Specimen Collection & Handling Guide - RDx BioScience
2020Specimen Collection &Handling Guide
Table of ContentsSpecimen Collection & Handling Guide 2020General Purpose of This GuidePage 2Role of the Phlebotomist and Specimen CollectorPage 2Patient PreparationPage 3Specimen PreparationPage 3Specimen Type Requirements – illustrationsPage 4Order of CollectionPage 8Phlebotomy TipsPage 9Method for Preparing Frozen SpecimensPage 10General Guidelines for Documentation and Specimen TransportationPage 10Test DirectoryPage 111
General Purpose of This GuideThe purpose of this manual is to ensure that specimen collection, packaging and submission by the facility oforigin for the transport is appropriate. This manual outlines the specimen collection and handling procedures andits transport to the laboratory, ensuring appropriate integrity, security, processing, and accuracy of evaluation.Role of the Phlebotomist and Specimen CollectorThe term phlebotomist is applied to a person who has been trained to perform phlebotomy procedures. Theprimary responsibility of a phlebotomist is to collect blood for laboratory analysis, which is necessary for thediagnosis and care of a patient.The primary responsibility of the specimen collector is to collect urine samples while following universalprecautions and all OSHA standards when handling specimens.2
Specimen Collection & Handling Guide 2020Patient PreparationPatient preparation is an important step prior to obtaining a specimen in order to ensure accurate and clinicallyuseful results. The following patient preparation and approach must be followed:1. Explain the procedure that is about to be performed to the patients.2. Use of proper identification of self to the patient3. Check for accuracy of patient name and date of birth4. Always utilize personal protective equipment5. Request and follow approved script/requisition6. Prepare all necessary equipment to obtain sample7. Ensure each sample is accompanied with a script/requisition.Specimen Preparation All Specimens may be potentially infectious materials and should be handled, labeled and transportedaccordingly. All specimens must be properly identified by using a minimum of two identifiers that must include thepatient’s name and at least one of the following: Date of Birth Requisition NumberRequisition form must be completed and must include the time and date of the specimen collection, as wellas the signature of the physician or other legally authorized person requesting the patient’s tests. Fill tubes to capacity required level. Always make sure to collect enough specimen. Lavender, Grey, Green, Yellow, and Royal Blue top tubes contain different anticoagulants that might inhibitblood coagulation. Invert the serum separator tube (SST) 5 times . DO NOT SHAKE THE TUBES, AS THIS CANCAUSE HEMOLYSIS. When whole Blood is requested, obtain the full amount in a vacuum tube as shown in the specimenrequirement.3
Specimen Type Requirements - Illustrations24 Hour Urine Container24 Hour Urine Container(6N HCL)Bacterial Culture SwabBD Affirm SwabBlue Top TubeBlood Culture BottleCary Blair Stool KitGenprobe Aptima SwabGenprobe Aptima UrineGreen Top Tube4
Specimen Collection & Handling Guide 2020Specimen Type Requirements - IllustrationsGenprobe Aptima UrineGrey Top TubeLavender Top TubeM4 Transport MediaNasopharyngeal SwabOne SwabOccult Blood Stool Card KitOva and Parasite Stool KitOC Light Stool KitPlain Red Top Tube5
Specimen Type Requirements - IllustrationsQuantiferon Gold Test KitRoyal Blue Top TubeSAF Fixative Stool KitSerum Seperator(Tiger/Speckled/Gel)TubeThin Prep ContainerType I TubeTransport Tube Type IIUrine Culture TubeUrine Preservative TubeUrine Sterile Container6
Specimen Collection & Handling Guide 2020Specimen Type Requirements - IllustrationsUniversal Transport MediaYellow Top (ACD) TubeToxicology SampleSterile Urine cup withtemperature stripOral Fluid Collection Device7
Blood CollectionOrder of CollectionOR DER O F DR AWBottle/StopperAdditiveCulture Bottles1NotesSee bottle labelTube must be filled completely.Note: When using a winged blood collection set and a coagulation(citrate) tube is the first specimen, begin by drawing another partiallyfilled citrate tube. This discard tube is used to fill the winged set tubing’s“dead space” and helps ensure a proper blood-to-additive ratio.2Light BlueCitrate3GoldGel, serum4RedNo gel, serum5Green or TanHeparin6Lavender or TanEDTA7Royal BlueEDTA8GraySodium Fluoride(Glucose)Do not use gel tubes for toxicology or drug testing.Tubes with Other AdditivesThis tube is drawn last.Citrate ACDYellow9Courtesy and Becton, Dickinson and Company.S EP A RA T I O NMIXI NG CH A R TFor serum (no gel) tubes only.8 – 10CitrateLight Blue3–4SST with gelRed/Black5SerumRed5Sodium FluorideGray8 – 10HeparinGreen8 – 10Patient IDLavenderPour intoTransport VialSpinFor clot to form, keeptube at room temperature for minimum30 mins. Do notexceed 60 mins.10 – 15 minutesSERUMEDTAClotPatient IDStopper ColorNumber ofInversionsPatient IDBD Vacutainer Tube TypeLabel withspecimen typeand patient IDFor other blood, serum or plasma separation instructions, see theSpecimen Collection and Handling section of this directory. 2016 Quest Diagnostics Incorporated. All rights reserved. MI5231 02/20168
Specimen Collection & Handling Guide 2020Phlebotomy Tips Do not leave the tourniquet on for more than 1-2 minutes. Release it as soon as blood flow is established. Do not ask the patients to clench their fists excessively during Phlebotomy. Follow the recommended order of tubes when drawing multiple types of tubes (see Order of Collectionabove). Label samples correctly in front of the patient to verify the name, test, etc. Do not vigorously shake the tube. Gently mix the additive by inverting the tube 6-7 times. Leave the SST tubes in an upright position for at least 20 minutes after collection to allow proper clot formation. Do not leave the tube un-spun for over 60 minutes. Centrifuge for 15 minutes.9
Methods for Preparing Frozen SpecimensSerum Separator Tube: After the blood in SST tube is clotted, spin the tube for 15 minutes. Transfer the serumusing transfer pipette in labeled (complete patient name, date of birth and resulting transferred specimen type)transport tube. Cap the tube tightly and freeze it in the freezer or on dry ice. Place the frozen specimen in a bagalong with the requisition, label the bag with a “Frozen” sticker, and provide it to the courier, keeping it separatefrom regular specimens.Plain Red Top Tube: Serum of Plain Red is known as Serum PR. After the blood in Plain Red tube is clotted, spinthe tube for 10 minutes. Transfer the serum using transfer pipette (make sure blood isn’t transferred with serum)in labeled (complete patient name, date of birth and resulting transferred specimen type) transport tube. Cap thetube tightly and freeze it in the freezer or on dry ice. Place the frozen specimen in a bag along with the requisition,label the bag with a “Frozen” sticker, and provide it to the courier, keeping it separate from regular specimens.Lavender Top Tube: Plasma of Lavender Top Tube is known as EDTA Plasma. After gently inverting tube for 6-7times, spin the tube for 10 minutes. Transfer the plasma using transfer pipette (make sure blood isn’t transferredwith plasma) in labeled (complete patient name, date of birth and resulting transferred specimen type) transporttube. Cap the tube tightly and freeze it in freezer or on dry ice. Place the frozen specimen in a bag along with therequisition, label the bag with a “Frozen” sticker, and provide it to the courier, keeping it separate from regularspecimens.Blue Top Tube: Plasma of Blue Top Tube is known as Citrated Plasma. After gently inverting tube for 6-7 times,spin the tube for 10 minutes. Transfer the plasma using transfer pipette (make sure blood residue isn’t transferredwith plasma) in labeled (complete patient name, Date of birth and resulting transferred specimen type) transporttube. Cap the tube tightly and freeze it in the freezer or on dry ice. Place the frozen specimen in a bag along withthe requisition, label the bag with a “Frozen” sticker, and provide it to the courier, keeping it separate from regularspecimens.General Guidelines for Documentationand Specimen Transportation1. Label tubes correctly in front of the patient (verifies name, test, etc.).2. Discard waste appropriately.3. Remove PPE and wash hands before leaving room/area.4. Bag specimens/requisition correctly and place in appropriate racks for transportation to the lab.10
Specimen Collection & Handling Guide 2020TestCode50025001Test/Panel NamePanelComponentsSpecimenRequiredBasic MetabolicPanelGlucose, BUN,Creatinine, Sodium, Potassium,Carbon Dioxide,Calcium, Chloride,eGFRSerumGlass orplastictubes withor withoutgelbarrierComprehensiveMetabolic PanelGlucose, Sodium,Potassium, Chloride, Creatinine,Total Protein,Calcium, Albumin,Total Bilirubin,Alkaline Phosphatase, AST, ALT,Carbon Dioxide,BUN, Globulin,A/G Ratio, eGFRSerumGlass orplastictubes withor withoutgelbarrier5000Sodium, PotasElectrolytes Panel sium, CarbonDioxide, ChlorideSerumGlass orplastictubes withor withoutgelbarrier5003Albumin, TotalBilirubin, DirectHepatic Function Bilirubin, AlkalinePanel (LFT)Phosphatase,AST, ALT, TotalProtienSerumGlass orplastictubes withor withoutgelbarrier5021Hepatitis AcutePanelHepatitis A IgM,Hepatitis BCore Antibody,Hepatitis BCore AntibodyIgM, Hepatitis BSurface Antigen,Hepatitis CAntibody.Serum,Glass orPlasticSeperatorTube (SST)HepatitisComprehensivePanelHepatitis AIgM,Hepatitis Aab, Hepatitis BCore Antibody,Hepatitis BCore AntibodyIgM, Hepatitis BSurface Antigen,Hepatitis BSurface Antibody,Hepatitis CAntibody.Serum,Glass orPlasticSeperatorTube (SST)Lipid PanelCholesterol, Total,Triglycerides, LDLCholesterol, calc.,HDL Cholesterol,VLDL Cholesterol,calc.SerumGlass orplastictubes withor withoutgelbarrierAnemia ProfileCBC w/DIFF,Retic, Iron, TIBC,Ferritin, B12,FolateSerum- SerumSeperatorTube (SST) WholeBlood- EDTALavenderTubeArthritis PanelSerum- SerumSeperatorCBC w/DIFF, ANA, Tube (SST)ASO, hsCRP, RF, WholeESR, Uric AcidBlood- ollection Instructions(TAT)ShippingTemperature1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm. For No barrier redtop tubes, remove serum from the cells andstore in an appropriately labeled tube.1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.For No barrier redtop tubes, remove serum from the cells andstore in an appropriately labeled tube.1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.For No barrier redtop tubes, remove serum from the cells andstore in an appropriately labeled tube.2-5 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.2-5 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.For No barrier redtop tubes, remove serum from the cells andstore in an appropriately labeled tube.2mLSerum1 mLWholeBlood1-3 DaysAllow SST tube to clot for 15 minutes. Do notallow tubes to remain unspun for any extendedperiod of time as this may adversely affect testresults .Centrifuge for 15 minutes at 2500-3000rpm. If multiple draw, collect EDTA (lavender-top) tube last. Do not centrifuge the EDTATubes. Refrigerate if transport and/or analysiswill not be performed within 4 hours.2mLSerum1 mLWholeBloodAllow SST tube to clot for 15 minutes. Do notallow tubes to remain unspun for any extendedperiod of time as this may adversely affect testresults .Centrifuge for 15 minutes at 2500-30002-4 Daysrpm. If multiple draw, collect EDTA (lavender-top) tube last. Do not centrifuge the EDTATubes. Refrigerate if transport and/or analysiswill not be performed within 4 dSpecimen StabilityRejection CriteriaPerformingLaboratorySpecimens received in an inappropriate collection tubeSpecimen quantity is insufficientAmbient 2 daysRDxNo patient identifier on specimenRefrigerated 7 daysBioSciencecontainer(s). For Potassium, cannot use hemolyzed specimensSpecimens received in an inappropriate collection tubeSpecimen quantity is insufficientAmbient 2 daysRDxNo patient identifier on specimenRefrigerated 7 daysBioSciencecontainer(s). For Potassium, cannot use hemolyzed specimensSpecimens received in an inappropriate collection tubeAmbient 7 daysSpecimen quantity is insufficient RDxRefrigerated 7 days No patient identifier on specimen BioScienceFrozen 1 yearcontainer(s). For Potassium, cannot use hemolyzed specimensSpecimens received in an inappropriate collection tubeAmbient 2 daysSpecimen quantity is insufficient RDxRefrigerated 7 days No patient identifier on specimen BioSciencecontainer(s).Specimens received in an inappropriate collection tubeSpecimen quantity is insufficientAmbient 3 daysRDxNo patient identifier on specimenRefrigerated 7 daysBioSciencecontainer(s). Grossly hemolyzed.Obvious microbial contamination.Specimens received in an inappropriate collection tubeSpecimen quantity is insufficientAmbient 3 daysRDxNo patient identifier on specimenRefrigerated 7 daysBioSciencecontainer(s). Grossly hemolyzed.Obvious microbial contamination.RefrigeratedSpecimens received in an inappropriate collection tubeSpecimen quantity is insufficientAmbient 2 daysNo patient identifier on specimen RDxRefrigerated 7 days container(s). The National Choles- BioScienceterol Education Program (NCEP)recommends using fastingspecimens.RefrigeratedSpecimens received in an inappropriate collection tubeSpecimen quantity is insufficientNo patient identifier on specimenRDxcontainer(s). Clotted SpecimensBioSciencefor Hematology will be rejected.EDTA whole blood received forCBC greater than 48 hours aftercollection.Serum: Refrigerated - 7 daysRefrigeratedWhole Blood :Refrigerated - 48hoursSpecimens received in an inappropriate collection tubeSpecimen quantity is insufficientNo patient identifier on specimenRDxcontainer(s). Clotted SpecimensBioSciencefor Hematology will be rejected.EDTA whole blood received forCBC greater than 48 hours aftercollection.
TestCodeTest/Panel NamePanelComponentsSpecimenRequired5009Vitamin B12 &FolateVitamin B12,FolateSerumSeperatorTube (SST)5012501550185020Sp.Volume2mLCardiac PanelSerum- SerumhsCRP, Troponin I, SeperatorCK-MB, CPK, BNP, Tube (SST)Homosysteine EDTALavenderTube (LV)2mLSerum1 mLPlasmaDiabetic PanelGlucose,Plasma,Hemoglobin A1CGray Top(sodiumfluoride/potassiumoxolate) EDTAWholeBlood1mLGrayTop1mLWholeBloodFertility PanelFSH, LH, Prolactin, Testoserone,Estradiol, ProgesteroneSerum- SerumSeperatorTube (SST)ComprehensiveMetabolic Panel,CBC w/ Diff, TSHSerumGlass orplastictubes withor withoutgelbarrierGeneral HealthPanel3mLSerum2mLSerum2 mLWholeBloodReportedCollection Instructions(TAT)1-3 Days1-3 Days1-3 Days1-5 Days1-3 DaysWholeBlood ic Panel,Lipid Panel, Phosphorus, Uric Acid,GGT, LDH,IronTotalSerumGlass orplastictubes withor withoutgelbarrierIron, TIBC, UIBC,Iron Saturation,FerritinSerumGlass orplastictubes withor withoutgelbarrierThyroid BasicPanelTSH (3rd IS), T3Total, T4 Total, T3UptakeSerumGlass orplastictubes withor withoutgelbarrierFood AllergyPanelWanut (Food) IgE,Codfish IgE, EggWhite IgE, CowsMilk IgE, PeanutIgE, Soybean IgE,Wheat IgE, ClamIgE, Corn IgE,Shrimp IgE, Scallop IgE, Total IgESerumGlass orplastictubes withor withoutgelbarrierChem 29 PanelIron DeficiencyPanelAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.ShippingTemperatureSpecimen StabilityRefrigeratedAmbient- 7 daysRefrigerated- 7daysAllow SST tube to clot for 15 minutes. Do notallow tubes to remain unspun for any extendedperiod of time as this may adversely affect testresults .Centrifuge for 15 minutes at 2500-3000Refrigeratedrpm. If multiple draw, collect EDTA (lavender-top) tube last. Refrigerate if transport and/or analysis will not be performed within 4 hours.It is advisable that patient is fasting. Centrifugethe gray tube for 10 minutes at 2000 rpm andaliquot plasma into a properly labeled tube.If multiple draw, collect EDTA (lavender-top)tube last.Allow SST tube to clot for 15 minutes. Do notallow tubes to remain unspun for any extendedperiod of time as this may adversely affect testresults .Centrifuge for 15 minutes at 2500-3000rpm.Specimens received in an inappropriate collection tubeSpecimen quantity is insufficientRDxNo patient identifier on specimenBioSciencecontainer(s). EDTA receivedin glass tubes. EDTA grosslyhemolyzed.RefrigeratedAmbient- 8 hoursRefrigerated- 7daysAllow SST tube to clot for 15 minutes. Do notallow tubes to remain unspun for any extendedperiod of time as this may adversely affect testresults .Centrifuge for 15 minutes at 2500-3000rpm.For No barrier red top tubes, remove serumRefrigeratedfrom the cells and store in an appropriatelylabeled tube. If multiple draw, collect EDTA (lavender-top) tube last. Do not centrifuge the EDTATubes. Refrigerate if transport and/or analysiswill not be performed within 4 hours.Refrigerated1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.For No barrier redtop tubes, remove serum from the cells andstore in an appropriately labeled tube.Ambient3mL1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.For No barrier redtop tubes, remove serum from the cells andstore in an appropriately labeled tube.Refrigerated3mLAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.2-4 DaysAfter clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.For No barrier redtop tubes, remove serum from the cells andstore in an appropriately labeled tube.Refrigerated12Specimens received in an inappropriate collection tubeSpecimen quantity is insufficient RDxNo patient identifier on specimen BioSciencecontainer(s).Refrigerated1-3 Days1mLEDTA Plasma/Whole Blood EDTA: Ambient- 4 hoursRefrigerated- 24hoursFrozen- 3 months.PerformingLaboratoryGray Top Tube Ambient: 2 days,Refrigerated: 7 days Specimens received in an inappropriate collection tubeRDxWhole BloodSpecimen quantity is insufficientBioScienceEDTANo patient identifier on specimenAmbient- 8 hourscontainer(s).Refrigerated- 7daysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm. For No barrier redtop tubes, remove serum from the cells andstore in an appropriately labeled tube.2mLSerum: Ambient- 2hoursRefrigerated- 7daysRejection CriteriaSerum: Ambient- 2daysRefrigerated- 7daysWhole Blood :Ambient- 24 hoursRefrigerated - 48hoursSpecimens received in an inappropriate collection tubeSpecimen quantity is insufficient RDxNo patient identifier on specimen BioSciencecontainer(s). Grossly lipemicsamples.Specimens received in an inappropriate collection tubeSpecimen quantity is insufficientNo patient identifier on specimenRDxcontainer(s). For Potassium, canBioSciencenot use hemolyzed specimens.Clotted Specimens for Hematology will be rejected.Specimens received in an inappropriate collection tubeAmbient: 2 daysSpecimen quantity is insufficient RDxRefrigerated: 7 days No patient identifier on specimen BioSciencecontainer(s). For Potassium, cannot use hemolyzed specimens.Ambient- 7 daysRefrigerated- 7daysAmbient- 18 hoursRefrigerated- 7daysFrozen- 90 daysRefrigerated- 7daysFrozen- 6 monthsSpecimens received in an inappropriate collection tubeRDxSpecimen quantity is insufficientBioScienceNo patient identifier on specimencontainer(s).Specimens received in an inappropriate collection tubeRDxSpecimen quantity is insufficientBioScienceNo patient identifier on specimencontainer(s).Specimens received in an inappropriate collection tubeRDxSpecimen quantity is insufficientBioScienceNo patient identifier on specimencontainer(s).
Specimen Collection & Handling Guide st/Panel rgy PanelTotal IgE, WhiteMulberry IgE, OakIgE, BermudaGrass IgE,Timothy GrassIgE, CommonRagweed IgE,Mugwort IgE,Rough PigweedIgE, D.fariae IgE,D.PteronyssinusIgE, Red MulberryIgE, Cat DanderIgE, Dog DanderIgE, CockroachIgE, P.notatumIgE, A.famigatusIgE, AlternariaTenius IgE, Maple(Box Elder) IgE,Mountain CedarIgE, Elm IgE, BirchIgE, SycamoreIgE, CottonwoodIgE, White AshIgE, SheepSorrel IgE, MarshElder IgE, HouseDust Greer IgE,C.Herbarum IgE,Walnut IgE Tree,SerumGlass orplastictubes withor withoutgelbarrierAFP, TumorMarkerSerum- SerumSeperatorTube (SST)AlbuminAlbuminSerumGlass orplastictubes withor withoutgelbarrierAlkaline Phosphotase (ALP)SerumGlass orplasticAlkaline Phosphotubes withtase (ALP)or withoutgelbarrierAFP, TumorMarkerAlanine Aminotransferase (ALT)AmylaseANA Screen IFAw/ Reflex toTiter/PatternAnti-StreptolysinO (ASO)Alanine Aminotransferase (ALT)SerumGlass orplastictubes withor withoutgelbarrierAmylaseSerumGlass orplastictubes withor withoutgelbarrierSerumANA Screen IFA- Serumw/ Reflex to Titer/SeperatorPatternTube (SST)Anti-StreptolysinO (ASO)SerumSeperatorTube (SST)Sp.VolumeReportedCollection Instructions(TAT)5mLAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.2-4 DaysAfter clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.For No barrier redtop tubes, remove serum from the cells andstore in an appropriately labeled tube.0.5 mL0.5mL0.5mL0.5mL0.5mL1mL0.5 mLShippingTemperature1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.For No barrier redtop tubes, remove serum from the cells andstore in an appropriately labeled tube.1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.No barrier red toptubes, remove serum from the cells and store inan appropriately labeled tube.1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.No barrier red toptubes, remove serum from the cells and store inan appropriately labeled tube.1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.No barrier red toptubes, remove serum from the cells and store inan appropriately labeled tube.RefrigeratedAmbientAmbientAmbientSpecimen StabilityRefrigerated- 7daysFrozen- 6 monthsAmbient- 7 daysRefrigerated- 7daysSpecimens received in an inappropriate collection tubeRDxSpecimen quantity is insufficientBioScienceNo patient identifier on specimencontainer(s).Specimens received in an inappropriate collection tubeRDxSpecimen quantity is insufficientBioScienceNo patient identifier on specimencontainer(s).Specimens received in an inappropriate collection tubeSpecimen quantity is insufficient RDxNo patient identifier on specimen BioSciencecontainer(s)Ambient- 7 daysRefrigerated- 7daysFrozen- 2 monthsSpecimens received in an inappropriate collection tubeSpecimen quantity is insufficient RDxNo patient identifier on specimen BioSciencecontainer(s)Refrigerated1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.No barrier red toptubes, remove serum from the cells and store inan appropriately labeled tube.AmbientAmbient- 7 daysRefrigerated- 7days2-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.NOTE: If ANA Screen IFA is Positive, ANA Titerand Pattern will be performed.Refrigerated1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.13PerformingLaboratorySeperated Serum Ambient 2.5monthsRefrigerated 5montsAmbient- 3 daysRefrigerated- 7daysFrozen- 60 daysRefrigeratedRejection CriteriaRefrigerated 7 daysAmbient- 2 daysRefrigerated- 2daysFrozen- 6 monthsSpecimens received in an inappropriate collection tubeSpecimen quantity is insufficient RDxNo patient identifier on specimen BioSciencecontainer(s)Specimens received in an inappropriate collection tubeSpecimen quantity is insufficient RDxNo patient identifier on specimen BioSciencecontainer(s)Unspun SerumSunriseMedicalLaboratoriesSpecimens received in an inappropriate collection tubeSpecimen quantity is insufficient RDxNo patient identifier on specimen BioSciencecontainer(s)
TestCode100510971007Test/Panel NamePanelComponentsSpecimenRequiredAsparate Amino- Asparate Aminotransferase (AST) transferase (AST)SerumGlass orplastictubes withor withoutgelbarrierBeta-hCG, TotalBeta-hCG, TotalSerumGlass orplastictubes withor withoutgelbarrierBilirubin, DirectSerumGlass orplastictubes withor withoutgelbarrierSerumGlass orplastictubes withor withoutgelbarrierBilirubin, DirectSp.VolumeReportedCollection Instructions(TAT)ShippingTemperatureSpecimen StabilityRejection CriteriaRefrigeratedAmbient- 4 daysRefrigerated- 7daysFrozen- 12 weeksSpecimens received in an inappropriate collection tubeSpecimen quantity is insufficient RDxNo patient identifier on specimen BioSciencecontainer(s)RefrigeratedAmbient- 7 daysRefrigerated- 7daysRefrigeratedAmbient- 2 daysRefrigerated- 7daysFrozen- 3 monthsSpecimens received in an inappropriate collection tubeSpecimen quantity is insufficient RDxNo patient identifier on specimen BioSciencecontainer(s)Specimens received in an inappropriate collection tubeSpecimen quantity is insufficient RDxNo patient identifier on specimen BioSciencecontainer(s)Clotted whole blood. ly hemolyzed. Collected inglass containers.RDxBioScience1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.No barrier red toptubes, remove serum from the cells and store inan appropriately labeled tube.1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.No barrier red toptubes, remove serum from the cells and store inan appropriately labeled tube.1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.No barrier red toptubes, remove serum from the cells and store inan appropriately labeled tube.0.5mL1-3 DaysAllow to clot for 15 minutes.Do not allow tubes to remain unspun for anyextended period of time as this may adverselyaffect test results.After clotting has occurred, centrifuge for 15minutes at 2500-3000 rpm.No barrier red toptubes, remove serum from the cells and store inan appropriately labeled tube.RefrigeratedAmbient- 1 dayRefrigerated- 7daysFrozen- 6 monthsRefrigeratedRefrigerated- 3Days0.5mL1.0mL0.5mL1006Bilirubin, TotalBilirubin, TotalSML1276ABO BloodGroup & RhFactorWholeBloodABO Blood GroupEDTA& Rh FactorLavandertop5mL2-5 DaysIf multiple draw, collect EDTA (lavender-top)tube last.*Label all tubes with patient's name and Dateof Birth, all Transfer tubes must be labeled withcontents, i.e. Serum, Plasma etc.*1123WholeBlood orB-Type Natriuret- B-Type Natriuretic Plasmaic Peptide (BNP) Peptide (BNP)EDTALavanderTop3mL1-3 DaysIf multiple draw, collect EDTA (lavender-top)tube last. Samples should be collected in plasticRefrigeratedcollection tubes, because the BNP molecule hasbeen shown to be un
The primary responsibility of the specimen collector is to collect urine samples while following universal . Cary Blair Stool Kit Genprobe Aptima Swab Genprobe Aptima Urine Green Top Tube 4. Specimen Type Requirements - Illustrations . Specimen Collection and Handling section of this directory.
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RDX Fact Sheet 2008 Acura RDX Pricing Page 1 2009 ACURA RDX TECHNOCHARGED 240-hp, 2.3-liter, i-VTEC four-cylinder turbo engine and Super Handling All-Wheel Drive From 33,695 2009 RDX TRIM LEVELS (Configuration Options)* 1 - RDX Starting at 33,695 2 -
RDX 2.0 Turbo 10-AT FWD with Advance Package Starting at: 45,500 RDX 2.0 Turbo 10-AT SH-AWD Starting at: 39,400 RDX 2.0 Turbo 10-AT SH-AWD with Technology Package Starting at: 42,600 RDX 2.0 Turbo 10-AT SH-AWD with A-Spec Package Starting at: 45,600 RDX 2.0 Turbo 10-AT SH-AWD
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Specimen Collection Container CytoLyt Solution Biohazard Safety Bag Specimen Collection: 1. Label specimen container with 2 patient identifiers 2. Collect specimen on brush. 3. Cut off brush end and immediately submerge brush in CytoLyt to avoid air-drying effects Specimen Handling: Room temperature if specimen is delivered upon .
your backup software manual for instructions on backing up data. Windows Software The RDX QuikStor and Utilities CD provides essential Windows software for use with the RDX QuikStor unit. The RDX QuikStor software contains a removable disk utility which is a Windows
RDX’s cockpit feels like it was built with you at the center, every detail flawlessly constructed, ergonomically intuitive, and exactly where it needs to be. Couple this with our always-meticulous approach to craftsmanship, and the RDX delivers, no matter where you’re seated. RDX with Advance Package shown in Graystone.
“Accounting is the art of recording, classifying and summarizing in a significant manner and in terms of money, transactions and events which are, in part at least, of a financial character, and interpreting the result thereof”. Definition by the American Accounting Association (Year 1966): “The process of identifying, measuring and communicating economic information to permit informed .
