Pathology Specimen Handbook

Recent changes for all departments


 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 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 ANTI TNF

Recent changes for ANTI TNF
DateFieldChanged FromChanged To
25th September 2020Collection & Request Instructions

Please fill in the information form provided.

http://seals.rb.com.au/seals_tlm/store/Liverpool_Documents_ifx_final.pdf

Note: The Infliximab brand: Inflectra, Remicade or Other (Specify) must be noted on the form. The sample MUST NOT be sent without these details.

Send to laboratory IMMEDIATELY after collection´┐Ż as the sample must be centrifuged and frozen within 1 hour of collection.

Please fill in the information form provided.

http://seals.rb.com.au/seals_tlm/store/Liverpool_Documents_ifx_final.pdf

Note: The Infliximab brand: Inflectra, Remicade or Other (Specify) must be noted on the form. The sample MUST NOT be sent without these details.

 

 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 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 CHOLESTANOL

Recent changes for CHOLESTANOL
DateFieldChanged FromChanged To
17th August 2020Minimum/Paediatric Volumenull mL
Preferred Container TypeSerum - Gel tube - Contains Clot Activator
Heparin Plasma (Gel)
Heparin Plasma (No Gel)

 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 CMV SEROLOGY

Recent changes for CMV SEROLOGY
DateFieldChanged FromChanged To
29th September 2020Collection & Request Instructions

All serology tests require a dedicated serum tube

 

All serology tests require a dedicated serum tube

 

Retesting is not required within 7 days or if IgG has previously been detected.

 

 Recent changes for COBALT

Recent changes for COBALT
DateFieldChanged FromChanged To
25th September 2020Optional Container TypeHeparin Plasma (No Gel)
FrequencyWeekly

 Recent changes for COBALT (URINE)

Recent changes for COBALT (URINE)
DateFieldChanged FromChanged To
25th September 2020FrequencyWeekly

 Recent changes for DNA - CONNEXIN 26

Recent changes for DNA - CONNEXIN 26
DateFieldChanged FromChanged To
9th October 2020Request GroupGMPTRANMISCGEN
Minimum/Paediatric Volumenull mL

 Recent changes for EBV SEROLOGY (Epstein-Barr Virus )

Recent changes for EBV SEROLOGY (Epstein-Barr Virus )
DateFieldChanged FromChanged To
29th September 2020Collection & Request Instructions

All serology tests require a dedicated serum tube

 

All serology tests require a dedicated serum tube

 

Retesting is not required within 7 days or if IgG has previously been detected.

 

 Recent changes for FRUCTOSAMINE

Recent changes for FRUCTOSAMINE
DateFieldChanged FromChanged To
11th June 2020Request GroupFRUCSA, MISCBIOFRUCSA
Minimum/Paediatric Volumenull mL

 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 LIVER FUNCTION TEST

Recent changes for LIVER FUNCTION TEST
DateFieldChanged FromChanged To
6th October 2020Collection & Request InstructionsProtect from light

 Recent changes for LIVER FUNCTION TEST (Bilirubin fractions)

Recent changes for LIVER FUNCTION TEST (Bilirubin fractions)
DateFieldChanged FromChanged To
6th October 2020Collection & Request InstructionsProtect from light

 Recent changes for MANGANESE

Recent changes for MANGANESE
DateFieldChanged FromChanged To
25th September 2020FrequencyWeekly

 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 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 PLATELET ALLOANTIBODIES

Recent changes for PLATELET ALLOANTIBODIES
DateFieldChanged FromChanged To
11th August 2020Minimum/Paediatric Volumenull mL
Collection & Request Instructions

PLEASE NOTE: Clinicians must complete the ARCBS Indication for testing / clinical information form, which must be sent with samples

Link to ARCBS form  https://monashpathology.org/wp-content/uploads/2019/06/ARCBS_forms.pdf

DO NOT CENTRIFUGE EITHER EDTA OR SERUM SAMPLES- SEND AS WHOLE BLOOD TO VTIS.

(a)   If for PAB, collect 18 mL EDTA and 6ml of serum.

(b)   If for NAIT, FMAIT.  Collect 18mL of EDTA and 12mL Serum from the mother. Collect 18mL of EDTA from the father. Collect 1-2mL EDTA or buccal swab and 1-2mL serum from the child. Only available Mondays to Thursdays Must be BOOKED IN ADVANCE by DOCTOR Contact Red Cross Blood Bank ph: 96940354 prior to collection. Please notify a supervisor in Pathology - DO NOT REFRIGERATE OR FREEZE 

(c) If blood cannot be collected for platelet antibodies, an ORAcollect-DNA buccal swab may be used (stable 5 days in 4degC) 

PLEASE NOTE: Clinicians must complete the ARCBS Indication for testing / clinical information form, which must be sent with samples

Link to ARCBS form  https://monashpathology.org/wp-content/uploads/2019/06/ARCBS_forms.pdf

DO NOT CENTRIFUGE EITHER EDTA OR SERUM SAMPLES- SEND AS WHOLE BLOOD TO VTIS.

(a)   If for PAB, collect 6 mL ACD and 6ml of serum.

(b)   If for NAIT, FMAIT.  Collect 18mL of EDTA and 12mL Serum from the mother. Collect 18mL of EDTA from the father. Collect 1-2mL EDTA or buccal swab and 1-2mL serum from the child. Only available Mondays to Thursdays Must be BOOKED IN ADVANCE by DOCTOR Contact Red Cross Blood Bank ph: 96940354 prior to collection. Please notify a supervisor in Pathology - DO NOT REFRIGERATE OR FREEZE 

(c) If blood cannot be collected for platelet antibodies, an ORAcollect-DNA buccal swab may be used (stable 5 days in 4degC) 

 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 SARS-CoV-2 Serology

Recent changes for SARS-CoV-2 Serology
DateFieldChanged FromChanged To
3rd September 2020Assay nameSARS-ASOCIATED CORONAVIRUS SEROLOGYSARS-CoV-2 Serology
Alternative namesCOVID-19 Serology Coronavirus Serology
Request GroupSARPCRWCV
Collection & Request Instructions

Serology for COVID-19 should only be ordered with appropriate clinical presentation. Please refer to Public Health Laboratory Network Guidance for serological testing in COVID-19 or contact the Microbiology registrar to discuss.

https://www.health.gov.au/sites/default/files/documents/2020/08/phln-guidance-for-serological-testing-in-covid-19-phln-guidance-on-serological-testing-in-covid-19.pdf

 Recent changes for SHORT SYNACTHEN TEST

Recent changes for SHORT SYNACTHEN TEST
DateFieldChanged FromChanged To
6th October 2020Alternative namesSST
Request GroupRTIM, ACTH, CORT for basal sample, & RTIM + CORT for 60minBaseline sample: ACTH, CORT, RTIM, TEXT, BMI 60min sample: RTIM
Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Collection & Request Instructions

Baseline sample: 1x SST Gel tube (6 mL) for Basal Cortisol; 1x EDTA (4 mL) (sent on ice)for ACTH .

If 17-OH Progesterone is requested a Non-gel SST tube must be collected.

60 minute sample: 1 x SST Gel tube.

Short Synacthen Test should be booked with the Chemical Pathologist or Chemical Pathology Registrar.

1.Baseline sample: 1x SST 5ml Gel tube for Cortisol; 2 x EDTA 3 mL (1 will be accepted) sent on ice for ACTH

2.60 minute sample: 1 x SST Gel tube

3.If 17-OH Progesterone is requested a Non-gel SST tube must be collected with each tube point

4. Record height and weight

5. Short Synacthen Test should be booked with the Chemical Pathologist or Chemical Pathology Registrar.

FrequencyWeekly
5th October 2020Request GroupRTIM, ACTH, CORT for basal sample, & RTIM + CORT for 60minBaseline samples: ACTH, CORT, RTIM, TEXT, BMI 60 min samples: RTIM CORT
Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Collection & Request Instructions

Baseline sample: 1x SST Gel tube (6 mL) for Basal Cortisol; 1x EDTA (4 mL) (sent on ice)for ACTH .

If 17-OH Progesterone is requested a Non-gel SST tube must be collected.

60 minute sample: 1 x SST Gel tube.

Short Synacthen Test should be booked with the Chemical Pathologist or Chemical Pathology Registrar.

1. Baseline sample: 1 x 5ml SST Gel tube for Cortisol; 2 x 3ml EDTA sent on ice (1 tube will be accepted) for ACTH

2. 60 minute sample: 1 x SST Gel tube

3. If 17-OH Progesterone is requested a Non-gel SST tube must be collected

4. Record weight and height

5. Short Synacthen Test should be booked with the Chemical Pathologist or Chemical Pathology Registrar.

25th September 2020Request GroupRTIM, ACTH, CORT for basal sample, & RTIM + CORT for 60minBaseline samples: ACTH, CORT, RTIM, TEXT, BMI 60 min samples: RTIM + CORT
Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Collection & Request Instructions

Baseline sample: 1x SST Gel tube (6 mL) for Basal Cortisol; 1x EDTA (4 mL) (sent on ice)for ACTH .

If 17-OH Progesterone is requested a Non-gel SST tube must be collected.

60 minute sample: 1 x SST Gel tube.

Short Synacthen Test should be booked with the Chemical Pathologist or Chemical Pathology Registrar.

1.Baseline sample: 1x SST Gel tube (5 mL) for Basal Cortisol; 2 x EDTA (3 mL) sent on ice for ACTH. One EDTA will be acceptable when 2 not available

2. 60 minute sample: 1 x SST gel tube (3ml)

3. If 17-OH progesterone is requested, a non gel SST tube must be collected with each tube point.

4. Record weight and height

5. Short Synacthen Test should be booked with the Chemical Pathologist or Chemical Pathology Registrar.

18th September 2020Request GroupRTIM, ACTH, CORT for basal sample, & RTIM + CORT for 60minBaseline samples: ACTH, CORT, RTIM, TEXT, BMI 60 min samples: CORT, RTIM
Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Collection & Request Instructions

Baseline sample: 1x SST Gel tube (6 mL) for Basal Cortisol; 1x EDTA (4 mL) (sent on ice)for ACTH .

If 17-OH Progesterone is requested a Non-gel SST tube must be collected.

60 minute sample: 1 x SST Gel tube.

Short Synacthen Test should be booked with the Chemical Pathologist or Chemical Pathology Registrar.

1. Baseline sample: 1x SST Gel tube (5 mL) for Cortisol

2. 60 minute sample: 1 x SST Gel tube.

3. ACTH: 2 x EDTA 3ml (one tube will be accepted in difficult collections)

4. If 17-OH Progesterone is requested a Non-gel SST tube must be collected with each tube point

5. Record weight and height

6. Short Synacthen Test should be booked with the Chemical Pathologist or Chemical Pathology Registrar.

FrequencyWeekly

 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 THEOPHYLLINE

Recent changes for THEOPHYLLINE
DateFieldChanged FromChanged To
23rd November 2020Request GroupTHEOTHEO, MISCBIO

 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

 Recent changes for ZINC

Recent changes for ZINC
DateFieldChanged FromChanged To
12th November 2020Optional Container TypeHeparin Plasma (Gel)
11th November 2020Optional Container TypeHeparin Plasma (Gel)
Serum - Gel tube - Contains Clot Activator
Heparin Plasma (Gel)
Uncontrolled when downloaded or printed.
Date printed: 25th November, 2020 04:12:39