Pathology Specimen Handbook

Recent changes for all departments


 Recent changes for ALPHA THALASSAEMIA GENE ANALYSIS

Recent changes for ALPHA THALASSAEMIA GENE ANALYSIS
DateFieldChanged FromChanged To
29th January 2021Request GroupGENTRAN, EXGENGENTRAN

 Recent changes for BORDETELLA PERTUSSIS CULTURE- This test is no longer performed.

Recent changes for BORDETELLA PERTUSSIS CULTURE- This test is no longer performed.
DateFieldChanged FromChanged To
29th March 2021Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Preferred Container TypeSterile ContainerFlocked swab with UTM
29th March 2021Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Collection & Request Instructions

Please send  a  Nasopharyngeal Flocked swab for Respiratory Multiplex PCR testing

 

Please send  a  Nasopharyngeal Flocked swab for Respiratory Multiplex PCR testing

If Bordetella pertussis culture is required please contact the Medical Microbiologist

 

 

29th March 2021Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Preferred Specimen TypeNasopharyngeal Aspirate (NPA)Nasopharyngeal flocked swab
Collection & Request Instructions

Please send  a Flocked E swab for Respiratory Multiplex testing

 

Please send  a  Nasopharyngeal Flocked swab for Respiratory Multiplex PCR testing

 

29th March 2021Request GrouprmpcrRMPCR
Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
29th March 2021Assay nameBORDETELLA PERTUSSIS CULTUREBORDETELLA PERTUSSIS CULTURE- This test is no longer performed.
Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Collection & Request InstructionsRoutine swab not suitable. Send to lab ASAP.

Please send  a Flocked E swab for Respiratory Multiplex testing

 

 Recent changes for BORDETELLA PERTUSSIS IgG SEROLOGY- This test is no longer performed.

Recent changes for BORDETELLA PERTUSSIS IgG SEROLOGY- This test is no longer performed.
DateFieldChanged FromChanged To
29th March 2021Assay nameBORDETELLA PERTUSSIS IgG SEROLOGYBORDETELLA PERTUSSIS IgG SEROLOGY- This test test is no longer performed.

 Recent changes for BRONCHIAL WASHINGS, LAVAGES & TBNA MICROSCOPY & CULTURE

Recent changes for BRONCHIAL WASHINGS, LAVAGES & TBNA MICROSCOPY & CULTURE
DateFieldChanged FromChanged To
29th March 2021Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Collection & Request Instructions

** This registration includes Fungal culture**

Fugal culture only performed on request ie:

Correct Cerner procedure  :RMC1

or Written  appropriate clinical notes

 Recent changes for CALCIUM (IONISED)

Recent changes for CALCIUM (IONISED)
DateFieldChanged FromChanged To
16th December 2020Preferred Container TypeSerum - Gel tube - Contains Clot ActivatorArterial syringe
Heparin Plasma (Gel)
Collection & Request InstructionsCan also be collected into Calcium titrated heparin syringe or calcium titrated heparin capillary tubes. Do not used tourniquet.

Do not used tourniquet.

 Recent changes for CMV PCR

Recent changes for CMV PCR
DateFieldChanged FromChanged To
3rd February 2021Optional Container TypeACD TubeACD Tube
Sterile Container

 Recent changes for CORTISOL (SALIVARY)

Recent changes for CORTISOL (SALIVARY)
DateFieldChanged FromChanged To
13th April 2021Preferred Container TypeSodium HeparinSalivette
Optional Container TypeSterile Yellow Top Container
13th April 2021Preferred Container TypeConical Tube - 10mLSalivette
Collection & Request Instructions

10 mL conical tube (yellow cap) or sterile urine pot  (yellow cap) can be used to collect the saliva.

Clean teeth 1 hour before collecting sample (about 10 PM)

Nothing to eat for the next hour, do not wear lipstick.

Between 11 PM and midnight collect sample by the following procedure. Clear throat and swallow, and empty mouth, then commence chewing action on teeth or straw if provided. / open mouth, lift tongue up and breathe in (this helps stimulate saliva production).

Dribble free flowing saliva into the tube provided.

3- 4 mL of saliva is required

Please repeat this for two nights in a row.

Write the date and time of collection on the tube.

Keep sample(s) at home in the refrigerator and bring all together into Pathology the day after sample 2 is collected.

A straw may be given to the patient to chew on to stimulate the flow of saliva.

The mouth should be free of mucus or other material prior to commencing the collection of the saliva.

 

Preparation before collection

Label the tube with your full name, date of birth, date and time of collection (including PM or AM)

Relax for approximately 1 hour (high activity or excitement can raise your cortisol level)

Do not eat or drink (except water) for 30 minutes

 

Collection

Remove the cap of the tube by pushing it slightly to the side

Do not remove the sponge holder (if it is dislodged, push it back into the tube)

Tip the sponge directly into your mouth. Do not touch the sponge with your fingers.

Very gently chew and roll the sponge in your mouth for 2 minutes.

When finish, hold the saturated sponge with your front teeth and return the sponge directly into the tube holder without touching it.

Close the tube firmly with the cap. Keep the sample in the fridge prior to delivering it to your closest Monash Health Pathology collection centre.

 

 

 

 Recent changes for CYTOTOXIC ANTIBODIES

Recent changes for CYTOTOXIC ANTIBODIES
DateFieldChanged FromChanged To
25th February 2021Alternative namesLUMINEX, DONOR SPECIFIC ANTIBODIES, LUM, CYT, DSA, ANGIOTENSIN II TYPE 1 RECEPTOR, T AND B CELL CROSSMATCHLUMINEX, DONOR SPECIFIC ANTIBODIES, LUM, CYT, DSA, ANGIOTENSIN II TYPE 1 RECEPTOR, T AND B CELL CROSSMATCH, TWL Monthly Serum
Minimum/Paediatric Volumenull mL

 Recent changes for FERRITIN (RED CELL)

Recent changes for FERRITIN (RED CELL)
DateFieldChanged FromChanged To
14th April 2021Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
14th April 2021Volume (Adults)5 mLnull mL
Minimum/Paediatric Volumenull mL
FrequencyDaily

 Recent changes for FLUCONAZOLE

Recent changes for FLUCONAZOLE
DateFieldChanged FromChanged To
18th February 2021Collection & Request Instructions

Record date and time of last dose on request form

 Recent changes for FLUIDS FOR MICROSCOPY & CULTURE

Recent changes for FLUIDS FOR MICROSCOPY & CULTURE
DateFieldChanged FromChanged To
29th March 2021Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Collection & Request InstructionsCollect additional EDTA tube if cell count required. ** This registration include Fungal culture **

Collect additional EDTA tube if cell count required

Fungal Culture performed on request

 

 Recent changes for Foreign Body/Stone Culture

Recent changes for Foreign Body/Stone Culture
DateFieldChanged FromChanged To
14th January 2021Assay nameRENAL CALCULI FOR MICROSCOPY AND CULTUREForeign Body/Stone Culture
Alternative namesCALCULUS FOR MICROSCOPY AND CULTURE, RENAL STONE FOR MICROSCOPY AND CULTURE, KIDNEY STONE FOR MICROSCOPY AND CULTURECALCULUS FOR MICROSCOPY AND CULTURE, RENAL STONE FOR MICROSCOPY AND CULTURE, KIDNEY STONE FOR MICROSCOPY AND CULTURE, RENAL CALCULI FOR MICROSCOPY AND CULTURE
Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
13th January 2021Alternative namesRENAL STONE FOR MICROSCOPY AND CULTURE KIDNEY STONE FOR MICROSCOPY AND CULTURECALCULUS FOR MICROSCOPY AND CULTURE, RENAL STONE FOR MICROSCOPY AND CULTURE, KIDNEY STONE FOR MICROSCOPY AND CULTURE
Volume (Adults)null mL
Minimum/Paediatric Volumenull mL

 Recent changes for HAEMOPHILIA A DNA TESTING

Recent changes for HAEMOPHILIA A DNA TESTING
DateFieldChanged FromChanged To
29th January 2021Request GroupGENTRAN (Internal samples) EXGEN (external samples)GENTRAN
Minimum/Paediatric Volumenull mL

 Recent changes for HAEMOPHILIA B DNA TESTING

Recent changes for HAEMOPHILIA B DNA TESTING
DateFieldChanged FromChanged To
29th January 2021Request GroupEXGEN OR GENTRAN GENTRAN
Minimum/Paediatric Volumenull mL

 Recent changes for HIV 1 VIRAL LOAD

Recent changes for HIV 1 VIRAL LOAD
DateFieldChanged FromChanged To
13th January 2021Minimum/Paediatric Volumenull mL
Collection & Request Instructions

Requires a dedicated blood sample. Collect two tubes

Paediatric Sample :  EDTA  tube 700ul

Requires a dedicated blood sample. Please collect two tubes.

Paediatric Sample :  EDTA  tube 700ul

 Recent changes for HUMAN PAPILLOMA VIRUS PCR

Recent changes for HUMAN PAPILLOMA VIRUS PCR
DateFieldChanged FromChanged To
15th March 2021Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
15th March 2021Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Optional Specimen TypeSwab
Optional Container TypeViral Transport Media (VTM)
Swab (Dry Dacron)
Swab (Dry Dacron)
Collection & Request Instructions

Only Tissue or DRY swab can be sent

A swab in UTM/VTM will be rejected by the testing Laboratory

 Recent changes for INHIBIN

Recent changes for INHIBIN
DateFieldChanged FromChanged To
4th December 2020Alternative namesTOTAL INHIBIN

 Recent changes for INHIBIN A

Recent changes for INHIBIN A
DateFieldChanged FromChanged To
4th December 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Preferred Container TypeNot Applicable - Specimen not requiredSerum - Gel tube - Contains Clot Activator
4th December 2020Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
4th December 2020Request GroupMISCBIQUAD
Volume (Adults)null mL
Minimum/Paediatric Volumenull mL

 Recent changes for ITRACONAZOLE

Recent changes for ITRACONAZOLE
DateFieldChanged FromChanged To
18th February 2021Collection & Request Instructions

Pre-dose

Pre-dose

Record date and time of last dose on request form

 Recent changes for NEEDLESTICK SEROLOGY

Recent changes for NEEDLESTICK SEROLOGY
DateFieldChanged FromChanged To
7th December 2020Request GroupSource - NSS. Recipient - HBPVSource - NSS2. Recipient - HBPV2

 Recent changes for NGS Targeted DNA Panel (15 Genes)

Recent changes for NGS Targeted DNA Panel (15 Genes)
DateFieldChanged FromChanged To
2nd February 2021Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Preferred Specimen TypeFFPE Slide (1 H&E tumour marked, 4 unstained)FFPE tissue block
5x10um FFPE unstained slides or scrolls, +1H&E

 Recent changes for NGS Targeted RNA Panel

Recent changes for NGS Targeted RNA Panel
DateFieldChanged FromChanged To
2nd February 2021Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Preferred Specimen TypeFFPE Slide (1 H&E tumour marked, 4 unstained)FFPE tissue block
5x10um FFPE unstained slides or scrolls, +1H&E

 Recent changes for PERITONEAL DIALYSATE (CAPD EFFLUENT) FOR MICROSCOPY & CULTURE

Recent changes for PERITONEAL DIALYSATE (CAPD EFFLUENT) FOR MICROSCOPY & CULTURE
DateFieldChanged FromChanged To
4th March 2021Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Preferred Container TypeSterile ContainerFalcon Tube 50mL
Collection & Request InstructionsCollect into 2 Sterile blue capped 50ml tubes. Drain part of first bag at onset of peritonitis symptoms into the 2 tubes.

Collect into 2 Sterile blue capped 50ml tubes. Drain part of first bag at onset of peritonitis symptoms into the 2 tubes.

 Recent changes for PLASMA HAEMOGLOBIN

Recent changes for PLASMA HAEMOGLOBIN
DateFieldChanged FromChanged To
6th January 2021Alternative namesHAEMOGLOBIN (PLASMA)HAEMOGLOBIN (PLASMA), Plasma Hb, Plasma free Hb

 Recent changes for POSACONAZOLE

Recent changes for POSACONAZOLE
DateFieldChanged FromChanged To
18th February 2021Collection & Request Instructions

Record date and time of last dose on request form

 Recent changes for PREGNANCY TEST (URINE)

Recent changes for PREGNANCY TEST (URINE)
DateFieldChanged FromChanged To
21st December 2020Minimum/Paediatric Volumenull mL
21st December 2020Minimum/Paediatric Volumenull mL

 Recent changes for PREPAIR DNA

Recent changes for PREPAIR DNA
DateFieldChanged FromChanged To
5th March 2021Alternative namesPREPAIR=Screening for CF/FXS/SMA REPRODUCTIVE GENETIC CARRIER SCREENING, DNA-PREPAIR CARRIER TESTINGPREPAIR=Screening for CF/FXS/SMA, REPRODUCTIVE GENETIC CARRIER SCREENING, DNA-PREPAIR CARRIER TESTING
5th March 2021Alternative namesREPRODUCTIVE GENETIC CARRIER SCREENING, DNA-PREPAIR CARRIER TESTING or CF, FXS, SMAPREPAIR=Screening for CF/FXS/SMA REPRODUCTIVE GENETIC CARRIER SCREENING, DNA-PREPAIR CARRIER TESTING
4th March 2021Alternative namesREPRODUCTIVE GENETIC CARRIER SCREENING, DNA-PREPAIR CARRIER TESTING CF, FXS, SMAREPRODUCTIVE GENETIC CARRIER SCREENING, DNA-PREPAIR CARRIER TESTING or CF, FXS, SMA
4th March 2021Alternative namesREPRODUCTIVE GENETIC CARRIER SCREENING, DNA-PREPAIR CARRIER TESTINGREPRODUCTIVE GENETIC CARRIER SCREENING, DNA-PREPAIR CARRIER TESTING CF, FXS, SMA

 Recent changes for QUAD TEST

Recent changes for QUAD TEST
DateFieldChanged FromChanged To
4th December 2020Alternative namesMATERNAL SERUM TEST, TRIPLE TEST: FOR DOWNS SYNDROME & NTD, FIRST TRIMESTER SERUM SCREEN, PAPP-A (Pregnancy-Associated Plasma Protein A), PAPA (Pregnancy-Associated Plasma Protein A), (QUAD), Pre-eclampsia screenMATERNAL SERUM TEST, TRIPLE TEST: FOR DOWNS SYNDROME & NTD, FIRST TRIMESTER SERUM SCREEN, PAPP-A, (Pregnancy-Associated Plasma Protein A), PAPA (Pregnancy-Associated Plasma Protein A), (QUAD), Pre-eclampsia screen, INHIBIN A
Minimum/Paediatric Volumenull mL

 Recent changes for RENIN

Recent changes for RENIN
DateFieldChanged FromChanged To
6th February 2021Collection & Request Instructions

Transport to department at room temperature only or frozen.

* NOT AT 4oC.

 Recent changes for sFlt-1/PIGF ratio

Recent changes for sFlt-1/PIGF ratio
DateFieldChanged FromChanged To
19th January 2021Alternative namesPlacental growth factor, PLGF, Pre Eclampsia Ratio test, PERT, SFLT, Pre-eclampsia, SFLT-1
Minimum/Paediatric Volumenull mL
Collection & Request Instructions

Collect on ice.

 Recent changes for SULPHONYLUREA SCREEN

Recent changes for SULPHONYLUREA SCREEN
DateFieldChanged FromChanged To
23rd December 2020Collection & Request InstructionsClose to hypoglycemic episode. Provide Glucose result, and Insulin + C-Peptide if available. Take sample within 24 hrs of ingestion. Urine is unsuitable.

Close to hypoglycemic episode. Provide Glucose result, and Insulin + C-Peptide if available. Take sample within 24 hrs of ingestion. Urine is unsuitable.

 Recent changes for THEOPHYLLINE

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

 Recent changes for URINE FOR MICROSCOPY & CULTURE

Recent changes for URINE FOR MICROSCOPY & CULTURE
DateFieldChanged FromChanged To
16th March 2021Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Collection & Request Instructions

Collect midstream urine (MSU), catheter urine (CSU) clean catch urine (CCU), suprapubic aspirate (SPA), nephrostomy specimen or diagnostic imaging specimen (MCU) into a sterile container. Specify type of collection on request slip. Routine bacterial culture done. Specific request and clinical notes required if other investigations are needed. Please specify if red cell morphology, casts is required.

Retesting is not required within 3 days unless specimen is of better quality or clinical condition has changed.

Collect midstream urine (MSU), catheter urine (CSU) clean catch urine (CCU), suprapubic aspirate (SPA), nephrostomy specimen or diagnostic imaging specimen (MCU) into a sterile container. Specify type of collection on request slip. Routine bacterial culture done. Specific request and clinical notes required if other investigations are needed. Please specify if examination for casts or red cell morphology is required. These samples are to be priotised.

Retesting is not required within 3 days unless specimen is of better quality or clinical condition has changed.

23rd February 2021Volume (Adults)null mL
Minimum/Paediatric Volumenull mL
Collection & Request Instructions

Collect midstream urine (MSU), catheter urine (CSU) clean catch urine (CCU), suprapubic aspirate (SPA), nephrostomy specimen or diagnostic imaging specimen (MCU) into a sterile container. Specify type of collection on request slip. Routine bacterial culture done. Specific request and clinical notes required if other investigations are needed. Please specify if red cell morphology, casts or urinalysis (dipstick) is required.

Retesting is not required within 3 days unless specimen is of better quality or clinical condition has changed.

Collect midstream urine (MSU), catheter urine (CSU) clean catch urine (CCU), suprapubic aspirate (SPA), nephrostomy specimen or diagnostic imaging specimen (MCU) into a sterile container. Specify type of collection on request slip. Routine bacterial culture done. Specific request and clinical notes required if other investigations are needed. Please specify if red cell morphology, casts is required.

Retesting is not required within 3 days unless specimen is of better quality or clinical condition has changed.

 Recent changes for VORICONAZOLE

Recent changes for VORICONAZOLE
DateFieldChanged FromChanged To
18th February 2021Collection & Request Instructions

Record date and time of last dose on request form

 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: 15th April, 2021 14:15:22