Clarian Pathology Laboratory
Laboratory News Bulletin December 2006
Announcing Carrie Phillips, MD, Director of Renal Pathology Services
Dr. Phillips is an Associate Professor at Indiana University School of Medicine and Director of the Electron Microscopy Laboratory. Her area of clinical expertise is renal pathology with research interests in inherited cystic kidney disease and Alport syndrome.
Dr. Phillips received her MD from the University of Missouri - Kansas City School of Medicine. She completed an internship in Transitional Medicine at Highland General Hospital Oakland, CA, followed by an anatomic pathology residency at the National Cancer Institute (NIH) Bethesda, MD, and a renal pathology fellowship at the University of Michigan in Ann Arbor. She completed a medi- cal staff fellowship in cardiovascular research at the National Heart, Lung & Blood Institute (NIH). Dr. Phillips is board certified in Anatomic Pathology by the American Board of Pathology. She enjoys fly-fishing and plans to tackle her first Mini-Marathon in 2007.
Carrie Phillips, MD Clarian Pathology Laboratory 350 West 11th Street, Room 4010 Indianapolis, IN 46202-4108 Telephone: (317) 491-6000 FAX: (317) 491-6419 email: [email protected] News and Information:
Allergy Testing and New Regional Allergy Profiles: Three regional allergy profiles are now offered at Clarian Pathology Laboratory. These are in addition to the variety of allergens performed by ImmunoCAP immunoflouroassay listed on pages 7 and 8.
CPL’s On-Line Directory of Services has been updated. See complete instructions on using the website on pages 2-6. A new printed directory will be available soon.
C3 Complement Body Fluid QN and C4 Complement Body Fluid QN are no longer offered.
Ionized Calcium: Collect in Lt. Green, Green or Heparin Syringe. Send to lab on ice or refrigerated. Do Not open tube or split sample. Clients send DIRECT TO CPL (do not send to beltway or satellite labs) by Stat Courier!! Sample stability at room temp is only 1 hour. Sample stability on ice or refrigerated is 4 hours. If sample is past the stability criteria, test will be performed but with a disclaimer.
New Reference Ranges: Digoxin Free T4 Direct Old range New range Old range New range 0.8 – 2.0 0.5 – 2.0 0.9 – 1.9 0.8 – 1.9
Clarian Pathology Laboratory’s on-line Directory of Services provides specific information on collecting and sending samples. Instructions for using the website are provided in the following pages. The web address is www.clarian.org/pathologylab.
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The ‘Search for a test’ section of the website provides the ability to search for a Clinical Laboratory Test by:
1) either selecting the number or letter the test begins with and locating the test of interest OR
2) a search field to type the name or number of the test.
2 Next select the test that you are interested in. The information includes: 2 Test name & Label Name Method & Testing Schedule Average TAT Specimen Type Container/Tube Type & Other acceptable cont/tubes Preferred Volume & Minimum volumes (for pediatric/ microtainer draws) Shipping stabilities (for off site locations) Comments that include handling information
The test above is an example of a test that can be performed on either blood OR CSF, i.e., a number of different types of samples. Cultures typically can be performed on a variety of sample types and require the source of the sample.
If is test requires two different types of samples you will see that in the following locations:
3 Our Services includes information on: Outpatient Phlebotomy Locations General summary of our services Information about Indiana Pathology Institute
Compliance and Regulatory information: Lab Accreditations Proficiency Testing Compliance bulletins
The menu sections of the website are in pdf format and require Adobe Acrobat Reader to open. The home page provides the ability to download the free Ac- robat Reader for clients who may not have this software.
Each menu selection provides the following:
4 Indiana Pathology Institute information includes special submission forms.
Requisitions for clinical pathology, anatomic pathology and cytology are available as well as special forms for supplies and research.
Allergy Test Menu is provided
Normal Ranges include three pdf files: the main file with two appendices.
STAT Testing and Critical Values charts are also provided.
5 Links provide easy access to DPLM and IPI websites, as well as several lab test information web resources.
Lab News Bulletins are provided in pdf format and can easily be printed by the user.
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Regional Allergy Panels
Collect 1 full light green tube for each allergy panel. Components for each panel are listed below and can be ordered individually - see previous page.
3 mos to 3 yrs 3 yrs and up 3 yrs and up ALGYCHLD Childhood Allergy ALGYFOOD Food Allergy ALGYRESP Respiratory Allergy Catdand Allergen Cat dander Clam Allergen Clam Bermuda Allergen Bermuda grass Cokroach Allergen Cockroach FishCod Allergen Fish, cod Catdand Allergen Cat dander FishCod Allergen Fish, cod MaizCorn Allergen Maize Corn Cokroach Allergen Cockroach Dogdand Allergen Dog dander EggWhite Allergen Egg white C. ragwd Allergen Common ragweed EggWhite Allergen Egg white Milk Allergen Milk Dogdand Allergen Dog dander Dfarinae Allergen D. farinae Peanut Allergen Peanut Elm Allergen Elm Milk Allergen Milk Scallop Allergen Scallop Dfarinae Allergen D. farinae A. Alternata Allergen A. Alternata Shrimp Allergen Shrimp D. ptern Allergen D. pteronyssinus Peanut Allergen Peanut Soybean Allergen Soybean Johnson Allergen Johnson grass Soybean Allergen Soybean Walnuts Allergen Walnuts LambQuar Allergen Lambs quarters Wheat Allergen Wheat Wheat Allergen Wheat KyBlue Allergen Kentucky blue IgE IgE SerPl QN (Total IgE) IgE IgE SerPl QN (Total IgE) A. Alternata Allergen A. Alternata A. fumig Allergen A.fumigatus C. herbr Allergen C. herbarum OakTree Allergen Oak Pecan Tr Allergen Pecan Tree WalnutTr Allergen Walnut Tree IgE IgE SerPl QN (Total IgE)
If you are interested in learning more about allergy testing, please contact client services at 317-491-6000 and ask to talk with an account manager.
About Indiana Health Information Exchange (IHIE)
The Indiana Health Information Exchange (IHIE) is a non-profit venture with a vision is to use information technology and shared clinical information to: • Improve the quality, safety, and efficiency of health care in the state of Indiana, • Create unparalleled research capabilities for health researchers, • Exhibit a successful model of health information exchange for the rest of the country.
Providers who receive clinical reports will directly benefit from the clinical messaging service. CPL encourages the use of IHIE or DOCS4DOCS® for a laboratory report delivery system. Features and benefits include:
• Consistent report format with key information such as the patient's name located in the same place results in easier and more reliable report interpretation • Secure, electronic communications to other providers – they can forward results with comments or annotation to other providers which reduces the effort required to share clinical results with other providers participating in the patient's care • Single source for results from all participating data sources simplifies office workflow • Results stored for two years for future reference makes for ease of replacing misplaced reports and creates opportuni- ties for improved office workflow. Results can be accessed from home simplifying follow-up of urgent results. • Delivery flexibility – results are delivered as they become available or grouped together at times of the day you choose providing greater workflow efficiency. • Single, community-wide 24/7 help desk for technical support and tracking results which reduces frustration and time when problems arise • There is NO cost to providers as data providers support the costs of the clinical messaging system If you are interested in learning more about IHIE contact [email protected]. If you wish to sign up, please visit their website at http://www.ihie.com/signup.htm.
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