PALOMAR POMERADO LABORATORY SERVICES Palomar Medical Center Laboratory (760) 739-3030 Pomerado Hospital Laboratory (858) 613-4113 Client Services (760) 739-2867 or (858) 613-4282 Table of Contents Laboratory Leadership .................................................................................................... 2 Deleted: 3 Outreach Laboratory Services: ....................................................................................... 3 Deleted: 4 Courier Service: .............................................................................................................. 4 Deleted: 5 Prompt Reporting/Turn-Around-Time: .......................................................................... 4 Deleted: 5 Result Reporting ............................................................................................................. 4 Deleted: 5 Repeat Determinations.................................................................................................... 5 Deleted: 6 Cancellation Of Tests...................................................................................................... 5 Referred Tests ................................................................................................................. 5 Deleted: 6 Professional Courtesy: .................................................................................................... 5 Deleted: 6 Standing Orders: ............................................................................................................. 5 Deleted: 6 Quality Assurance........................................................................................................... 5 Deleted: 6 Reportable Disease.......................................................................................................... 6 Deleted: 6 Clinical Trials.................................................................................................................. 6 Deleted: 7 Supplies:.......................................................................................................................... 6 Deleted: 7 Specimen Collection Stations ......................................................................................... 6 Deleted: 7 Billing Services............................................................................................................... 7 Deleted: 7 Test Requisition Information .......................................................................................... 9 Clinical Laboratory Specimen Colelction Materials……………………………………..12 Deleted: 8 Deleted: 10 Anatomic Pathology And Cytology ............................................................................... 13 Pathology Specimen Containers ................................................................................... 13 Cytology Specimens ..................................................................................................... 13 Gynecologic Cytology Specimen (Pap Smear) Collection and Requirements............. 14 Unacceptable Specimens .............................................................................................. 14 Cytology Supplies......................................................................................................... 14 Quality Assurance......................................................................................................... 14 Non-Gyn Cytology Specimen Requirements................................................................ 15 Appendix.......................................................................................................................... 18 Specimen Requirements: .............................................................................................. 18 Critical Values .............................................................................................................. 36 Critical Tests ................................................................................................................. 39 Stat Tests:...................................................................................................................... 40 1 Laboratory Leadership Valley Pathology Medical Associates, Inc. Jerry Kolins, M.D. Medical Director Blesilda Singh, M.D. Bradley Harward, M. D. Lachlan McLeay, M.D. Saskia Boisot, M.D. Pamela Danque, M.D. Keith Lopes, PA Linda Petroff, M.D. Palomar Pomerado Laboratory Services: Mark Reyes, MT (ASCP) MBA District Director, Lab Operations Tim Barlow, MT (ASCP) Susan David Manager, Laboratory Services – PMC Phlebotomy Supervisor Pomerado Gloria Austria, MBA/HCM, CLS Debra Mason, MT (ASCP) Manager, Laboratory Services – Pomerado POCT Supervisor Ted Drescher Rose Pfliger Office/Phlebotomy Manager Anatomic Pathology Transcription Supervisor Robert D’Orazio, MT (ASCP) Brian Bakerink Chemistry Supervisor Supervisor- Cyto/AP Assistants Joane Barriteau, MT (ASCP) Evelyn Chua, MT (ASCP) Hematology Supervisor Evening Shift Supervisor - PMC Rebecca Anderson, MT (ASCP) Susan DeWindt, MT (ASCP) Night Shift Supervisor - PMC Microbiology Supervisor Robert Sharpell, MT (ASCP) Sandy Lajeunesse, MLT (ASCP) Laboratory Info System Analyst – PMC Central Processing Supervisor Jim Peters, MT (ASCP) MaryAnn Snoke Laboratory Info System Analyst – Pomerado Phlebotomy Supervisor - PMC 2 Outreach Laboratory Services: PPLS Client Services Department: Phone: (760) 739-2867 or (858) 613-4282 Fax: (760) 739-2864 Ted Drescher, Office/Phlebotomy Manager (760) 739-3026 Hours of Operation: Monday – Friday 8:00 A.M. – 5:00 P.M. Our Customer Service Representatives will gladly help you with your requests for test results, telephone orders, courier pick-ups, specimen requirements, turnaround times, and supply orders. After hours, please call the PPLS Client Services Department and follow the steps to be transferred to Palomar Medical Center or Pomerado Hospital. Professional Consultation Our pathologists are always available to answer your questions, discuss test results and consult on unusual cases. Please call either Palomar Medical Center at (760) 739-3030 or Pomerado Hospital Laboratory at (858) 613-4649. Laboratory managers and technical staff are also available to answer your questions regarding clinical laboratory testing. Fully Accredited Laboratories Palomar Pomerado Laboratory Services is acknowledged as a high quality laboratory and is accredited by the following: College of American Pathologists (CAP) Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Centers for Medicare and Medicaid Services (CLIA) State of California Department of Health Services (DHS) Pomerado Hospital Palomar Medical Center CAP # 23184-01 CAP # 23149-01 Federal Tax ID # 95-6003-843 Federal Tax ID #95-6003-843 FI Medicare Provider # 050636 FI Medicare Provider # 050115 California State License # CLF 3150 California State License #CLF1006 CLIA ID # 05D0668540 CLIA ID # 05D0671677 Medi-Cal Provider # ZZT40636F Medi-Cal Provider #ZZT40115F NPI 1376513754 NPI 1457321317 3 Courier Service: (760) 739-2867 or (858) 613-4282 Hours of Operations: Monday – Friday 8:00 A.M. – 8:00 P.M. Saturday – Sunday 8:00 A.M. – 4:30 P.M. *Holidays by special arrangement Whenever possible, courier pick-ups will be scheduled around your office hours. Lock boxes for after hours service are also available. * STAT courier services are available. In most cases a courier will be to your office within one (1) hour of your call. Prompt Reporting/Turn-Around-Time: Specimens are processed and test results are reported to the client as soon as possible. Since reporting times vary, a testing schedule is available from the Outreach Laboratory office. Result Reporting Routine Results are available within 24 hours. ASAP Results are available within four (4) hours after specimen is received in laboratory. STAT Results available within one (1) hour after specimen is received in the laboratory. Lab Result Calling After Hours The CLS performing the test will call critical results with no time restrictions Calling Protime results: • The lab will order all Protimes as AS/AS unless otherwise requested by physician. • All STAT Protimes received after 4 PM shall be called to Physician or Institution. • ASAP Protimes with normal results shall not be called after 8:00 p.m. but must be called the next business day. NOTE: The front office personnel will check the requisition for complete physician information including after hours contact number. In the event that the information is not available the laboratory personnel will: • Call the patient to get the physician information. ?? • If information is still not available, CLS will call the pathologist on call. Result Faxing: All laboratory results will be automatically faxed to your office. This includes clinical, cytology and anatomic pathology reports. 4 Critical Value Handling The laboratory will immediately call results that fall within a range, which has been determined to be Critical or may have an effect in delaying surgery or need to be brought to the attention of the physician. You will find a list of the PPLS Critical Values in the Appendix. “STAT” Test List: A complete list of Outpatient “STAT” tests can be found in the Appendix of this manual. Repeat Determinations We will repeat a test without charge whenever the result does not correlate, in the physician’s opinion or with the clinical picture presented by the patient. Contact the Outreach Laboratory office with any requests for repeats. Follow-up or confirmatory testing is not considered a repeat determination,