Pathology Specimen Handbook

Recent changes for all departments


 Recent changes for ADRENOCORTICOTROPHIC HORMONE

Recent changes for ADRENOCORTICOTROPHIC HORMONE
DateFieldChanged FromChanged To
11th March 2020Volume (Adults)4 mL3 mL
Collection & Request InstructionsCollect specimens on ice
Collection & Request Instructions

Collect 2 EDTA tubes.

Collect on ice.

 Recent changes for ALCOHOL

Recent changes for ALCOHOL
DateFieldChanged FromChanged To
12th May 2020Alternative namesETHANOL, C2OH6, C2H5OHETHANOL, C2OH6, C2H5OH, ETOH

 Recent changes for ALDOSTERONE

Recent changes for ALDOSTERONE
DateFieldChanged FromChanged To
18th June 2020Request GroupALDSALDS, RENIN, ALDREN
Volume (Adults)5 mL3 mL
Optional Container TypeSerum - Gel tube - Contains Clot Activator
16th June 2020Preferred Container TypeSerum - Gel tube - Contains Clot ActivatorEDTA Plasma
Optional Container TypeEDTA PlasmaSerum - Gel tube - Contains Clot Activator
Collection & Request Instructions

When Aldosterone and Renin requested together collect SST Yellow top serum tube for Aldosterone and EDTA Purple top tube for Renin. Refer to RENIN in the Pathology Specimen Handbook for collection instructions. Keep Renin tube at room temperature. Do not refrigerate.

Aldosterone and Renin can be collected in the same EDTA Purple tube.

 

 Recent changes for ALDOSTERONE (URINE)

Recent changes for ALDOSTERONE (URINE)
DateFieldChanged FromChanged To
28th February 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
28th February 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Collection & Request Instructions

10 grams of boric acid to be added to the bottle before collection.

This is to ensure the pH <7.5.

Preferably refrigerate the urine during collection.

Acidified sample (with 10 grams of boric acid added to the bottle before collection) and unacidified urine with pH <7.0 acceptable.

Preferably refrigerate the urine during collection.

 Recent changes for ALDOSTERONE RENIN RATIO

Recent changes for ALDOSTERONE RENIN RATIO
DateFieldChanged FromChanged To
18th June 2020Volume (Adults)5 mL3 mL
Collection & Request Instructions

For Aldosterone Renin ratio collect a SST Yellow top serum tube for Aldosterone and 2 EDTA Purple top tube for Renin. Refer to RENIN and Aldosterone in the Pathology Specimen Handbook for collection instructions. Keep Renin tube at room temperature. Do not refrigerate.

Refer to RENIN and Aldosterone for collection instructions

FrequencyWeekly

 Recent changes for ANTI DIURETIC HORMONE

Recent changes for ANTI DIURETIC HORMONE
DateFieldChanged FromChanged To
30th July 2020Request GroupADHNone
Collection & Request Instructions

Send immediately on ice.

 Recent changes for BETA 2 GLYCOPROTEIN ANTIBODIES

Recent changes for BETA 2 GLYCOPROTEIN ANTIBODIES
DateFieldChanged FromChanged To
26th May 2020Alternative namesB2GP

 Recent changes for BRAIN NATRIURETIC PEPTIDE

Recent changes for BRAIN NATRIURETIC PEPTIDE
DateFieldChanged FromChanged To
16th June 2020Collection & Request Instructions

Sample is stable in blood for up to 7 hours at room temperature, and 24hours at 4°C.

Transport from collection centres in red bag on next courier run.

Transport from collection centres in red bag on next courier run.

16th June 2020Volume (Adults)4 mL3 mL
Minimum/Paediatric Volume2 mL1 mL
Collection & Request Instructions

MUST BE COLLECTED IN OWN TUBE

Sample is stable in blood for up to 7 hours at room temperature

Transport from collection centres in red bag on next courier run.

Sample is stable in blood for up to 7 hours at room temperature, and 24hours at 4°C.

Transport from collection centres in red bag on next courier run.

 Recent changes for C TELOPEPTIDE

Recent changes for C TELOPEPTIDE
DateFieldChanged FromChanged To
22nd June 2020Preferred Container TypeSerum - Gel tube - Contains Clot ActivatorEDTA Plasma
Optional Container TypeEDTA PlasmaSerum - Gel tube - Contains Clot Activator

 Recent changes for CASONI TEST

Recent changes for CASONI TEST
DateFieldChanged FromChanged To
10th February 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Preferred Container TypeSerum - Gel tube - Contains Clot Activatorrefer to specimen type
10th February 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Preferred Specimen TypeBloodSpecimen not required
Collection & Request Instructions

Test no longer available. Refer all requests to Chemical Pathologist

Test no longer available. Please refer to the Hydatid Serology Test.

 Recent changes for CEPHALEXIN

Recent changes for CEPHALEXIN
DateFieldChanged FromChanged To
29th May 2020Optional Container TypeHeparin Plasma (No Gel)
29th May 2020Alternative namesCEFAZOLIN, CEPHOTAXINE, CEPHAZOLIN, CEPHALOSPORIN ANTIBIOTIC ASSAY, CEPHTAZIDINE, CEPHTRIXINE CEFAZ CEPHXCEFALEXIN, CEPHALEX, IBILEX, KEFLEX
Collection & Request Instructions

This test has been discontinued.

For enquiries, please contact the Chemical Pathologists.

 Recent changes for CHLAMYDIA PNEUMONIAE/PSITTACI PCR

Recent changes for CHLAMYDIA PNEUMONIAE/PSITTACI PCR
DateFieldChanged FromChanged To
24th March 2020Preferred Container TypePPTFlocked swab with UTM
Sterile Container
PPT
24th March 2020Alternative namesAtypical pneumonia PCR
Preferred Specimen TypeSputum
Nasopharyngeal Aspirate (NPA)
Bronchoalveolar Lavage
Bronchial Washings
Blood
Nasopharyngeal flocked swab
Nasopharyngeal Aspirate (NPA)
Bronchoalveolar Lavage
Bronchial Washings
Blood

 Recent changes for CHOLINESTERASE (DIBUCAINE AND FLUORIDE)

Recent changes for CHOLINESTERASE (DIBUCAINE AND FLUORIDE)
DateFieldChanged FromChanged To
12th May 2020Assay nameCHOLINESTERASE (DUBICANE AND FLUORIDE)CHOLINESTERASE (DIBUCAINE AND FLUORIDE)
Collection & Request Instructions

Cholinesterase (plasma) testing for scoline apnoea should not be performed within 24 hours of scoline administration.

(Note from Queensland Pathology)

Cholinesterase (plasma) testing for scoline apnoea should not be performed within 24 hours of scoline administration.

(Note from Queensland Pathology)

 Recent changes for CHYLOMICRONS

Recent changes for CHYLOMICRONS
DateFieldChanged FromChanged To
20th July 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
20th July 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Collection & Request Instructions

This test has been discontinued.

 

For enquiries, please contact the Chemical Pathologist (Tel: 9594 4525)

FrequencyOn requestNot applicable
20th July 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
20th July 2020Volume (Adults)5 mLnull mL
Minimum/Paediatric Volume2 mLnull mL
FrequencyDailyOn request

 Recent changes for CORTISOL

Recent changes for CORTISOL
DateFieldChanged FromChanged To
30th April 2020Collection & Request Instructions

AM Cortisol must be collected as early as possible before noon. PM Cortisol should be collected after noon.

AM Cortisol must be collected as early as possible before noon (preferably between 8.00am and 10.00am). PM Cortisol should be collected after noon.

30th April 2020Collection & Request Instructions

AM Cortisol must be collected between 8:00am and 10:00am. PM Cortisol must be collected between 4:00pm and 6:00pm.

AM Cortisol must be collected as early as possible before noon. PM Cortisol should be collected after noon.

 Recent changes for FILARIAL ANTIGEN

Recent changes for FILARIAL ANTIGEN
DateFieldChanged FromChanged To
14th April 2020Preferred Container TypeSerum - Gel tube - Contains Clot ActivatorHeparin Whole Blood (No Gel)
Collection & Request Instructions

All serology tests require a dedicated serum tube

 

Whole blood collected in a Heparin No gel tube for Filarial antigen collect only on a Monday or Tuesday. tubes are available from Serology-Microbiology

All serology tests require a dedicated serum tube

 

 Recent changes for FRUCTOSAMINE

Recent changes for FRUCTOSAMINE
DateFieldChanged FromChanged To
11th June 2020Request GroupFRUCSA, MISCBIOFRUCSA
Minimum/Paediatric Volumenull mL
12th May 2020Minimum/Paediatric Volumenull mL
FrequencyDailyMon-Fri
12th May 2020Minimum/Paediatric Volumenull mL
12th May 2020Request GroupFRUCSAFRUCSA, MISCBIO
Minimum/Paediatric Volumenull mL
12th May 2020Minimum/Paediatric Volumenull mL
12th May 2020Request GroupFRUCFRUCSA
Minimum/Paediatric Volumenull mL
Optional Container TypeHeparin Plasma (Gel)
Collection & Request Instructions

Stable for 3 days at 20 - 25°C , 2 weeks at 4 - 8 °C

FrequencyWeeklyDaily
12th May 2020Minimum/Paediatric Volumenull mL
Collection & Request Instructions

Stable for 3 days at 20 - 25 C, 2 weeks at 4 - 8 C

Stable for 3 days at 20 - 25°C , 2 weeks at 4 - 8 °C

 Recent changes for FULL BLOOD EXAMINATION (FBE)

Recent changes for FULL BLOOD EXAMINATION (FBE)
DateFieldChanged FromChanged To
17th June 2020Collection & Request Instructions

If Hb is ordered following a Red Cell transfusion, it should be performed >15 minutes after the completion of the transfusion.

 Recent changes for Legionella PCR

Recent changes for Legionella PCR
DateFieldChanged FromChanged To
24th March 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
24th March 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Preferred Specimen TypeBronchial Washings
Nasopharyngeal Aspirate (NPA)
Nasopharyngeal flocked swab
Nasopharyngeal Aspirate (NPA)
Bronchial Washings
Bronchoalveolar Lavage
Preferred Container TypeSterile Yellow Top Container
Sterile Container
Flocked swab with UTM
Sterile Container
24th March 2020Alternative namesAtypical Pneumonia PCR
Volume (Adults)null mL
Minimum/Paediatric Volumenull mL

 Recent changes for METHYL TETRAHYDROXY FOLATE

Recent changes for METHYL TETRAHYDROXY FOLATE
DateFieldChanged FromChanged To
11th March 2020Alternative namesCSF NEUROTRANSMITTERS, NEUROTRANSMITTERS (CSF) 5MTHFCSF NEUROTRANSMITTERS, NEUROTRANSMITTERS (CSF) 5MTHF, CSF FOLATE MTHF, CSF FOLATE METABOLITES, CSF 5 METHYL TETRA HYDRO FOLATE
Request GroupMISCBIOCSFNTS
Minimum/Paediatric Volume1 mL0.5 mL
Collection & Request Instructions

CSF must be placed into dry ice immediately.

Special tube available from Chemical Pathologist or Duty Biochemist.

Requesting doctor should contact Chemical Pathologist / Registrar / Duty Biochemist before collecting CSF

CSF must be placed into dry ice immediately.

Part of the CSF Neurotransmitters collection.

Requesting doctor should contact the Chemical Pathologist/ Registrar/ Duty Biochemist to obtain a set of 5 CSF neurotransmitter tubes prior to CSF collection.

 Recent changes for MYCOPHENOLATE

Recent changes for MYCOPHENOLATE
DateFieldChanged FromChanged To
29th May 2020Alternative namesMPA, MMFMPA, MMF, MYCOPHENOLIC ACID, MYCOPHENOLATE MOFETIL, SODIUM MYCOPHENOLATE
Preferred Container TypeSerum (No Gel)EDTA Plasma
Optional Container TypeHeparin Whole Blood (No Gel)
EDTA Plasma

 Recent changes for MYCOPLASMA PNEUMONIAE PCR

Recent changes for MYCOPLASMA PNEUMONIAE PCR
DateFieldChanged FromChanged To
24th March 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Preferred Specimen TypeSwab
Bronchial Washings
Bronchoalveolar Lavage
Sputum
Blood
Nasopharyngeal flocked swab
Nasopharyngeal Aspirate (NPA)
Bronchoalveolar Lavage
Bronchial Washings
24th March 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
24th March 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
24th March 2020Alternative namesRespiratory Pathogen PCRAtypical Pneumonia PCR
Request GroupRPPCRMPNPCR
Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Preferred Specimen TypeSwabSwab
Bronchial Washings
Bronchoalveolar Lavage
Sputum
Blood

 Recent changes for NEISSERIA MENINGITIS PCR

Recent changes for NEISSERIA MENINGITIS PCR
DateFieldChanged FromChanged To
11th February 2020Preferred Container TypeSterile Container
EDTA Whole Blood
Citrate Whole Blood
PPT
EDTA Whole Blood
CSF Sterile Tubes
Citrate Whole Blood
PPT

 Recent changes for OCCULT BLOOD (FAECAL)

Recent changes for OCCULT BLOOD (FAECAL)
DateFieldChanged FromChanged To
1st April 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
FrequencyDailyWeekly

 Recent changes for PARVOVIRUS PCR

Recent changes for PARVOVIRUS PCR
DateFieldChanged FromChanged To
24th July 2020Minimum/Paediatric Volumenull mL
Preferred Container TypePPTPPT
EDTA Whole Blood

 Recent changes for POLYOMAVIRUS PCR

Recent changes for POLYOMAVIRUS PCR
DateFieldChanged FromChanged To
24th July 2020Preferred Container TypePPTPPT
EDTA Whole Blood
Collection & Request InstructionsOther specimen type: 0.5 mL CSF or Brain tissue. Blood samples requires a dedicated blood tube.

Other specimen type: 0.5 mL CSF or Brain tissue. Blood samples requires a dedicated blood tube.

 Recent changes for PROCALCITONIN

Recent changes for PROCALCITONIN
DateFieldChanged FromChanged To
16th June 2020Alternative namesPCTPCT, PROCALC
Volume (Adults)5 mL3 mL
Optional Container TypeHeparin Plasma (Gel)Heparin Plasma (Gel)
EDTA Plasma
FrequencyOn requestDaily

 Recent changes for PROCOLLAGEN TYPE 1 N-TERMINAL PROPEPTIDE

Recent changes for PROCOLLAGEN TYPE 1 N-TERMINAL PROPEPTIDE
DateFieldChanged FromChanged To
22nd June 2020Preferred Container TypeSerum - Gel tube - Contains Clot ActivatorEDTA Plasma
Optional Container TypeEDTA Plasma
Heparin Plasma (Gel)
Serum - Gel tube - Contains Clot Activator

 Recent changes for PYRUVATE (CSF)

Recent changes for PYRUVATE (CSF)
DateFieldChanged FromChanged To
22nd June 2020Preferred Container TypeSterile ContainerCSF Sterile Tubes

 Recent changes for QUETIAPINE

Recent changes for QUETIAPINE
DateFieldChanged FromChanged To
19th June 2020Volume (Adults)2 mL3 mL
Minimum/Paediatric Volume0.50 mL1.5 mL
Optional Container TypeEDTA Plasma
FrequencyWeekly

 Recent changes for RENIN

Recent changes for RENIN
DateFieldChanged FromChanged To
18th June 2020Request GroupRENINRENIN, ALDREN
Volume (Adults)8 mL3 mL
Collection & Request Instructions

Transport to department at room temperature. * NOT AT 4oC.

Transport to department at room temperature only or frozen.

* NOT AT 4oC.

 Recent changes for RESPIRATORY PATHOGEN PCR

Recent changes for RESPIRATORY PATHOGEN PCR
DateFieldChanged FromChanged To
24th March 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
22nd March 2020Alternative namesRESPIRATORY VIRUS PCR, RESPIRATORY PCR, INFLUENZA PCR, FLU PCR, SWINE FLU PCR, H1N1 PCR, FLU A PCR, FLU B PCR, RSV PCR, RESPIRATORY SYNCYTIAL VIRUS PCR, ADENOVIRUS PCR, B.PERTUSSIS PCR, PERTUSSIS PCR, PARAINFLUENZA 1/2/3 PCR, PICORNAVIRUS PCR, HUMAN METAPNEUMOVIRUS PCR, BORDETELLA PERTUSSIS PCR, NASOPHARYNGEAL ASPIRATE, NPARESPIRATORY VIRUS PCR, RESPIRATORY PCR, INFLUENZA PCR, FLU PCR, SWINE FLU PCR, H1N1 PCR, FLU A PCR, FLU B PCR, RSV PCR, RESPIRATORY SYNCYTIAL VIRUS PCR, ADENOVIRUS PCR, B.PERTUSSIS PCR, PERTUSSIS PCR, PARAINFLUENZA 1/2/3 PCR, PICORNAVIRUS PCR, HUMAN METAPNEUMOVIRUS PCR, BORDETELLA PERTUSSIS PCR, NASOPHARYNGEAL ASPIRATE, NPA, COVID-19, SARS-CoV-2
Request GroupRPPCRRMPCR
Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Collection & Request Instructions

A combined nasopharyngeal and throat swab should be collected. Testing of lower tract infections (eg sputum, endotracheal aspirate, bronchoscopy specimen) when available is recommended when COVID-19 is suspected.

 Recent changes for Telomere Length Test

Recent changes for Telomere Length Test
DateFieldChanged FromChanged To
14th February 2020Collection & Request Instructions

Instructions for requesting doctor:

1. This is a sendaway test that must be booked in advance by the requesting doctor with Westmead Laboratory (P: 02 9845 3302). 

2. The requesting doctor must fill Requisition Form  located at: http://www.cmri.org.au/getattachment/Research-Explained/Short-Telomere-Syndromes/Telomere-Length-Testing-at-CHW.pdf.aspx

 

Instructions for collection staff:

1. Contact GMP Laboratory (Ph: 9594 3840) before collecting the sample.

2. Collect sample only on Monday before 10:00am. Do not spin or separate. Keep at room temperature at all times.

 

Instructions for requesting doctor:

1. This is a sendaway test that must be booked in advance by the requesting doctor with Westmead Laboratory (P: 02 9845 3302). 

2. The requesting doctor must fill Requisition Form  located at: http://www.palms.com.au/clinical/FLOW_FISH_Telomere_request_form_CHW.pdf

 

Instructions for collection staff:

1. Contact GMP Laboratory (Ph: 9594 3840) before collecting the sample.

2. Collect sample only on Monday before 10:00am. Do not spin or separate. Keep at room temperature at all times.

 

 Recent changes for TESTOSTERONE

Recent changes for TESTOSTERONE
DateFieldChanged FromChanged To
29th May 2020Collection & Request Instructions

Pediatric tubes must be RED for testosterone collection (no gel).

Becton Dickinson gel tubes are not recommended for the MS testosterone assay.

Testesterone levels are stable for up to 72hrs on the gel. Do not add retrospective tests after 72 hours.

Becton Dickinson 5 mL plain tubes (no gel) are preferred for testosterone collection.

Becton Dickinson (BD) 5 mL plain tubes (no gel) are preferred for testosterone collection.

Paediatric tubes must be RED and not the paediatric BD gel tubes.

Adult BD gel tubes are acceptable up to 72 hours as testosterone levels are stable up to 72hours on gel.

 Recent changes for THIOPURINE METABOLITE ASSESSMENT

Recent changes for THIOPURINE METABOLITE ASSESSMENT
DateFieldChanged FromChanged To
22nd June 2020Collection & Request Instructions

6 mL of blood is the absolute minimum volume required.

Do not collect samples on the day before a long weekend as the sample must reach the external laboratory within 3 days.

6 mL of blood is the absolute minimum volume required.

Collect samples Monday to Friday only as the sample must reach the external laboratory within 3 days.

 Recent changes for TRYPTIC ACTIVITY (FAECAL)

Recent changes for TRYPTIC ACTIVITY (FAECAL)
DateFieldChanged FromChanged To
6th July 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
6th July 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
6th July 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
6th July 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
6th July 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Collection & Request Instructions

Minimum of 10 grams of faeces required.

FrequencyDailyNot applicable
Uncontrolled when downloaded or printed.
Date printed: 10th August, 2020 08:31:40