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DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB
DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER 5-HIAA 5 ' Nucleotidase A1C, Hemoglobin Acetaminophen Acetylcholine Rcptr Bnd Autoab Adenocorticotropic Hormone (ACTH) Acylglycines, Quantitative Urine Adenosine Deaminase Adenovirus Antibody AFP Quad Screen, 2.5 MoM AFP (non-preg) Tumor Marker Albumin Albumin, Body Fluid Alcohol Aldolase Aldosterone Alkaline Phosphatase Alkaline Phos, Bone-Specific Alkaline Phoshatase Isoenzymes Allergen Panel - Childhood Allergen Panel - Food Allergen Resp Panel 10 SW Region Alpha-1-Antitrypsin ALT (SGPT) 5HIAAU24 5NT A1C ACETA ACHRA ACTH ACYLGLU ADENOS ADENOVAB AFPQD AFPTM ALB BFALB ALC ALD ALDOS ALKP ALKPBS ALKPISO ALLCHILDHD ALLFOOD ALLRESPOK A1AT ALT 24 HR JUG MARBL LAV GREEN MARBL LAV URINE, RANDOM MARBL MARBL MARBL MARBL GREEN RED GREEN MARBL MARBL GREEN MARBL MARBL MARBL MARBL, QTY 2 MARBL, QTY 2 MARBL GREEN Ammonia Amphetamines Confirm Urine Amylase Amylase, Body Fluid AMM DGUQAMP AMYL BFAMY GREEN, LAV UACONT GREEN GREEN 6/18/2014 SPECIMEN STORAGE Ref during collection Refrig serum, 2 mL Refrigerate up to 1 week Refrig, up to 2 wks Refrig serum, 2 mL Frozen plasma, 1 mL Frozen urine, 5 mL Refrig serum, 1 mL Refrig serum, 1 mL Frozen serum, 3 mL Frozen serum, 2 mL Refrig, up to 1 wk Refrig, up to 1 wk Refrig, up to 1 wk Frozen serum, 2 mL Refrig serum, 2 mL Refrig, up to 4 days Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 4 mL (2) Refrig serum, 5 mL Refrig serum, 5 mL Refrig serum, 1 mL Refrig, up to 1 wk on ice - must be run within 20 min. Refrig Urine, 4 mL Refrig, up to 60 days Refrig, up to 60 days SPECIAL INSTRUCTIONS TESTED AT DRH SEND-OUT 3310U 4174 X X Separate from cells ASAP Avoid Hemolysis Specify Source USE BETADINE SWAB 1410 3102 S47310 3131 S50095 3092 3109 X X X 1392 17181 Separate from cells ASAP X 3974 3996 3743 3702 3733 1513 Stable up to 72 hrs. 12 different Allergens 10 different Allergens 17 different Allergens X X 4189U X X 1 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE Amylase Urine 2 h Amylase Urine 24 h Amylase Urine Random ANA w/IU & Pattern Antinuclear Antibody w/Titer AMYLU2 AMYLU24 AMYLURN ANA ANATIT UACONT 24 HR JUG UACONT MARBL MARBL Refrig, up to 60 days Refrig, up to 60 days Refrig, up to 60 days Refrig serum, 1 mL Refrig serum, 1 mL Analyzer - Lupus Screen ANALYZER MARBL X 2 Refrig serum, 4 mL ANCA Total w/ANA ANCATOT MARBL Refrig serum, 2 mL Angiotensin Converting Enzyme ACE MARBL Refrig serum, 2 mL Anti-Mullerian Hormone Assr Antiphospholipid Evaluation Antithrombin III Activity AMH ANTIPHSLPD ANTHRIIIACT MARBL MARBL BLUE Frozen serum, 1 mL Frozen serum, 3 mL Frozen plasma, 2 mL Antithrombin III, Antigen Apolipoprotein A-1 Arginine Vasopressin (AVP) (Antidiuretic Hormone) ANTIHRIIIAG APOLIPA1 BLUE MARBL Frozen plasma, 2 mL Refrig serum, 1 mL AVP LAV Arsenic, 24 hr Urine Arsenic, Whole Blood ABG - Arterial Blood Gas ABG - Patient Temp Corrected ABG with Carbon Monoxide (CO) ARSU24 ARSWB ABG ABGTC ABGCO 24 HR JUG ROYAL EDTA ABG KIT ABG KIT ABG KIT Frozen 4 ml Plasma Record total volume; Frozen 7 ml well-mixed aliquot Refrig whole blood Room temp up to 20 m Room temp up to 20 m Room temp up to 20 m Arginine Vasopressin (AVP) AVP Aspirin Resistance (11-D B2) ASPRES LAV UR PRESERV TUBE 6/18/2014 Frozen 4 ml Plasma Refrig Urine, 4 mL SPECIAL INSTRUCTIONS TESTED AT DRH SEND-OUT X X X 1100 1122 Lipemic, Hemolyzed or Icteric samples not suitable for testing. 1000 1862 3114 Unspun SST tubes are unacceptable. 3138 1776 216 Freeze immediately Spin, remove and freeze plasma ASAP Avoid Hemolysis, ict, lip. Spin, remove and freeze plasma ASAP 5158 1901 252 Ref during collection 4867U 4867W X X X Spin, remove and freeze plasma ASAP 252 S52443 2 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER AST (SGOT) Bartonella Henselae Abs IgG/M BCR/ABL1, Quantitative PCR Benzodiazepines, Quant, Urine Beta-2 Glycoprotein 1 Abs Beta-2-Microglobulin Serum Bile Acid Fractionated Bile Acid Total Bilirubin Direct (conj) Bilirubin Total Bilirubin Total, Body Fluid AST BARTHENSAB BCR-ABL DGUQBENZ BETA2GLY BETA2MIC BILEF BILEACID BILID BILIT BFBILIT GREEN MARBL LAV X 2 UACONT MARBL MARBL MARBL MARBL GREEN GREEN GREEN Bilirubin, Indirect Bilirubin, Profile (T, D & I) Blood Urea Nitrogen BMP - Basic Metabolic Panel BMP w/ Corrected CA BILIIND BILIPROF BUN BMP BMPCCA Bone Marrow Aspir/Core Bx BMCORE Bordetella pertussis/parapertussis Smear DFA BNP (Pro) PERTAG, BORDPER, or SLIDE WHOOPINGCOUGH BNP GREEN GREEN GREEN GREEN GREEN MARBL, LAV, FORMALIN VIAL BNP - Send Out to Ref Lab BNPSO Bone Marrow Aspir/Core Bx BMCORE LAV MARBL, LAV, FORMALIN VIAL BRAC Analysis C-Peptide BRAC CPEP LAV (10 ML) MARBL 6/18/2014 SPECIMEN STORAGE SPECIAL INSTRUCTIONS Refrig, up to 1 wk Refrig serum, 1 mL Refrig, 8 mL whole blood *Only stable for 72 hours* Refrig Urine, 4 mL Refrig serum, 1 mL Refrig serum, 2 mL Refrig serum, 1 mL Overnight fasting preferred Refrig serum, 1 mL Refrig, up to 5 days Refrig, up to 5 days Refrig, up to 5 days Specify Source Calculated from Total & Direct Bilirubin Refrig, up to 5 days Refrig, up to 5 days Refrig, up to 5 days Refrig, up to 3 days Prefer pt fasting Refrig, up to 3 days Prefer pt fasting Lab Tech assists to make smears Refrigerated TESTED AT DRH SEND-OUT X 8851 91065 4090U 30340 852 S49102 6820 X X X X X X X X HPC 2 air-dried slides made from nasopharyngeal swab. 34966 X Frozen EDTA plasma, 1 mL Refrig serum, 3 mL Transfer plasma to Quest pour-off tube. Lab Tech assists to make smears Special collection kit must be ordered from Myriad Genetics via DRH Lab fast 12 hrs prior to collect. 7533 HPC Myriad Genetics Lab 3140 3 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER C-Reactive Protein - Inflammatory CRPI Froz serum or plasma, MARBL or GREEN 0.5 mL 1535 C3 Complement C3 MARBL or GREEN Frozen serum, 1 mL 1501 C4 Complement CA 125 CA 15-3 CA 19-9 CA 27.29 Calcitonin (Thyrocalcitonin) Calcium C4 CA 125 CA 15-3 CA 19-9 CA 27.29 CALCIT CA MARBL or GREEN MARBL MARBL MARBL MARBL MARBL GREEN 1504 3121 3119 3120 3134 3126 Calcium Urine 24hr CAU24 Calcium Urine Random CAURN 24HR JUG+ HCl Acid 24HR JUG+ HCl Acid SPECIMEN STORAGE Frozen serum, 1 mL Frozen serum, 2 mL Frozen serum, 2 mL Frozen serum, 2 mL Frozen serum, 2 mL Frozen serum, 1 mL Refrig, up to 3 wks Frozen 15 ml aliquot TESTED AT DRH SEND-OUT X Obtain 24hr jug from Laboratory; Include total volume 4836U Frozen 15 ml aliquot Calcium, Ionized Carbamazepine (Tegretol) CAION CARB MARBL GREEN Ambient Refrig, up to 5 days Carbon Dioxide (CO2) Carbon Monoxide (Carboxyhgb) CO2 COHB Refrig, up to 1 wk Cardio hs-CRP CRPC GREEN GREEN, NO GEL MARBL OR GREEN Cardiolipin IgG, IgA, & IgM Abs CARDIOL BLUE Refrig serum or plasma, 1 mL Frozen plasma or serum,1 mL Catecholamines Urine 24hr CBC - Hemogram only (no diff) CBC - w/automated diff CBC - w/manual diff CD4 Lymphocyte Subset Panel CATECU24 CBC CBCAD CBCMD CD4 24HR JUG LAV LAV LAV LAV Frozen 50 ml aliquot Refrig, up to 36 hrs Refrig, up to 36 hrs Refrig, up to 36 hrs Ambient Whole Blood 6/18/2014 SPECIAL INSTRUCTIONS 4836UR Do not open stopper. Centrifuge ASAP. 4831 X Do not centrifuge. X X 10124 Separate from cells ASAP 7352 Include total volume 3304U X X X 83608 4 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME C Diff toxins A & B, stool CEA (Carcinoembryonic Antigen) Celiac Disease Autoabs Eval Celiac Disease Evalr Rfx Titer Celiac Disease Evaluator w/ IgA Cell Count, Body Fluid Cell Count, CSF Centromere Autoantibodies Ceruloplasmin Chlamydia Antigen Detection Chlamydia psittaci IgG & IgM MEDITECH TEST CODE CDIFF A-B CEA CELIACAABS CELIACEVAL CELIACEIGA BFCELL CSFCELL CENT AB CERU CHLSW CHLPSIT TUBE or CONTAINER STOOL MARBL MARBL MARBL MARBL BODY FLD CSF MARBL MARBL SLIDE VIRAL MARBL SPECIMEN STORAGE Refrig, up to 4 days Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 4 mL Refrig serum, 4 mL Refrigerate as soon as possible or tranfer to ETM stool preservation vial. TESTED AT DRH SEND-OUT X 3258 1076 1077 1075 X X Refrig serum, 1 mL Refrig serum, 1 mL Refrig Swab OR Slides Refrig serum, 1 mL Chlamydia RRNA Detection, Urine CHLURN UACONT Refrig urine, 20 mL Chlamydia trach/N gonorr Urine CHLGCUR UACONT Refrig urine, 20 mL Chlamydia trachomatis rRNA Complement, Total CH50 Chlamydia/GC - Urine CHLRNASW CH50 CHLGCUR GEN-PROBE MARBL UACONT Refrig Frozen serum, 2 mL Refrig urine, 20 mL 6/18/2014 SPECIAL INSTRUCTIONS 1109 1516 Collect swab specimen and place swab into the VTM or UTM vial. For body fluid, two slides are prepared by the Lab and submitted. Pt should not have urinated for at least 1 hour prior to collection. Collect first 20 mL voided. Pt should not have urinated for at least 1 hour prior to collection. Collect first 20 mL voided. Alternate: Universal Transport Media for at least 1 hour prior to 2440 8024 7437U 7438U 7437SW 1600 7438U 5 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE Chlamydia/Gonorrhoea rRNA Swab Chloride Chloride w/o Creat, Urine Random Cholesterol Chromogranin A CHLGCSW CL CLURN CHOL CHROMGA GEN-PROBE GREEN UACONT GREEN MARBL Refrig Refrig, up to 1 wk Refrig urine, 10 mL Refrig, up to 1 wk Refrig serum, 1 mL Chromosome Analysis, Blood CHROMBQ NA HEP BLOOD: whole blood 1 tube green, sodium heparin. BONE MARROW: bone marrow in 1 tube green, sodium heparin tube. Chromosome Analysis, Tissue Citrate 24hr Urine CK (Total Only) CK Screen w/ Reflex MB & Index CK Isoenzymes CK with MB and Index CMP - Comprehensive Metab Prof Cocaine Metabolite Qnt Urine CHROMTQ CITU24 CKT CKS CKISO CKMBI CMP DGUQCOC RPMI MEDIA 24HR JUG GREEN GREEN MARBL GREEN GREEN UACONT Ambient or Refrig Frozen Urine, 3 mL Refrig, up to 5 days Refrig, up to 3 days Frozen serum, 2 mL Refrig, up to 3 days Refrig, up to 3 days Refrig, up to 24 hrs Coenzyme Q10 Complement, Total (CH50 ) COQ10 CH50 MARBL MARBL Frozen serum, 0.5 mL Frozen serum, 2 mL Copper Level COP ROYAL Cord Blood Gas CORDBG AVL Capillary Blood Gas Collection Set Send to Lab ASAP 6/18/2014 Refrig serum, 2 mL SPECIAL INSTRUCTIONS TESTED AT DRH SEND-OUT Alternate: Universal Transport Media 7438SW X 5303UR Prefer patient fasting X S51768 S51689 Fetal Demise tissue, RPMI media or Saline to moisten Include total volume Avoid gross hemolysis S51688 3970U X X 3851 Patient fasting X X 4171U Light protect amber tube or foil covered. 7534 1600 Either No Additive Royal or EDTA Royal tubes accepted. 4870 X 6 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER Cord Blood pH CORDPH AVL Capillary Blood Gas Collection Set Send to Lab ASAP SPECIMEN STORAGE Corrected Calcium CCA GREEN Cortisol Cortisol Free, 24 hr Urine Cortisol, Free CORTI CORTU24 CORTIF Refrig, up to 3 weeks Refrig plasma or serum, GREEN or MARBL up to 5 days 24HR JUG Frozen 20 ml aliquot MARBL Refrig serum, 1 mL Creatine Kinase (CK) Isoenzymes Creatinine CKISO CREAT MARBL GREEN 24 P JUG, GREEN 24HR JUG UA CONT RED Creatinine Clearance Profile Creatinine Urine 24 hr Creatinine Urine Random Creatinine, Body Fluid CREAUCL CREAU24 CREAUR BFCREAT Cryoglobulin Cryptococcus Antigen Screen Rflx/Titer Crystal Exam Cyclic Citr Peptide (CCP) Abs CRYOG CRYPTS BFCRYX CCP RED or CSF MARBL CSF RED MARBL Cyclosporin A, Blood - Quest Lab Cystic Fibrosis Screen CYCLOSQ CYSTFBSCR LAV LAV 6/18/2014 SPECIAL INSTRUCTIONS X Results include calcium, albumin & corrected calcium results. X X Include total volume Frozen serum, 2 mL Refrig, up to 1 wk Refrig, up to 1 wk Refrig, up to 7 days Refrig, up to 7 days Refrig, up to 7 days TESTED AT DRH SEND-OUT S51655 S51285 3851 X Must submit 24 hr urine with a green top tube for serum creatinine. Include total volume Specify Source Incubate tube at 37 C for 1 hr, centrifuge, and transfer serum into 2 plastic vials labeled "serum". Ambient serum, 4 mL or 1 mL CSF Frozen serum, 2 mL OR CSF, 1 mL Refrig Specify Source Refrig serum, 1 mL Refrig whole blood EDTA, 4 mL Ambient Whole Blood X X X X 1156 9189 X 3133 15220 10458 7 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE Cyto PRA - Baptist Cytogenetics, Cancer CYTO PRA BAPTST CYTOGCANCR YELLOW ACD X 3 AND RED X 1 VARIOUS Refrigerate Cytology Processing Fee Cytomegalovirus Abs IgG & IgM CYTO CMVABS MARBL Cytomegalovirus Ag Detection CMVAG SLIDES Cytomegalovirus DNA, Quant PCR CMVDNAPCR LAV Cytomaglovirus IgG Abs Cytomaglovirus IgM Abs CMVIGG CMVIGM MARBL MARBL D-Dimer (Quantitative) Dehydroepiandrosterone (DHEA) DDIM DHEA BLUE MARBL Dehydroepiandrosterone-Sulfate DHEAS MARBL Differential Consult Digitoxin Digoxin Dilantin (Phenytoin) DNA Autoabs, Double-Stranded DNA Autoabs, Single Stranded 6/18/2014 DIFFC DIGIT DIG DIL DNA DS DNA SS LAV, SLIDE RED GREEN GREEN MARBL MARBL Deliver to Lab ASAP Refrig 1 mL serum Frozen primary slides/smears x 2 Refrig 1 ml Whole Bld EDTA (Lavendar-top) Refrig 1 mL serum Refrig 1 mL serum 4 hrs refrig or 2 hrs RT specimen stability. Frozen serum, 2 mL Frozen serum, 2 mL Refrig 4 mL LAV whole bld and 2 unstained smears. Stable up to 36 hrs refrig. Refrig serum, 1 mL Refrig, up to 1 wk Refrig, up to 4 days Refrig serum, 2 mL Refrig serum, 1 mL SPECIAL INSTRUCTIONS TESTED AT DRH SEND-OUT Integris Baptist Medical Center Lab Clarient Lab See User Notes Non-Resp Fld: Fix w/50% Reagent Alcohol 1:1 Resp Fld: Fix 2/70% Reagent Alcohol 1:1 HPC 9436 2421 Alternate specimens: ACD, amniotic fld, CSF, Serum, Urine. Centrifuge tube ASAP after blood has clotted S52333 9431 2486 X Collect in a.m. Centrifuge ASAP after clottted. Provide pt's date of birth, date/time of collection, and history or EDTA Plasma BLUE, LAV, GRAY all ok. 3146 3150 HPC S52434 X X 1201 1290 8 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE DNA Paternity Spec/Handling DNA PAT or PAT Drug Abuse Screen Serum *Sendout DGSCRNSERM TUBE or CONTAINER SPECIMEN STORAGE Buccal Swabs RED Ambient Frozen serum, 2 mL Drug Screen Urine (DRH) DGDRH URINE, RANDOM dRVVT Screen w/Rfx confirmation Ehrlichia chaffeensis Abs A. phago and E. chaff Panel Electrolytes Endomysial IgA Scr Rfx/Titer Enterovirus RNA, Qual (PCR) LUPACDRVVT EHRLCHAF EHRLANAPNL LYTES ENDOMYSIGA ENTVRNA BLUE X 2 MARBL MARBL GREEN MARBL MARBL Eosinophil Smear Epstein-Barr Viral Capsid Abs Epstein-Barr Virus Early IgG Epstein-Barr Virus Evaluatr EOSSM EBVCAPABS EBVEARLYIGG EBVEVAL MARBL MARBL MARBL 6/18/2014 SPECIAL INSTRUCTIONS TESTED AT DRH SEND-OUT Use kit shipped for specific patient. Fresh urine only. Other Refrig X fluids not acceptable. Frozen platelet-poor plasma:1. Draw a plain red top tube to remove tissue fluid contamination and discard. 2. Draw blood into a light blue top tube filled to the proper level. Do not overfill. 3. The blood-toanticoagulant ratio should be 9:1; inadequate filling of the tube will decrease this ratio and may lead to inaccurate results. 5. The needle gauge may be between 19-22. For pediatric patients a 21-23 gauge needle may be used. 6. Invert gently 6 times to mix. Process immediately. 7. Centrifuge for 15 min at 2500 x g. 8. Remove plasma using a plastic pipette and transfer to a new tube. 9. Repeat centrifugation for 15 min to assure complete platelet removal. 10. Dispense the plasma into 2 or more plastic tubes using a plastic transfer pipette. label tubes appropriately. 11. Freeze immediately. Stable for 2 months at -20 C. 12. Specimen must remain frozen at all times. Ship to Specialty within 24 hours on dry ice. 13. Specimen should not be submitted if it is hemolyzed, microclots are present, the tube is less than 90% filled or a specimen with hematocrit >55% is collected without anticoagulant adjustment. Refrig serum, 1 mL Refrig serum, 1 mL Refrig, up to 3 days X Refrig serum, 1 mL Refrig serum, 1 mL Smear of fluid for X eosinophils dried on slide Refrig serum, 1 mL Refrig serum, 2 mL Refrig serum, 2 mL 4125 15780 20103 4720 1191 15082 2122 2126 2211 9 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE ER Serum Drug Panel (DRH) DGERDRH GREEN Refrig, up to 24 hrs SPECIAL INSTRUCTIONS TESTED AT DRH SEND-OUT X Due to diurnal variation, it is recommended that specimens be collected between 7:30 and noon. Erythropoietin Level ERYTH MARBL ESR - Erythrocyte Sed Rate Estradiol (E2) Estriol (E3) Unconjugated ESR ESTRADIOL ESTRIOL LAV MARBL MARBL Refrig serum, 1 mL Ambient, up to 2 hrs Refrig, up to 12 hrs Frozen serum, 1 mL Frozen serum, 1 mL Estrogens, Total Extractable Nuclear Ag IgG Abs ESTROGTOT ENA MARBL MARBL Frozen serum, 3 mL Refrig serum, 1 mL Factor II (Prothrombin) Mutation FACTOR 2 LAV Ambient Whole Blood 17909 Factor IX Activity, Clotting Factor V Leiden FACTOR 9 FACTOR 5 BLUE LAV 352 17900 Factor VII Activity, Clotting Factor VIII Activity, Clotting FACTOR 7 FACTOR 8 BLUE BLUE Frozen plasma, 2 mL Ambient Whole Blood Frozen platelet-poor plasma, 2 mL Frozen plasma, 2 mL 6/18/2014 1160 X 3155 3156 Alternate specimen plasma 3164 1210 346 347 10 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE Frozen platelet-poor plasma:1. Draw a plain red top tube to remove tissue fluid contamination and discard. 2. Draw blood into a light blue top tube filled to the proper level. Do not overfill. 3. The blood-toanticoagulant ratio should be 9:1; inadequate filling of the tube will decrease this ratio and may lead to inaccurate results. 5. The needle gauge may be between 19-22. For pediatric patients a 21-23 gauge needle may be used. 6. Invert gently 6 times to mix. Process immediately. 7. Centrifuge for 15 min at 2500 x g. 8. Remove plasma using a plastic pipette and transfer to a new tube. 9. Repeat centrifugation for 15 min to assure complete platelet removal. 10. Dispense the plasma into 2 or more plastic tubes using a plastic transfer pipette. label tubes appropriately. 11. Freeze immediately. Stable for 2 months at -20 C. 12. Specimen must remain frozen at all times. Ship to Specialty within 24 hours on dry ice. 13. Specimen should not be submitted if it is hemolyzed, microclots are present, the tube is less than 90% filled or a specimen with hematocrit >55% is collected without anticoagulant adjustment. 359 Frozen stool, 2 ml aliquot 4426 Factor X Activity, Clotting FACTOR 10 BLUE Fecal Fat Qualitative Fern Crystals Ferritin FFAT FERN FER STOOL SLIDE GREEN 6/18/2014 Refrig, up to 1 wk SPECIAL INSTRUCTIONS Send to lab in slide holder Can use serum or plasma TESTED AT DRH SEND-OUT X X 11 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER Fetal Fibronectin Fibrinogen FFN FIB FFN BLUE Fine Needle Aspiration FNA Fluid 6/18/2014 SPECIMEN STORAGE SPECIAL INSTRUCTIONS Specimen Stability: Room temperature up to 8 hours. Refrigerated up to 3 day Frozen up to 3 months. Specimen Collection Precautions and Warnings: 1. Specimens for testing should be collected prior to collection of culture specimens. 2. Specimens should be obtained prior to digital cervical examination or vaginal probe ultrasound examinination as manipulation of the cervix may cause the release of fetal fibronectin. 3. Specimens should not be tested if the patient has had sexual intercourse within 24 hours prior to the sampling time because semen and/or sperm present in the sample may increase the possibility of a false positive result. 4. Care must be taken not to contaminate the swab or cervicovaginal secretions with lubricants, soaps, disinfectants or cream (e.g., K-Y Jelly lubricant, Betadine disinfectant, Monistat cream, hexachlorophene). These substances may interfere with absorption of the specimen by the swab or with the antibody-antigen reaction of Fetal Fibronectin tests. 5. Fetal Fibronectin tests are not intended for use in women with moderate or gross vaginal bleeding. Testing a bloody sample may lead to false positive Refrig, up to 8 hrs Fluid aspirations must be fixed w/50% reagent alchohol 1:1 TESTED AT DRH SEND-OUT X X HPC 12 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE FISH - BCR/ABL Translocation FISHBCR TR Folate Follicle Stimulating Hormone FOL FSH TULAB; also listed as FRATULAB and RABBITFEVER KAP-LAM SERUM or MYELOEVAL T4F FRUC Francisella tularensis Ab Free Kappa & Lambda, w/Ratio (Myeloma Evaluatr) Free T4 (Free Thyroxine) Fructosamine TUBE or CONTAINER SPECIMEN STORAGE Do not use gel tube! Bone Refrig whole blood, up to Marrow (heparinized) also GREEN 4 days acceptable. Refrig plasma or serum, GREEN or MARBL up to 7 days **Protect From Light** MARBL Frozen serum, 2 mL MARBL Refrig serum, 1 mL MARBL GREEN MARBL Gastrin GASTR MARBL Refrig serum, 1 mL Refrig, up to 14 days Frozen serum, 1 mL Frozen serum, 2 mL - 2 vial split GC Ursure N. gonorrhoeae rRNA GC URSURE UACONT Refrig urine, 20 mL Gentamycin Level Peak Gentamycin Level Random GENTP GENTR GREEN GREEN Refrig, up to 1 wk Refrig, up to 1 wk Gentamycin Level Trough GGT (Gamma-Glutamyl Trans) Gliadin (Deaminated) Abs Glomerular Basement Memb IgG GENTT GGT GLIADIN GLOMBASIGG GREEN GREEN MARBL MARBL Refrig, up to 1 wk Refrig, up to 1 wk Refrig serum, 1 mL Refrig serum, 1 mL Glucose Glucose 2 hr Postprandial Glucose Body Fluid GLUC GLU2PP BFGLU GREEN GRAY, GREEN RED Refrig, up to 3 days Refrig, up to 3 days Refrig, up to 3 days 6/18/2014 SPECIAL INSTRUCTIONS TESTED AT DRH SEND-OUT S51686 X 3174 S49835 1760 X 3934 Freeze immediately; Avoid hemolysis Pt should not have urinated for at least 1 hour prior to collection. Collect first 20 mL voided. Collect 30 min after 3rd dose. No line draws. No Line Draws. Collect 30 min before 4th dose. No line draws. 478 2932U X X X X 1266 1136 fast 8-10 hrs prior to collect. 2 Hrs Post-prandial Specify Source X X X 13 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER Glucose CSF CSFGLU CSF Tube #2 Glucose Tolerance 2 hrs GTT2 GREEN Refrig, up to 3 days fast 8-10 hrs prior to collect. X Glucose Tolerance 3 hrs GTT3 GREEN Refrig, up to 3 days fast 8-10 hrs prior to collect. X Glucose Tolerance 4 hrs GTT4 GREEN Refrig, up to 3 days fast 8-10 hrs prior to collect. X Glucose Tolerance 5 hrs GTT5 GREEN Refrig, up to 3 days fast 8-10 hrs prior to collect. X Glucose, Fasting Glucose-6 Phos Dehyd (G-6-PDH) Gross and Micro Processing Fee Gross Only Processing Fee Growth Hormone (GH) H. pylori Stool Antigen Haptoglobin HCG Beta Quantitative (Blood) GLUCF G6PDH GR&M GROSS GH HPSA HAPTO HCGQ GREEN LAV FORMALIN CONT. FORMALIN CONT. MARBL STOOL MARBL GREEN Refrig, up to 3 days Refrig whole blood fast 8-10 hrs prior to collect. X HCG Beta Quant Bld (MALE only) HCG Bld Reflex Quant if Pos HCG, Bld, Qualitative Screen HCG, Urine Qualitative Screen HCV RNA, Quantitative PCR Heavy Metals Panel, 24hr Urine Heavy metals Panel, Whole Bld Helicobacter pylori IgG Abs Helicobacter pylori IgM Abs Hematocrit 6/18/2014 HCGQM HCGR HCGB HCGU HPCVRNAQT HMPU24 HMPWB HPYIGG HPYIGM HCT GREEN MARBL MARBL UACONT YELLOW ACD 24HR M JUG ROYAL EDTA MARBL MARBL LAV SPECIMEN STORAGE SPECIAL INSTRUCTIONS TESTED AT DRH SEND-OUT X 1398 HPC HPC 3182 Provide specimen source. Provide specimen source. Frozen serum, 1 mL Refrigerate Refrig serum, 1 mL Refrig, up to 48 hrs Refrig, up to 48 hrs Refrig, up to 48 hrs Refrig, up to 48 hrs Refrig, up to 48 hrs Frozen plasma, 3 mL Refrig 20 ml aliquot Refrig Whole Blood Refrig serum, 1 mL Refrig serum, 1 mL Refrig, up to 36 hrs X 1517 X Serum or plasma (EDTA or heparin) X X X X 35645 4080U 4080W 7761 7736 Include total volume X 14 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE Hemochromatosis DNA Mutation Analysis Hemoglobin Hemoglobin A1c Hemoglobin & Hematocrit Hemoglobinopathy Evaluation Hep B Surface Ab - Vaccination Hepatitis A Antibody, IgM Hepatitis Acute Profile Hepatitis B Core Antibody, IgM Hepatitis B DNA Quantitative Hep B DNA UltraQuant Hepatitis B Srf Antgn Hepatitis B Surf Antibody, Qual Hepatitis C Antibody Hepatitis C Viral RNA Qual TMA Herpes Simplex DNA CSF Herpes Simplex DNA Detectr HEMOCHR HGB A1C H&H HGBEVAL HPBSABE-VAC HPAAB HP HPBCA HPBDNAQUANT HPBDNAQNT HPBSANTG HPBSAB HPC HPCVRNAQL HSVDNACSF HSVDNA LAV LAV LAV LAV LAV MARBL MARBL MARBL, QTY 2 MARBL MARBL MARBL MARBL MARBL MARBL LAV CSF LAV Ambient, Whole blood EDTA Refrig, up to 36 hrs Refrig, up to 1 wk Refrig, up to 36 hrs Refrig whole blood Refrig serum, 1 mL Refrig serum, 1 mL Frozen serum, 4 mL Refrig serum, 1 mL Refrig serum, 3 mL Refrig serum, 2 mL Refrig serum, 4 mL Refrig serum, 1 mL Refrig serum, 1 mL Frozen plasma, 2 mL Frozen CSF, 2 ml Ambient Whole Blood Herpes Simplex Virus Types 1&2 HERPT MARBL Refrig serum, 2 mL HIV-1/2 Ab Diff (Sooner Care) HIV-1 RNA Quant (Viral Load) HIVABDIFF HIVRNAVL MARBL LAV Refig serum, 2 mL Frozen plasma, 3 mL HIV Abs, HIV-1/2 EIA w/Reflx WB HLA-B27 Antigen HIV HLAB27 MARBL YELLOW ACD Refrig serum, 3 mL Ambient Whole Blood 6/18/2014 SPECIAL INSTRUCTIONS TESTED AT DRH SEND-OUT 35079 X X X two-vial split Abnormal HSV 1 and/or HSV2 IgM abs results will automatically reflex to IFA confirmation methodology for an additional fee, (Quest # 9339). **Send unopened, spun Marble-top tube** 1.5 ml plasma in two vials. **Send unopened, spun Marble-top tube** Do not centrifuge. 4983 P43287C 2451 7757 2457 8137 8137 2454 2453 2446 7516 9474C 7581 8051 91432 7485A 19728 528 15 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB MEDITECH TEST CODE TUBE or CONTAINER MARBL RED Hydroxytryptamine5-(Serotonin) HOMO HYDROXYPRG SEROTONIN or HYDROXYTRYPTAMN RED IBD SGI Diagnostic (1800) IgA, Serum IgA, IgG, IgM Quant Immunoglob IgG Total w/Subclass 1,2,3 & 4 Immunoglobulin E (IgE) Immunoglobulin G (IgG) Immunoglobulin M (IgM) IBDSGIDIAG IGA IMMUNOGLOB IGGSUB IGE IGG IGM RED & LAV MARBL MARBL MARBL MARBL MARBL MARBL Influenza A/B Antigen Screen INFSCR SWAB TEST NAME Homocysteine Cardiovascular Hydroxyprogesterone, 17 Alpha Inhibin A Insulin INHIBA INS IFE or Monoclonal Gammopath Serum (IFE) IMMUNOFIXSERUM Insulin INS Insulin-like Growth Factor 1 IGF1 Insulin-like Growth Factor BP-3 IGFBP3 MARBL MARBL MARBL MARBL Interleukin-6 High Sensitive Intrinsic Factor Blocking Abs LAV MARBL INTRLKN6HS INFBA Iron IRON Iron Profile IRONP 6/18/2014 MARBL MARBL GOLD, RED, OR MARBL GOLD, RED, OR MARBL SPECIMEN STORAGE SPECIAL INSTRUCTIONS Frozen serum, 2 mL Separate from cells ASAP Refrig serum, 2 mL No gel or SST Tubes Frozen serum, 1 mL - 2 vial split Refrig serum, 2 mL & 2 mL EDTA WB No gel or SST Tubes Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 2 mL Collections done by Nursing staff. Collect 1 flocked swab Refrig up to 48 hrs Rejected for gross hemolysis or lipemia. Refrig serum, 1 mL Frozen serum, 2 mL TESTED AT DRH SEND-OUT 3334 17180 3286 S52567 1506 1045 1623 1245 1505 1508 X 3984 3192 Refrig serum, 1 mL Frozen serum, 2 mL Frozen serum, 1 mL Refrig serum, 1 mL Frozen plasma, 1 mL EDTA Refrig serum,1 mL Refrig, up to 1 wk Refrig, up to 1 wk 3125 3192 S51997 3959 S51587 568 GREEN top tube may be used IF not needed for TIBC. X X 16 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB MEDITECH TEST CODE TUBE or CONTAINER Lactate Dehydrogenase Isoenzymes JCV KAPLAMU24 LDISO MARBL or LAV 24 HR JUG MARBL Lactic Acid Lactic Acid, CSF Lamotrigine (Lamictal) LA CSFLA LAMO or LAMI GRAY CSF RED LAP Smear (Leukocyte Alk Phos) LDH - Lactate Dehydrogenase LDH, Body Fluid LDL Chol, Direct Measured LAP LDH BFLDH LDLD LAV GREEN RED MARBL TEST NAME JCV Ab Stratify w/Rflx Inhibition Kappa Lambda light Chains 24hr Urine SPECIMEN STORAGE Refrig serum, 1 mL Refrig urine, 10 mL Total Volume needed Ambient serum, 2 mL On ice - stable refrig up to 24 hrs once plasma is Centrifuge and run removed from cells. immediately!! Refrig serum, 1 mL Ambient Refrig, up to 4 days Refrig, up to 4 days Refrig serum, 1 mL Lead Whole Blood Levetiracetam (Keppra) Lipase Lipid Panel Lipid Panel-Employee Lipoprotein (a) Listeria Antibody LEAD LEVET LIP LP LP-E LPA LISTAB LAV, ROYAL EDTA RED GREEN GREEN GREEN MARBL MARBL Refrig whole blood Refrig serum, 2 mL Refrig, up to 1 wk Refrig, up to 3 days Refrig, up to 3 days Refrig serum, 1 mL Refrig serum, 1 mL Lithium Liver Panel Liver-Kidney Microsome IgG LI LIVER LKM MARBL GREEN MARBL Lupus Anticoag & Cardiolipin Abs LUPASCR1 BLUE x 2 MARBL Refrig serum, 1 mL Refrig, up to 3 days Frozen serum, 1 mL Frozen 3 mL serum and 3 mL platelet-poor plasma 6/18/2014 SPECIAL INSTRUCTIONS TESTED AT DRH SEND-OUT 91665 1741U 3453 X X No SST gel tubes. Prepare 5 slides within 24 hrs of collection. Specify Source 22060 S49482 X X 3351 Use lead-free alcohol to cleanse skin prior to coll. Avoid SST gel tubes Avoid hemolysis 4861W 4963 X X X Avoid gross hemolysis Run or separate serum from cells within 2 hours 3446 S49766 X X 1112 9762 17 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE Lupus Anticoagulant Eval w/Rfx Luteinizing Hormone (LH) LUPAEVAL LH BLUE X 2 MARBL Frozen 3 mL serum and 3 mL platelet-poor plasma Frozen serum, 2 mL Lyme Disease Abs w/Rflx Ab Lymphoma/Leukemia Eval (Flow) Magnesium LYMEABS LLE MAG MARBL GREEN, NA HEP GREEN Refrig serum, 2 mL Refrig whole blood Refrig, up to 1 wk Malaria Organism Detection MALARIACNF LAV Ambient, 5 mL EDTA Whole Blood Malaria Screen Marijuana (Cannabinoid), Qnt Urine MAL DGUQCANB MEASLESIGG or RUBEOLAIGG METU24 LAV UACONT Refrig Urine, 4 mL Rubeola (Measles) Ab IgG Metanephrines 24 hr Urine Metanephrines, Fractionated, Plasma METANEPH Methylmalonic Acid MMA 6/18/2014 MARBL 24HR JUG LAV MARBL Refrig serum, 1 mL Frozen 10 ml aliquot Refrig plasma, 2.5 mL Frozen serum, 3 mL SPECIAL INSTRUCTIONS TESTED AT DRH SEND-OUT 7079 3198 Avoid hemolysis and lipemia. No SST gel tubes 6646 Clarient Lab X Make Thick/Thin Slides STAT! See Quest Specimen Instructions. Warm before testing, if refrigerated. 2945 X 4133U Avoid gross hemolysis, lipemia, and icteric Include total volume Draw in a pre-chilled lavender-top tube; keep on wet ice until centrifuge within 2 hrs of venipuncture. Transfer plasma to a plastic vial and immediately refrigerate. Pt should be in a relaxed position prior to blood draw. Pt should avoid alcohol, coffee, tea, tobacco and strenuous exercise prior to collection. Overnight fasting is preferred. 8776 3315U S51767 3496 18 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE Microalbumin Urine 24hr MICROALBU24 24 HR JUG Refrig urine, 10 mL Microalbumin Urine Random MICROALBURN UACONT Refrig urine, 10 mL Microscopic Examination MICE VARIOUS Microsporidia Spore Stain (Stool) Miscellaneous Lab Test Quest Mitochondrial M2 IgG Antibody Mono (Quant) Epstein-Barr MICROSPRD STOOL Inludes Microalb Excretion Rate, but not Creat! Random collection - also includes Creat & MicroAlb/Creat Ratio Only orderable from LAB module. TESTED AT DRH SEND-OUT 3441U 3441UR X SAF fixative vial obtained SAF fixative vial, Yellow- from DRH Lab capped. Accessioning. 5720 Used when test not found in Lab Test Dictionary; Enter test name in prompt. MISC LAB QUEST MITO MONOQNT IFE, IMMUNOFIXSERUM, MONOGAMMS MARBL Monoclonal Gammopath Urine Monoscreen Mumps IgG & IgM Abs MUSK Antibody Myasthenia Gravis Evaluation Mycoplasma pneumoniae IgG Abs Myeloma Panel Duncan Cancer Center (Custom) BENCEJONES,IFEURN MONO MUMPABS MUSK MYAGRA MYCOP MARBL MARBL MARBL MARBL MARBL Refrig serum,1 mL Refrig serum, 2 mL Refrig serum, 1 mL Refrig serum, 1 mL 9711 S50437 1025 8746 MYELOMA PNL CC MARBL X 2 Refrig serum, 6 mL P432870 Myeloperoxidase Autoantibodies Myoglobin MYELOPEROX; PANCA MARBL MYOGL GREEN Refrig serum, 1 mL Refrig, up to 1 wk 1386 Monoclonal Gammopath Srm (IFE) 6/18/2014 Test Dependent MARBL MARBL SPECIAL INSTRUCTIONS Quest 1101 2211 Refrig serum, 1 mL Refrig serum, 2 mL Refrig serum, 1 mL Immunoelectrophoresis is same as Monoclonal Gammapathy. Immunoelectrophoresis is same as Monoclonal Gammapathy. 3125 3125U X X 19 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME Myoglobin Urine Random N-Telopeptides (NTx) w/Creatinine, 24hr Urine Newborn Metabolic Screen Nicotine & Cotinine, LC/MS/MS Nicotine & Cotinine, Urine MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE MYOGURN UACONT Frozen urine, 1 ml NTXU24 NBMS NICOT NICOTURN 24HR URINE JUG Refrig urine, 10 mL PKU Filter Paper RED Refrig serum, 1 mL UR CONT Refrig urine, 1 mL Obstetric Panel OBP Oligoclonal Bands Opiates Confirmation Urine Osmolality Serum (Measured) Osmolality Urine Random O'Sullivan Glucose - 1hr PP 50 gm OLIGO DGUQOPI OSMOS OSMOURN GLUCO or OSULLIVAN SCRN Ova & Parasite (Parasite Diag) Oxcarbazepine (Trileptal) PAN-ANCA Evaluation PAP Smear Refrig, up to 3 days O&P or PARAD OXCARB or TRILEPTAL PANANCAEVL PAPSM SAF vial RED MARBL Slide Prep Ambient, SAF vial Refrig serum, 2 mL Refrig serum, 3 mL Ambient Parasite Screen (Giardia&Crypto) PARAS ETM (Enteric Transport Media) Parathyroid Hormone (PTH) Parvovirus B19 IgG & IgM Abs PTH PARVO Pertussis (Bordetella pertussis/ parapertussis) Antigen PERTAG or AMIES BORDPERAG or W/CHARCOAL WHOOPINGCOUGHAG SWAB Ambient Refrig plasma or serum, GREEN or MARBL up to 2 days MARBL Refrig serum, 1 mL Refrigerated TESTED AT DRH SEND-OUT 4988UR Allow to air-dry No SST gel tube Random collection Includes CBC, Rubella, RPR, Hep B Surf antigen, MARBL,RED,LAV, Type & Antibody Screen & PINK Refrigerate Refrig 1 ml CSF *and* 1 Both CSF and serum must mL Serum be sent. MARBL & CSF UACONT Refrig Urine, 6 mL MARBL Refrig serum, 1 mL UACONT Refrig 10 ml aliquot GREEN or GRAY 6/18/2014 SPECIAL INSTRUCTIONS Separate from cells Collect stool and transfer to SAF vial up to line. Mix well. No SST gel tubes Collect stool and transfer to maroon-capped ETM vial up to line. Mix well. 4266U OSDH 4190 4190U X (CBC & Rubella) 2364, 2454 1557 4185UR 3204 3204UR X 2361 4937 1866 HPC X X 8221 Stable for 7 days, refrig. Indicate exact source. 2428 20 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE Pertussis IgG/A Antibodies pH, Body Fluid PERAB BFPH MARBL GREEN Refrig serum, 1 mL Refrig pH, Stool Phenobarbital Phosphorus Phosphorus Urine 24 hr Phosphorus Urine Random Platelet Count PHST PHEN PHOS PHOSU24 PHOSURN PLT STOOL GREEN GREEN 24HR JUG UACONT LAV Platelet Glycoprotein Antibody PLAB or PLTAB MARBL, LAV Frozen stool, 5 mL Refrig, up to 2 days Refrig, up to 1 wk Refrig 10 ml aliquot Refrig 10 ml aliquot Refrig, up to 36 hrs Frozen 1.5 ml Serum + Ambient 7 ml Whole Bld EDTA stabilized. SPECIAL INSTRUCTIONS S51776 Specify Source must be naturally occurring, watery stool Draw 4-10 hrs after dose. PORPHBU24 24HR JUG Frozen, 10 ml aliquot PORPHBURN UACONT Frozen 10 ml aliquot Protect from light Porphyrins Fractionated Quant Ur Random PORFRURN UACONT Refrig urine, 2 mL split in Must protect from light and amber tubes refrigerate during collection Ambient Potassium K GREEN Refrig, up to 1 wk Potassium, Stool Potassium Urine 24 hr KST KU24 STOOL 24HR JUG Refrig stool, 10 mL Refrig, up to 1 week Potassium Urine (Random) Pre-Albumin Progesterone KURN PREALB PROG Prograf (Tacrolimus) Non-Quest PROGRNQ UACONT Refrig, up to 1 week GREEN Refrig, up to 3 days GREEN or MARBL Refrig, up to 7 days Ambient whole blood LAV EDTA 6/18/2014 X X 5308U 5308UR 9760 Porphobilinogen Urine Random UACONT S51374 X Porphobilinogen Urine 24 hr Qnt SPVC X Include total volume Include total volume; Protect from light Post Vasectomy Exam for Sperm TESTED AT DRH SEND-OUT Deliver to Lab within 30 minutes of collection Hemolyzed specimens NOT Acceptable must be naturally occurring, watery stool Include total volume S51657 S51658 36592 X X S51346 X X X X Send to Baptist Med Center Baptist Med Center 21 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE Prograf (Tacrolimus), Quest Proinsulin Prolactin PROGRQ or FK506 or TACROQ PROINS PROLAC LAV MARBL MARBL Ambient whole blood EDTA Frozen serum, 1 mL Frozen serum, 2 mL Prostatic Acid Phosphatase Protein C Activity Protein S Activity Protein Electrophoresis Urine 24hr PSA, Free & Total PSA, Total, Diagnostic PSA, Total, Screening PAP PROTC PROTS PEPU24 PSAFREETOT PSAD PSA MARBL BLUE BLUE 24HR JUG MARBL GREEN GREEN PTI Prothrombin Time INR PTI BLUE PT and PTT PTH (intact) PTPTT PTH BLUE GREEN PTH-Related Protein PTHRP DK GREEN PTT (Partial Thromboplastin Time) PTT BLUE Frozen serum, 1 mL Frozen plasma, 2 mL Frozen plasma, 2 mL Frozen 4 ml aliquot Frozen serum, 2 mL Refrig, up to 14 days Refrig, up to 14 days 8 hrs room temp, spun or unspun. 4 hrs refrig or RT, spun or unspun; 2 hrs frozen, plasma separated only. 1 ml plasma or serum Frozen plasma, 1 mL Sodium Heparin plasma only 4 hrs refrig or RT, whole blood or plasma separated; 2 hrs frozen, plasma separated only. Quantiferon-TB Gold, Incubated QUANTFRN RAPBAPTIST or SIROLBAPTIST SIRO or RAP QFRN-3TUBE Refrig up to 72 hrs LAV LAV Refrig whole blood Refrig whole blood Rapamune (Sirolimus) - Baptist Sirolimus, LC/MS/MS (Rapamune) 6/18/2014 SPECIAL INSTRUCTIONS TESTED AT DRH SEND-OUT 70007 S51596 3206 Diagnosis must be submitted 3100 1777X 1779X 1595U 3547 Include total volume X X X Avoid hemolysis X X Spin and separate ASAP S51608 X Add to special tubes - See Quest Lab Instructions Sent to Baptist Med Center 16603 Baptist Med Center 36712 22 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE Reducing Substances, Stool REDSUBST STOOL Frozen stool, 10 gm Reichlin (SLE) Profile Renal Function Panel Renin Activity, Plasma Reticulocyte Count REICHLIN RFP RENIN RET%A MARBL GREEN LAV LAV Refrig serum, 2 mL Refrig, up to 5 days Frozen plasma, 2 mL Refrig, up to 36 hrs RF - Rheumatoid Factor Screen Rheumatic Evaluation #1004 Rheumatoid Arthr Evaluatr #1013 Rheumatoid Factor Quant #1540 RF RAEVAL RAEVALR RFQNT MARBL MARBL MARBL MARBL Refrig, up to 48 hrs Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 1 mL Rickettsia rickettsii IgG,IgM RMSFAB or RICKRICKET MARBL Ristocetin Cofactor RIST BLUE Refrig serum, 2 mL Frozen platelet-poor plasma; transfer to plastic vial RNP/Smith IgG Autoantibodies Rocky Mt Spotted Fever Ab's Rotavirus Antigen Stool RNPSM AB RMSFAB ROTA MARBL MARBL STOOL Refrig serum, 2 mL Refrig serum, 2 mL Refrigerate RPR Screen w/Rflx Titer RPR MARBL Refrig serum, 1 mL Resp Syncytial Virus Ab Serum RSVAB MARBL Refrig serum, 1 mL 6/18/2014 SPECIAL INSTRUCTIONS TESTED AT DRH SEND-OUT S52564 Sent to OK Medical Research Foundation OMRF X Split into 2 vials before freezing. See Quest directory for specimen patient prep instructions. S52046 X Avoid hemolyzed, lipemic or turbid serum. X 1004 1013 1540 Avoid hemolysis 7896 4456 1215 7896 X Avoid gross hemolysis and gross lipemia Alternate specimens: Heparin, EDTA, or ACD plasma. 799 S50347 23 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE Collections done by Nursing staff. Swish swab in elution vial for 3 seconds. Discard swab. Label vial. RSV testing only on patient < 5 years of age. RSV Antigen RSV NASAL SWAB, FOAM TIP Rubella IgG (immune) RUBIGG Refrig plasma or serum, GREEN or MARBL up to 7 days Rubeola (Measles) Ab IgG RUBEOLAIGG MARBL Refrig serum, 1 mL Rupture of Fetal Membrane Test Salicylate SCL-70 IgG Autoantibodies ROM SAL SCL70 CBN GREEN MARBL Ambient Refrig, up to 1 wk Refrig serum, 2 mL Semen Analysis UACONT Ambient Frozen serum, 1 mL - 2 vial split Serum Immuno Fixation Electro. Serum Ketones (Acetone) SEMEN SEROTONIN or HYDROXYTRYPTAMN IFE, IMMUNOFIXSERUM, MONOGAMMS KETS or ACETONE MARBL MARBL Sirolimus (Rapamune) Sm (Smith) IgG Autoantibodies Smooth Muscle Total Autoabs Sodium SIRO SMABS SMMAB NA LAV MARBL MARBL GREEN (Serotonin) Hydroxytryptamine 5 Sodium, Stool Sodium Urine 24 hr Sodium Urine (Random) 6/18/2014 NAST NAU24 NAURN RED STOOL 24HR JUG UACONT SPECIAL INSTRUCTIONS Refrig serum, 1 mL TESTED AT DRH SEND-OUT X X Avoid gross hemolysis, lipemia, and icteric Collected by Nursing at DRH 8776 X X 1235 Bring to Lab within 30 min. after collection. X 3286 Immunoelectrophoresis is same as Monoclonal Gammapathy. 3125 X Refrig Whole Blood, 4 mL Refrig serum, 2 mL Refrig serum, 2 mL Refrig, up to 1 wk Refrig stool, 10 mL Refrig, up to 1 week Refrig, up to 1 week 36712 1220 1106 X must be naturally occurring, watery stool S51323 X X 24 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE Somatostatin SPE w/Monoclonal Region/M Spike Specific Gravity, Body Fluid Specific Gravity, Spinal Fluid SS-A & SS-B IgG Abs (Sjogrens) SOMA SPE SPGRA SFSG SSA-SSB LAV MARBL RED CSF Tube #3 MARBL Stone Analysis Stool Lactoferrin (WBC) Stool Occult Blood Strep Gr A Abs (Streptozyme) STONE LACTOFRN STOCC STREPZYME UACONT STOOL STOOL RED T3, Free T3F Ambient Refrigerate Refrigerate Refrig serum, 1 mL Refrig plasma or serum, GREEN or MARBL up to 7 days T3, Reverse LC/MS/MS T3, Total T3, Uptake Tegretol (Carbamazepine) Tegretol, Free (Carbamazepine) Tegretol, Free (Carbamazepine) Testosterone, Free, Bio & Total Testosterone, Free LC/MS/MS T3R T3TOT T3U TEG CARBFREE TEGF TESTOBIO TESTOF MARBL MARBL MARBL GREEN RED RED RED RED Testosterone, Total Theophylline Thyroglobulin Antibodies TESTO THEO THYGLOBAB RED GREEN MARBL 6/18/2014 SPECIAL INSTRUCTIONS Draw in a pre-chilled lavender-top tube. Separate and freeze plasma immediately. Do not thaw. Froz plasma, 2 mL Refrig serum, 1 mL Refrig Specify Source Refrig serum, 2 mL Separate from cells ASAP Frozen serum, 2 mL Refrig serum, 2 mL Refrig serum, 2 mL Refrig, up to 5 days Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 4 mL Refrig serum, 1 mL Ambient plasma or serum, up to 7 days Refrig, up to 1 wk Refrig serum, 1 mL TESTED AT DRH SEND-OUT S49916 1583 X X 1007 Dianon Lab OKC via UPS Lab accessioning prepares stone kit for send-out X X 1337 Separate from cells ASAP Remove serum from gel within 24 hrs. X 90963 3224 3232 X S51361 S51361 3924 3201 No SST gel tubes No SST gel tubes No SST gel tubes 15983 X 267 25 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME Thyroglobulin Panel Thyroglobulin, Serum Thyroid Ab's - Thyroglob & Peroxid Thyroid Peroxidase Antibodies Thyroid Stimulating Immunoglob. Thyrotropin-Binding Inhibit Ig Thyroxin Binding Globulin Thyroxine, Free Index Thyroxine (T4) *Send-Out* MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE THYGLOBPNL THYGLOB THYAB THYPRX or MICROSOMAL ABS TSI THYBIND or TBII TBG FTI T4 MARBL MARBL MARBL Refrig serum, 2 mL Refrig serum, 2 mL Refrig serum, 1 mL MARBL MARBL MARBL MARBL MARBL MARBL Refrig serum, 1 mL Frozen serum, 3 mL Frozen serum, 2 mL Refrig serum, 1 mL Frozen serum, 2 mL Frozen serum, 1 mL Tobramycin Level Peak TOBRP GREEN Refrig, up to 1 wk Tobramycin Level Random TOBRR GREEN Refrig, up to 1 wk Tobramycin Level Trough Topiramate (Topamax) Torch IgG & IgM Abs Evaluation Total Protein Total Protein, Body Fluid Total Protein CSF Total Protein Urine 24hr Total Protein Urine Random Toxoplasma gondii IgG & IgM Ab TOBRT TOPIR or TOPAMAX TORCHABS TP BFTP CSFTP TPU24 TPUR TOXOP GREEN RED MARBL X 2 GREEN RED CSF Tube #2 24HR JUG UACONT MARBL Refrig, up to 1 wk Refrig serum, 1 mL Refrig serum, 3.5 mL Refrig, up to 3 days Refrig, up to 3 days Transferrin Transglutaminase IgG & IgA Ags 6/18/2014 TRANSF TRANSGLUT MARBL MARBL SPECIAL INSTRUCTIONS Includes Thyroglobulin & Thyroglob Autoabs 30278 3255 1016 Avoid gross hemolysis Collected 30 min after 3rd dose. NO LINE DRAWS. Random level - Collect at any time. NO LINE DRAWS. Collected 30 min before 4th dose. NO LINE DRAWS. No SST gel tubes Specify Source Refrig, up to 3 days Refrig, up to 3 days Refrig serum, 2 mL Refrig serum, 1 mL Refrig serum, 1.5 mL TESTED AT DRH SEND-OUT 3062 30551 1093 3238 3230 3226 X X X 4925 9901 X X X X X 2263 Avoid hemolysis; 12hr fasting is required. 1519 1029 26 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE Treponema Pallidum Total Abs Triglycerides Troponin I TSH Thyroid Stimulating Hormone TSH, 3rd Generation Uric Acid Uric Acid, Body Fluid TREP PALL ABS or FTARED ABS TRIG GREEN TROPI GREEN TSH GREEN TSH3 MARBL URICA GREEN BFURICA RED Refrig serum, 1 mL Refrig, up to 7 days Refrig, up to 14 days Refrig, up to 1 wk Frozen serum, 2 mL Refrig, up to 5 days Refrig, up to 5 days Uric Acid Urine 24 hr Urine Dipstick only Urinalysis Routine URICU24 UAD UA Frozen 20 ml aliquot Refrig, up to 24 hrs Refrig, up to 24 hrs TUBE or CONTAINER 24HR JUG UACONT UACONT SPECIMEN STORAGE SPECIAL INSTRUCTIONS Do not use for State RPR confirmation. Fasting for 12-14 hrs prior Avoid hemolysis TESTED AT DRH SEND-OUT 2104 X X X 3250 Specify Source X X Include total volume 4333U X X Reflex to C&S, if WBC's >=5 & epi's <=5, RBC's >50, or Nitrite is positive Urinalysis Screen Valproic Acid (Depakene) UASC VALP or DEPAKN UACONT GREEN Refrig, up to 24 hrs Vancomycin Level Peak VANP GREEN Refrig up to 48 hrs Vancomycin Level Random VANR GREEN Refrig up to 48 hrs Vancomycin Level Trough VANT GREEN Refrig up to 48 hrs 24HR JUG MARBL RED Include total volume - If possible, patient should discontinue all drugs at least 1 week prior to collection.medications that can interfere with the assay include: LDOPA, Phenothiazines, Catecholaminecontaining drugs, diuretics and Frozen urine, 5 ml aliquot vasodilators. Refrig serum, 2 mL Refrig serum, 1 mL Vanillylmandelic Acid 24hr Ur VAP Cholesterol Varicella-zoster IgG & IgM Abs 6/18/2014 VMAU24 VAP CHOL VARZ Collect 90 min after 3rd dose. NO LINE DRAWS. Draw specimen at any time. EDTA ok. NO LINE DRAWS. Collect 30 min before 4th dose. NO LINE DRAWS. X X X X X 3318U S50365 8756 27 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE Vasoactive Intestinal Peptide (VIP) VIP LAV Frozen plasma,1 mL VDRL, CSF VDRL, Serum Venous pH VDRLCSF VDRLS PHV CSF Tube RED Blood Gas Kit Refrig CSF, 1 mL Refrig serum, 1 mL Vitamin A (Retinol) VITA MARBL Frozen serum, 2 mL LAV Frozen whole blood, 4 mL Vitamin B1 (Thiamine), EDTA Plasma VITB1 Vitamin B1 (Thiamine), Whole Blood VITB1WB Vitamin B12 B12 or VITB12 Vitamin B6, plasma Vitamin D,1,25-Dihydroxy VITB6 VITD1,25DI 6/18/2014 Frozen EDTA plasma, 4 mL Refrig plasma or serum, GREEN or MARBL up to 7 days Frozen 0.5 ml EDTA LAV plasma RED Refrig serum, 2 mL LAV SPECIAL INSTRUCTIONS TESTED AT DRH SEND-OUT **Special EDTA Tube** pre-chill tube. No gel or SST Tubes Do not centrifuge. PROTECT FROM LIGHT Patient must be fasting 12 hrs. PROTECT FROM LIGHT Patient must be fasting 12 hrs. Patient is to be restricted from alcohol, coffee, tea, raw fish, liver, pork, sausage and vitamins for at least 24 hours before sample collection. PROTECT FROM LIGHT Patient must be fasting 12 hrs. Patient is to be restricted from alcohol, coffee, tea, raw fish, liver, pork, sausage and vitamins for at least 24 hours before sample collection. PROTECT FROM LIGHT PROTECT FROM LIGHT No SST gel tubes S51831 2366C 2366 X 3502 90353 5042X X S51625 16558 28 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL GENERAL LAB TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIAL INSTRUCTIONS 3541 3530 Vitamin D, 25-Hydroxy TOTAL VITD25TOT MARBL Refrig serum, 2 mL Serum in spun SST that is removed from gel < 48 hrs from collection is acceptable. Unseparated red top tube is not acceptable. Vitamin E (Apha & Gamma Tocopherol) VITE MARBL Refrig serum, 2 mL PROTECT FROM LIGHT Vitamin K WBC with Differential West Nile virus Ab IgG CSF West Nile Virus Ab IgM CSF West Nile Virus Ab IgM Serum West Nile Virus Ag IgG Serum White Blood Cell Count VITK WBCWD WNILE IGGC WNILE IGMC WNILE IGMS WNILE IGGS WBC GREEN LAV CSF Tube CSF Tube MARBL MARBL LAV Von Willebrand Panel Zinc VW ZINC BLUE X 3 ROYAL EDTA Froz plasma, 4 mL PROTECT FROM LIGHT Refrig up to 36 hrs Frozen 1 ml spinal fluid Frozen 1 ml spinal fluid Frozen 1 ml serum Frozen 1 ml serum Refrig up to 36 hrs Frozen Citrated Plasma, 4 mL Refrig plasma, 2 mL 6/18/2014 TESTED AT DRH SEND-OUT SPECIMEN STORAGE S51649 X 8167C 8168C 8168 8167 X 9761 4877 29 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL BLOOD BANK TEST NAME MEDITECH TEST CODE TUBE or CONTAINER SPECIMEN STORAGE SPECIAL INSTRUCTIONS Antibody Screen Antibody Screen Preop ABS ABSPREOP RED, PINK, LAV RED, PINK, LAV Refrig up to 84 hrs Refrig up to 84 hrs No BB armband needed Antibody Titer Type ABO/RH Cord Blood Screen Direct Combs DAT Fetal Screen ABTITER TYPE CORDB DAT FS RED, PINK, LAV RED, PINK, LAV LAV LAV LAV Kleihauer-Betke Stain Platelet Antibody Therapeutic Phlebotomy KBSTAIN PLAB PHLEB RED, PINK, LAV LAV X 2 Transfusion Reaction Workup Type and Antibody Screen TXRXN TYPSC PRODUCT NAME MEDITECH TEST CODE Cryoprecipitate Pooled 5 pack FFP Fresh Frozen Plasma 250 mL LRBC Leukoreduced RBC's LRBC Pedi Aliquot Platelet Pheresis Rhogam CRYOP5pk FFP250 LRBC PEDILRBC PLAP RHOGAM 6/18/2014 UA CONT RED, PINK, LAV TESTED AT DRH X X Lab must send with completed form to OBI Refrig up to 84 hrs Refrig up to 48 hrs Refrig up to 48 hrs Refrig up to 72 hrs Fill tube at least half full. Refrig up to 84 hrs OBI X X X X Lab must send with completed form to OBI If urine positive for tx rxn, then RED and LAV posttransfusion tubes would be collected. SENDOUT OBI OBI X X COMMENT * Must specify if irradiated product is needed * * Must specify if irradiated product is needed * * Must specify if irradiated product is needed * 1 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL MICROBIOLOGY TEST NAME MEDITECH TEST CODE SPECIMEN TUBE or CONTAINER STORAGE SPECIAL INSTRUCTIONS TESTED AT DRH SEND-OUT NOTE: CULTURETTE SWABS = Blue-capped Culturette Swab or Green-capped Culturette Swabs are obtained from Materials Management. These are used for aerobic and anaerobic culture collection. AFB (TB) Stain AFB Culture & Stain Aer/Anaerobic Culture & Stain Bacterial ID, Aerobic (Send Out) BAL Aer/Ana Quant Culture & Stain Blood Bag Culture (Trans Rxn) Blood Culture Blood Fungus Culture Body Fluid Culture & Stain CSF Culture & Stain CVP Catheter Tip Culture Ear Culture & Stain Environmental Culture Eye Culture & Stain Fungus Identification Mould Fungus Identification Yeast Fungus Cult - Skin, Hair, Nail Fungus Cult - Misc Sources Fungus Cult - Whole Blood Gastric Aspirate Culture & Stain AFBS AFBCS AAC BACIDAER BALQC BBC BC FUNGCB BFC CSFC CVPC EARC ENVC EYEC FUNIDM FUNIDY FUNGSHN FUNGMISC FUNGWB GAC STERILE CONT STERILE CONT CULTURETTE SWAB Agar Slant STERILE CONT Transfusion Blood Bag Blood Culture bottle set YELLOW ACD TUBE STERILE CONT CSF TUBE Cath tip in sterile cup CULTURETTE SWAB Various CULTURETTE SWAB Isolate from current cult. Isolate from current cult. STERILE CONT STERILE CONT YELLOW ACD TUBE Gastric Aspirate Refrig Refrig Ambient Ambient Ambient Ambient Ambient Ambient Ambient Ambient Ambient Ambient Ambient Ambient Ambient GCF CULTURETTE SWAB Ambient GC Culture - Male Genital Culture-Female Genital Culture & Stain-Male GCM GENCF GENCM CULTURETTE SWAB CULTURETTE SWAB CULTURETTE SWAB Ambient Ambient Ambient 5320 2419 X Refer to Quest test directory Bronchial alveolar lavage Send blood unit bag to Lab 0.5 minimum volume per bottle and 5 ml maximum volume per bottle. Follow P&P - avoid contamination. Refer to Quest test directory S49971 X X X 5322W X X X X X X 5323 5324 5322 5322M 5322WB Call Micro dept x8284 Call Micro dept x8285 Refrig Refrig Ambient Ambient GC Culture - Female 6/18/2014 Refer to Quest test directory Refer to Quest test directory X Must be cultured within 2hrs after collection. Must be cultured within 2hrs after collection. X X X X 1 DUNCAN REGIONAL HOSPITAL LABORATORY SPECIMEN COLLECTION MANUAL MICROBIOLOGY TEST NAME MEDITECH TEST CODE Gram Stain Group B Strep Culture Haemophilus Susceptibility GMST GBS HAEM Herpes Simplex Virus Culture HERPC HSV Culture w/Rflx Typing Joint Fluid Culture & Stain KOH Prep for Fungus Miscellaneous Micro MRSA Nasal Screen HERPCT JFC KOHPR MISC MRSANS Pertussis (Whooping Cough) Culture Throat Culture Respiratory Culture & Stain Sinus Culture & Stain Stool Culture PERTC TC RESPC SINUSC STC Strep Screen (for Group A Strep) Urine Culture SS UC Virus Culture Wet Prep Wound Culture & Stain VIRUSC WETPR WC 6/18/2014 SPECIMEN TUBE or CONTAINER STORAGE SPECIAL INSTRUCTIONS Various CULTURETTE SWAB Pure Culture Choc Slant UTM (Universal Transport Medium) Collection Set UTM (Universal Transport Medium) Collection Set Fluid in sterile container Various Various CULTURETTE SWAB AMIES W/CHARCOAL SWAB CULTURETTE SWAB STERILE CONT CULTURETTE SWAB STOOL CONT Polyester swab X 2 obtained from the Lab STERILE CONT UTM (Universal Transport Medium) Collection Set Various CULTURETTE SWAB Ambient Ambient Ambient Do NOT order w/C&S order - it is included Source: vag or cerv Source: eye, ear, CSF, Blood Frozen Collect swab specimen and place swab into the UTM vial. Frozen Ambient Ambient Ambient Refrigerate d Ambient Ambient Ambient Ambient Ambient Refrig Refrig Ambient Ambient TESTED AT DRH SEND-OUT X X S50022 2692 Collect swab specimen and place swab into the UTM vial. 2649 X X Enter test name in comments Source: ONLY nose or NP Only stable for 48 hours. Indicate exact source. Provide pt w/ ETM vial obtained from Collected by Nursing Staff. Collect 2 throat swabs and place in paper sleeve. Can use refrig urine up to 24 hrs Collected by Nursing Staff. Collect swab specimen and place swab into the UTM vial. X 2416 X X X X X X 2410 X X 2