0 Content Title Page Message from the Hospital Director 1 Message from the Head of Department 2 Editorial Committee 3 Organization chart, Department of Pathology, Hospital Taiping 4 Ministry of Health’s Vision and Mission 5 Department of Pathology’s Vision and Mission, Client Charter 6 Terminology 7 General Information 1.0 Introduction 8 2.0 Services and Functions 3.0 Services Quality 4.0 Service Hours 5.0 Contact Numbers for Department of Pathology, Hospital Taiping 9 6.0 Pre analytical requirements 10 6.1 Request form 6.2 Samples/Specimens 6.3 Type of Containers 6.4 Transportation of Specimen 7.0 Rejection 11 8.0 Results/Reports 9.0 Critical Value Information 12 Table 1 Critical Limit in Chemical Pathology Pathology Dept, Hospital Taiping, Laboratory Handbook 2018 Table 2 Critical Limit Hematology 13 Table 3 Critical Findings in Anatomical Pathology Table 4 Critical Findings in Microbiology 14 10.0 Types of Container and Order of Draw 15 11.0 General Workflow for Handling of Specimen in the Department of Pathology, Hospital 16 Taiping Chemical Pathology 17 1 Introduction 18 2 List of Services 3 Specimen Collection and Handling 3.1 Arterial Blood Gas (ABG) Analysis 3.2 Plasma Ammonia 3.3 Plasma Lactate 19 3.4 Hormone and Tumor Markers 3.5 Random Urine Specimen 3.6 24 Hours Urine Specimen 3.7 Urine for Drugs of Abuse (DOA) for Medico-Legal Cases 3.8 Cerebrospinal Fluid (CSF) Biochemistry Test 21 3.9 Other Body Fluids Biochemistry Test 4 Test Offered in Chemical Pathology Laboratory, Hospital Taiping & LTAT 22 5 Reporting and Dispatching of Results 28 6 Retention Period of Specimens and Results/Reports Hematology 29 1 Introduction 30 2 List of Services 3 Specimen Collection and Handling Pathology Dept, Hospital Taiping, Laboratory Handbook 2018 4 Test Offered in Hematology Laboratory, Hospital Taiping & LTAT 31 4.1 Routine Tests 4.2 Specialized Tests 5 Reporting and Dispatching Of Result(S) 32 6 Retention Period of Specimens and Results/Reports 33 Microbiology & Serology 35 1 Introduction 36 2 List of Services 3 Specimen Collection and Handling 3.1 General Guidelines 3.2 Specific Guidelines (Bacteriology) 3.3 Sample for Mycology 43 3.4 Blood Film for Malaria (BFMP) or Filaria 45 4 Test Offered in Microbiology Laboratory, Hospital Taiping and LTAT 46 5 Test Offered in Serology Laboratory, Hospital Taiping and LTAT 6 Reporting and Dispatching of Results 53 7 Retention Period of Specimen and Results/Reports Histopathology 54 1 Introduction 55 2 List of Services 3 Request for Histopathology Service 3.1 General (Routine) Histopathology 3.2 Frozen Section 3.3 Transplant 56 4 Specimen Collection and Handling 5 Transportation of Specimen 58 Pathology Dept, Hospital Taiping, Laboratory Handbook 2018 6 Histopathology (HPE) Turn Around Time 7 Reporting and Dispatching of Results 59 8 Retention Period of Specimen and Results/Reports 60 Cytopathology 61 1 Introduction 62 2 List of Services 3 Specimen Collection and Handling 63 3.1 Type of Specimen, Container, Volume and Transportation 3.2 Request Form 64 4 Cytology Lab Turn Around Time 65 5 Reporting and Dispatching of Results 6 Retention Period of Specimen and Results/Reports 66 Outsource Services 67 1 Introduction 68 2 List of Services 2.1 Outsource Operating Hour 2.2 Transportation Schedule to Referral Centers 69 3 Specimen Collecting and Handling 4 Test Offered in Outsource Services, Hospital Taiping & LTAT 71 5 Reporting and Dispatching of Results 196 Pathology Dept, Hospital Taiping, Laboratory Handbook 2018 NO. Title Page APPENDIX 1 PER-PAT 301 FORM 198 APPENDIX 2 PREPARATION OF THICK BLOOD SMEAR 199 APPENDIX 3 HISTOPATHOLOGY FORM HOSP TAIPING (HTPG/JP/03/04) 200 APPENDIX 4 CRITICAL FINDINGS FOR ANATOMICAL PATHOLOGY 201 APPENDIX 5 BORANG PERMOHONAN PAP SMEAR (PS 1/98 (PINDAAN 2007) 202 APPENDIX 6 HEMATOLOGY/SEROLOGY REQUEST FORM PDN (PDN/HA/QP-01/01) 203 APPENDIX 7 HEMATOLOGY/SEROLOGY PDN GUIDELINES 204 APPENDIX 8 BORANG PERMOHONAN BAGI PEMERIKSAAN FORENSIK/TOKSIKOLOGI JABATAN 205 KIMIA (KIMIA 15-Pin. 1/2004) PAGE 1 APPENDIX 9 BORANG PERMOHONAN BAGI PEMERIKSAAN FORENSIK/TOKSIKOLOGI JABATAN 206 KIMIA(KIMIA 15-Pin. 1/2004) PAGE 2 APPENDIX 10 DENGUE SEROTYPE SURVEILLANCE MKAK SG. BULOH (MKAK – BPU – D02) 207 APPENDIX 11 MEASLES-BORANG PERMOHONAN DAN KEPUTUSAN UJIAN MKAK SG. BULOH 208 (MKAK – MSLF 01/2004) APPENDIX 12 MKAK REQUEST FORM (MKAK-BPU-U01) 209 APPENDIX 13 LAB REQUEST FORM FOR SUSPECTED CASE OF SWINE INFLUENZA 210 (KKM/BKP/H1NI/2009/3) APPENDIX 14 NATIONAL ENTEROVIRUS SURVEILLANCE FORM (MKAK – BPU U01) 211 APPENDIX 15 CYTOGENETICS REQUEST FORM HKL (HKL/HA/TPM/N-1-(1)) PAGE 1 212 APPENDIX 16 CYTOGENETICS REQUEST FORM HKL (HKL/HA/TPM/N-1-(1)) PAGE 2 213 APPENDIX 17 REQUISITION FOR MOLECULAR DIAGNOSTICS SERVICES IMR 214 (IMR/SDC/UMDP/MOLDX/REQUEST FORM) PAGE 1 APPENDIX 18 REQUISITION FOR MOLECULAR DIAGNOSTICS SERVICES IMR 215 (IMR/SDC/UMDP/MOLDX/REQUEST FORM) PAGE 2 APPENDIX 19 REQUISITION FOR MOLECULAR DIAGNOSTICS SERVICES IMR 216 (IMR/SDC/UMDP/MOLDX/REQUEST FORM) PAGE 3 APPENDIX 20 REQUEST FORM AIRC IMR (IMR/AIRC/PID/RF) 217 APPENDIX 21 AIRC GUIDELINES 218 APPENDIX 22 BONE MARROW CYTOGENETICS FORM IMR 219 APPENDXI 23 DNA ANALYSIS FOR THALASSEMIA SYNDROMES 220 IMR(IMR/CaRC/HAEM/22/2203/03(1)/REQForm) PAGE 1 Pathology Dept, Hospital Taiping, Laboratory Handbook 2018 APPENDIX 24 DNA ANALYSIS FOR THALASSEMIA SYNDROMES IMR (IMR/ CaRC/ HAEM/2 221 2/2203/03(1)/REQForm) PAGE 2 APPENDIX 25 CONGENITAL HYPOTHYROIDISM CORD BLOOD SCREENING TEST 222 APPENDIX 26 TDM REQUEST FORM 223 APPENDIX 27 BORANG PERMOHONAN UJIAN TIBI MKA (TBIS 20C) 224 APPENDIX 28 THERAPEUTIC DRUG MONITORING REQUEST FROM HKL (HKL/JPDR/AK-07-01) 225 APPENDIX 29 HLA TYPING TEST REQUEST FORM IMR (IMR/QIRC/TI/RF-2) 226 APPENDIX 30 HOSPITAL AMPANG SPECIAL HEMATOLOGY REQUSITION PAGE 1 227 APPENDIX 31 HOSPITAL AMPANG SPECIAL HEMATOLOGY REQUSITION PAGE 2 228 APPENDIX 32 TORCHES PROGRAMME 229 APPENDIX 33 IEM REQUEST FORM IMR (IMR/SDC/BC/FORM-RQ) PAGE 1 230 APPENDIX 34 IEM REQUEST FORM IMR (IMR/SDC/BC/FORM-RQ) PAGE 2 231 APPENDIX 35 ACUTE FLACCID PARALYSIS FORM 232 APPENDIX 36 BRUCELLOSIS LAB0RATORY REQUEST FORM IMR (IMR/IDRC/BACT/BRUCE/01) 233 APPENDIX 37 PERKHIDMATAN GENETIK & METABOLIK HKL (HKL/JG/MG/IEM/PK-01-01) 234 APPENDIX 38 HIGH RISK SCREENING FOR POMPE IMR 235 APPENDIX 39 MERCOV REQUEST FORM IMR & MKAK 236 APPENDIX 40 BORANG PERMOHONAN UJIAN MAKMAL HFMD MKAK 237 APPENDIX 41 LEPTOSPIROSIS LABORATORY REQUEST FORM (IMR/IDRC/BACT/LEPTO/01) 238 APPENDIX 42 REQUEST FORM FOR MULTIPLE MYELOMA AND SPECIFIC PROTEINS IMR 239 (IMR/SDC/UMDP/PROTEIN/REQUEST FORM) APPENDIX 43 UJIAN SEROLOGI BAGI PENYAKIT HIV IMR (IMR/VIRO/HIV/1) 240 APPENDIX 44 UJIAN POLYMERASE CHAIN REACTION (PCR) UNTUK HIV DI KALANGAN BAYI 241 (IMR/VIRO/HIV/2) APPENDIX 45 BORANG PERMINTAAN UJIAN PENGESAHAN DADAH (UPD-1 (PINDAAN 2)) PAGE 1 242 APPENDIX 46 BORANG PERMINTAAN UJIAN PENGESAHAN DADAH (UPD-1 (PINDAAN 2)) PAGE 2 243 Pathology Dept, Hospital Taiping, Laboratory Handbook 2018 Message from the Hospital Director 1 MESSAGE FROM THE HOSPITAL DIRECTOR The laboratory service is an essential part of the healthcare system and plays a crucial role in the management of patients, hence making a need for high quality laboratory services imperative. In line with the Ministry of Health’s Vision, the Department of Pathology has made great efforts in ensuring good laboratory services are provided to not only the patients seeking medical treatment at Hospital Taiping but also at hospitals and health clinics in the northern zone of Perak state. The Department of Pathology ongoing efforts of reviewing, updating and improving the contents of the laboratory handbook are to ensure not only accurate and clear information are communicated properly but also to ensure this laboratory handbook serves as a user friendly guideline for all healthcare providers. I hope that this updated edition will be fully utilized by all healthcare facilities which either uses the Department of Pathology, Hospital Taiping as a primary or secondary center for lab testing. I would also like to congratulate all editorial board members for their invaluable contributions towards the improvement and revision of this Laboratory Handbook and hope that the Department of Pathology will continue to provide accurate, efficient, cost-effective and high quality services. Dr. Hajah Narimah Binti Yusof Director Hospital Taiping Perak, Malaysia. SEPTEMBER 2018 Pathology Dept, Hospital Taiping, Laboratory Handbook 2018 Message from the Head of Department 2 MESSAGE FROM THE HEAD OF DEPARTMENT The Department of Pathology is striving to deliver a comprehensive and high quality lab result that would aid clinicians in making a clinical diagnosis and institute treatment. In recent years, the Department has not only expanded its laboratory units and test menu, but also acquired its very own resident pathologist(s) in specific disciplines of testing. We have 96 staffs comprising of Consultants, Medical Specialists, Medical Officers, and Laboratory Technologists and offer our clients with diagnostic testing and clinical consultation. The quality of our laboratory results/reports is assured by Internal Quality Control Programmes and participation in various External Quality Assurance (EQA) Schemes/programmes offered by RCPA Australia and other recognized bodies. In the current third edition of the Laboratory Handbook, we have categorized the test menu according to disciplines and provided guidelines and relevant information as patient preparation, sample collection and handling and, laboratory technique. It is our hope that this Handbook will meet your needs by providing useful laboratory information. We welcome your feedback and suggestions so that together we can provide the best patient care. Last, but not least, I wish to extend my sincere thanks to all staff who have worked so hard to put this issue together.