Fold the batch sheets into fourths and place them in the outside pocket of the bag. The list below lists the most commonly used blood collection tubes, their additives and uses in laboratory: 1. Place the tube upright in a rack as quickly as possible after collection. SPS additive interferes with several assays that use ACD blood. Boiling tube. WebCheck the list of Light Protection Tests before packaging your specimen. Follow the list in descending order to avoid possible test result errors due to cross-contamination from tube additives. 0000267801 00000 n QuantiFERON-TB Gold (QFT) comes in a set of four (4) tubes and is used to aid in the detection of Mycobacterium tuberculosis, the bacteria which causes tuberculosis (TB). collection Mark the outside of the container with the label: FROZEN MATERIAL - DO NOT THAW. After the blood has stopped flowing, withdraw the needle. If it is not possible to avoid placing the specimen lockbox in direct sunlight, add 20F to the temperatures listed above to determine how many frozen gel packs to use. Blood Culture: Aerobic Medium (Grey/Blue) Fasting here is defined as no caloric intake for at least eight hours. number, and lab reference number. Mottled Red Top contains clot activator with gel separator in the bottom, for collection of serum samples. Many tumor markers (tests used to follow the patient's response to treatment for cancer) may be monitored over the course of several years. If a specimen that is frozen needs to be put into the lockbox, the Frozen Specimen Keeper can be used maintain that frozen state. Obtain specimen from the most active site of the wound. Alternatively, samples may be collected using Amies gel transport swabs for culture, however, they may not be suitable for all tests. 0000015671 00000 n In general, specimens for determining the concentration of body constituents should be collected when the patient is in a basal state (ie, in the early morning after awakening and about 12 to 14 hours after the last ingestion of food). WebCOLLECTION TUBES. SERUM SEPARATOR TUBE(SST) Acute Hep Pl.ASTALTAmylaseAlk. 0000002176 00000 n hb``pg``a``{ Fasting does not include abstaining from coffee, tea, or sugar-free liquids. Copyright and Disclaimer, Department of Laboratory Medicine & Pathology, Potassium Oxalate/Sodium Fluoride (Grey Top Tube)*, QuantiFERON (Gray, Green, Yellow, Red Top set of Tubes)**, SST Hemogard (5 mL) (Serum Separator Tube) - (Gold Top Tube), Streck Cell-Free DNC BCT (Brown Brick Top Tube)*, Miscellaneous Devices, Hardware or Catheter Tips, Patient Instructions for 24-Hour Urine Collection, Sputum, BAL, Bronchial Washes, and Tracheal Aspirates, Order of Draw with Multiple Tube Collections, patient instructions for 24-hour urine collection. Appropriate storage and handling are necessary to maintain the integrity of the specimen and, consequently, the test results. One of the most common problems in specimen collection is the submission of an insufficient volume of specimen for testing. Maintain at 4 C before and during transport to the laboratory. These specimens should be placed in sterile containers. 0000016872 00000 n The delivery address and bar code, if applicable, must be visible. Vesicular-pustular lesions should be opened with a scalpel blade and vigorously swabbed with a regular or mini-tipped flocked swab or dacron-tipped swab. WebCentrifugation: When plasma is required, or when not using a serum gel separator tube, follow these instructions: Draw 12 mL of whole blood for each 5 mL of serum or plasma needed. Garza, D., McBride, K.B. (List Updated 02/11/2019) If blood is drawn by use of a syringe, transfer the specimen into the appropriate collection tube (s) by puncturing the rubber stopper with the syringe needle and allowing the blood to be drawn into the tube by the vacuum. Learn about innovative solutions and the latest advances in the diagnostic space that may be beneficial to your health system. Specimen Collection Tubes ACD (Yellow Top Tube)* EDTA (Lavender Top Tube)* EDTA (Pink Top Tube)* Lithium Heparin (Green Top Tube)* Potassium Oxalate/Sodium Fluoride (Grey Top Tube)* PPT (Pearl Top Tube)* PST (Lime Green Plasma Separator Tube)* QuantiFERON (Gray, Green, Yellow, Red Top set of Tubes)** RTS (Orange Top Tube)* 0000908091 00000 n A good specimen will show purulent material. To schedule an appointment for your employer health and wellness screening We request that coolant packs be shipped in plastic bags. Whenever an unacceptable specimen is received, the ordering location will be notified of the error and requested to send a new specimen. (See Quantity Not Sufficient.). Specimens were drawn from the correct patient but labeled with the wrong name and identification number. When tests require plasma and serum, remember that they are only portions of the total amount of blood drawn. It is mandatory to fill Light Blue Sodium Citrate tubes with the designated amount of blood. CLIA-88, the Joint Commission, and the College of American Pathologists (CAP) require that each requisition form for laboratory services must clearly identify: Complete a separate requisition for each sample and please provide all information on request form. Aspirate the fluid using a syringe. WebGlass tube with liquid ACD for use in blood bank studies, HLA phenotyping, DNA, paternity testing, etc. Yellow and white label Laboratory Use Additives/Inversions at Collection For culture and sensitivity (C&S) urine testing. 0000463973 00000 n Please see the test guide or contact the Transfusion Support Lab (TSL). Laboratory Tube Collection Laboratory tube collection is a process applied when withdrawing blood samples from patients before they get tested in the laboratory. For UW Medicine only: If unable to draw directly into a blood culture bottle, draw into a SPS tube (not ACD) and the specimen will be transferred to bottles in the UW Microbiology laboratory. Philadelphia, Wolters Kluwer, 2016. Collection Tubes Careful attention to routine procedures can eliminate most of the potential problems related to specimen collection. To ensure an adequate specimen volume: The definition of specimen temperatures for storage and shipping is as listed below: Frozen: -1.0 to -80.0 oCFrozen Specimen Guide. On the request form, clearly indicate the site of the body the sample was collected from. Include the telephone number on the outside of the package. When using vacuum tubes containing no additives: In general, grossly or even moderately hemolyzed blood specimens may not be acceptable for testing. Adequate patient preparation, specimen collection, and specimen handling are essential prerequisites for accurate test results. collection Find out whats happening. Centrifuge for at least 15 minutes at 2200-2500 RPM. WebCheck the list of Light Protection Tests before packaging your specimen. The gel-barrier tube is an additive tube and should be inverted five to six times after collection. Regardless of diet and length of fast, some patients may produce cloudy specimens. It follows the principle, which is most commonly known as the "order of draw." For lockbox instructions and Q&A, selectInstructions for Use. Provide patients with instructions for 24-hour urine collection(s). Alcohol used to clean the puncture site may cause contamination in a tube. This tube contains EDTA as an anticoagulant and is used for blood banking and transfusion service. Diagnosis of many endocrine diseases requires sequential sampling of blood and/or urine. WebDownload the Specimen Collection & Transport Guide to provide a handy reference for you and your staff. Refer to the Order of Draw with Multiple Tube Collections for the collection procedure and the test(s) found elsewhere in this Laboratory Test Guide for specimen handling specifications. 4 0 obj <> endobj xref For Light Blue Sodium Citrate and Yellow ACD tubes, it is mandatory to fill the tube the designated amount. Ideally, add 10 mL of blood to each bottle. WebSpecimen Collection Tubes Gold-top serum separator tube (SST) This tube contains a clot activator and serum gel separator used for various chemistry, serology, and immunology tests. All Rights Reserved. Container lids should be tightly sealed to prevent leaking into the specimen bag. This tube has a clot activator sprayed inside. This tube is a serum separator tube with clot activator and barrier gel to separate serum from the clot below. This tube contains sodium citrate as an anticoagulant, used for collection of blood for coagulation studies. Note: Foley catheter tips are not useful for diagnosis of urinary tract infections. If the specimen requirement for a test is red Basal State. Specimens or requisitions with <2 matching patient identifiers. Hep Do not lay tubes on their sides. Sodium citrate binds with calcium, thereby keeping the blood in a liquid state. Patients who consume these foods within the 24-hour period immediately preceding collection of a blood specimen may have temporarily elevated lipid levels, which may be manifested by cloudy or lipemic serum. All verbal requests for additional testing on specimens already submitted must be followed by written confirmation within 30 days. Other collection tubes may be rejected. Laboratory procedures are performed ONLY upon a physician's written request. Laboratory tube collection is a process applied when withdrawing blood samples from patients before they get tested in the laboratory. Do not shake tubes vigorously. Do not use a collection tube if it is outside the expiration date. To schedule a pickup, please telephone us. Other tubes for collection of special tests are available upon request. Mayo Medical Laboratories supplies the following tubes, which have met DOT and IATA leak-proof requirements. 0000119762 00000 n Please do not send any specimens in glass containers unless specified elsewhere in this Laboratory Test Guide. Quest is the brand name used for services offered by Quest Diagnostics Incorporated and its affiliated companies. 0000011604 00000 n Labcorp sometimes offers reduced fees for serial tests when the following conditions are met: Monitoring a patient over time for a specific condition is a variation of sequential sampling. Used in some trace-metal testing and nortryptyline levels. Laboratory Tube Collection It contains a detergent to lyse both red and white blood cells present in the sample, releasing any intracellular organisms. The following is a list of the most commonly used specimen collection tubes listed in our catalog. Image content features models and is intended for illustrative purposes only. Mark it Frozen, Refrigerate, Violent shaking of tubes with or without an anticoagulant present will cause the red blood cells to break and release their components into the plasma or serum. The accuracy of test results is dependent on the integrity of specimens. Mark the outside of the container: REFRIGERATED MATERIAL - DO NOT FREEZE. Use the anticoagulant indicated. It contains detailed instructions on requisitions, irreplaceable sample handling, collection procedures, infectious substances, and more. The composition of blood is altered after meals by nutrients being absorbed into the bloodstream. Different tests and biochemical assays require varying types of sample collection tubes. 0000039993 00000 n To avoid dietary-induced high lipid levels prior to testing, many physicians require patients to exclude the high-fat foods from their diets or to fast for 12 to 14 hours prior to specimen collection. 0000383639 00000 n Treat all biological material as material that is potentially hazardous as well as contaminated specimen collection supplies. Follow the instructions in the test to collect the specimen, paying special attention to container/tube, volume, and stability (temperature) requirements. A successful launch starts with an informed strategy. Collection Tubes Take care not to swab the normal skin area. Separate plasma as soon as possible, preferably by centrifugation. The tolbutamide (Orinase) test is similar to a glucose tolerance test, but the collection intervals vary. control the site you are about to enter and accepts no responsibility for its content. *Please contact Client Support Services office at 206.520.4600 or 1 800 713-5198 if you intend to use our courier service for non-departmental delivery. Test tube Collection Tubes Single Specimens. Routine specimens for ANY departmental laboratory (including Virology, Toxicology, Immunology, Microbiology, Hematopathology, etc.) Hep Do not lay tubes on their sides. Please confirm proper preparation and most updated tube type in our Laboratory Test Directory or call our client service department at 800-245-3725. In the Test Catalog, use the Specimen and Overview tabs of each test to identify: Most laboratory tests are performed on anticoagulated plasma, serum, or whole blood. Postprandial glucose may be performed two hours after a meal for a timed test that is helpful in diabetes detection. (biometric screening), we need to redirect you to the Health & Wellness website. The following is a list of tubes, additives present, and the state of those additives. Do not ship frozen specimens in glass containers unless specified under specimen requirements. However, safe specimen transport guidelines must be followed when specimens are submitted. Millions of health plan members have a stronger network. Collect blood in room temperature containers unless the specimen requirement specifies otherwise. Quest Diagnostics does not For lower volumes, submit refrigerat-ed urine in a sterile container without preservatives. Lithium Heparin Plasma Separator, Spray-dried Ethylenediaminetetraacetic Acid (EDTA). Be as gentle as possible, drawing the blood evenly. Rapid wrist motion or vigorous shaking may contribute to hemolysis. For packages sent by BUS or PLANE, and needing to be picked up, please add: It is recommended that you notify the Client Support Services Office at 206.520.4600 or 800.713.5198 prior to sending packages by bus or plane. The plastic tube contains micronized silica particles as a clot activator. Minimum urine volume is 4 mL. Danville: 2017, C. McCall, R., Tankersley, C., Phlebotomy Essentials, Sixth Edition. Centrifuge for at least 15 minutes at 2200-2500 RPM. Example: If a test requires 5 mL of EDTA whole blood, then a 2.5 mL purple tube cannot be used to procure the specimen. Do not dilute in universal transport media (UTM). Gently insert mini-tipped flocked nasopharyngeal swab (swab on flexible plastic shaft) through the nostril and into the nasopharynx, reaching the posterior nasopharynx. All third-party marks and are the property of their respective owners. Submitted slides may be labeled with a single identifier, but two identifiers are preferred. Follow patient instructions prior to specimen collection Including the proper order of blood draw when multiple tubes are required. Most laboratory tests are performed on anticoagulated plasma, serum, or whole blood. All primary specimen containers must be labeled with at least two identifiers at the time of collection. Red Top contains no anticoagulant, for collection of serum samples. 0000353809 00000 n Specimen Collection Causes and prevention are discussed under the section on hemolysis. Maintain at 2 - 8C before and during transport to the laboratory. While not always feasible, specimens should be collected before the administration of antimicrobial agents. To test the effect of a certain medication, a physician may order the same test to be obtained on consecutive days, before, during, and after the patient has received a medication. It contains detailed instructions on requisitions, irreplaceable sample handling, collection procedures, infectious substances, and more. Download theSpecimen Collection & Transport Guideto provide a handy reference for you and your staff. Specimens containing a preservative or anticoagulant should be mixed thoroughly. If the specimen requirement for a test is red 0000010201 00000 n Collect specimen in additive indicated in the test requirements. Do not add fluid to an ESwab as this will dilute the specimen and may compromise culture results. Courier service is provided at no charge* in the areas near Auburn, Bellevue, Bellingham, Bothell, Edmonds, Everett, Kent, Kirkland, Mt. Prior to each collection, review the appropriate test description, including the specimen type indicated, the volume, the procedure, the collection materials, patient preparation, and storage and handling instructions. Different tests and biochemical assays require varying types of sample collection tubes. Provide the proper mixing of specimen with urine preservative as specified in the test requirements. Consequently, postprandial blood (blood drawn after a meal) is not suitable for some chemistry tests. (See appendices or individual tests for specific information.). In order to ensure the safety of our couriers, and to make our processing workflow as streamlined and trouble-free as possible, we ask that you follow these guidelines: Certain specimens must be shipped frozen to maintain the stability of the analyte. collection Store unpreserved specimens refrigerated or in a cool place until ready for transport. As your patients get back to routine care, ensure your labs are ready. Separate plasma from cells within two hours of venipuncture or as indicated in the test requirements. All specimens must be properly labeled to ensure patient safety and prevent errors in patient diagnosis and treatment based on misidentified labels. Specimen Collection The courier route includes bus and air freight depots. Used most commonly for cryoglobulin testing. Different tests and biochemical assays require varying types of sample collection tubes. Used for chromosome and tissue typing studies. Maintain at 2 - 8C before and during transport to the laboratory. WebCentrifugation: When plasma is required, or when not using a serum gel separator tube, follow these instructions: Draw 12 mL of whole blood for each 5 mL of serum or plasma needed. To allow for adequate mixing of blood with the anticoagulant or preservative, use a slow rolling wrist motion to invert the tube gently four to eight times. Collection Tubes 0000016648 00000 n If pediatric tubes are used, be sure to collect an adequate volume of specimen to perform the test. All rights reserved. For example, "Rebecca" does not match "Becky." 0000947383 00000 n All specimens must be bagged for handling. 0000695552 00000 n After the blood has stopped flowing, withdraw the needle. The general rule is that all body fluids should be collected in sterile containers, without transport media. Collection Tubes Volume to collect Please consult the laboratory test menu entry for collection instructions. Pay in 1 of 3 convenient ways: online, by email, or with a credit, debit, or health savings card. Laboratory tube collection is a process applied when withdrawing blood samples from patients before they get tested in the laboratory. Specimen Collection Tubes ACD (Yellow Top Tube)* EDTA (Lavender Top Tube)* EDTA (Pink Top Tube)* Lithium Heparin (Green Top Tube)* Potassium Oxalate/Sodium Fluoride (Grey Top Tube)* PPT (Pearl Top Tube)* PST (Lime Green Plasma Separator Tube)* QuantiFERON (Gray, Green, Yellow, Red Top set of Tubes)** RTS (Orange Top Tube)* Maintain at room temperature before and during transport to the laboratory. WebStep 2: Collect the Specimen. Note: See below for more information on the Virology swab collection. Always draw at least twice as much blood when plasma or serum specimens are required. Containers for shipping are also available through Client Support Services at 206.520.4600 or 800.713.5198, upon request. If you can't find the information you need in this guide, The new preferred SST tube is a plastic 5mL Gold Hemogard (BD#367989) and replaces the plastic 8.5 mL red/black marble top serum separator tube currently in use (BD# 367991). Box 15290Seattle, WA 98115-0246. 0000007790 00000 n WebSpecimen Collection Tubes Gold-top serum separator tube (SST) This tube contains a clot activator and serum gel separator used for various chemistry, serology, and immunology tests. If two or more types of specimens (i.e., serum and plasma) are submitted on one patient, indicate the type of specimen and anticoagulant on each vial. Send it to the laboratory as soon as possible. It is mandatory to fill Yellow ACD tubes with the designated amount of blood. 0000013255 00000 n WebCOLLECTION TUBES. 4 74 Complement your expertise with clinical consultations from Quest. Other examples include such tests as occult blood, ova and parasites, and blood cultures. Fold and insert the forms into the outside pocket of the biohazard bag.
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