Quebec - Dynacare

Transcription

Quebec - Dynacare

SPECIMEN
REQUIREMENT
Manual
January 2015
MK32-QCSM15EN
Quebec
TABLE OF CONTENTS
GENERAL INFORMATION:
 Our Commitment to You
 Gamma-Dynacare Medical Laboratories Contact Listing
– Montreal
 Patient Services Centres
 Statutory Holidays
 Client Supply Requisition
SPECIMEN COLLECTION AND REJECTION CRITERIA:
 Completing a Requisition
 Labelling a Specimen
 Unlabelled Specimens
RESULTS REPORTING CRITERIA:
 Alert and Critical Results
SPECIMEN COLLECTION:
 Order of the Draw
 Centrifugation of Specimens
TEST COLLECTION LISTING:
 Individual Tests
 Panel Tests
January 2015
1
Our Commitment to You
OUR COMMITMENT TO YOU
Our Vision
To be the trusted leader in transforming laboratory information and services into
solutions that improve health, wellness and the Canadian healthcare system.
Our Mission
Providing Information • Impacting Lives • Caring for People
January 2015
1
Gamma-Dynacare Medical Laboratories
Contact Listing – Montreal
CONTACT LISTING – MONTREAL
Name
Title
Contact when
you have…
Jocelyne Boutin
Acting Director,
Laboratory
Manager
Analytical
Issues
Client Service
Manager
Client-Related
Issues
Contact information
Tel: 514.486.2299 or 1.800.697.3831 Ext: 3120
Email: BoutinJ@gamma.dynacare.com
Fax: 514.486.8025
Tel: 514.486.2299 or 1.800.697.3831 Ext: 3116
Johanne St-Amour
Email: StamourJ@gamma.dynacare.com
Fax: 514.486.8025
Tel: 514.486.2299 or 1.800.697.3831 Ext: 3115
TBD
Logistics
Manager
Transportation
Issues
Email:
Fax: 514.486.8025
Tel: 514.486.2299 or 1.800.697.3831 Ext: 3831
David Smith
Dispatcher
Transportation
Transportation
Issues
Email: SmithD@gamma.dynacare.com
Fax: 514.486.8025
Tel: 514.486.2299 or 1.800.697.3831 Ext: 3133
Raymond LePage
Warehouse
Manager
Supplies Issues
Email: LePageR@gamma.dynacare.com
Fax: 514.687.1581
Tel: 514.486.2299 or 1.800.697.3831 Ext: 3117
Carla Tanasescu
Accounting
Manager
Billing/Invoice
Issues
Email: TanasescuC@gamma.dynacare.com
Fax: 514.486.8025
Tel: 514.486.2299 or 1.800.697.3831 Ext: 3119
Pamela Brault
Patient Services
Manager
PSC Issues
Email: BraultP@gamma.dynacare.com
Fax: 514.697.1081
Tel: 514.486.2299 or 1.800.697.3831 Ext: 3118
Noemi Villemure
Patient
Coordinator
PSC Issues
Email: VillemureN@gamma.dynacare.com
Fax: 514.697.1081
January 2015
1
Patient Services Centres
PATIENT SERVICES CENTRES
Greater Montreal
Anjou
Clinique médicale urgence Anjou
8666, av. Chaumont
Anjou, QC H1K 1N5
T: 514.493.0402
F: 514.493.1582
Avicenne
Clinique médicale Avicenne
6005, boul. Henri-Bourassa O
St-Laurent, QC H4R 1C4
T: 514.336.5974
F: 514.336.7315
Beaumont
Centre médical René-Laennec
301-1100, av. Beaumont
Montréal, QC H3P 3H5
T: 514.343.4333
F: 514.733.9143
Châteauguay
Complexe médical de Châteauguay
325-288, boul. d'Anjou
Châteauguay, QC J6K 1C6
T: 450.698.0563
F: 450.698.2892
Dollard-des-Ormeaux
Centre de médecine familiale Dollard-des-Ormeaux
106-3400, rue du Marché
Dollard-des-Ormeaux, QC H9B 2Y1
T: 514.683.9131
F: 514.683.3040
Hochelaga
Clinique médicale Hochelaga
9080, rue Hochelaga
Montréal, QC H1L 2N9
T: 514.788.0913
F: 514.355.4990
Kirkland
Centre médical Kirkland
17000, boul. Hymus
Kirkland, QC H9J 2W2
T: 514.697.6011
F: 514.697.3615
Laval
Institut de médecine spécialisée de Laval
1885, rue Maurice-Gauvin
Laval, QC H7S 2M5
T: 450.669.4696
F: 450.669.4234
Plein-Ciel
Clinique médicale le Plein-Ciel
475, boul. de la Côte-Vertu
St-Laurent, QC H4L 1X7
T: 514.748.1060
F: 514.748.0251
Pointe-Claire
Centre médical Southwest One
175, ch. Stillview
Pointe-Claire, QC H9R 4S3
T: 514.787.6261
F: 514.697.1081
Roxboro
Médicentre des Sources
4465, boul. des Sources
Roxboro, QC H8Y 3C1
T: 514.683.2555
F: 514.683.6487
Ste-Dorothée
Clinique médicale Ste-Dorothée
3-L boul. Samson
Laval, QC H7X 3S5
T: 450.689.9527
F: 450.689.6417
St-Laurent
Laboratoire principal St-Laurent
4850, rue Dobrin
St-Laurent, QC H4R 2P8
T: 514.787.6273
F: 514.787.6274
January 2015
Université de Montréal
Clinique médicale de l’Université de Montréal
013-2101, boul. Édouard-Montpetit
Montréal, QC H3T 1J3
T: 514.343.6111, ext 2592
F: 514.738.0801
Vaudreuil-Dorion
Centre médical Dorion
600, boul. Harwood
Vaudreuil, QC J7V 6A3
T: 450.455.9301, ext 247
F: 450.455.5395
Westmount
Centre médical Westmount
265-5025, rue Sherbrooke O
Montréal, QC H4A 1S9
T: 514.482.5521
F: 514.482.4172
Quebec and Surrounding Area
Ancienne-Lorette
Polyclinique de l’Ancienne-Lorette
204-6385, boul. Wilfrid-Hamel
Ancienne-Lorette, QC G2E 5W2
T: 418.872.7766
F: 418.877.3073
Beauport
Centre médical Beauport
737, av. Royale
Beauport, QC G1E 1Z1
T: 418.661.5909
F: 418.661.0562
Giffard
Clinique médicale Giffard
210-3333, rue du Carrefour
Québec, QC G1C 5R9
T: 418.663.6348
F: 418.661.7148
Lévis
Clinique médicale de Lévis
4975, boul. de la Rive-Sud
Lévis, QC G6V 4Z5
T: 418.835.3515
F: 418.835.1286
Neufchâtel
Clinique médicale Neufchâtel
103-2425, boul. Bastien
Québec, QC G2B 1B3
T: 418.842.3515
F: 418.842.2107
Pierre-Bertrand
Clinique médicale Pierre-Bertrand
201-303, boul. Pierre-Bertrand
Québec, QC G1M 3L7
T: 418.683.4561
F: 418.683.9837
Racine
Clinique médicale Racine
201-900, boul. Raymond
Québec, QC G1B 3G3
T: 418.660.8724
F: 418.660.1627
Saint-Romuald
Polyclinique des Ponts
120-1100, boul. de la Rive-Sud
St-Romuald, QC G6W 5M6
T: 418.834.5924
F: 418.834.3303
St-Vallier
Clinique médicale St-Vallier
201-205, rue Montmagny
Québec, QC G1N 4V3
T: 418.529.3135
F: 418.529.7579
January 2015
Gatineau
Atmosphère
Clinique médicale du Plateau
195, rue de l’Atmosphère
Gatineau, QC J9A 0A3
T: 819.776.4477
F: 819.776.6057
Buckingham
Coopérative santé de la Basse-Lièvre
620, av. de Buckingham
Gatineau, QC J8L 2H5
T: 819.281.3538
F: 819.281.0079
Gréber
COOP santé Gatineau
200, boul. Gréber
Gatineau, QC J8T 6K2
T: 819.568.2975
F: 819.568.7206
Montclair
Clinique médicale familiale de Hull
15, boul. Montclair
Gatineau, QC J8Y 2E2
T: 819.770.1321
F: 819.770.1208
Bio-Médic Laboratories
Patient Services Centre
Laboratoire Bio-Médic
140-4535 boul. Wilfrid-Hamel
Québec, QC G1P 2J7
T: 418.780.3322
Toll Free: 1.866.624.3322
F: 418.780.3031
Centre médical de Sillery
e
1751, rue Sheppard, 3 étage
Québec, QC G1S 1K5
T: 418.780.6265
F: 418.688.4601
Laboratoire Bio-Médic
3575, av. du Parc
Montréal, QC H2X 3P9
T: 514.439.1828
Toll Free: 1.866.624.3322
F: 514.439.2051
January 2015
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Statutory Holidays
STATUTORY HOLIDAYS
New Year’s Day
Good Friday
National Patriots’ Day
Quebec National Holiday
Canada Day
Labour Day
Thanksgiving Day
Christmas Day
Boxing Day
Prior to each holiday, Gamma-Dynacare will notify the clients of any
service changes by releasing a “Holiday Notice” notification.
January 2015
1
Client Supply Requisition
CLIENT SUPPLY REQUISITION
The Client Supply Requisition below displays the items routinely ordered printed on the
form. The individual designated to order supplies must complete the form with the
following information.




The date of the order
The source or location of the order
The contact name
The quantity per item required
Once the requisition is completed it should be faxed to the Gamma-Dynacare
warehouse at 514.687.1581.
Please allow 3 business days for the order to be filled & delivered.
January 2015
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SPECIMEN COLLECTION AND
REJECTION CRITERIA:
Completing a Requisition
COMPLETING A REQUISITION
The communication of accurate
test requests, demographics
and additional information
required for a specimen to be
processed is a critical first step
in meeting the needs of the
client and patient.
To facilitate accuracy in the
communication of information,
requests for testing will
routinely be documented by the
physician/client or their
representative on a
standardized requisition
created by Gamma-Dynacare.
It is the responsibility of the
physician/client to ensure that
all demographics, test requests
and additional information are
accurately provided to the
laboratory.
Refer to the section on
Labelling a Specimen.
January 2015
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REJECTION CRITERIA:
Labelling a Specimen
LABELLING A SPECIMEN
All specimens received must possess sufficient identification to ensure that the
specimens received are traceable to the requisition accompanying the specimens. As a
minimum all specimens must be labelled with the following:



Patient full last name
Patient full first name and
One other identifier – either the date of birth (YYYY/MM/DD), internal#, address,
phone number etc.
Where required specimens and/or requisitions should also be labelled with:




Date/time of collection
Anatomical sites (where appropriate for swabs, etc.)
Time of collection and time placed in fixative
Time of draw for multiple specimens (i.e. Glucose Tolerance Test)
NOTE:
Specimens
received with
MISSING OR
INCOMPLETE
information may
be SUBJECT TO
REJECTION
January 2015
2
REJECTION CRITERIA:
Unlabelled Specimens
UNLABELLED SPECIMENS
Unlabelled specimens will not routinely be accepted for processing. Exceptions will be
made to this rule only in situations where the specimen in question is impossible or
difficult to retrieve in a timely manner. The following specimens are considered
impossible/difficult to retrieve:








Histology Biopsy specimens
Cytology Pap smears
Synovial fluids
Blood Cultures
Renal Calculi
IUDs (Intrauterine Devices) or other foreign objects for culture
Electrocardiograms
Baby Cord Blood samples
January 2015
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RESULTS REPORTING CRITERIA:
Alert and Critical Results
ALERT AND CRITICAL RESULTS
Gamma-Dynacare has defined the following 2 categories of phoneable results. These
limits have been defined specifically for the community laboratory environment and are
approved by the Medical Director for use.
LEVEL I – (Critical)
A result that will cause the patient to suffer a life-threatening event if not communicated
and treated immediately. These results show marked deviation from reference intervals
suggesting that, if unexpected, a patient’s life is in danger and prompt medical action
may be required. These must be called as soon as results are available 24 hours per
day. In addition to phoning, these results will be faxed.
LEVEL II – (Phoneable/Alert)
A result that deviates significantly from the reference interval and if unexpected,
suggests the need to re-evaluate the clinical situation prior to the arrival of a report by
routine channels. These results are phoned and faxed between 07:00 and 20:00 hours.
January 2015
4
Order of the Draw
ORDER OF THE DRAW
To prevent contamination of tubes with additives from other tubes it is important to draw
the tubes in a SPECIFIC order called “the order of the draw”. For example, if the
additive in the purple stopper tube contaminates the green stopper tube this would
cause falsely decreased calcium and increased potassium.
The sequence of collection of evacuated tubes in a multi-draw should be in this order:
January 2015
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Centrifugation of Specimens
CENTRIFUGATION OF SPECIMENS
The centrifuge is a device used to accelerate gravitational separation of substances
differing significantly in their masses. The quality of the separation obtained is directly
dependent upon the type of centrifuge used and the manner in which the centrifuge is
used.
For most vacutainer tubes and urine conical tubes the recommended Relative
Centrifugal Force (rcf) and time for spinning is defined in the table below:
Tube
rcf (g)
SST Tubes
1100-1300
Swing bucket centrifuges
10
SST Tubes
1100-1300
Fixed angle centrifuges
15
Non-gel tubes
Sodium Citrate tubes
Urine conical tubes
Time (min)
≤1300
10
1500
15
450
5
For smooth centrifuge operation and extended equipment life, it is essential that loads
be balanced as equally as possible. Ensure that tubes of equal volume are placed
opposite each other in the buckets. Extra tubes filled to different volumes with distilled
water may be used to balance tubes if required.
NOTE: Never attempt to balance by adding weights
or other objects to the bottom of the tube.
January 2015
5
Individual Tests
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
Instructions
TAT
1.25 DIHYDROXY VITAMIN D
1 SST
-20
Specimen must be collected, processed, aliquoted
and frozen within 30 minutes of collection.
Minimum 2 mL of serum. If unable to meet these
requirements, patients must be referred to a
Gamma-Dynacare patient service centre for
collection. Store frozen. Ship on dry ice.
17
HYDROXYPROGESTERONE
(17-OH PROGESTERONE)
1 SST
2-8
Centrifuge within 2 hours of collection. Store and
ship refrigerated.
9
5-HIAA - 24HR URINE
24 hour urine
(SEROTONINE METABOLITE) container.
2-8
Collect urine in a 24 hour urine container with 25
mL 6N HCl as a preservative. Diet and drug
restrictions: to be avoided for 3 days (72 hrs.) prior
to collecting the urine specimen: alcohol,
avocados, bananas, coffee/tea, chocolate, colas,
egg plants, pineapples, plums, tomatoes, vitamins,
nicotine, acetaminophen (Tylenol), aspirin, antihypertensive medication such as (Aldomet*),
cough syrups containing guaïacolate (Guaifenesin),
walnuts. Refrigerate and protect from light during
collection. Please discard the first morning
specimen. Continue to collect all specimens for the
rest of the 24 hours. Store and ship refrigerated.
9
ACETAMINOPHEN
1 SST
2-8
ship refrigerated.
4
ACETONE QUANTITATIVE
1 SST
2-8
Do not disinfect puncture site with alcohol. Do not
open tube. Centrifuge within 2 hours of collection.
Store and ship refrigerated.
4
ARA
ACETYLCHOLINE ANTIRECEPTOR ANTIBODY
1 SST
2-8
APCR
ACTIVATED PROTEIN C
RESISTANCE
1 Light Blue
-20
ACTH
ADRENOCORTICOTROPIN
HORMONE (ACTH)
1 Lavender
-20
VITD125
17HYPROG
24U5HIAA
APH
ACETONE
January 2015
ship refrigerated.
Minimum 2 mL of plasma. If unable to meet these
Specimen for this test must be collected in a chilled
lavender tube, processed, aliquoted and frozen
within 60 minutes of collection. Minimum 2ml of
plasma. If unable to meet these requirements,
patients for this test must be referred to a GammaDynacare patient service centre for collection. Mix
thoroughly by gentle inversion and immediately
place tube in refrigerator for a minimum of 15
minutes but not more than 30. Centrifuge and
separate plasma immediately. Store frozen and
Ship in dry ice.
9
37
12
5
INDIVIDUAL TESTS
Code
ALB
Profile Description
ALBUMIN
Specimen &
Tube Type
T(°C)
1 SST
2-8
MIALBP
ALBUMIN/CREATININE
RATIO
Sterile
container
2-8
ETOH
ALCOHOL (ETHANOL) –
URINE
Sterile
container
2-8
ALCO
ALCOHOL (ETHANOL)BLOOD
1 Grey –
preferred
specimen or 1
Lavender
2-8
DOST
DOSTU
ALDOSTERONE
ALDOSTERONE – 24HR
URINE
1 SST
2-8
24 hour urine
container
2-8
ALK
ALKALINE PHOSPHATASE
(ALK)
1 SST
2-8
ISOALK
ALKALINE PHOSPHATASE
ISOENZYMES
1 SST
2-8
ALLERG1
ALLERGEN X 1
1 SST
2-8
ALLERG2
ALLERGEN X 2
1 SST
2-8
ALLERG3
ALLERGEN X 3
1 SST
2-8
ALLERG4
ALLERGEN X 4
1 SST
2-8
ALLERG5
ALLERGEN X 5
1 SST
2-8
ALLERG6
ALLERGEN X 6
1 SST
2-8
ALLERG7
ALLERGEN X 7
1 SST
2-8
ALLERGENS: RESPIRATORY
PROFILE
2 SST
2-8
ALPHA – FETOPROTEIN
(AFP)
1 SST
2-8
INHALANT
FETO
January 2015
Instructions
ship refrigerated.
Collect random midstream urine in a sterile
container. Store and ship refrigerated.
Collect 45 mL of urine in a split cup following drug
protocol. Ship sealed with completed NON-DOT
chain of custody. Do not open tube. Store and
ship refrigerated
Do not disinfect venipuncture site with alcohol. Do
not open tube. Do not open or aliquot sample.
Store and ship refrigerated
Centrifuge within 2 hours of collection. Must arrive
at Gamma-Dynacare laboratory within 24 hours of
collection. Store and ship refrigerated.
Collect urine in a 24 hour urine container with no
preservative. Refrigerate and protect from light
during collection. Please discard the first morning
ship refrigerated.
ship refrigerated.
ship refrigerated.
ship refrigerated.
ship refrigerated.
ship refrigerated.
ship refrigerated.
ship refrigerated.
ship refrigerated.
Do not open tube. Specify allergen. IgE include :
contain: silver birch, boxelder, grassmix 1, house
dust mix, alternaria alternata, cladosporium
herbarum, common ragweed, cat dander, dog
dander. 1 ml / 5 allergens.
ship refrigerated.
TAT
1
1
1
1
9
9
1
7
8
8
8
8
8
8
8
4
2
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
Instructions
TAT
TRYP
ALPHA -1 ANTITRYPSIN
1 SST
2-8
ship refrigerated.
10
ALT
ALT
1 SST
2-8
ship refrigerated.
1
2-8
Centrifuge and separate within 30 minutes of
collection. Do not use separator gel. Aliquot plasma
to a polypropylene transport tube using a
polypropylene transfer pipette. Store and ship
refrigerated.
14
AL
ALUMINIUM (Al)
Dark Blue Top
(K2EDTA)
AMIK
AMIKACIN
1 SST
2-8
AMIK
AMIKACIN POST DOSE
1 SST
2-8
AMIK
AMIKACIN PRE DOSE
1 SST
2-8
AMITRIP
AMITRIPTYLINE (TRICYCLIC Dark Blue (No
ANTIDEPRESSANT)
Additive)
2-8
AMMO
AMMONIA
Green
(sodiumheparin)
-20
AMYL
AMYLASE
1 SST
2-8
ANDROSTENEDIONE
1 SST
2-8
ANGIOTENSIN CONVERTING
ENZYME (ACE)
1 SST
2-8
ANTI MYOCARDIAL
ANTIBODIES
1 SST
2-8
ANDRO
ACE
MYOCAR
January 2015
Please indicate the concentration, the date and the
time of the last dose on the requisition. Write on
tube: Amikacin random. Centrifuge within 2 hours
of collection. Store and ship refrigerated.
Draw blood 1-2 hr. after IM injection or 30 min
after IV injection. Please indicate the
concentration and the time of this dose on the
requisition. Write on tube: Amikacin Post-Dose.
ship refrigerated.
Draw just before injection. Please indicate the
concentration and the time of this dose on
requisition. Write on tube: Amikacin Pre-Dose.
ship refrigerated.
Collect specimen in a dark blue top tube with no
additive. Collect just before dose or 10hrs after last
dose. Centrifuge. Aliquot serum to a transport
tube within 2 hrs. Indicate date and time of last
dose and date and time of specimen collection on
both the transport tube and the requisition.
ship refrigerated.
ship refrigerated.
ship refrigerated.
ship refrigerated.
6
6
6
8
8
1
9
10
13
INDIVIDUAL TESTS
Specimen &
Tube Type
Code
Profile Description
ACSUR
ANTI-ADRENAL ANTIBODIES
1 SST
2-8
ship refrigerated.
9
AMAT
ANTIBODIES SCREENING
(MATERNAL SCREENING)
1 Rose
2-8
Do not centrifuge. Store and ship refrigerated
3
B2GP
ANTIBODIES: ANTI-B2
GLYCOPROTEIN I IgG
1 SST
2-8
DNA
ANTIBODIES: ANTI-DNA
(ANTI ds-DNA)
1 SST
2-8
1 Rose
2-8
3
1 SST
2-8
ship refrigerated.
6
1 SST
2-8
ship refrigerated.
4
1 SST
2-8
COD
ANTICAR
ACCP
ACENDOM
ANTIBODY SCREEN
(COOMBS DIRECT)
ANTI-CARDIOLIPIN
ANTIBODIES
(ANTIPHOSPHOLIPIDS)
(APA)
ANTI-CYCLIC
CITRULLINATED ANTIBODY
(ANTI-CCP ANTI BODIES)
ANTI-ENDOMYSIAL
ANTIBODIES
T(°C)
Instructions
ship refrigerated.
Centrifuge within 2 hours of collection. Aliquot a
minimum of 1 ml of serum. Store and ship
refrigerated.
ship refrigerated.
ship refrigerated.
ship refrigerated.
ship refrigerated.
ship refrigerated.
TAT
40
4
5
DEGLIAA
ANTI-GLIADIN IgA
1 SST
2-8
DEGLIAG
ANTI-GLIADIN IgG
1 SST
2-8
1 SST
2-8
1 SST
2-8
Sterile
Container
2-8
Collect random midstream urine in a sterile
container. Store and ship refrigerated.
9
13
AMITO
MITOM2
MOINE
ANTI-MITOCHONDRIAL
ANTIBODIES
ANTIMITOCHONDRIAL M2
ANTIBODIES
ANTIMONY – URINE
6
6
5
5
AMH
ANTI-MULLERIAN
HORMONE (AMH)
1 SST
2-8
Centrifuge within 2 hours of collection. Specimen
must arrive at Gamma-Dynacare Laboratory within
24 hours of collection. If not store frozen and ship
on dry ice. Store and ship refrigerated.
ANCA
ANTI-NEUTROPHIL
CYTOPLASMIC ANTIBODIES
(ANCA)
1 SST
2-8
ship refrigerated.
5
ANA
ANTI-NUCLEAR ANTIBODIES
(ANA)
1 SST
2-8
ship refrigerated. Note TAT can be longer is
confirmation is needed.
2
APC
ANTI-PARIETAL CELLS
1 SST
2-8
ship refrigerated.
5
ANTI-SKIN ANTIBODIES
1 SST
2-8
ship refrigerated.
5
ANTISKIN
January 2015
INDIVIDUAL TESTS
Specimen &
Tube Type
Code
Profile Description
AML
ANTI-SMOOTH MUSCLE
ANTIBODIES
1 SST
2-8
ship refrigerated.
5
ANTI-SPERM ANTIBODIES
1 SST
2-8
ship refrigerated.
9
ASTO
ANTI-STREPTOLYSIN O
ANTIBODIES (ASO)
1 SST
2-8
ship refrigerated.
1
TETA
ANTI-TETANUS ANTIBODIES
1 SST
2-8
ship refrigerated.
30
1 Light blue
-20
Specimen must be collected, processed and frozen
within 30 minutes of collection. If unable to meet
these requirements, patients must be referred to a
collection. Collect 1 light blue top tube. Centrifuge
and remove top 2/3 of plasma with a plastic
transfer pipette into a transport tube being careful
not to disturb the cell layer. Centrifuge plasma
aliquot and transfer into 2nd transport tube,
staying clear of the cell button at the bottom of the
tube. Freeze immediately. Note: If the light blue
top is the first vacutainer to be drawn, collect a
small amount of blood in a discard tube before
proceeding with the rest of collection.
16
ANTISPERM
T(°C)
Instructions
TAT
ANTITH
ANTITHROMBIN III
(ACTIVITY)
TAPRO
ANTITHYROID
MICROSOMAL ANTIBODIES
1 SST
2-8
ship refrigerated.
4
ANTHY
ANTI-THYROTROPIN
RECEPTORS (THYROID
BINDING INHIB IG )
1 SST
2-8
ship refrigerated.
15
APOA
APOLIPOPROTEIN A1
1 SST
2-8
ship refrigerated.
4
APOB
APOLIPOPROTEIN B
1 SST
2-8
ship refrigerated.
1
PSA
APS
1 SST
2-8
ship refrigerated.
1
AS
ARSENIC – URINE
Sterile
container
2-8
1 SST
-20
VITC
ASCORBIC ACID (VITAMIN C)
January 2015
No seafood 3 days prior to specimen collection.
Collect random urine in a sterile container. Store
and ship refrigerated.
9
9
INDIVIDUAL TESTS
Code
Profile Description
ASPP
ASPERGILLUS ANTIBODY
NCYTO
AST
ASPIRATED BIOLOGICAL
FLUID or SPUTUM
(CYTOLOGY)
AST
Specimen &
Tube Type
SST
T(°C)
2-8
Instructions
ship refrigerated.
10
Sample must be mixed with equal amount of 50%
ethyl alcohol. If only a very small amount is
collected a clinician may spread it on a slide and fix
with cytospray. If a clinician has already collected
the sample and has no alcohol, please submit to
the laboratory within 4 hours of collection. Synovial
fluids require no fixative as this sample needs to be
processed fresh. A completed cytology requisition
must accompany the specimen. Include relevant
clinical information.
5
Sterile
container
18-25
1 SST
2-8
ship refrigerated.
1
9
1
NORTRIP
AVENTYL (TRICYCLIC
ANTIDEPRESSANT:
NORTRIPTYLINE)
Dark Blue
2-8
additive. Collect just before dose or 10-12hrs after
last dose. Indicate date and time of last dose on
Centrifuge. Aliquot serum to a transport tube
within 2 hrs. Indicate date and time of last dose
and date and time of specimen collection on both
the transport tube and the requisition.
B12
B12 VITAMIN
(CYANOCOBALAMIN)
1 SST
2-8
ship refrigerated.
ESTRA
B2MICRO
CARO
B-17 ESTRADIOL
B2 MICROGLOBULIN
B-CAROTENE
1 SST
2-8
Red Top
2-8
1 SST
2-8
PEU
BENCE JONES – RANDOM
URINE
Sterile
container
18-25
BERY
BERYLLIUM
1 Lavender
2-8
January 2015
TAT
Indicate patient's age and sex on both the
transport tube and the requisition. Centrifuge
within 2 hours of collection. Store and ship
refrigerated.
Specimen for this test must be collected, processed
aliquoted and frozen within 30 minutes of
collection. If unable to meet this requirements
patient for this test must be referred to a
Gamma-Dynacare patient service center for
collection. Centrifuge. Do not use separator gel.
Aliquot serum to a transport tube. Hemolyzed
specimens are not acceptable for analysis. Store
Frozen and ship on dry ice.
Fasting 10hrs is the preferred specimen. Protect
from the light, wait for the clot, centrifuge, aliquot
and refrigerate within 30 minutes. Avoid
Hemolysis.
15
Store and ship at room temperature.
6
14
1
9
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
Instructions
ship refrigerated. Protect from the light.
Hemolyzed specimens are not acceptable for
analysis.
analysis.
analysis.
TAT
BILIRUBIN DIRECT /
CONJUGATED
1 SST
2-8
BILIRUBIN INDIRECT/NON
CONJUGATED
1 SST
2-8
BILIRUBIN TOTAL
1 SST
2-8
BLOOD GROUP & Rh
1 Rose
2-8
BNP
BNP (BRAIN NATRIURETIC
PEPTIDE)
1 SST
2-8
ship refrigerated.
3
BRUC
BRUCELLA/BRUCELLOSIS
SST
2-8
Centrifuge within 2 hours of collection, store and
ship refrigerated.
30
9
BILID
BILINDP
BILIT
BLOOD
1
1
1
3
PEPC
C PEPTIDE FASTING
1 SST
-20
Specimen for this test must be collected,
processed, aliquoted and frozen within 30 minutes
of collection. If unable to meet these requirements,
patients for this test must therefore be referred to
a Gamma-Dynacare patient service centre for
collection. Centrifuge and aliquot serum to a
transport tube. Store frozen. Ship on dry ice.
CA19
CA 19.9 (CARBOHYDRATE
AG 19-9)
1 SST
2-8
ship refrigerated.
8
CA125
CA125 (OVARIAN)
1 SST
2-8
ship refrigerated.
1
CA153
CA15.3 (BREAST)
1 SST
2-8
10
CAD
CADMIUM – BLOOD
DARK BLUE
TOP (K2EDTA)
2-8
Do not centrifuge. Store and ship refrigerated.
9
CADU
CADMIUM – URINE
Sterile
container
2-8
9
1 SST
2-8
Centrifuge ASAP after clotting. Store and ship
refrigerated.
10
-20
9
CAF
CALCI
CAFFEIN
CALCITONIN
January 2015
1 SST
INDIVIDUAL TESTS
Code
CA
24UCA
CAI
CAURAN
Profile Description
CALCIUM
CALCIUM – 24HR URINE
CALCIUM – IONIZED (FREE
CALCIUM)
CALCIUM – RANDOM URINE
TEG
CARBAMAZEPINE
(TEGRETOL)
EPOX
Specimen &
Tube Type
T(°C)
1 SST
2-8
24 hour urine
container.
2-8
1 SST
2-8
Sterile
container
2-8
Red with clot
activator
2-8
CARBAMAZEPINE EPOXIDE
1 SST
2-8
CARNIT
CARNITINE
1 SST
-20
KARYO
CARYOTYPE
2 Green
(sodiumheparin))
18-25
24 hour urine
container.
2-8
CATEMETA
CATECHOLAMINES &
METANEPHRINE – 24HR
URINE
January 2015
Instructions
Centrifuge within 2 hours of collection. For best
result draw specimens without tourniquet. Store
preservative. Refrigerate during collection. Please
discard the first morning specimen. Continue to
collect all specimens for the rest of the 24
hours. Store and ship refrigerated.
Fasting 12hrs is the preferred specimen. Do not use
tourniquet. Do not have patient make a fist. Do not
open tube. Collect dedicated tube. Centrifuge
refrigerated.
Specimen must be collected, centrifuged and
aliquoted within 2 hours of collection. Collect just
before dose. Write date and time of last dose on
requisition. If unable to meet these requirements,
patients must be referred to a Gamma-Dynacare
patient service centre for collection. Store and ship
refrigerated.
Indicate date and time of last dose and date and on
ship refrigerated.
Specimens must be analyzed within 24 hours of
collection. Collect the specimens 8 am to noon
only. Note: do not collect blood on Fridays or prior
to a public holiday. Do not centrifuge. Do not
uncap. Indicate doctor's name and telephone
number and patient's diagnosis. Store and Ship at
room temperature.
Diet and drug restrictions: to be avoided for 48
hours) prior to collecting the urine specimen: ASA,
chloralhydrate, coffee, cola drink, dopamine,
rythromycin, methyldopa, niacin, phenothiazin,
quinidine, quinine, riboflavin, smoking, tea,
tetracycline, vitamin B. To be avoided for 72 hours
are as follows avocados, bananas, chocolate,
eggplant, fruit and juice, hypertensive drugs
TAT
1
1
4
1
1
7
12
18
9
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
Instructions
TAT
(especially aldomet), pineapple, plums, Tylenol
(acetaminophen), walnuts note: coffee, cola drinks,
tea, smoking are considered drugs. Collect urine in
a 24 hour urine container with 25 mL 6N HCl as a
CBC (COMPLETE BLOOD
COUNT)
1 Lavender
18-25
Do not centrifuge. Store and ship at room
temperature.
1
CBCINT
CBC WITH INTERPRETATION
1 Lavender
18-25
temperature.
1
CBCS
CBC WITH SEDIMENTATION
1 Lavender
2-8
temperature.
1
CBC
Notify laboratory. Specimens must be analyzed
within 24 hours of collection. Collect the
specimens as late in the day as possible. Note: do
not collect blood on Fridays or prior to a public
holiday. Do not centrifuge. Store and ship at room
temperature.
Collect from Monday to Thursday only. Do not
collect on a day before a public holiday. Notify
laboratory. Store and ship at room temperature.
CD16/56 (NATURAL KILLERS
CELLS)
1 Lavender
2-8
CD4
CD4 (IMMUNOLOGY
MARKERS)
1 Lavender
18-25
CEA
CEA (CARCINO EMBRYONIC
ANTIGEN)
1 SST
2-8
1
CERULOPLASMIN
1 SST
2-8
4
NATKC
CERU
CH50
NGPCRS
CH50, COMPLEMENT TOTAL
CHLAMYDIA & GC
(NEISSERIA GONORRHEA)
TMA SWAB
January 2015
1 SST
-20
Swab Aptima
18-25
centrifuged, aliquoted and frozen within one hour
Use white shaft cleaning swab to remove excess
mucus from cervical OS. Discard cleaning swab.
Insert blue shafted collection swab into cervical OS.
Gently rotate swab. Withdraw swab, avoiding
contact with vaginal mucosa. Immediately place
swab in transport. Break shaft at score line. Recap
securely. For male patients, use white shafted
swab for cleaning, blue swab for collection after
milking the penis to obtain discharge. Store and
ship at room temperature.
4
3
9
5
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
NGPCRU
CHLAMYDIA & NEISSERIA
GONORRHEA, TMA URINE
Sterile
container
18-25
PCRCHS
CHLAMYDIA TMA – SWAB
Swab Aptima
18-25
PCRCHU
CHLAMYDIA TMA – URINE
Sterile
container
18-25
CHLORDIAZEPOXIDE
(LIBRIUM)
Red Top
2-8
1 SST
2-8
24 hour urine
container.
2-8
CHLORDIA
CL
24UCL
CHLORIDE
CHLORIDE – 24HR URINE
CLURAN
CHLORIDE – RANDOM
URINE
Sterile
container
2-8
CHOL
CHOLESTEROL TOTAL
1 SST
2-8
CRBC
CHOLINESTERASE RBC
2 Lavender
2-8
1 SST
2-8
1 Lavender
2-8
CSE
CHROS
CHOLINESTERASE TOTAL
CHROME
January 2015
Instructions
Patient should not have urinated for at least 1 hour
prior to specimen collection. Females should not
cleanse labial area. Collect first catch urine in
sterile container. Store and ship at room
temperature.
securely. For male patients, use white shafted
swab for cleaning, blue swab for collection after
milking the penis to obtain discharge. Store and
cleanse labial area.
Specimen for this test must be collected processed
collection. If unable to meet this requirements
patients for this test must be referred to a GammaDynacare patient service centre for collection.
Centrifuge and aliquoted serum immediately to a
transport tube. Indicate date and time of last dose
and time of collection on both the transport tube
and requisition. Specify high or low dose therapy.
Store frozen and ship on dry ice.
ship refrigerated.
ship refrigerated.
Collect 1 full 6 mL lavender top tube. Mix gently by
inversion. Centrifuge within 1 hour of collection.
Remove plasma and submit red cells. Discard
plasma aliquot tube. Send only labeled red cells.
Hemolyzed samples are not acceptable. Store and
ship refrigerated.
Centrifuge within 2 hours of collection. A minimum
of 2ml of serum. Store and ship refrigerated.
TAT
5
5
5
14
1
1
2
1
4
3
14
INDIVIDUAL TESTS
Code
CHRO
CHROMA
Profile Description
Specimen &
Tube Type
T(°C)
CHROME – URINE
Sterile
container
2-8
CHROMOGRANIN A
1 Lavender
-20
CITU
CITRATE – 24HR URINE
24 hour urine
container.
2-8
CK
CK (CREATINE KINASE)
1 SST
2-8
CK ISOENZYMES
1 SST
2-8
CLOBAZAM (FRISIUM)
Red with clot
activator
2-8
CLOMI
CLOMIPRAMINE (ANAFRIL)
Dark Blue (No
Additive)
2-8
CLONA
CLONAZEPAM
(RIVOTRIL/RIVOSRIL)
Red with clot
activator
2-8
CLOZA
CLORAZIL (CLOZAPINE)
1 Lavender
-20
CKISO
CLOBAZAM
January 2015
Instructions
Workers exposed in their workplace: Collect urine
in a sterile container at the end of the shift, at the
end of the week. It is advisable to take a sample
before the shift, the beginning of the week to
establish a baseline. Unexposed individuals:
Collect urine in a sterile container at any time of
day. Store and ship refrigerated.
centrifuged, aliquoted and frozen within 30
minutes of collection. If unable to meet these
requirements, patients for this test must therefore
be referred to a Gamma-Dynacare patient service
centre for collection. Centrifuge and aliquot serum
to a transport tube. Store frozen. Ship on dry ice.
Collect urine in a 24h urine container with 25 ml 6N
HCl as a preservative. Refrigerate during
ship refrigerated. NOTE: CK Mb will be performed if
CK is abnormal.
ship refrigerated.
Collect just before dose. Indicate time and date of
last dose on both tube and requisition. Original
sample must be aliquoted after centrifugation/
separate serum from cells ASAP. Aliquot serum to a
transport tube. Store and ship refrigerated.
additive. Collect just before dose or 10hrs after
last dose. Wait the clot, centrifuge and aliquot
serum to a transport tube within 2 hrs. Indicate
date and time of last dose and date and time of
specimen collection on both the transport tube and
the requisition.
Collect specimen in a red tube just before the next
dose. Centrifuge. Do not use separator gel. Aliquot
serum to a transport tube within 2 hrs. Indicate
specimen collection on both the transport tube and
the requisition. Store and ship refrigerated the
same day.
Collect specimen in a lavender tube. Draw just
before the dose. Centrifuge. Aliquot plasma into a
transport tube within 2 hrs. Indicate date and time
of last on both requisition and specimen. Store
and send frozen.
TAT
14
17
10
1
3
15
3
7
14
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
Instructions
TAT
Sterile
container
2-8
Test up to 3 specimens is recommended, collected
at least one day apart (18-24 hours). Rectal swabs
are not acceptable and leaking samples will be
rejected. Store and send refrigerated. Stability
(day): 4
Min:
2
1 SST
2-8
Do not open the tube. Centrifuge within 2 hours
1
COBALT
1 Lavender
2-8
COBALTU
COBALT – URINE
Sterile
container
2-8
COENZQ10
COENZYME Q10
Green
(sodiumheparin)
-20
1 Lavender
18-25
CLOS
CLOSTRIDIUM DIFFICILE
CO2
CO2 TOTAL (BICARBONATE)
COBALT
AGG
COLD AGGLUTININS
Workers exposed in their workplace: Collect urine
in a Nalgene container at the end of the shift at the
end of the week. It is advisable to take a sample
before the shift, the beginning of the week to
establish a baseline. Unexposed individuals:
Collect urine in a Nalgene container at any time of
day. Store and ship refrigerated.
Specimen must be collected, centrifuge, aliquoted,
and frozen within 30 minutes of collection. If
unable to meet these requirements, patients must
therefore be referred to a Gamma-Dynacare
patient service centre for collection. Pre-chill green
top tube prior to collection. Draw blood into
chilled green top tube. Gently invert five to six
times to mix with preservatives. Centrifuge
immediately. Separate plasma from cells within 30
minutes of venipuncture. Aliquot plasma to a
transport tube. Protect from light. Freeze
immediately. Store frozen. Ship on dry ice.
14
14
15
temperature.
4
C3
COMPLEMENT C3
1 SST
2-8
ship refrigerated.
4
C4
COMPLEMENT C4
1 SST
2-8
ship refrigerated.
4
C3C4
COMPLEMENTS C3 &C4
1 SST
2-8
ship refrigerated.
4
CODI
COOMBS INDIRECT
Rose
2-8
CUS
COPPER
Dark blue no
additive
2-8
CUU
COPPER – URINE
Sterile
container
24 hour urine
container.
24PORPP
COPROPORPHYRIN – 24HR
URINE
January 2015
additive. Centrifuge and separate serum from cells
ASAP. Aliquot serum to a transport tube. Store and
ship refrigerated.
3
2-8
9
2-8
Collect urine in a 24 hour urine container with 5
gram sodium carbonate. Refrigerate and protect
from light during collection. Please discard the first
15
5
INDIVIDUAL TESTS
Code
CORTIAM
CORTISOLA
MPM
Profile Description
Specimen &
Tube Type
T(°C)
CORTISOL AM
1 SST
2-8
CORTISOL AM & PM
2 SST
2-8
24 hour urine
container
2-8
1 SST
2-8
1 Lavender
-20
1 SST
2-8
24CORTU
CORTISOL FREE – 24HR
URINE
CORTIPM
CORTISOL PM
COTIS
COTININE – BLOOD
CREA
CREATININE
Instructions
morning specimen. Continue to collect all
specimens for the rest of the 24 hours. Store and
ship refrigerated.
Specimen must be collected at 08:00hr. Indicate
collection time on the tube. Centrifuge within 2
hours of collection. Store and ship refrigerated
First specimen must be collected at 08:00hr,
second specimen at 16:00hr. Indicate collection
time on the tube. Centrifuge within 2 hours of
collection. Store and ship refrigerated
Specimen must be collected at 16:00hr. Indicate
collection time on the tube. Centrifuge within 2
hours of collection. Store and ship refrigerated
Wash hands before performing the sample
collection in order to avoid contamination.
Centrifuge the sample. Transfer the plasma in a
polypropylene tube. Freeze the sample.
collect all specimens for the rest of the 24 hours.
SST tube: Centrifuge within 2 hours of collection.
Store and ship both specimens refrigerated.
TAT
3
3
9
3
14
1
24UCREA
CREATININE – 24HR URINE
24 hour urine
container.
2-8
CREACL
CREATININE – CLEARANCE
1 SST + 24
hour urine
container
2-8
CREATININE – URINE
RANDOM
Sterile
container
2-8
2
CREAURAN
1
2
CRPHS
CRP – HIGH SENSITIVITY
1 SST
2-8
ship refrigerated.
1
CRP
CRP - INFLAMMATORY
1 SST
2-8
ship refrigerated.
1
Plasma and serum are required. Lavender top tube:
Place at 37°C immediately after collection. After
centrifugation aliquot plasma into a transport tube,
write plasma on the tube. Red top tube: Place at
37°C while clotting. Centrifuge and aliquot serum
5
CRYOF
CRYOFIBRINOGEN
January 2015
Lavender +
Red Top (10ml)
18-25
INDIVIDUAL TESTS
Code
CRYO
Profile Description
CRYOGLOBULIN
Specimen &
Tube Type
T(°C)
Red with clot
activator
(10ml)
18-25
18-25
CUL
CULTURE AND SENSITIVITY:
OTHER
Sterile
container
VRE
CULTURE VRE
(VANCOMYCIN RESISTANT
ENTEROCOCCUS)
Swab Amies or
Container with
enteric
pathogen
media
18-25
CSC
CULTURE: CERVIX
Swab Amies
18-25
FU
CULTURE: FUNGUS
Sterile
container
18-25
MRSA1P
CSN
CS
CSS1P
CSS2P
CULTURE: MRSA (Methicillin
resistant Staphylococcus
Swab Amies
aureus)
18-25
CULTURE: NOSE
Swab Amies
18-25
Sterile
container
2-8
CULTURE: SPUTUM
(EXPECTORATIONS)
CULTURE: STOOL
Container with
enteric
pathogen
media
2-8
CULTURE: STOOL x 2
Container with
enteric
pathogen
media
2-8
January 2015
Instructions
into a transport tube write serum on the tube.
Collect specimen in a pre-warmed tube and
maintain at 37°C while clotting. Centrifuge and
aliquot serum immediately to a transport tube.
For biological fluids. Indicate source on requisition
and on the specimen. Store and ship at room
temperature. Stability (day): 1
Rectal sample collected on Amies swab or stool
sample collected in a container with enteric
pathogen media. Indicate source on requisition and
on the specimen. Store and ship at refrigerated.
Indicate source on requisition and on the
specimen. Store and ship at room temperature.
Stability (day): 1
Send sample (nail, hair, scraping) in sterile
container. Indicate source on requisition and on
the specimen. Store and ship at room
temperature.
Stability (day): 1
Stability: (day): 1
Collection after deep coughing. Saliva specimens
are not acceptable. Store and ship refrigerated.
TAT
7
Min:
3
5
Min:
3
23
Min:
3
Min:
3
5
Collect the stool in a clean, dry, waterproof
container making sure the stool is not
contaminated with urine. Place formed stool
about the size of a walnut into the special vial
provided by the laboratory or fill liquid stool to the
Min:
line on the vial label. Mix thoroughly. If there are
3
several cultures requested collections must be
done at a minimum interval of 1 day but preferably
at 2-3 days interval. Write date and time of
collection on both container and requisition.
Stability (day): 2
Min:
3
done at a Minimum interval of 1 day but preferably
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
Container with
enteric
pathogen
media
2-8
Instructions
Stability (day): 2
done at a minimum interval of 1 day but preferably
Stability (day): 2
Store and ship at room temperature. Stability
(day): 1
TAT
Min:
3
CSS3P
CULTURE: STOOL x 3
STREPB
CULTURE: STREP GROUP B
Swab Amies
18-25
CULTURE: THROAT
Swab Amies
18-25
STREP
CULTURE: THROAT GROUP
A + RAPID STREP
Swab Stuart
2-8
TBS2P
CULTURE: TUBERCULOSIS
x2
Sterile
container
2-8
TBS3P
CULTURE: TUBERCULOSIS
x3
Sterile
container
2-8
TBS1P
CULTURE: TUBERCULOSIS x
1
Sterile
container
2-8
Swab Amies
18-25
(day): 1
Min:
3
Sterile
container
2-8
Collect mid-stream urine in sterile container.
Store and ship refrigerated. Stability (day): 1
Min:
3
Collect mid-stream urine in sterile container. Store
Min:
3
For Neisseria gonorrhoeae, trichomonas, yeast &
vaginosis. Store and ship at room temperature.
Stability (day): 1
Min:
3
CST
Min:
3
(day): 1
Min:
2
Store and ship refrigerated. Stability (day): 1
Min:
2
are not acceptable. Indicate date and time of
specimen collection. Store and ship refrigerated.
65
65
65
CSV
CULTURE: URETHRAL
CSU
CULTURE: URINE
UC
CULTURE: URINE +
URINALYSIS
Sterile urine
container +
Stockwell
2-8
CVA
CULTURE: VAGINAL
Swab Amies
18-25
CN
CYANIDE
1 Lavender
2-8
20
CYCLOSPORIN
1 Lavender
2-8
25
CYCLO
January 2015
INDIVIDUAL TESTS
Code
CYSTC
CYSTRU
Profile Description
CYSTATIN C
CYSTINE - URINE
BRCYTO
CYTOLOGY: BREAST
ASPIRATION
PAPSM
CYTOLOGY: PAP SMEAR
Specimen &
Tube Type
T(°C)
Instructions
TAT
1 SST
2-8
ship refrigerated.
12
Sterile
container
2-8
20
Sterile
container
18-25
KIT
18-25
THINCASC
CYTOLOGY: SUREPATH /HPV
KIT SUREPATH
CASCADE
18-25
THINPREP
CYTOLOGY: SUREPATH PAP
KIT SUREPATH
TEST
18-25
Collect specimen in a sterile container. Ensure the
fluid is mixed with equal parts of 50% ethanol. If
able to collect only a very small amount fluid, apply
it to a slide and fix with cytospray. A fresh sample is
preferred. A completed cytology requisition must
accompany the specimen. Include relevant clinical
information. Indicate the patient's name and date
of birth on the container. Store and ship at room
temperature.
Identify slide with patient’s complete name and
DOB using a pencil. Store and ship at room
temperature.
Mark patient's name and date of birth on bottle.
Suspend collection device in collection fluid. Close
lid and tighten securely. A completed cytology
requisition must accompany the specimen.
Mark patient's name and date of birth on bottle.
Suspend collection device in collection fluid. Close
lid and tighten securely. A completed cytology
requisition must accompany the specimen.
4
3
10
3
UCYTO
CYTOLOGY: URINE
Sterile
container
2-8
4
U2CYTO
CYTOLOGY: URINE x 2
Sterile
container
2-8
4
U3CYTO
CYTOLOGY: URINE x 3
Sterile
container
2-8
4
CMVG
CYTOMEGALOVIRUS IgG
1 SST
2-8
ship refrigerated.
15
CMVM
CYTOMEGALOVIRUS IgM
1 SST
2-8
ship refrigerated.
15
24 hour urine
container.
-20
hours. Store and ship refrigerated during
collection. Transfer 50 mL aliquot of the measured
24hr urine to a sterile container. Freeze aliquot
immediately. Store frozen. Ship on dry ice.
10
1 SST
2-8
ship refrigerated.
15
ALA
DENGUE
D-AMINOLEVULINATE
(AMINO-LEVULINIC ACID) 24HR URINE
DENGUE VIRUS
January 2015
INDIVIDUAL TESTS
Code
Profile Description
AMIO
DESETHYLAMIODARONE
(AMIODARONE )
DHEAS
DHEA-S
(Dehydroepiandrostendione
cholera )
DIG
DIGOXIN
DHT
DIHYDROTESTOSTERONE
DIL
DILANTIN (PHENYTOIN)
Specimen &
Tube Type
T(°C)
Instructions
TAT
1 Lavender
2-8
Specimen must be collected, centrifuged and
aliquoted within 2 hours of collection. Write
"Plasma" on the tube. Store and ship refrigerated.
17
1 SST
2-8
ship refrigerated.
3
Red with clot
activator
2-8
1 SST
-20
Red with clot
activator
Red with clot
activator
2-8
DIPH
DIPHTHERIA ANTIBODIES
2-8
DOX
DOXEPINE (SINEQUAN)
Red Top
2-8
RBCSICK
DREPANOCYTOSIS TEST
(SICKLE CELL RBC TEST)
1 Lavender
18-25
DRUGCFM
DRUG OF ABUSE
CONFIRMATION
Drug kit
2-8
DRUG2-7
DRUG OF ABUSE: 2-7
Drug kit
2-8
AMPH
DRUG: AMPHETAMINES –
URINE
Drug kit
2-8
BARB
DRUG: BARBITURATES –
URINE
Drug kit
2-8
DRUG: BENZODIAZEPINE –
URINE
Drug kit
2-8
CAN
DRUG: CANNABINOIDS –
URINE
Drug kit
2-8
COCAINE
DRUG: COCAINE – URINE
Drug kit
2-8
BENZO
January 2015
Collect specimen 8-24 hrs after the last dose.
Indicate date and time of last dose. Store and ship
refrigerated.
Minimum 2 mL of plasma. If unable to meet these
Red tube without gel. Wait the clot, centrifuge,
aliquot and refrigerate within 2 hours.
Collect prior to morning dose or 10-12 hours after
last drug. Centrifuge. Do not use separator gel.
Aliquot serum to a transport tube. Indicate date
and time of last dose and date and time of
collection on both transport tube and requisition.
temperature.
chain of custody. Store and ship refrigerated
chain of custody. Store and ship refrigerated.
3
15
1
5
10
3
14
1
1
1
1
1
1
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
Instructions
TAT
OPI
DRUG: OPIATES – URINE
Drug kit
2-8
1
PCP
DRUG: PHENCYCLIDINE –
URINE
Drug kit
2-8
Red with clot
activator
2-8
Red tube without gel. Wait the clot, centrifuge,
aliquot and refrigerate within 2 hours.
10
1
ECHIN
ECHINOCOCCUS
ECHO
ECHOVIRUS
2 SST
2-8
2 specimens at 2 week interval between samples.
Centrifuge and refrigerate. Write first or second
sample and the sampling date on the tube.
10
ELECTROCARDIOGRAM &
INTERPRETATION
ECG
N/A
Cardiologist interpretation
7
ECG
24ELER
ELECTROLYTES – 24HR
URINE
24 hour urine
container.
2-8
LYTES
ELECTROLYTES (NA, K, CL)
1 SST
2-8
UELER
ELECTROLYTES: RANDOM
URINE
Sterile
container
2-8
1 SST
2-8
1 SST
2-8
1 SST
2-8
1 SST
2-8
1 Lavender
2-8
ENA
EBVG
EBVM
ETINE
ENA
EPSTEIN BARR VIRUS IgG
(EBV-G)
EPSTEIN BARR VIRUS IgM
(EBV-M)
ERYTHROPOIETINE
SED
ESR
CIE1
ESTERASE INHIBITOR C1
1 SST
2-8
ESOL
ESTRIOL
1 SST
2-8
ESTRON
ESTRONE
1 SST
2-8
ETHOSUXIMIDE (ZARONTIN)
1 SST
2-8
ETHO
January 2015
ship refrigerated.
ship refrigerated. (Included: anti-J01, anti-La (SSB),
anti-Ro (SSA), anti-RNP, anti-SCL 70, anti-SM )
ship refrigerated.
ship refrigerated.
Collection of samples between 7:30 am - 12:00 pm
is recommended. Centrifuge and aliquot serum to
transport tube. Specimen must arrive at GammaDynacare Laboratory within 24 hours of collection.
If not, store frozen and ship on dry ice.
ship refrigerated.
ship refrigerated.
ship refrigerated. Sample must arrive within 24
hours of collection. If not, store frozen and ship on
dry ice.
Centrifuge within 2 hours of collection. Indicate
date and time of last dose. Store and ship
refrigerated.
1
1
1
4
20
20
12
1
4
11
9
4
INDIVIDUAL TESTS
ETGL
ETHYLENE GLYCOL
Specimen &
Tube Type
1 Lavender
FACII
FACTOR II
2 Light blue
-20
FAMU
FACTOR II MUTATION
(PROTHROMBIN GENE
VARIANT)
1 Lavender
2-8
17
8
17
Code
FACTIX
FALE
FACTVIII
Profile Description
T(°C)
Instructions
TAT
2-8
Store and ship at refrigerated.
unable to meet this requirements patients must be
referred to a Gamma-Dynacare patient service
centre for collection. Store frozen. Ship on dry ice.
7
FACTOR IX
2 Light blue
-20
FACTOR V LEIDEN
(MUTATION)
1 Lavender
2-8
FACTOR VIII
2 Light blue
-20
FACTX
FACTOR X
2 Light blue
-20
FACTXI
FACTOR XI
2 Light blue
-20
1 SST
2-8
FPSA
FAPS
8
8
8
8
ship refrigerated.
1
OMG3
FATTY ACID TOTAL (OMEGA
3)
1 Lavender
18-25
temperature.
16
PORSG
FEP (PORPHYRINS RBC FREE) 1 Lavender
18-25
Do not centrifuge. Protect from light. Store and
14
ship refrigerated.
1
1
5
FERI
FIBR
FIT
FERRITIN
FIBRINOGEN
FIT
January 2015
1 SST
2-8
Light blue
18-25
Specimen for this test must be collected and
processed within 24 hours of collection. Avoid
temperature variation. Store and ship at room
temperature.
Fit kit
18-25
Kit FIT. Instructions in the kit. One sample only.
No diet. Store and ship at room temperature.
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
1 Lavender
T(°C)
Instructions
TAT
2-8
For the exposed workers: Take a shower and
change clothes before taking a sample. Collect a
random urine specimen at the beginning of the
week, before the working shift. Collect another
specimen at the end of the week, at the end of the
working shift. For unexposed individuals at their
workplace: Collect a random urine specimen during
the day, preferably the first urine of the morning.
Transfer the plasma in a tube free of contaminants.
Centrifuge, store and ship frozen.
30
FLVS
FLUORIDE
FLVU
FLUORIDE – URINE
Sterile
container
2-8
FLUVO
FLUVOXAMINE
1 Lavender
-20
B12FOL
FOLATE AND VITAMIN B12
1 SST
2-8
Fast 12 hrs. Centrifuge within 2 hours of collection.
1
FOLRBC
FOLATE RBC
(ERYTHROCYTES)
1 Lavender
2-8
4
1 SST
2-8
1 SST
2-8
1 SST
2-8
1 SST
2-8
FOL
INTOL
INTOL200
INTOLVEGE
FOLIC ACID (FOLATE)
FOOD INTOLERANCE 120
IgG
FOOD INTOLERANCE 200
IgG
FOOD INTOLERANCE
VEGETERIAN IgG
ship refrigerated.
ship refrigerated.
ship refrigerated.
Fast 12hrs specimen is the preferred. Do not have
patient make a fist. Do not use tourniquet.
Centrifuge. Do not open. Store and ship
refrigerated.
30
10
1
5
5
5
CAI
FREE CALCIUM (CALCIUM –
IONIZED)
1 SST
2-8
FFA
FREE FATTY ACIDS
1 SST
-20
FLC
FREE LIGHT CHAINS
1 SST
2-8
ship refrigerated.
7
-20
of collection. Collect 1 light blue top tube.
Centrifuge and remove top 2/3 of plasma with a
plastic transfer pipette into a transport tube being
careful not to disturb the cell layer. Centrifuge
plasma aliquot and transfer to 2nd transport tube,
tube. Freeze immediately. Note: if the light blue
top tube is the first vacutainer to be drawn, collect
a small amount of blood in a discard tube before
proceeding with the rest of the collection. If
17
PROTSF
FREE PROTEIN S
January 2015
2 Light blue
4
15
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
Instructions
TAT
be referred to Dobrin Gamma-Dynacare patient
service centre for collection.
TESLI
FREE TESTOSTERONE
1 SST
2-8
Collect before 10:00 AM. Centrifuge within 2 hours
4
FRU
FRUCTOSAMINE
1 SST
2-8
ship refrigerated.
2
FSH
FSH (FOLLICULAR
STIMULATING HORMONE)
1 SST
2-8
ship refrigerated.
1
1 Lavender
2-8
G6PD
G6PD
GAST
GASTRIN
1 SST
-20
GENTA
GENTAMICIN PRE & POST
DOSES
1 SST
2-8
POSTGEN
GENTAMYCIN POST-DOSE
1 SST
2-8
PREGEN
GENTAMYCIN PRE-DOSE
1 SST
2-8
GBM
GLOMERULAR BASE
MEMBRANE ANTIBODIES
(ANTI-GBM )
1 SST
2-8
2 Lavender
2-8
GLUCA
GLUCAGON
AC
GLUCOSE : AC
1 SST
2-8
PC
GLUCOSE : PC
1 SST
2-8
GLUCOSE PC 1 hr. 50g.
1 SST
2-8
PC50g
January 2015
Fast 12 hrs. Specimen must be centrifuged,
ship refrigerated. Indicate date and time of
collection.
collection.
collection.
ship refrigerated.
Patient must be fasting. Centrifuge, decant, store
and ship frozen. If it is not possible send sample
refrigerated within 24 hours.
Fasting 12hr from food and alcohol, water
permitted. Centrifuge within 2 hours of collection.
Collect blood sample 2 hours after breakfast.
ship refrigerated.
Glucose AC should be requested with this analysis.
Collect a urine sample before giving the glucose
drink. Verify that urine is negative for glucose. If
urine is positive for glucose, contact physician
before proceeding with test. Give 50g glucose and
note time when intake is completed. Glucose
should be ingested in 10 min or less. Collect one
yellow SST tube 1hr after glucose intake. Indicate
time of collection on both tube and requisition.
ship refrigerated.
9
9
3
3
3
5
15
1
1
1
INDIVIDUAL TESTS
Code
PREG75g
ACP
G6PD
Profile Description
Specimen &
Tube Type
T(°C)
Instructions
TAT
1
GLUCOSE PC 2 hrs 75g.
1 SST
2-8
Glucose AC should be requested with this analysis.
Collect a urine sample before giving the glucose
drink. Verify that urine is negative for glucose. If
urine is positive for glucose, contact physician
before proceeding with test. Give 75g glucose and
note time when intake is completed. Glucose
should be ingested in 10 min or less. Collect one
yellow SST tube 2hr after glucose intake. Indicate
time of collection on both tube and requisition.
ship refrigerated.
GLUCOSE RANDOM
1 SST
2-8
ship refrigerated.
1
1 Lavender
2-8
9
GLUCOSE-6-PHOSPHATE
DEHYDROGENASE (G-6PD)
securely.
securely.
TRIS
Gono/Chlam /Trich aptima
swab/CVA
Swab Aptima
18-25
TGCCVA
Gono/Chlam /Trich aptima
swab/CVA
Swab Aptima
18-25
HGH
GROWTH HORMONE (GH)
1 SST
2-8
ship refrigerated.
9
HAPT
HAPTOGLOBIN
1 SST
2-8
ship refrigerated.
4
HARMONY
KIT
18-25
Refer to kit instruction. Store and ship at room
temperature.
12
HARMOXY
HARMONY XY
KIT
18-25
temperature.
12
HARMOY
HARMONY Y
KIT
18-25
temperature.
12
1 SST
2-8
ship refrigerated.
4
Red with clot
activator
2-8
ship refrigerated.
1
HARMO
HBEAG
HBeAg
BSQUAL
HCG QUALITATIVE
January 2015
5
5
INDIVIDUAL TESTS
Code
PREG
BSQUANT
HDLP
DIA13HELI
Profile Description
Specimen &
Tube Type
T(°C)
Instructions
TAT
Sterile
container
2-8
1
HCG QUANTITATIVE
1 SST
2-8
ship refrigerated.
1
HDL CHOLESTEROL PANEL
(HDL/LDL/CHD)
1 SST
2-8
1
KIT
18-25
Follow instructions from kit and patient
preparation instructions.
2
HCG QUALITATIVE– URINE
HELICOBACTER PYLORI
BREATH TEST
HPYL
HELICOBACTER PYLORI IgG
1 SST
2-8
ship refrigerated.
10
HEMOCHRO
HÉMOCHROMATOSIS GENE
MUTATION (C282Y + H63D)
1 Lavender
2-8
15
HBA1C
HEMOGLOBIN A1C
1 Lavender
2-8
1
HBEL
HEMOGLOBIN
ELECTROPHORESIS
1 Lavender
18-25
temperature.
6
HBFOE
HEMOGLOBIN FETAL
1 Lavender
18-25
temperature.
9
HEPAG
HEPATITIS A IgG TOTAL
1 SST
2-8
ship refrigerated.
4
HEPAM
HEPATITIS A IgM
1 SST
2-8
ship refrigerated.
1
ANHBS
HEPATITIS B ANTI-Hbs
1 SST
2-8
ship refrigerated.
1
HBVDNA
HEPATITIS B - HBV DNA
2 Lavender
18-25
10
HEPBC
HEPATITIS B ANTI-HBc
1 SST
2-8
ship refrigerated.
1
HEPATITIS B ANTI-HBc IgM
1 SST
2-8
ship refrigerated.
4
HEPATITIS B ANTI-Hbe
1 SST
2-8
ship refrigerated.
4
HEPATITIS B HBsAg
(ANTIGEN)
1 SST
2-8
ship refrigerated.
1
HEPATITIS C (QUALITATIVE)
PCR
1 SST
2-8
Centrifuge and ship as soon as possible. Store and
ship refrigerated.
9
HEPATITIS C
(QUANTITATIVE) PCR
1 SST
2-8
USE FOR KNOWN POSITIVE PATIENT. AVAILABLE
ON SPECIAL REQUEST ONLY. CONTACT MAIN
16
HEPBCM
HEPBE
HBS
HEPCQUAL
HEPCQUANT
January 2015
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
Instructions
TAT
LABORATORY FOR DETAILS. Centrifuge and ship as
soon as possible. Store and ship refrigerated.
Indicate if the patient is pretreatment, posttreatment or at 12 weeks of treatment.
HEPC
HEPATITIS C ANTIBODY
(HCV)
1 SST
2-8
ship refrigerated.
1
16
HEPATITIS C PCR GENOTYPE
1 SST
2-8
USE FOR KNOWN POSITIVE PATIENT. AVAILABLE
ON SPECIAL REQUEST ONLY. CONTACT MAIN
LABORATORY FOR DETAILS. Centrifuge and ship as
soon as possible. Store and ship refrigerated.
Indicate if the patient is pretreatment, posttreatment or at 12 weeks of treatment.
ACDELTA
HEPATITIS D (ANTI-DELTA)
1 SST
2-8
ship refrigerated.
40
HERPPCR
HERPES PCR (SWAB)
Swab Cobas
PCR media
18-25
10
15
HEPCGENO
HERPC
Swab Copan
UTM
HERPES SIMPLEX - CULTURE (UNIVERSAL
TRANSPORT
MEDIUM)
2-8
Once collection is executed, the swab is broken and
left in the media. Indicate source (body site) of
collection on both requisition and sample. Store
HERPG
HERPES SIMPLEX IgG
1 SST
2-8
ship refrigerated.
10
HERPM
HERPES SIMPLEX IgM
1 SST
2-8
ship refrigerated.
20
HERPES SIMPLEX
IMMUNUBLOT
1 SST
2-8
ship refrigerated. (Confirmatory test of a positive
serology HSV 1&2.)
10
HISTONE ANTIBODIES
1 SST
2-8
ship refrigerated.
17
HIV COMBO (ANTI HIV 1-2 +
P24)
1 SST
2-8
ship refrigerated.
1
Specimen must be collected and sent to the
laboratory within 4 hours. Store and ship at room
temperature. If unable to meet these
requirements, specimen must be collected,
centrifuged, aliquot and frozen. Store frozen. Ship
on dry ice.
16
5
22
HERPBLOT
HISTAB
HIV
HIVCV
HIV VIRAL CHARGE
2 Lavender
18-25
or -70
HIVU
HIV-1 URINE EIA
Sterile
container
2-8
HLA TYPING DQ2/DQ8
1 Lavender
18-25
HLATYPE
January 2015
INDIVIDUAL TESTS
Code
HLAB
LHOMO
HTLV1
HPV/DNA
Profile Description
HLA-B-27
HOMOCYSTEINE
HTLV I-II
HUMAN PAPILLOMAVIRUS
/ DNA TEST (HPV)
Specimen &
Tube Type
T(°C)
1 Light yellow
18-25
Instructions
10
3
15
1 Lavender
2-8
Collect specimen after an 8 hour fast. Centrifuge.
Aliquot plasma within 1 hour to a transport tube.
Avoid contamination with buffy coat. Refrigerate
immediately. Store and ship refrigerated.
1 SST
2-8
ship refrigerated.
HPV KIT
18-25
TAT
Specimens must be collected prior to application of
acetic acid or iodine if colposcopy examination is
being performed. Store and ship at room
temperature. (Note: Cervical biopsies up to 5 mm
in cross-section may be tested if collected in 1.0 ml
of specimen transport media and stored at -20°C.
Biopsies less than 2 mm should not be used.) This
test can be performed within 21 days of collection.
preservative. A controlled diet free of gelatin and
low in collagen is required - meat, fish, sweet
products (jam or ice cream) must be avoided for 1
day prior to and during collection. Eggs and milk
are not prohibited foods. Refrigerate during
7
HYPRO
HYDROXYPROLINE TOTAL – 24 hour urine
24H URINE
container.
2-8
IGESS
IgE
1 SST
2-8
ship refrigerated.
20
IgE TOTAL
1 SST
2-8
ship refrigerated.
4
SOMA
IGF-1 (SOMATOMEDINE C)
1 SST
2-8
ship refrigerated.
9
IGFBP3
IgFBP3-(INSULINE LIKE
GROWTH FACTOR)
1 SST
2-8
ship refrigerated.
15
IGGSS
IgG IMMUNOGLOBULIN
SUBCLASSES
1 SST
2-8
ship refrigerated.
12
IGE
IL28B
IL28B
IMIP
IMIPRAMINE (TRICYCLIC
ANTIDEPRESSANT)
January 2015
1 Lavender
18-25
Dark Blue (No
Additive)
2-8
Collect Monday to Thursday only. Do not collect on
a day before a public holiday. Notify laboratory.
Keep at room temperature. During summer heat
period, send with ice pack.
Dark blue tube no additive. Collect specimen prior
to next dose or 10-12 hr. after last dose. Indicate
date and time of last dose. Centrifuge and aliquot
serum to a transport tube. Store and ship
refrigerated.
32
15
9
INDIVIDUAL TESTS
Code
Profile Description
IMMUELE
IMMUNOELECTROPHORESIS
Specimen &
Tube Type
1 SST
T(°C)
Instructions
TAT
2-8
ship refrigerated.
4
7
24UIEP
IMMUNOELECTROPHORESIS 24 hour urine
– 24HR URINE
container
2-8
ELEPRO
IMMUNOFIXATION
1 SST
2-8
ship refrigerated.
4
IMMUNOGLOBULINS
QUANTITATIVE
1 SST
2-8
ship refrigerated.
4
IMQUANT
PT
temperature.
temperature.
Collect specimen after an 8 hour fast. Indicate
“fasting insulin” on both requisition and specimen.
ship refrigerated.
Patient must not have had a B12 injection within
the last 24 hours. Centrifuge within 2 hours of
Centrifuge and separate within 30 minutes of
collection. Do not use separator gel. Aliquot plasma
to polypropylene transport tube using a
polypropylene transfer piepette. Store and ship
refrigerated.
INR
Light blue
18-25
PTPTT
INR-PTT
Light blue
18-25
INSUL
INSULIN (FASTING)
1 SST
2-8
IFA
INTRINSIC FACTOR
ANTIBODIES
2 SST
2-8
Dark Blue Top
2-8
IRON
1 SST
2-8
ship refrigerated.
1
IRON TOTAL BINDING
CAPACITY PANEL (IRON,
UIBC, TIBC)
1 SST
2-8
ship refrigerated.
1
ISOPRO
ISOPROPANOL
1 SST
2-8
Do not disinfect with alcohol. Do not open tube.
ship refrigerated.
5
KIDNEY
KIDNEY STONE ANALYSIS
Sterile
container
18-25
6
1 SST
2-8
Centrifuge within 2 hours of collection. Hemolyzed
specimens are not suitable for analysis. Store and
ship refrigerated.
1
IODT
FE
TIBCP
LD
IODINE TOTAL
LACTATE DEHYDROGENASE
(LDH)
January 2015
1
1
7
37
17
INDIVIDUAL TESTS
Specimen &
Tube Type
Code
Profile Description
LAC
LACTIC ACID (LACTATE)
1 Grey
2-8
LTT
LACTOSE TOLERANCE TEST
5 SST
2-8
LAMO
LAMOTRIGINE (LAMICTAL)
1 SST
2-8
ISOLDH
LDH ISOENZYMES
1 SST
18-25
1 Blue top
tube(K2 EDTA)
2-8
5
Sterile
container
2-8
9
30
PB
PBU
LEAD (Pb)
LEAD (Pb) – URINE
T(°C)
Instructions
Collect specimen after 10 hour fast. Centrifuge and
separate within 15 min of collection. Store and ship
refrigerated.
Blood and urine specimen are collected after a 10
hour fast; the urine sample is tested with a dipstick
to verify that urine sugar is negative. The patient
takes the lactose beverage (within 10 min.) and
notes the time at the beginning of the intake.
Blood is collected at intervals of 30, 60, 90 and 120
minutes PC. Lactose amount to give:- Adult: 50 g ,
NOTE: Child: under 25 kg (55 lbs.) should be
referred to an hospital
Collect trough level prior to next dose. Indicate
date and time of last dose. Centrifuge. Store and
ship refrigerated.
Centrifuge within 2 hours of collection. Hemolyzed
specimens not suitable for analysis. Store and ship
at room temperature.
TAT
5
2
9
7
LEPTO
LEPTOSPIROSIS (SERUM
AGGLUTINATION)
1 SST
2-8
Centrifuge within 2 hours of collection. Store
specimen refrigerated up to five days or store
frozen until shipped for testing. Ship frozen on dry
ice.
LH
LEUTINISING HORMONE
(LH)
1 SST
2-8
ship refrigerated.
1
LIP
LIPASE
1 SST
2-8
ship refrigerated.
1
LIPID
LIPID PROFILE
(CHOL,TRIG,HDL,LDL AND
RISK)
1 SST
2-8
Collect specimen after a 12 hour fast. Centrifuge
refrigerated.
1
LIPOA
LIPOPROTEIN A, Lp(a)
1 SST
2-8
ship refrigerated.
4
LIPOPROTEINPHENOTYPING
1 SST
2-8
Collect specimen after a 12 hour fast. Centrifuge
refrigerated.
17
LITHIUM
1 SST
2-8
ship refrigerated.
1
-20
10
LIPOELE
LI
LUPUS
LUPUS ANTICOAGULANT
January 2015
2 Light blue
INDIVIDUAL TESTS
Code
LY
BCELLS
MACROPRO
MG
Profile Description
LYME DISEASE (ANTIBORRELIA BURGDORFERI)
Specimen &
Tube Type
T(°C)
Instructions
Note patient's address and RAMQ in the requisition
for this test. Centrifuge within 2 hours of collection.
Collect as late as possible during the day (call lab
for info). Do not collect on Friday or the day before
a public holiday. Store and ship refrigerated.
TAT
1 SST
2-8
1 Lavender
2-8
MACROPROLACTIN
1 SST
2-8
ship refrigerated.
3
MAGNESIUM
1 SST
2-8
ship refrigerated.
3
24 hour urine
container.
2-8
3
1 Lavender
2-8
10
2
LYMPHOCYTE B
24UMG
MAGNESIUM – 24HR URINE
MGRBC
MAGNESIUM RBC
21
3
MALARIA SMEAR
1 Lavender
2-8
Whole blood. Do not centrifuge. Prepare 10 smears
within 2 hours from blood collection. Identify
smears with patient name, and DOB accession
(when available) and date. Let dry. Store and ship
both tube and smears refrigerated
MANGANESE
1 Lavender
2-8
14
MANGU
MANGANESE – URINE
Sterile
container
2-8
14
ROUGG
MEASLES IgG IMMUNITY
1 SST
2-8
ship refrigerated.
15
MERCA
MERCAPTOPURINES
(THIOGUANINE
ERTHYRICYTAIRE)
1 Lavender
2-8
17
MERCB
MERCURY – BLOOD
1 Dark blue
top tube (K2
EDTA)
2-8
9
MAL
MANG
January 2015
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
MERCN
MERCURY – NAIL
Sterile
container
18-25
MERCU
MERCURY – RANDOM
URINE
Sterile
container
2-8
Instructions
TAT
Nail sample in a sterile container : 10mg.
30
9
Nail sample in a sterile container : 10 mg. Included:
aluminum, antimony, silver, arsenic, barium,
beryllium, bismuth, cadmium, calcium, chrome,
cobalt, copper, tin, iron, lithium, magnesium,
manganese, molybdenum, nickel, gold, lead,
selenium, tellurium, thallium, uranium, vanadium
and zinc.
30
METALS
METALS (HEAVY) – NAIL
Sterile
container
18-25
MTHFR
METHYLENE THFR VARIANT
1 Lavender
2-8
15
16
METMALA
METHYLMALONIC ACID –
BLOOD
Red with clot
activator
2-8
Centrifuge and aliquot serum to a transport tube
within 1 hour of collection. Store and ship
refrigerated.
METMALAU
METHYLMALONIC ACID
QUANTITATIVE – URINE
Sterile
container
2-8
Early morning specimen preferred. Store and ship
refrigerated.
37
MHA-TP (TP-PA)
1 SST
2-8
ship refrigerated.
10
MICROALBUMIN
Sterile
container
2-8
24 hour urine
container
2-8
1 SST
2-8
ship refrigerated.
1
Sterile
container
2-8
Specimen may be collected in Doctor's office and
submitted as per routine samples but must arrive
at GDML within 24 hours of collection. Samples will
be frozen upon receipt in a GDML main lab facility.
Collect urine in a sterile container. Store and ship
refrigerated.
37
MHATP
MIALBP
24MIALBP
MONO
MICROALBUMIN-- 24HR
URINE
MONO SCREEN
First morning sample is preferred. Collect random
urine in a sterile container. Store and ship
refrigerated.
2
2
MUCOPOLY
MUCOPOLYSACCHARIDE
Random Urine
MUMPIGG
MUMPS IgG
1 SST
2-8
ship refrigerated.
16
MUMPIGM
MUMPS IgM
1 SST
2-8
ship refrigerated.
9
MYOGLOBIN – BLOOD
1 SST
2-8
ship refrigerated.
10
MYOGLO
January 2015
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
Instructions
TAT
MYOGLOBIN – URINE
Sterile
container
2-8
Collect urine in a sterile container. Store and ship
refrigerated.
9
NICKELB
NICKEL – BLOOD
1 Lavender
2-8
23
NICKELU
NICKEL – URINE
Sterile
container
2-8
23
MYOGLOU
2 specimens at 2 week interval between samples.
Add clinical description and travel history if
available. Original sample must be aliquot and
frozen within 2hours after collection. Write first or
second sample and the sampling date on the tube.
Store frozen and ship on dry ice.
additive. Collect just before dose or 10-12hrs after
last dose. Centrifuge. Aliquot serum to a transport
tube. Indicate date and time of last dose and date
and time of specimen collection on both the
transport tube and the requisition. Store and ship
refrigerated.
VNO
NIL VIRUS
(OCCIDENTAL/WEST NILE
VIRUS MAC-EIA IgM PANEL)
SST
-20
NORTRI
NORTRIPTYLINE (TRICYCLIC
ANTIDEPRESSANT)
1 Dark Blue
(No Additive)
2-8
1 SST
2-8
ship refrigerated.
3
Sterile
container
2-8
28
24 hour urine
container
2-8
4
BNP
NT-proBNP
CSEU
ORGANOPHOSPHATES
OSU24HR
OSMOLALITY – 24H URINE
20
9
OSS
OSMOLALITY – SERUM
1 SST
2-8
ship refrigerated.
4
OSU
OSMOLALITY – URINE
Sterile
container
2-8
4
1 SST
-20
minutes of collection. Store frozen and ship on dry
ice.
20
Sterile
container
2-8
Collect last portion of urine from an afternoon
voiding. Store and ship refrigerated.
8
2-8
Ensure patient has not taken any laxatives or antidiarrheal drugs. Stool in SAF media container.
Collect stool in a clean container. The specimen
must not be contaminated by water, dirt or urine.
With small spoon attached to container lid, add
enough stools to bring the liquid level to the line on
8
OSTEO
OPU
OP1P
OSTEOCALCIN
OVA & PARASITES – URINE
OVA & PARASITES STOOL
January 2015
SAF container
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
OP2P
OVA & PARASITES STOOL x2 SAF container
2-8
OP3P
OVA & PARASITES STOOL x3 SAF container
2-8
24 hour urine
container
2-8
Instructions
label. Tighten the lid and shake well. Refrigerate.
Possible interference: antibiotics, anti-diarrheal
medication, antacids, bismuth, barium, mineral oil
or laxatives.
or laxatives.
or laxatives.
Patients must refrain from taking Ascorbic Acid
(vitamin C) at least 24 hours prior to and during
collection. Collect urine in a 24 hour container with
25 mL of 6N HCl as a preservative. Refrigerate
TAT
8
8
OXAUR
OXALATES – 24HR URINE
PARVOG
PARVOVIRUS IgG
1 SST
2-8
ship refrigerated.
9
PARVOVIRUS IgG + IgM
1 SST
2-8
ship refrigerated.
9
PARVOVIRUS IgM
1 SST
2-8
ship refrigerated.
9
Submit specimen to be analyzed in a 30 mL bottle
containing 10% formalin. Specimen should be
placed in the fixative immediately. A completed
histopathology requisition must accompany with
the specimen. Store and ship at room temperature.
7
PARVO
PARVOM
PATHO
PBDE
ARAH1
10
PATHOLOGY
SPECIMEN/HISTOLOGY
Sterile
container
18-25
PBDE – (Polybrominated
Diphenyl Ether)
1 Lavender
2-8
20
1 SST
2-8
ship refrigerated. Do not open tube.
4
PEANUT – ARAH1
January 2015
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
Instructions
TAT
ARAH2
PEANUT – ARAH2
1 SST
2-8
4
ARAH3
PEANUT – ARAH3
1 SST
2-8
4
ARAH8
PEANUT – ARAH8
1 SST
2-8
4
ARAH9
PEANUT – ARAH9
1 SST
2-8
4
PEANUT – COMPONENT
PROFILE
1 SST
2-8
4
Red with clot
activator
2-8
Tube without gel. Wait the clot, centrifuge, aliquot
and refrigerate. Indicate time and date of last dose.
3
PPEANUT
PHEN
PHENOBARBITAL
PHENOB
PHENOTHIAZINE - BLOOD
1 Lavender
2-8
14
PHENOU
PHENOTHIAZINE - URINE
Sterile
container
2-8
14
1 SST
2-8
ship refrigerated.
1
24 hour urine
container
2-8
1
Sterile
container
2-8
1
PHOS
24UPHOS
PHOSURAN
TAPE
PLASMINO
PHOSPHORUS
PHOSPHORUS – 24HR
URINE
PHOSPHORUS – RANDOM
URINE
PINWORM (TAPE TEST)
PLASMINOGEN
January 2015
PINWORM KIT
18-25
2 Light blue
-20
Use plastic paddle provided in pinworm test
container. Gently press sticky side of paddle to skin
Min:
around rectum. Do not contaminate with stool.
1
Instructions provided with container. Store and
19
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
Instructions
TAT
BPC
PORPHO
SPECO
K
POLYCHLORINATED
BIPHENYLS (PESTICIDES)
2 Lavender
-20
PORPHOBILINOGEN QUANT 24 hour urine
– 24HR URINE
container.
2-8
POST VASECTOMY (SPERM
COUNT)
Sterile
container
2-8
1 SST
2-8
POTASSIUM (K)
Centrifuge, store and ship frozen in dry ice.
Collect urine in a 24 hour urine container with 5g
sodium carbonate preservative. Refrigerate and
protect from light during collection. Please discard
the first morning specimen. Continue to collect all
specimens for the rest of the 24 hours. Store and
ship refrigerated.
Patients must abstain from intercourse for 3 days
prior to testing. Sperm sample must be collected in
sterile container. The patient must identify and
write on container the time at which specimen has
been produced. Store and ship at room
temperature.
ship refrigerated. Haemolyse specimens are not
suitable for analysis.
22
20
1
1
24UK
POTASSIUM (K) – 24HR
URINE
24 hour urine
container
2-8
KURAN
POTASSIUM (K)-URINE
RANDOM
Sterile
container
2-8
1
PREALBUMIN
1 SST
2-8
ship refrigerated.
8
PREGNOL
PREGNENOLONE
2 SST
-20
TT1
PRENATEST (1ST
TRIMESTER)
KIT
18-25
TT2
PRENATEST (2ND
TRIMESTER)
Red tube with
clot activator
or KIT
2-8
PREA
January 2015
Specimen must be collected, centrifuged, aliquoted
and frozen within 1 hour of collection. Store frozen
and ship on dry ice.
Special procedure: Follow instructions in collection
kit. Test done between the 11th to the 14th week
(13th week and 6 days) of pregnancy. Attach a
copy of ultrasound. Results go directly to physician.
Can be done with the Kit of prenatest 1st trimester
or with a red tube without gel. Test done between
the 14th to the 22nd week of pregnancy. Results go
directly to physician. For the kit method follow
instructions for prenatest 1st trimester. For the
red tube method, wait for the specimen to clot,
centrifuge, and aliquot and refrigerate. Send the
same day to the main lab. Attach a copy of
ultrasound if available.
1
15
3
10
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
Instructions
Centrifuge. Do not use separator gel. Aliquot serum
in a transport tube. Indicate date and time of last
dose. Indicate the date and time of specimen
collection on both the transport tube and the
requisition. Store and ship refrigerated.
temperature.
securely.
temperature.
TAT
Red with clot
activator
2-8
Profile : Gono/Chlam /Trich
urine
Sterile
container
18-25
TGCS
Profile :Gono/Chlam /Trich
aptima swab
Swab Aptima
18-25
TRIU
Profile :Gono/Chlam /Trich
urine
Sterile
container
18-25
PROG
PROGESTERONE
1 SST
2-8
Centrifuge within 2 hours of collection. Indicate if
patient is pregnant. Store and ship refrigerated.
3
PROL
PROLACTIN
1 SST
2-8
ship refrigerated.
1
MYSO
PRIMIDONE (MYSOLINE)
TGCU
PCA3
PROSTATE CANCER GENE 3
24UPROT
PROTEIN – 24HR URINE
PROTURP
PROTEIN – URINE RANDOM
PROCACT
PROTEIN C ACTIVITY
January 2015
Collection for this test is to be performed following
a digit rectal exam at a physician's office. A special
kit is required for collection. The kit including
instructions can be obtained at any GDML patient
service center. Store and ship refrigerated.
Specimens are viable up to 7 days if refrigerated.
3
5
5
5
Sterile
container
2-8
24 hour urine
container
2-8
Sterile
container
2-8
1
-20
Refer the patient to PSC Dobrin or PSC
Pointe-Claire because need a poor platelet plasma
(special centrifugation speed and special
decantation). Specimen for this test must be
collected, processed, aliquoted and frozen within
30 minutes of collection.
17
2 Light blue
17
1
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
24PE
PROTEIN ELECTROPHORESIS 24 hour urine
- 24 HOUR URINE
container
2-8
PROT
PROTEIN TOTAL
1 SST
2-8
PTH
PTH (PARATHYROID
HORMONE)
1 Lavender
2-8
PTT
PTT
Light blue
18-25
QUI
QUINIDINE
Red with clot
activator
2-8
RABI
RABIES IMMUNITY TEST
Red with clot
activator
2-8
ALLERG1
RAST TEST (ALLERGIES)
1 SST
2-8
ALLERG2
1 SST
2-8
ALLERG3
1 SST
2-8
ALLERG4
1 SST
2-8
ALLERG5
1 SST
2-8
ALLERG6
1 SST
2-8
ALLERG7
1 SST
2-8
2 Lavender
-20
REN
RENIN
January 2015
Instructions
ship refrigerated.
Sample must be centrifuged and aliquoted within 1
hour after collection. Write PLASMA on aliquot.
temperature.
Collect just prior to next dose. Original sample
must be aliquot after centrifugation ASAP. Wait
the clot, centrifuge, aliquot and refrigerate. Write
the time of the last dose on requisition. Store and
ship refrigerated.
Tube without gel. Wait the clot, centrifuge, aliquot
and refrigerate within 2 hours. Store and ship
refrigerated.
Ask 1 test by code. Do not open tube. Centrifuge
refrigerated. Specify which allergen. 1 SST tube
per 7 allergens.
Ask 2 tests by code. Do not open tube. Centrifuge
refrigerated. Specify which allergen.
Ask 5 tests by code (1 to 7). Do not open tube.
ship refrigerated. Specify which allergen.
Ensure patient is in upright or recumbent position
for 15mins prior to sample collection. Specimen for
this test must be collected, centrifuged, aliquoted
and frozen within 30 minutes of collection. Store
TAT
7
1
3
1
7
15
8
8
8
8
8
8
8
16
INDIVIDUAL TESTS
Code
Profile Description
RETICP
RETICULOCYTE COUNT
ACCPP
RA
Specimen &
Tube Type
T(°C)
Instructions
and ship on dry ice.
ship refrigerated.
TAT
1 Lavender
18-25
1
RF ISOTYPES
1 SST
2-8
RHEUMATOID FACTOR (RA)
1 SST
2-8
ship refrigerated.
1
12
ROTA
ROTAVIRUS
Sterile
container
2-8
Collect the stool in a sterile container making sure
the stool is not contaminated with urine.
12
RUB
RUBELLA IgG
1 SST
2-8
ship refrigerated.
1
RUBIGM
RUBELLA IgM
1 SST
2-8
ship refrigerated. Indicate relevant clinical and
family history.
9
ROUGM
RUBEOLA IGM (MEASLES)
1 SST
2-8
ship refrigerated.
9
1 SST
2-8
Indicate date and time of last dose and date and
time of specimen collection on both the transport
tube and the requisition. Centrifuge ASAP after
clotting. Store and ship refrigerated.
10
SAL
SALICYLATES
SELENBL
SELENIUM – BLOOD
1 Lavender
2-8
14
SELENIUM
SELENIUM – URINE
RANDOM
Sterile
container
2-8
14
SEPTIN9
SEPTIN 9
4 Pink
2-8
SHBG
SEX HORMONE BINDING
GLOBULIN (SHBG)
1 SST
18-25
or -20
SHOX
SHOX DHPLC
2 Lavender
18-25
1 SST
2-8
NA
24UNA
NAURAN
SODIUM
SODIUM – 24HR URINE
SODIUM-RANDOM URINE
January 2015
Complete collection form. Specimens must reach
laboratory within 24hrs. If not possible, patient
must be referred to main laboratory. Store and
ship refrigerated.
Specimen must be collected, centrifuged and sent
to the laboratory within 4 hours. Store and ship at
room temperature. If unable to meet these
requirements, specimen must be collected,
centrifuged, aliquoted and frozen, Store frozen.
Ship on dry ice.
ship refrigerated.
24 hour urine
container
2-8
Sterile
container
2-8
10
5
27
1
1
1
INDIVIDUAL TESTS
Code
SPER
REDSUB
STR
SYNOVIAL
Profile Description
Specimen &
Tube Type
T(°C)
SPERMOGRAM (FERTILITY)
Sterile
container
37 C
STOOL REDUCING
SUBSTANCE
Sterile
container
2-8
STRONTIUM
1 Lavender
2-8
Sterile
Container and
1 LAV
2-8
SYNOVIAL FLUID: CRYSTAL
CELL COUNT
O
Instructions
Test done only at Ville St-Laurent laboratory (4800
rue Dobrin) by appointment only (Tel.: 514-7876273). Instruction sheet. Sexual abstinence for a
minimum of 3 days. Collect in sterile container.
Specimens collected in condoms are rejected.
Specimen must be received at laboratory within
1hr of ejaculation. Keep at body T°. Specify
ejaculation time and number of days of abstinence.
First morning specimen is preferred. Stool sample
collected in a sterile container; minimum of 5g.
Must be collected after exposition period
(generally at the end of work shift). Store and ship
refrigerated.
Synovial fluid collected in a sterile container and a
second sample collected in a lavender tube. Store
and ship both the sterile container and the
lavender tube refrigerated.
TAT
1
9
14
4
RPR
SYPHILIS (RPR)
1 SST
2-8
ship refrigerated.
1
SYPH
SYPHILIS TP (CMIA)
1 SST
2-8
ship refrigerated.
1
T3F
T3 FREE
1 SST
2-8
ship refrigerated.
1
T3
T3 TOTAL
(TRIIODOTHYRONINE)
1 SST
2-8
ship refrigerated.
1
T4F
T4 FREE
1 SST
2-8
ship refrigerated.
1
TAC
TACROLIMUS
QTB
TB QUANTIFERON (QTB
GOLD)
CTX
TESBIO
1 Lavender
18-25
KIT
18-25
TELOPEPTIDE-C
1 SST
18-25
or -20
TESTOSTERONE BIOAVAILABLE
1 SST
2-8
January 2015
Must be a pre-dose collection. Collect as late in the
day as possible. Do not collect on Friday or on the
day before a public holiday. Store and ship at room
temperature.
Ask patient to make an appointment with patient
service center of Ville St-Laurent (4800 rue Dobrin).
Collect Monday to Thursday only. Do not collect on
a day before a public holiday.
Fasting 12hr. Specimen must be collected,
centrifuged and sent to the laboratory within 4
hours. Store and ship at room temperature. If
unable to meet these requirements, specimen
must be collected, centrifuged, aliquoted and
frozen, Store frozen. Ship on dry ice.
4
14
8
7
INDIVIDUAL TESTS
Code
TEST
THEO
Profile Description
TESTOSTERONE TOTAL
THEOPHYLLINE
Specimen &
Tube Type
1 SST
T(°C)
Instructions
TAT
2-8
3
Red with clot
activator
2-8
Tube without gel. Collect peak specimens for rapid
Theophylline 2hrs after or for sustained release
4hrs after dose. Indicate time and date of last
dose. Wait the clot, centrifuge, aliquot and
refrigerate within 2 hours. Store and ship
refrigerated.
minutes of collection. Store frozen and ship on dry
ice.
3
TT
THROMBIN TIME
Light blue
-20
THYRO
THYROGLOBULIN
1 SST
2-8
ship refrigerated.
3
TBG
THYROXIN BINDING
GLOBULIN (TBG)
1 SST
2-8
ship refrigerated.
15
TOXO
TOXOPLASMOSIS IgG
1 SST
2-8
ship refrigerated.
5
TOXOM
TOXOPLASMOSIS IgM
1 SST
2-8
ship refrigerated.
15
TRANS
TRANSFERRIN
1 SST
2-8
ship refrigerated.
3
TRANSGLUTAMINASE IgA
ANTIBODIES
1 SST
2-8
ship refrigerated.
6
TRICHINELLA
1 SST
2-8
ship refrigerated.
11
TRANSGLUT
TRICHI
DESI
TRICYCLIC
TRIG
TRIMI
TRYPTASE
Dark Blue
2-8
TRIGLYCERIDES
1 SST
2-8
TRIMIPRAMINE
(SURMONTIL)
Red Tube
2-8
Red with clot
activator
2-8
TRYPTASE
January 2015
Collect specimen prior to next dose or 10-12 hrs.
after last dose. Centrifuge. Aliquot serum to a
transport tube. Indicate date and time of last dose.
Fasting 12hr from food and alcohol, water
permitted. Centrifuge within 2 hours of collection.
Collect specimen prior to morning dose or 10-12
hours after last dose. Centrifuge. Do not use gel
separator. Seperate serum from the cells
immediately. Store and ship refrigerated. Indicate
specimen collection.
Specimen should be collected between 15 min and
3 hours of anaphylactic shock. Centrifuge and
aliquot serum into a transport tube. Store and ship
refrigerated.
2
9
1
12
15
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
Instructions
ship refrigerated.
TAT
TSH
TSH ULTRASENSITIVE
1 SST
2-8
TUBP
TUBERCULOSIS – PCR
Sterile
container
2-8
24HRUREA
UREA – 24HR URINE
24 hour urine
container.
2-8
UREA NITROGEN
1 SST
2-8
ship refrigerated.
1
UM
UREAPLASMA &
MYCOPLASMA
Swab Copan
UTM
(UNIVERSAL
TRANSPORT
MEDIUM)
2-8
Special transport media. Collected by physician.
9
URIC
URIC ACID
1 SST
2-8
ship refrigerated.
1
24 hour urine
container
2-8
1
Sterile
container
2-8
1
Stockwell tube
2-8
Collect random urine in a sterile container. Aliquot
the urine into a Stockwell tube and fill to the MAX
line. Store and ship refrigerated.
1
Red with clot
activator
2-8
1
UREA
24UURIC
URICURAN
URIC ACID – 24HR URINE
URIC ACID – URINE
RANDOM
URI
URINALYSIS
VAL
VALPROIC ACID (DEPAKENE)
VANPOST
VANCOMYCIN POST-DOSE
Red with clot
activator
2-8
VANPRE
VANCOMYCIN PRE-DOSE
Red with clot
activator
2-8
24VMA
VANYLMANDELIC ACID
(VMA)-24 URINE
24 hour urine
container.
2-8
January 2015
In case of negative result, culture performed
automatically. Add 9 weeks delay if culture is done.
Collect 2hrs after a 60 min infusion. Specify dosage
of drug, dosage interval, and time of last dose.
Centrifuge. Do not use separator gel. Aliquot serum
into a transport tube. Store and ship refrigerated.
Collect specimen prior to next dose. Centrifuge and
aliquot serum into a transport tube. Indicate date
and time of collection, dosage of drug given,
dosage interval and date and time of dose given.
Collect urine in a 24 hour urine container
containing 25 mL 6N HCl as a preservative. Diet:
(To be avoided 48 hours) ASA, chloralhydrate,
coffee, cola drink, dopamine, erythromycin,
methyldopa, niacin, phenothiazines, quinine,
1
63
1
3
3
9
INDIVIDUAL TESTS
Code
Profile Description
Specimen &
Tube Type
T(°C)
VARIG
VARICELLA IGG
1 SST
2-8
VARIM
VARICELLA IGM
1 SST
2-8
VITA
VITAMIN A (RETINOL)
1 SST
2-8
VITB1
VITAMIN B1 (THIAMINE)
2 Lavender
-20
VITAMIN D (1.25
DIHYDROXY)
1 SST
-20
VITE
VITAMIN E (TOCOPHEROL)
1 SST
2-8
VITK1
VITAMIN K1
Red with clot
activator
-20
VITB6
VITAMINE B6 (PYRIDOXINE)
Green
(sodiumheparin)
-20
VITD
VITAMINE D 25 HYDROXY
(CHOLECALCIFEROL)
1 SST
2-8
1 Dark blue
top tube (K2
EDTA)
2-8
VITD125
ZN
ZINC
January 2015
Instructions
riboflavin, smoking, tea, tetracycline, vitamin B.
Transfer 50 mL aliquot of the measured 24 hour
urine into a sterile container. Indicate 24 hour
urine volume. Store and ship refrigerated.
ship refrigerated.
ship refrigerated.
Fasting 12hr food and alcohol, water permitted.
Patient should be without vitamin supplements for
24 hours prior to testing. Centrifuge and aliquot
serum to a transport tube within 30 minutes of
collection. Avoid hemolysis. Protect from light.
minutes of collection. Store and ship on dry ice.
Specimen must be collected, centrifuged, aliquoted
and frozen within 30 minutes of collection. Store
and ship on dry ice. If not, refer patient to a GDML
patient service center.
Fasting sample preferred. Avoid vitamin
supplement intake 24hrs prior to collection.
Protect from light. Wait for the clot. Centrifuge,
aliquot and refrigerate serum within 30 min. Store
and ship refrigerated. If not, refer patient to any
Gamma-Dynacare Patient Services Center.
Draw blood in chilled red-top tubes. Keep
unopened vacuum tube on ice before processing.
Immediately separate plasma from red cells using
refrigerated centrifugation or pre-chilled centrifuge
carrier tubes before centrifuging. Plasma must be
separated from cells within 45 minutes of
venipuncture. Transfer plasma to a labeled amber
transport tube and freeze on dry ice. Protect from
light. Store frozen and ship on dry ice
Patient must avoid taking vitamin B6 on the day of
collection. Specimen must be collected, processed,
collection. Store frozen and ship on dry ice. If not,
refer patient to a GDML patient service center.
ship refrigerated.
Collect specimen in a dark blue top tube with K2
EDTA additive. Centrifuge and separate serum from
cells ASAP. Aliquot serum to a transport tube. Store
TAT
12
22
9
12
9
9
13
15
4
9
5
Panel Tests
PANEL TESTS
Code
Profile Description
Specimen &
Tube Type
Instructions
TAT
1 SST
Centrifuge within 2 hours of collection.
1
ACCPP
PROFILE -ACCP
(ANTI-CYCLIC CITRULLINATED PEPTIDE
ANTIBODY)
ANEM1
PROFILE -ANEMIA #1
(CBC, SEDIMENTATION, TIBC, VITAMIN B12,
FOLATES)
1 Lavender
2 SST
ANEM2
PROFILE -ANEMIA #2
(CBC WITH INTERPRETATION,
SEDIMENTATION, TIBC, VITAMIN B12,
FOLATES)
1 Lavender
2 SST
ANEM8
PROFILE -ANEMIA #8
(SED, CBC, FERI, TIBC)
1 Lavender
2 SST
ANEM11
PROFILE -ANEMIA #11
(SED, CBC, FERI)
1 Lavender
1 SST
LIPID
LIPID6
LIPID17
LIPID18
PROFILE - CARDIOVASCULAR - LIPID
(CHOLESTEROL,TRIGLYCERIDES,HDL, LDL)
PROFILE - CARDIOVASCULAR - LIPID #6
(CHOLESTEROL,TRIGLYCERIDES, HDL, LDL,
APOLIPOPROTEIN B)
CRPHS)
APOLIPOPROTEIN B, CRPHS)
PROFILE - COAGULOGRAM
(CBC, INR , PTT, FIBRINOGEN)
PROFILE - COAGULATION/ CBC
(CBC, INR, PTT)
SST: Centrifuge within 2 hours of
Lavender: Do not centrifuge. Store and
ship at room temperature
1
1
1
1
1 SST
1
1 SST
1
1 SST
1
1 SST
1
1 Lavender
1 Light Blue
1 Lavender
1 Light Blue
Do not centrifuge. Store and ship at
room temperature
Do not centrifuge. Store and ship at
room temperature
DIAB
PROFILE - DIABETIC #1
(GLUCOSE AC, UREA, CREATININE,
ELECTROLYTES,HBA1C, URINALYSIS,
MICROALBUMINURIA)
1 Lavender
1 SST
1 Stockwell
Lavender and Stockwell: Do not
centrifuge. Store and ship at room
temperature
1
DIAB6
PROFILE - DIABETIC #6
(GLUCOSE AC, HBAIC)
1 Lavender
1 SST
1
COAG
CBCCOAG
January 2015
1
1
PANEL TESTS
Code
Profile Description
Specimen &
Tube Type
Instructions
TAT
FERT1
PROFILE - FERTILITY #1
(FSH, LH)
1 SST
1
FERT2
PROFILE - FERTILITY #2
(FSH, LH, PROLACTIN)
1 SST
1
1 Lavender
1 SST
1 Stockwell
Lavender and Stockwell : Do not
temperature
1
1 Lavender
1 SST
1 Stockwell
temperature
1
1 Lavender
1 SST
1 Stockwell
temperature
1
1 Lavender
1 SST
1 Stockwell
temperature
1
1 SST
1
1 SST
1
1 SST
1
GP1
GP2
GP3
GP4
HEPB
HEPABC
HEPAB
PROFILE - GENERAL #1
(CBC, GLUCOSE AC, CALCIUM,
PHOSPHORUS, URIC ACID, UREA,
CREATININE, BILIRUBIN TOTAL, ALKALINE
PHOSPHATASE, LDH, AST, ALT, GGT,
PROTEIN, ALBUMIN, CHOLESTEROL,
TRIGLYCERIDES, , URINALYSIS)
(CBC, GLUCOSE AC, CALCIUM,PHOSPHORUS,
URIC ACID, CREATININE, GFR, BILIRUBIN
TOTAL, ALKALINE PHOSPHATASE, LDH, AST,
ALT, GGT, PROTEIN, ALBUMIN,
CHOLESTEROL, TRICLYCERIDES,
ELECTROLYTES, URINALYSIS
(GLUCOSE AC, CALCIUM, PHOSPHORUS,
URIC ACID, UREA, CREATININE, BILIRUBIN
CHOLESTEROL, TRIGLYCERIDES, CBC,
URINALYSIS, HDL, LDL)
(CBC, GLUCOSE AC, CALCIUM,PHOSPHORUS,
URIC ACID, CREATININE, GFR, BILIRUBIN
CHOLESTEROL, TRICLYCERIDES, HDL, LDL,
ELECTROLYTES, URINALYSIS
PROFILE - HEPATITE B SCREEN
(HBS ANTIBODY, HBC ANTIBODY, HBS
ANTIGEN)
PROFILE - HEPATITES A, B, C SCREEN
ANTIGEN, HETAPITIS A IGM, HEPATITIS C
ANTIBODY)
PROFILE - HEPATITIS A & B SCREEN
ANTIGEN, HEPATITIS A IGM)
January 2015
PANEL TESTS
Code
LFT
Profile Description
PROFILE - LIVER FUNCTION
(ALT, AST, BILIRUBIN TOTAL, GGT, LDH,
ALKALINE PHOSPHATASE)
MONOP
PROFILE – MONOSCREEN
(CBC, MONOTEST)
OSTEOP
PROFILE - OSTEOPOROSIS
(PTH, PROTEIN ELECTROPHORESIS, IONIZED
CALCIUM, ALBUMIN, ALKALINE
PHOSPHATASE, CALCIUM, CREATININE,
PHOSPHORUS, PROTEIN, CALCIUM-URINE
RANDOM, CREATITINE -URINE RANDOM,
PHOSPHORUS- URINE RANDOM, RATIO
CAL/CREAT RANDOM)
PREN1
PROFILE - PRENATAL #1
(CBC INTERPRETATION, MATERNAL
ANTIBODY, BLOOD)
PREN2
ANTIBODY, BLOOD, RUBELLA IGG)
PREN3
ANTIBODY, BLOOD, RUBELLA IGG,
TOXOPLASMOSIS IGG, GLUCOSE AC,
GLUCOSE PC)
FPSA
STONE
PROFILE - PROSTATIC MARKERS
(PSA FREE, PSA TOTAL)
PROFILE - RENAL STONE - UROLITHIASIS
(CALCIUM, PHOSPHORUS, ELECTOLYTES,
URIC ACID, 24H CALCIUM URINE, 24H
PHOSPHOUS URINE, 24H CREATININE URINE,
24H URIC ACID URINE, 24H OXALATES
URINE, URINALYSIS)
January 2015
Specimen &
Tube Type
Instructions
TAT
1 SST
1
1 Lavender
1 RED
ship at room temperature. Red: Do
not centrifuge. Store and ship
refrigerated.
1
4 SST
1 Lavender
1 Sterile urine
container
temperature
1
1 Lavender
PINK
Rose: Do not centrifuge. Store and ship
refrigerated. Lavender: Do not
temperature
1
2 Lavender
1SST
1 Rose
temperature
1
1 Lavender
4 SST
1 Rose
temperature
1
1 SST
1
1 SST
24 hour urine
container
Stockwell
24 Hour urine container: Store and
ship refrigarated. Stockwell: Do not
temperature
1
PANEL TESTS
Specimen &
Tube Type
Instructions
TAT
SMAC
PROFILE - SMAC
URIC ACID, CREATININE,BILIRUBIN TOTAL,
ALKALINE PHOSPHATASE, LDH, AST, ALT,
GGT, PROTEIN, ALBUMIN, CHOLESTEROL,
TRIGLYCERIDES)
1 SST
1
SMACLYT
PROFILE - SMACLYTES
URIC ACID, CREATININE,BILIRUBIN TOTAL,
ALKALINE PHOSPHATASE, LDH, AST, ALT,
GGT, PROTEIN, ALBUMIN, CHOLESTEROL,
TRIGLYCERIDES, ELECTROLYTES)
1 SST
1
PROFILE - SMA5
(GLUCOSE AC, CREATININE, ELECTROLYTES)
1 SST
1
1 SST
1
1 SST
1
1 SST
1
1 SST
1
1 SST
1
1 Aptima
Swab
1
1 Sterile Urine
container
1
1 Aptima
Swab
1
Code
SMA5
SMA6
SMA7
SMA12
SMA12LYT
SMA16
STDFS
STDFU
STDMS
Profile Description
PROFILE - SMA6
(GLUCOSE AC, UREA, CREATININE,
ELECTROLYTES)
PROFILE - SMA7
(GLUCOSE AC UREA, CREATININE,
ELECTROLYTES, CO2 TOTAL)
PROFILE - SMA12
(GLUCOSE AC, ALBUMIN, ALKALINE
PHOSPHATASE, AST, BILIRUBIN TOTAL,
CALCIUM, CHOLESTEROL, CREATININE, LDH,
PROTEIN, UREA, URIC ACID)
PROFILE - SMA12LYTES
PHOSPHATASE, AST BILIRUBIN TOTAL,
CALCIUM, CHOLESTEROL, CREATININE,
ELECTROLYTES)
PROFILE - SMA16
PHOSPHATASE, AST BILIRUBIN TOTAL,
CALCIUM, CHOLESTEROL, CREATININE,
ELECTROLYTES CO2 TOTAL)
PROFILE - STI FEMALE - MEDIA
(VAGINAL CULTURE, CHLAMYDIA &
NEISSERIA GONORRHEA SWAB)
PROFILE - STI FEMALE - URINE
(VAGINAL CULTURE, CHLAMYDIA &
NEISSERIA GONORRHEA URINE)
PROFILE - STI MALE - MEDIA
(CHLAMYDIA & NEISSERIA GONORHEA
SWAB)
January 2015
PANEL TESTS
Code
STDMU
ITSS
ITSU
Profile Description
PROFILE - STI MALE – URINE
(CHLAMYDIA & NEISSERIA GONORHEA
URINE)
PROFILE - STI GONO-CHLAM SWAB &
BLOOD
(HBS ANTIGEN, HIV, CHLAMYDIA &
NEISSERIA GONORRHEA SWAB, SYPHILIS TP
EIA)
PROFILE - STI GONO-CHLAM URINE &
BLOOD
(HBS ANTIGEN, HIV, CHLAMYDIA &
NEISSERIA GONORRHEA URINE, SYPHILIS TP
EIA)
Specimen &
Tube Type
Instructions
TAT
1 Sterile urine
container
1
1 SST
1 Aptima
Swab
1
1 SST
1 Sterile urine
container
1
TH2
PROFILE - THYROID #2
(TSH, FREE T4)
1 SST
1
TH6
PROFILE - THYROID #6
(TSH, FREE T4, THYROID ANTIBODIES)
2 SST
1
January 2015

Quebec - Dynacare

Transcription

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