Laboratory Quick Reference Guide To Test Orders

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2019-20Laboratory Quick Reference Guide to Test OrdersHealth PEIProvincial Laboratory Medicine

Provincial Laboratory MedicineGuide InformationThis guide has been developed by Provincial Laboratory Services as an aid for all clients when placing laboratory testorders. This document provides an alphabetical listing of laboratory tests; in addition, limited information is also providedwhich relates to:The Cerner Orderable NameSpecimen TypeCollection Container requirementsTransport and Storage conditionsSpecial Notes and Additional InformationWhile every effort is made to keep this version up to date, the electronic copy that resides on the document control systemis the valid document. The electronic version of this document can also be found on the Provincial Laboratory Serviceswebsite at: www.healthpei.ca/laboratoryservices. Any paper document labeled “Uncontrolled” must be verified against theelectronic version prior to use.Test RequirementsReferring labs: Refer to the Laboratory Information Manual if additional detailed information is required. Pleasecontact the QEH laboratory for any questions/concerns around sample collection and preparation.All Clients: If your service is unable to provide the specimen handling requirements for the requested analysis,please refer your patient to a Health PEI Hospital Laboratory Collection Centre.

Provincial Laboratory MedicineTests Not in CataloguePlease contact QEH Laboratory at 894-2300 for information on tests not found in this catalogue.Guide to Laboratory ServicesThe Guide to Laboratory Services is an additional document which can be viewed at on the Health PEI ProvincialLaboratory Services website. This document will provide information related to:Provincial Site LocationsHours of OperationLaboratory DirectoryScheduling of AppointmentsRequisition InformationSpecimen Collection Info:Patient PreparationCollection ProceduresSample LabelingOrdering of Laboratory SuppliesReference RangesReference values and interpretive data are reported with test results. The Laboratory Information Manual also providesthese values with each test listing.

Provincial Laboratory MedicineAbbreviations CDegrees CelsiusBALBronchial Alveolar LavageC&SCulture and SensitivityCSFCerebrospinal FluidCPHOChief Public Health al AspirateNPSNasopharyngeal SwabPCHPrince County Hospital LabQEHQueen Elizabeth Hospital LabRTRoom TemperatureSSTSerum Separator Tube

TESTCERNER ORDERABLESPECIMEN TYPEContainerTRANSPORTATION &STORAGE17-Hydroxyprogesterone17 OH ProgesteroneSerum6 mL Red/SSTStore and Ship Frozen5HIAA 24 HR UrineQuantitative5HIAA 24 Hour UrineQuantitative24 Hour Urine24 Hour Urine Container forcollection; Sterile Urine Container forspecimen submissionStore and Ship Frozen5HIAA Random UrineScreen5HIAA Screen UrineRandom urineAcanthamoeba CultureAcanthamoeba CultureEye Swab/Scrapings, Lens or contact lenssolutionACEACEBloodAcetaminophenAcetaminophen LevelBloodADDITIONAL INFORMATIONDepartment: Chemistry Referred-Out TestingNotes: Centrifuge and separate serum from cellsDepartment: Chemistry Referred-Out TestingNotes: Diet and drug restrictions: To be avoided for48 hours ASA, chloralhydrate, coffee, cola drink,dopamine, erythromycin, methyldopa, niacin,phenothiazines, quinidine, quinine, riboflavin,smoking, tea, tetracycline, vitamin B. To be avoidedfor 72 hours avocados, bananas, chocolate, eggplant,fruit and juice, hypertensive drugs (especiallyAldomet), pineapple, plums, Tylenol(acetaminophen), walnuts.Specimen Collection: Collect urine in a 24 hour urinecontainer with 25 mL of 6N HCl as a preservative.Transfer 50 mL aliquot of the measured 24 hour urineto a sterile container. Indicate 24 hour volume onrequisition.Sterile urine containerStore and ship refrigerated Department: Chemistry Referred-Out Testingor frozenNotes: Diet and drug restrictions: To be avoided for48 hours: ASA, chloralhydrate, coffee, cola drink,dopamine, erythromycin, methyldopa, niacin,phenothiazines, quinidine, quinine, riboflavin,smoking, tea, tetracycline, vitamin B. To be avoidedfor 72 hours: avocados, bananas, chocolate, eggplant,fruit and juice, hypertensive drugs (especiallyAldomet), pineapple, plums, Tylenol(acetaminophen), walnuts.50 mL Sterile container or C&S SwabSpecimen holdingDepartment: Microbiology-Referred Outwith transport mediatemperature 4 CNotes: Cover contact lens with Page's Saline (Foundin eye kit in specimen receiving.)6 mL Red/SSTRTDepartment: ChemistryNotes: Serum must be removed from clot or SSTASAP6 mL Red/SSTRTDepartment: ChemistryNotes: Do not use yellow-gel separator tube.

TESTCERNER ORDERABLESPECIMEN TYPEContainerAcetylcholine ReceptorAntibodyActivated Protein CResistanceImmunology OtherBlood6 mL RedActivated Protein CResistanceBlood2 X Sodium Citrate - BlueAcylcarnitineAcylcarnitines QuantitativeCapillary Blood on a Blotter Card (Alternate:serum to HICL)Blotter CardAcylcarnitine (serum)Acylcarnitines Quantitative(add order comment forserum specimen)Serum6 mL Red/SSTAdeno and RotavirusScreenAdeno and RotavirusScreenStoolAdenovirus Antigen(Rota/Adeno AntigenStool)Adenovirus Antigen(Rota/Adeno AntigenStool)StoolPlain Stool ContainerAdenovirus CultureAdenovirus CultureThroat/Eye Swab/TissueSwab in Viral Transport Media (VTM)Adenovirus PCRAdenovirus PCRWashings/NPA/NPS50 mL Sterile containerTRANSPORTATION &STORAGEDepartment: Immunology - Referred OutRT See notesPlain Stool Container or 50 mLSterile containerADDITIONAL INFORMATIONDepartment: Hematology-Referred OutNotes: Tube must be filled. Hemolyzed specimens willbe rejected. If delay in transport 4 hrs, tube shouldbe double spun, placed in 1 mL aliquots and sentfrozen.RTDepartment: Chemistry Referred Out TestingNotes: Capillary collection applied directly to blottercard. Three circles must be filled completely andsoaked all the way through. Allow circles to dry atroom temperature, lying horizontally for three hoursbefore placing in envelope. Requisition: IWK"Request for Metabolic Investigation".Store and transport frozen. Department: Chemistry Referred Out TestingNotes: Allow specimen to clot fully. Centrifuge andseparate serum from cells.Specimen holdingtemperature 4 CDepartment: MicrobiologySpecimen holdingtemperature 4 CDepartment: MicrobiologySpecimen holdingDepartment: Microbiology -Referred Outtemperature 4 C for 24hrs Notes: Referring Labs: For culture only; Specimen thatwill be sent to the lab outside of 24 hours should befrozen at -20 C and sent to Lab frozen on ice. If sentto lab on same day of collection then 4 C is fine.Specimen holdingtemperature 4 CDepartment: Microbiology -Referred OutNote: Adenovirus PCR is part of the Viral RespiratoryPanel

TESTCERNER ORDERABLESPECIMEN TYPEContainerAdrenal AntibodiesImmunology OtherBlood6 mL RedAdrenocorticotrophicHormone (ACTH)ACTHPlasmaEDTA (Lavender)AlbuminAlbumin LevelBlood6 mL Red/SSTRTDepartment: ChemistryAlbuminUrine Albumin RandomRandom UrinePlastic C&S containerRTDepartment: ChemistryAlbumin - UrineUrine Albumin 24 Hour24 Hour Urine24 hour urine container - no additiveRTDepartment: ChemistryAlcoholAldosterone 24 HR UrineTRANSPORTATION &STORAGEADDITIONAL INFORMATIONStore and Ship Refrigerated Department: Immunology - Referred OutShip on dry ice See NotesDepartment: Chemistry Referred Out TestingNotes: Collect specimen after a 10 hour fast.Morning specimen is preferred.Specimen for this test must be collected, processed,aliquoted and frozen within 30 minutes of collection.If unable to meet these requirements, patients forthis test must be referred to a Health PEI hospitalspecimen collection centre. Pre-chill specimen for 10minutes in ice water; Centrifuge; Separate plasmafrom red cells within 30 minutes; Aliquot plasma to atransport aliquot tube; Indicate date and time ofspecimen collection Dexamethasone SuppressionTest and ACTH Stimulation Test may sometimes alsorequest ACTH levels. For both these tests the onlyhormone that needs to be measured in the timedcollections is Cortisol unless prior approval isobtainedfrom the Chemistry Clinical Lead.See EthanolUrine Other(Add test name in OrderComment)24 Hour Urine24 hour urine container for specimen Store and ship frozen on dry Department: Chemistry Referred Out Testingcollection. Sterile urine container foriceNotes: Patient must be on normal sodium intake andspecimen submissionnot receiving diuretics for one week before urinesample is collected for this test. Collect urine in a 24hour urine container with no preservative. Transfer50 mL aliquot of the measured 24 hour urine to asterile container. Indicate 24 hour volume onrequisition.

TESTCERNER ORDERABLESPECIMEN TYPEContainerTRANSPORTATION &STORAGEAldosterone SerumAldosteroneSerum6mL Red/SSTAlkaline PhosphataseAlkaline PhosphataseBlood6 mL Red/SSTAlkaline Phosphatase Bone SpecificAlkaline Phosphatase:Bone SpecificSerum6 mL Red/SSTAllergensAllergensBlood6 mL RedStore and Ship Refrigerated Department: ImmunologyAlpha 1 Antitrypsin(AAT)Alpha 1 AntitrypsinBlood6 mL RedStore and Ship Refrigerated Department: ImmunologyAlpha 1 AntitrypsinPhenotypeImmunology OtherBlood6 mL RedStore and Ship Refrigerated Department : Immunology - Referred OutAlpha 2 PlasminogenInhibitorAlpha 2 AntiplasminBlood2 x Sodium Citrate - BlueAlpha-fetoprotienAFPStore and ship frozen on dry Department: Chemstry Referred Out TestingiceNotes: Centrifuge and aliquot serum to a transporttube. Collect as routine venipuncture.RT6 mL Red/SST See notesDepartment: ChemistryStore frozen and ship on Department: Chemistry Referred Out Testingdry iceNotes: Specimen for this test must be collected, See Notesprocessed, aliquoted and frozen within 30 minutes ofcollection. If unable to meet these requirements,patientsfor this test must be referred to a Health PEI HospitalSpecimen Collection Center for collection. Centrifugeand aliquot serum to a transport tube; Freezeimmediately. Collect as routine venipuncture.RT See notesBloodADDITIONAL INFORMATIONDepartment: Hematology-Referred OutNotes: Tube must be filled. Hemolyzed specimens willbe rejected. If delay in transport 4 hrs, tubes shouldbe double spun, placed in 1 mL aliquots and sentfrozen.RTDepartment: ChemistryNotes: If delay in testing, serum should be seperatedand frozen. Avoid hemolysis.

TESTCERNER ORDERABLESPECIMEN TYPEContainerAlpha-Galactosidase AChemistry Other(Add test name in OrderComment)Whole BloodSodium or Lithium Heparin (Green)Alport Syndrome Linkage /Hereditary NephritisDNA Analysis – AlportSyndrome LinkageBlood2 x 6 mL EDTA (Lavender) See notesTRANSPORTATION &STORAGEADDITIONAL INFORMATIONShipped at RT on same day Department: Chemistry Referred Out Testingof collectionNotes: Collect Monday or Tuesday only – around See Notesnoon – to allow for maximum time to arrive and beprocessed at the referral lab. Collect a control sampleat the same time (green tube from another person).Keep at room temperature. Specimen must be storedand shipped at room temperature the day ofcollection. Specimen must be received at SickKidswithin 24 hours of collection. Routine venipuncture Correlate with QEH Chemistry Send-Out -Area. Thistest is available only at the QEH. Please call to book.RTDepartment: Hematology-Referred OutNotes: Must arrive at QEH Lab before noon Monday –Thursday.ALTALTBlood6 mL Red/SSTRTAluminumAluminum LevelPlasma (K2EDTA)Dark Blue Top (K2EDTA)Store and ship frozenAluminum UrineAluminum Level UrineRandom Midstream UrineSterile urine containerAmikacin (Peak)Amikacin Level PostSerumSSTDepartment: ChemistryDepartment: Chemistry Referred Out TestingNotes: Centrifuge and separate within ½ hour ofcollection; Centrifuge with stopper on; Do not useseparator gel; Aliquot plasma to polypropylenetransport tube using a polypropylene transferpipette.Store and ship refrigerated. Department: Chemistry Referred Out TestingFreezing is also acceptable. Notes: Patient is to avoid fruits, chocolate, juices,beer, coffee and teas for 24 hours. Patient shouldalso avoid antacids containing aluminum which cangreatly elevate the aluminum output.Store and ship frozenDepartment: Chemistry Referred Out TestingNotes: Collect peak specimen 1-2 hours followingI.M. or 30 minutes following I.V. drug administration.Centrifuge and aliquot to transfer tube. Indicatedosage of antibioticand time of dosage in case of possible cross reactionor interference in the assay. Indicate “Peak” on boththe sample and requisition.

TESTCERNER ORDERABLESPECIMEN TYPEContainerTRANSPORTATION &STORAGEADDITIONAL INFORMATIONAmikacin (Trough)Amikacin Level PreSerumSSTStore and ship frozenAmino Acid QuantitationBloodAmino Acid QuantitationBloodGreen top Tube (Lithium heparin)preferred/6 mL Red can be usedStore and ship frozenDepartment: Chemistry Referred Out TestingNotes: Collect trough specimen prior to I.M. or I.V.drug administration. Centrifuge and aliquot totransfer tube. Indicate dosage of antibiotic and timeof dosage in case of possible cross reaction orinterference in the assay. Indicate "Trough" on boththe sample and requisition.Department: Chemistry Referred Out TestingNotes: Fasting specimen. Completion of the IWKHealth Centre "Request for Metabolic Investigation"requisition is required. Fasting specimen required;post-prandial samples should be noted. Centrifugespecimen; remove plasma/serum and aliquot to atransport tube.Amino Acid QuantitationUrineAmino Acid QuantitationUrineSterile urine container See notesStore and ship frozenAmitriptylineChemisty Other(Add test name in OrderComment)Serum or Plasma (EDTA)6 mL Red or EDTA (Lavender); avoidgel-separator tubesStore and ship frozenAmmoniaAmmonia LevelBlood6 mL Green stoppered specimenTransport to Lab STAT See notesTransport on iceHeparinized plasma preferred.Serum can be used.Clean Catch UrineDepartment: Chemistry Referred Out TestingNotes: Random Specimens are generally sufficientbut assessment of renal handling requires timedspecimens. If a 24 Hour collection cannot be readilyobtained, a shorter collection (8 or 12 hr) may besubmitted, but precise times become moreimportant. Completion of the IWK Health Centre"Request for Metabolic Investigation" requisition isrequired.Department: Chemistry Referred Out TestingNotes: Collect within 1 hour prior to next dose or atleast 12 hours post-dose. Centrifuge and aliquotwithin 2 hours of collection.Department: ChemistryNotes: Tubes must be completely filled andimmediately place on ice. Centrifuge & separateplasma from cells within 15 minutes of collection.Ifunable to meet these requirements, the patient mustbe referred to a Hospital lab for collection.

TESTCERNER ORDERABLESPECIMEN TYPEContainerTRANSPORTATION &STORAGEAmoebiasis SerologyAmoebiasis Serology:Orderable is: MiscMicrobiology Order.Specimen type: Misc MicroSource Body Site: SeeFreetext Freetext Source:type in test requested(Amoebiasis Serology)Blood6 mL RedSpecimen holdingtemperature 4 CAmphetamines /MethamphetaminesScreen UrineAmphetamine ScreenUrineRandom UrinePlastic C&S containerRTAmylaseAmylase LevelBlood6 mL Red/SSTANA PanelANABlood6 mL RedAndrostenedioneAndrostenedioneSerumSSTStore and ship frozen2x6mL EDTA (Lavender) See notesRT6 mL Red/SSTDo not remove cap See notesAngiotensin ConvertingEnzymeAngleman SyndromeAnion GapADDITIONAL INFORMATIONDepartment: Microbiology-Referred OutDepartment: ChemistryNotes: Must be refrigerated upon collection andanalyzed within 5 days or stored frozen.RTDepartment: ChemistryStore and Ship Refrigerated Department: ImmunologyDepartment: Chemistry Referred Out TestingNotes: Routine Venipuncture - indicate patient's ageand sex. Centrifuge and aliquot serum to a transporttube.See ACEDNA Analysis – AnglemanElectrolytesBloodBlood See notesDepartment: Hematology-Referred OutNotes: Must arrive at QEH Lab before noon Monday –Thursday.Department: Chemistry CalculationNotes: Anion gap is provided with the ElectrolytespanelAnti- CardiolipinAnti- CardiolipinBlood6 mL RedStore and Ship Refrigerated Department: Immunology - Referred OutAnti- CCPAnti- CCPBlood6 mL RedStore and Ship Refrigerated Department: Immunology - Referred Out

TESTCERNER ORDERABLESPECIMEN TYPEContainerTRANSPORTATION &STORAGEADDITIONAL INFORMATIONAnti-Diuretic HormoneADH LevelPlasmaEDTA (Lavender)Anti-EBNA SerologyAnti-EBNA SerologyBlood6 mL RedAnti-Glutamic AcidDecarboxylaseAnti Glutamic AcidDecarboxylaseSerumSSTAnti- LKMAnti- LKMBlood6 mL RedStore and Ship Refrigerated Department : Immunology - Referred OutAnti- MitochondrialAnti- MitochondrialBlood6 mL RedStore and Ship Refrigerated Department: Immunology - Referred OutApolipoprotein BChemisty Other(Add test name in OrderComment)SerumSSTAnti- saccharomycescerevisiaeImmunology OtherBlood6 mL RedStore and Ship Refrigerated Department : Immunology - Referred OutAnti- Smooth MuscleAnti- Smooth MuscleBlood6 mL RedStore and Ship Refrigerated Department: Immunology - Referred OutStore frozen and ship on dry Department: Chemistry Referred Out TestingiceNotes: Specimen for this test must be collected,processed, aliquoted and frozen within 30 minutes ofcollection. If unable to meet these requirements,patients for this test must be referred to a Health PEIHospital Specimen Collection Center for collection.Collect specimen in a pre-chilled EDTA tube and placeimmediately on ice; Centrifuge and aliquot serum to atransport tube; Freeze immediately.Specimen holdingtemperature 4 CDepartment: Microbiology-Referred OutNotes: Indicate if patient is a Transplant patient onrequisition.Testing approved only for Transplant patients orPatients 16 years of age.Only a Monospot will be reported if patient is overthe age of 16 and not a transplant patient.Store and Ship Frozen See notesDepartment: Chemistry Referred Out TestingNotes: Centrifuge specimen at 4 degrees and aliquotto a transport tube. Specimen must be collected,processed, aliquoted and frozen within 30 minutes ofcollection.Store and Ship FrozenDepartment: Chemistry Referred Out TestingNotes: Collect specimen after a 12 hour fast.Centrifuge and aliquot to a transport tube.

TESTCERNER ORDERABLESPECIMEN TYPEContainerTRANSPORTATION &STORAGEAnti- Streptolysin Titre(ASO)ASOBlood6 mL RedStore and Ship Refrigerated Department: ImmunologyAnti- ThyroglobulinImmunology OtherBlood6 mL RedStore and Ship Refrigerated Department: Immunology - Referred OutAnti-TPO AntibodiesAnti TPO AntibodyBlood6 mL Red/SSTRT See notesAnti XaAnti Xa AssayBloodAPT TestAlkaline Denaturation TestStool, vomitus or any other secretion2 x Sodium Citrate - Blue See notesSpecimen jar, diaper or an article ofcloth See notesADDITIONAL INFORMATIONDepartment: ChemistryNotes: If delay in testing 8 hours, serum should beseperated from clot or SST.RTDepartment: Hematology-Referred OutNotes: Tube must be filled. Hemolyzed specimens willbe rejected. If delay in transport 4hrs, tube shouldbe double spun, placed in 1 mL aliquots and sentfrozen.RTDepartment: HematologyNotes: Must arrive at QEH Lab before noon Monday –ThursdayPlease call Lab prior to ordering.APTTPTT (PartialThromboplastin Time)BloodPTT (PartialThromboplastin Time)50/50 MixBloodArsenicArsenic LevelWhole BloodDark Blue Top (K2EDTA)Arsenic 24 HR UrineArsenic Level24 Hour Urine24 Hour Urine24 Hour Urine Container (Nopreservative)APTT 50/50 MixSodium Citrate - BlueRTDepartment: HematologyRTNotes: Tube must be filled. Hemolyzed specimens willbe rejected. If delay in transport 4hrs, spin, separateand freeze plasma. Send frozenDepartment: Hematology See notesSodium Citrate - Blue See notesNotes: Tube must be filled. Hemolyzed specimens willbe rejected. If delay in transport 4hrs, spin, separateand freeze plasma. Send frozen.Store and Ship Refrigerated Department: Chemistry Referred Out TestingNotes: Do NOT centrifuge. High concentrations ofgadolinium and iodine are known to interfere withmostStore and Ship refrigerated Department:Chemistry Referred Out Testing(Can be frozen)Notes: High concentrations of gadolinium and iodineare known to interfere with mosttrace element tests. If gadolinium- or iodinecontaining contrast media havebeen administered, a specimen should not becollected for 48 hours.Measure the total volume of the 24 hour collection.

TESTCERNER ORDERABLESPECIMEN TYPEContainerTRANSPORTATION &STORAGEArsenic Random UrineArsenic Random UrineRandom UrineSterile Urine ContainerASTASTBlood6 mL Red/SSTRTDepartment: ChemistryAT IIIAnti – Thrombin III AssayBlood2 x Sodium Citrate - BlueRTDepartment: HematologyStore and Ship refrigerated Department: Chemistry Referred Out Testing(Can be frozen)Notes: High concentrations of gadolinium and iodineare known to interfere with mosttrace element tests. If gadolinium- or iodinecontaining contrast media havebeen administered, a specimen should not becollected for 48 hours. See notesATP BindingDNA Analysis - ATPBinding CassetteBlood or Bone MarrowBacterial VaginosisBacterial VaginosisBank DNADNA Analysis – Bank DNANotes: Tube must be filled. Hemolyzed specimens willbe rejected. If delay in transport 6 hrs, tube shouldbe double spun, placed in 1 mL aliquots and sentfrozen.Blood –2 x 6 mL EDTA (Lavender)Bone Marrow 1-2mL in an EDTA (Lavender)RTVaginal swabC&S Swab in Transport MediaSpecimen holdingtemperature 4 CBlood2 x 6 mL EDTA (Lavender)RTBardet-Biedl SyndromeDNA Analysis - BardetBiedl SyndromeRandom UrineBloodPlastic C&S container See notes2 x 6 mL EDTA (Lavender)Bartonella Serology (CatScratch)Blood6 mL RedDepartment: MicrobiologyNotes: Female 12 years.Department: Hematology-Referred OutNotes: Must arrive at QEH Lab before noon Monday –Thursday.RTDepartment: ChemistryNotes: Must be refrigerated upon collection andanalyzed within 5 days or stored frozen.RTDepartment: HematologyNotes: Must arrive at QEH Lab before noon Monday –Thursday. See notesBartonella Serology(Cat Scratch)Department: Hematology-Referred OutNotes: Must arrive at QEH Lab before noon Monday –Thursday. See notesBarbiturates Screen - Urine Barbiturate Screen UrineADDITIONAL INFORMATIONSpecimen holdingtemperature 4 CDepartment: Microbiology-Referred OutNotes: Include history of contact to cats

TESTCERNER ORDERABLESPECIMEN TYPEContainerTRANSPORTATION &STORAGEB-cell Lymphoid ClonalityB-Cell ClonalityBlood2 x 6 mL EDTA (Lavender)RTDNA Analysis - BCL-1Blood2 x 6 mL EDTA (Lavender)RTDNA Analysis - BCL-2 /DNA Analysis - t(14;18)Blood2 x 6 mL EDTA (Lavender)RTBCR mutDNA Analysis – BCR/ABL /DNA Analysis – t(9;22)Blood or Bone MarrowDNA Analysis – BCR mutBlood or Bone MarrowBloodDepartment: Hematology-Referred OutNotes: Must arrive at QEH Lab before noon Monday –Thursday. See notesBCR-ablDepartment: Hematology-Referred OutNotes: Must arrive at QEH Lab before noon Monday –Thursday. See notesBCL-2Department: Hematology-Referred OutNotes: Must arrive at QEH Lab before noon Monday –Thursday. See notesBCL-1ADDITIONAL INFORMATIONBlood:2 x 6 mL EDTA (Lavender)Bone Marrow:1-2mL in an EDTA (Lavender)RTBlood:2 x 6 mL EDTA (Lavender)Bone Marrow:1-2mL in an EDTA (Lavender)RT2 x 6 mL EDTA (Lavender) See notesRTPlastic C&S containerRTDepartment: Hematology-Referred OutNotes: Must arrive at QEH Lab before noon Monday –Thursday.Department: Hematology-Referred OutNotes: Must arrive at QEH Lab before noon Monday –Thursday.Becket and DuchenneMuscular DystrophiesDNA Analysis – BMD/DMDBenzodiazepines ScreenUrineBenzodiazepine ScreenUrineRandom UrineBeta-2 Glycoprotein 1AntibodyImmunology OtherBlood6 mL RedStore and Ship Refrigerated Department : Immunology - Referred OutBeta- 2 MicroglobulinBeta- 2 MicroglobulinBlood6 mL RedStore and Ship Refrigerated Department: Immunology See notesDepartment: Hematology-Referred OutNotes: Must arrive at QEH Lab before noon Monday –Thursday.Department: ChemistryNotes: Must be refrigerated upon collection andanalyzed within 5 days or stored frozen.

TESTCERNER ORDERABLESPECIMEN TYPEContainerBeta-CaroteneBeta CaroteneSerumSSTBETA-HcgBeta hCG QuantitativeBlood6 mL Red/SST See notesRTDepartment: ChemistryNotes: If delay in testing 24 hours, serum should beseperated from clot or SSTBeta-HydroxybutyrateBeta-hydroxybutyrateSerum6 mL Red/SSTStore and Ship FrozenDepartment: ChemistryNotes: Specimen for this test must be collected andaliquoted within 60 minutes of collection for testing.Referral labs can ship on ice same day , if delay intransport, freeze and ship frozen.Beta-TransferrinChemistry Other(Add test name in OrderComment)CSFSterile containerStore and Ship FrozenDepartment: Chemistry Referred Out TestingNotes: Collect fluid in a sterile container and indicatefluid type.Bethesda Inhibitor AssayBethesda Inhibitor AssayBlood3 x Sodium Citrate - BlueRTBilirubin - ConjugatedBilirubin Direct/ BilirubinDirect NeonatalBloodTRANSPORTATION &STORAGEStore and Ship FrozenProtect from lightBilirubin - TotalBilirubin Total/BiliT/Bilirubin Total NeonatalDepartment: Chemistry Referred Out TestingNotes: Fasting specimen preferred. Collect after 10hour fast. Centrifuge and separate serum within 30minutes of collection. Aliquot serum to a transporttube. Avoid hemolysis. *Protect from light*Department: Hematology-Referred Out See notesNotes: Tube must be filled. Hemolyzed specimens willbe rejected. If delay in transport 6 hrs, tube shouldbe double spun, placed in 1 mL aliquots and sentfrozen.6mL Red/SSTDepartment: ChemistryNeonate:Capillary microtainerRT See notesBioavailable Testosterone Bioavailable TestosteroneADDITIONAL INFORMATIONSerumSSTStore and Ship FrozenBlood6 mL Red/SSTRTNeonate:Capillary microtainer See notesNotes: Specimens should be protected from brightlight as bilirubin is sensitive to bright light.Department: Chemistry Referred Out TestingNotes: Collect specimen between 6:00 and 10:00 am.Centrifuge and aliquot serum to a transport tube.Freeze within 24 hours of collection.Department: ChemistryNote: Specimens should be protected from brightlight as bilirubin is sensitive to bright light.

TESTCERNER ORDERABLESPECIMEN TYPEContainerTRANSPORTATION &STORAGEBlastomycosis SerologyBlastomycosis SerologyBlood6 mL RedSpecimen holdingtemperature 4 CDepartment: Microbiology (referred out)Blood Culture-Aerobic/Anaerobic CultureBlood Culture-Aerobic/Anaerobic CultureBloodSpecimen holdingtemperature RTDepartment: MicrobiologyNotes: One draw includes both the Aerobic andAnaerobic bottles. Do not freeze or refrigerate bloodculture bottles. Please do not cover bottle barcodelabel with another label.Transport specimens to the Microbiology laboratoryas soon as possible after collection.Blood Culture-Aerobic(Pediatric)Blood Culture-Aerobic(Pediatric)BloodPeds Plus/F (grey/silver top, pinkcap): 1-3 mLFor adult patients where only oneculture bottle may be collected:Aerobic/F (blue top, grey cap): 810mLSpecimen holdingtemperature RTDepartment: MicrobiologyNotes: Do not freeze or refrigerate blood culturebottles.Please do not cover bottle barcode label with anotherlabel. Transport specimen to the Microbiologylaboratory as soon as possible after collection.Blood Gases - ArterialBlood Gas Arterial /Arterial Blood GasBloodElectrolyte-balanced/Ca2 - titratedheparin air-tight plastic syringeTransport to Lab STATAerobic/F (blue top, grey cap):8-10mL; Lytic 10 Anaerobic/F (purpletop, purple cap): 8-10 mLFor adult patients where only oneculture bottle may be collected, seeBlood Culture-Aerobic (Pediatric)Transport on ice See notesBlood Gases - CapillaryBlood Gas Capillary / CapBlood GasBloodADDITIONAL INFORMATIONDepartment: ChemistryNotes: If delay in processing of 30min, storespecimen in ice waterPatient temperature is required for specimenprocessingRadiometer Clinitubes containingElectrolyte-balanced/Ca2 - titratedheparinTransport to Lab STAT See notesTransport on iceDepartment: ChemistryNotes: If delay in processing of 30min, storespecimen in ice waterPatient temperature is required for specimenprocessing

TESTCERNER ORDERABLESPECIMEN TYPEContainerTRANSPORTATION &STORAGEBlood Gases - CordCord Arterial Gas/CordVenous GasUmbilical CordZiplock Specimen Bag containing aslurry of ice and waterTransport to Lab STATTransport on iceDepartment: ChemistryBlood Gases - VenousBlood Gas Venous /Venous Blood GasBlood6 mL Green top tube (heparin asanticoagulant)Transport to Lab STATTransport on iceDepartment: Chemistry See notesBNPBNPBlood3 mL EDTA (Lavender)ADDITIONAL INFORMATIONNotes: If delay in processing of 30min, storespecimen in ice waterRTPatient temperature is required for specimenprocessingDepartment: ChemistryNotes: Plasma must be removed from cells as soon aspossible.Body Fluid Cell CountBF WBCPericardial/Peritoneal/Pleural/SynovialAspirate in EDTA (Lavender)Transport to Lab ASAPDepartment: HematologyNotes: Fluids received in the wrong container typeand/or clotted specimens will NOT be processed andtest will be cancelled.Body Fluid CrystalsBF CrystalsSynovialAspirate in EDTA (Lavender) or 50 mLsterile containerTransport to Lab ASAPDepartment: HematologyNotes: Fluids received in the wrong container typeand/or clotted specimens will NOT be processed andtest will be cancelled.Body Fluid CultureBody Fluid CulturePleural/Peritoneal/Synovial/etc.50 mL sterile containerSpecimen holdingtemperature 4 CDepartment: MicrobiologyNotes: Transport specimen to the Microbiologylaboratory as soon as possible after collection.Call/page the Microbiology laboratory if cultureprocessing and/or Gram stain results are requestedSTAT.Bone CultureBone CultureBone50 mL sterile containerSpecimen holdingtemperature 4 CDepartment: MicrobiologyNotes: Transport specimen to the Microbiologylaboratory as soon as possible after collection.

TESTCERNER ORDERABLESPECIMEN TYPEContainerTRANSPORTATION &STORAGEBotulism ToxinBotulism Toxin Orderableis: Misc MicrobiologyOrder. Specimen type:Misc Micro Source BodySite: See Freetext FreetextSource: type in testrequested(Botulism Toxin)StoolPlain Stool ContainerSpecimen holdingtemperature 4 CBRCA1/BRCA2 (BreastCancer Testing)DNA Analysis BRCA1/BRCA2Blood or Bone MarrowBlood:2 x 6 mL EDTA (Lavender)Bone Marrow:1-2mL in an EDTA (Lavend

Laboratory Quick Reference Guide to Test Orders . Provincial Laboratory Medicine Guide Information This guide has been developed by Provincial Laboratory Services as an aid for all clients when placing laboratory test orders. This document provides an alphabetical listing of laboratory tests; in addition, limited information is also provided .

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