IU Health Pathology Laboratory. DOS Updates

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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) 491-6654. 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) 5.00 11.9 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 317.491.6000. With other concerns/questions, please contact Dr. Michelle Zimmerman, director of Clinical Chemistry, IU Health Pathology Laboratory at 317.491.6558 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 46202-4108 317-491-6000 Fax: 317-491-6001 800-433-0740 www.iuhealth.net/pathologylab

Pathology Laboratory Patient Service Centers Saturday Hours Change Effective April 7, 2012 MMP South 8830 South Meridian Street Indianapolis, IN 46217 Phone: (317) 865 6668 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 46229 Phone: (317) 890 5479 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 46254 Phone: (317) 329 7242 6:30 am - 5 pm Closed on Saturday MMP North 151 Pennsylvania Parkway Indianapolis, IN 46280 Phone: (317) 817 1120 6:30 am - 5:30 pm Closed on Saturday IU Health West Hospital 1111 North Ronald Reagan Parkway A1204 Avon, IN 46123 Phone: (317) 217 3003 6 am - 6 pm Mooresville PSC 820 Samuel Moore Parkway Mooresville, IN 46158 Phone: (317) 483-5030 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 46202 Phone: (317) 962 5790 7 am - 5:30 pm IU Health North Hospital 11700 North Meridian Street Carmel, IN 46032 Phone: (317) 688 3182 7 am - 7 pm Saturday 7 am - 1 pm IU Health Saxony Hospital 13000 East 136th Street Fishers, IN 46037 Phone: (317) 678 1430 8 am - 5 pm Acute Medical Care Laboratory 1145 Indianapolis Road Greencastle, IN 46135 Phone: (765) 653 8453 ext 219 Fax: (765) 653 4612 Monday - Friday 8 am 4:30 PM *Spring Mill Medical Clinic 200 West 103rd Street Suite 1200 Indianapolis, IN 46290 Phone: (317) 278 5023 8 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 46077 Phone: (317) 873 8834 Fax: (317) 873 8835 Monday - Friday 8 am 5 pm Methodist Medical Tower 1633 North Capital Avenue, MT 335 Indianapolis, IN 46202 Phone: (317) 962 3274 8 am - 4:30 pm Brownsburg Medical Laboratory` 1375 North Green Street Brownsburg, IN 46112 Phone: (317) 852 3222 7:30 am - 4:30 pm Georgetown Medical Care 4880 Century Plaza Drive, Suite 125 Indianapolis, IN 46254 Phone: (317) 216 2570 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 Laboratory Website Instructions www.iuhealth.net/pathologylab Using the CPL Website February 2010 1) Go to www.clarian.org/pathologylab 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. 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 317-491-6000 or 1-800-433-0740.

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

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

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

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

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.