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Laboratory Services Manual, February 2020

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Laboratory Services Manual, February 2020 LABORATORY SERVICES MANUAL TABLE OF CONTENTS I LABRegOP7900 GENERAL INFORMATION I Laboratory Services at SHA Regina Sites .......................................................... 1 II Hours of Operation ....................................................................................... 2 III Laboratory Administration.............................................................................. 2 IV Phlebotomy Services ...................................................................................... 3 V Laboratory Requisitions.................................................................................. 4 VI Test Priority ................................................................................................... 6 VII Test Order Entry ............................................................................................ 7 VIII Requisition Test Add-Ons or Changes .............................................................. 7 IX Specimen Requirements..................................................................................8 X Specimen Collection 1. Client Identification .............................................................................. 9 2. Transfusion Service Bands..................................................................... 10 3. Collection of Blood Specimens .............................................................. 10 4. Specimen Labelling ............................................................................ 11 XI Transporting Specimens to the lab ................................................................. 12 XII Specimen Rejection....................................................................................... 12 XIII Laboratory Information System .................................................................... 13 XIV Results Reporting......................................................................................... 14 XV Types of Reports .......................................................................................... 14 XVI Requests for Results .................................................................................... 15 XVII Availability of Tests “After Hours” ................................................................. 15 XVIII Laboratory Tests Available on 24 Hour Basis .................................................. 16 XIX Turn Around Time ........................................................................................ 16 XX Critical Values ........................................................................................... 16 XXI Ordering Laboratory Tests ............................................................................ 17 APPENDIXES LABRegOP7109 Laboratory Specimen Portering Competency LABRegOP7109A1 Instructions for Portering Laboratory Specimens LABRegOP7109A2 Portering Laboratory Specimens Competency Quiz LABRegOP7109A3 Portering Laboratory Specimens Competency Quiz Answers LABPhlbOP7009A1 Sending Patient Specimens using the Pneumatic Tube LABAccnOP7027J1 Labeling requirements for CSF collection LABRegOP7900A3 Specimen collection Process FAQ LABRegOP7900A4 Lab Services for Inpatient Rehab and ECVAC Program LABRegOP7900A5 Specimen Collection Information for Health Care Practitioners Offices LABRegOP7900A6 Laboratory Common Test Quick Reference LABRegOP7900A7 Pediatric Collection Room Poster Requisitions LABLisOP2001A2 Community Lab Requisition (RQHR 217) LABLisOP2003A4 RQHR Microbiology Community Requisition (RQHR 1275) LABRegOP7901T.3.3 Table of Contents Lab Services Manual Page 1 of 5 Laboratory Services, Regina Qu’Appelle Health Region Last printed 2/7/2020 11:12 AM LABLisOP2000A1 Rural/Referred-In Testing Lab Requisition (RQHR 1284) Semen Collection Fertility June 2019 RQHR 196 Semen Collection Post Vasectomy June 2019 RQHR 197 Critical Values: LABChemOP8200T1 Chemistry Critical Values LABHemaOP7019T1 Hematology Critical Values LABMicOP8000A1 Microbiology Critical Values LABTranOP7001W3Transfusions Critical Values LABHistOP1003 Anatomic Pathology Critical Results LABCytoOP7047Communication and Documentation of Cytopathology Critical Results LABRlabOP7900A2 Rural Lab Critical Results Turn Around Times: LABChemOP8202C1 Chemistry Tests LABHemaOP7031C1 Guidelines for Expected TAT in Hematology LABMicOP8000A2 Anticipated TAT for Microbiology Tests LABTranQP7000W1 TAT for Requested Blood Products LABTranQP7000W2 TAT for Transfusion Tests LABRlabOP7900A3 Tests Performed at Rural RQHR sites RQHR Policies and Procedures Identification of Client/Patient/Resident Policy Identification of Client/Patient/Resident Procedure Roy Romanow Provincial Laboratory RRPL Test Request and Sample Requirements Poster RRPL Chemistry Requisition and Completion Instructions RRPL Microbiology Requisition and Completion Instructions II LABChemOP7269 CHEMISTRY Purpose..........................................................................................................1 Procedure ......................................................................................................1 Blood Specimens ............................................................................................2 ACTH Stimulation Test (Rapid ACTH,Cortrosyn) ......................................2 Blood Ethanol.......................................................................................2 Blood Gases .........................................................................................2 Dexamethasone Suppression Test .........................................................3 Glucose Tolerance ................................................................................3 Growth Hormone Suppression Test .......................................................4 Insulin..................................................................................................4 Urine Specimens…… ........................................................................................5 Specimen Collection .............................................................................5 Urine Testing Notes ..............................................................................6 Feces Specimens .............................................................................................6 Feces Tests...........................................................................................6 LABRegOP7901T.3.3 Table of Contents Lab Services Manual Page 2 of 5 Laboratory Services, Regina Qu’Appelle Health Region Last printed 2/7/2020 11:12 AM CSF Specimens ................................................................................................7 Toxicology Specimens .....................................................................................7 Fluid Specimens ..............................................................................................8 Specimen Collection .............................................................................8 Tests Performed ...................................................................................8 Fluid Notes...........................................................................................8 Therapeutic Drug Testing ...............................................................................9-11 LABChemOP7352A1 ACTH Stimulation Test LABChemOP7317A1 75 Gm Maternal Glucose Tolerance III LABAccnOP7200 CYTOGENETICS I General Information .......................................................................................1 II Blood Chromosome Studies.............................................................................2 III Bone Marrow Studies......................................................................................2 IV Amniotic Fluid Analysis....................................................................................2 V Products of Conception Analysis ......................................................................3 VI Cord Blood Studies..........................................................................................3 VII Buccal Smears for Sex Chromatin Studies .........................................................3 VIII Out Patient Services ........................................................................................3 IV LABCytoOP7000 CYTOLOGY I Purpose..........................................................................................................1 II Specimens – Types, Collection Methods, Identification and Labelling .................1 III Specimen Submission and Transportation ........................................................2 IV Cytology Requisitions ......................................................................................2 V Specimen Rejection Criteria.............................................................................3 VI RQHR Cytology Laboratory Address and Hours of Operation .............................3 VII General Techniques A. Pap Smears .......................................................................................4 B. Sputum ..............................................................................................5 C. Bronchial Brushings ...........................................................................6 D. Bronchial Washings ...........................................................................6 E. Urine Specimens/Bladder Washings ...................................................6 F. Serous Effusions (Pleural, Peritoneal, Pericardial Fluids) ......................7 G. Cerebrospinal Fluids ..........................................................................7
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