn-Around Times 1

2 3 hr / Beta 2 Microglobulin Cancer Antigen 125 Carcinoembryonic Antigen Cortisol Cortisol 24 Hour Urine C-Peptide Dehydroepiandrosterone Sulfate Ferritin Folate Erythropoietin Level Estradiol Follicle Stimulating Hormone Gastrin Growth Hormone IgE Insulin Insulin Like Growth Factor-1 Luteinizing Hormone Parathyroid Hormone Intact 30 m (OR only) Progesterone Prolactin Prostate Specific Antigen Prostate Specific Antigen Free Red Cell Folate Testosterone Level SHBG T3 Free Thyroglobulin Thyroglobulin Antibody Thyroid Stimulating Hormone Thyroxine Free Vitamin B12 Level Androstenedione 4 d 4 d LEC/Turn-Around Times 2

3 3 hr / Adrenocorticotropic Hormone Calcitonin Carbohydrate Antigen 15-3 Molecular Chemistry Hereditary Hemochromatosis Chem Acetaminophen Albumin Albumin Globulin Ratio Alkaline Phosphatase ALT Ammonia Level Amylase Amylase Urine Angiotensin Converting Enzyme AST Beta hcg Qualitative or Quantitative Bilirubin Direct, Indirect, Total Blood Gases 30 m Calcium Calcium Level 24 Hour Urine Calcium Level Ionized 30 m Carboxyhemoglobin Level 30 m Chloride Chloride Level 24 Hour Urine Cholesterol, HDL, LDL Cholinesterase Citrate Level 24 Hour Urine CO2 Dialysate Fluid (Iwk) Creat Clearance 24 Hr Urine Creatine Kinase Creatinine Creatinine 24 Hour Urine Crystal Exam Body Fluid LEC/Turn-Around Times 3

4 3 hr / Crystals: Synovial Fluid egfr Electrolyte Panel GGT Glucose (including Oral GTT) Iron Ketones Lactate 30 m Lactate Dehydrogenase Lipase Magnesium Magnesium 24 Hour Urine Methemoglobin Level 30 m Methotrexate Microalbumin Myoglobin N-terminal pro Brain Natriuretic Peptide Occult Blood Stool Osmolality Osmolality Urine Osmolality Urine 24 Hour Oxalate, Urine ph 24 Hour Urine ph Urine Phosphorus Phosphorus, 24 Hour Urine Potassium Potassium, 24 Hour Urine Prealbumin Salicylate Sodium Sodium 24 Hour Urine Specific Gravity 24 Hour Urine 3 d LEC/Turn-Around Times 4

5 3 hr / Specific Gravity Body Fluid Specific Gravity Urine Total Protein Total Protein to creatinine Ratio Urine Triglyceride Troponin-T Urea Urea 24 Hour Urine Uric Acid Urinalysis Toxicology 10,11 Epoxide Alcohol Level Amphetamine Screen Urine Barbiturate Confirmation Barbiturate Screen Benzodiazepine Screen Urine Caffeine Cannabinoids Screen Urine Carbamazepine HI Cyclosporine A Cocaine Screen Urine Digoxin Lithium Ethanol Screen Urine Ethylene Glycol + Glycolic Acid Methsuximide Mycophenolate Nortriptyline Opiate Screen Urine Pentobarbital Phencyclidine Screen Urine Phenobarbital Phenytoin HI LEC/Turn-Around Times 5

6 3 hr / Tacrolimus Sirolimus Theophylline Thiocyanate Thiopental Tricyclic Screen Valproic Acid Amitriptyline Clobazam Clomipramine Clozapine Copper Copper Liver Desipramine Doxepin Fluoxetine Gabapentin Iron Liver Lamotrigine Lead Maprotiline Imipramine Paroxetine Protriptyline Trimipramine Zinc Special Chemistry 5HIAA Urine ALA Quantitative Urine Calculi Assorted Catecholamines Urine D'xylose Tolerance Test Fat 72 Hour Stool 21 d LEC/Turn-Around Times 6

7 Homocysteine Porphobilinogen Urine Porphyrin PBG Urine Potassium Level Stool Sodium Stool Uro&Coproporphyrin Urine Vitamin A 3 hr / Hematology Coagulation Antithrombin III Anti Xa APCR (Activated Protein C Resistance) 4 w D-Dimer 90 m Factor VIII Factor IX Factor X Factor XI Factor XII Factor VIII Inhibitor Factor IX Inhibitor Factor II Fibrinogen 90 m HIT INR (PT) 90 m INR (Point of Care) LAC PFA Platelet Aggregation Protein C Protein S PTT 90 m Thrombin Time 90 m vwf Agtigen LEC/Turn-Around Times 7

8 Microscopy Flow Cytometry 3 hr / vwf Activity CBC Auto Diff 75 m CBC Manual Diff Cell Count on Body Fluids Cell Count on Synovial Fliud Citrate CSF Count 75 m CSF Xanthochromia 75 m Cytochemistry Eosinophil Count Eosinophil Nasal Smear Eosinophil Urine Smear ESR Heinz Bodies Malarial Parasites Manual Differential PE Lavage Count Plasma Hemoglobin Screen Plasma Hemoglobin Quantitative Reticulocte Count Sickle Cell Screen Urine Count (WBC) Body Fluid Differential Bone Marrow Report 5 d CSF Differential 75 m Synovial Fluid Differential Urine Hemosiderin CD34 Harvest (PBSC) CD34 Pre Count (Blood) Immunophenotyping 5 d LEC/Turn-Around Times 8

9 Immunology T Cell Subset 3 hr / A1C AAT ASOT 5 d Body Fluid C3 Body Fluid C4 Body Fluid RFQ C1 Inact C3C4 Ceruloplasmin CRP Cryoglobulin Cryoglobulin Immunofixation Hgb H Hemoglobin Electrophoresis Immunofixation Immunoglobins (lgg, lga, LgM) Immunoglobins Light Chains (Kappa,Lambda) Protein Electrophoresis RFQ Transferin Urine Electrophoresis Urine Immunofixation Molecular Biology Epstein Barr virus genome detection FLT3/ NPM1 FV Leiden mutation detection Inversion 16 or CBFβ-MYH11 gene fusion detection 10 d LEC/Turn-Around Times 9

10 JAK2V617F gene point mutation detection 3 hr / 10 d Monitoring for residual host hematopoesis (relapse) after bone marrow transplant 10 d Niemann-Pick Disease type II detection PMP22 gene deletion detection PMP22 gene duplication detection Prothrombin gene mutation detection Rearrangement detection in the T-cell receptor β and γ chain gene of T- lymphocytes Rearrangement detection in the T-cell receptor β and γ chain gene of T- lymphocytes T(11;14), Bcl-1-IGH gene fusion detection T(14;18), Bcl-2-IGH gene fusion detection T(2;5), ALK-NPM gene fusion detection T(8;14), MYC-IGH gene fusion detection T(9;22), BCR/abl gene fusion detection T(15;17) PML-RARα gene fusion detection 10 d 2 m 2 m 10 d T(8;21), AML1-ETO gene fusion detection HLA T(4;11), AF4-MLL gene fusion detection HLA Antibody Screen (SCR) HLA Antibody Screen (PRA) HLA Antibody Screen (Combo) HLA Antibody Screen (31+) HLA Antibody Screen (51+) HLA Antibody Screen (CI) HLA Antibody Screen (CII) LEC/Turn-Around Times 10

11 3 hr / HLA Crossmatch (Initial) HLA Crossmatch (Final) HLA Disease Association (B27) 4 w HLA Disease Association (CI) 4 w HLA Disease Association (CII) 4 w HLA Disease Association (HR Type) 4 w HLA Other 4 w HLA Typing (H M Typing) HLA Typing (H M HR Typing) HLA Typing (H B D Typing) HLA Typing (H B R Typing) HLA Typing (H B HR Typing) LEC/Turn-Around Times 11