Pathology Specimen Handbook

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

Please send  a Flocked E swab for Respiratory Multiplex testing

Please send  a  Nasopharyngeal Flocked swab for Respiratory Multiplex PCR testing

Please send  a Flocked E swab for Respiratory Multiplex testing

** This registration includes Fungal culture**

Fugal culture only performed on request ie:

Correct Cerner procedure  :RMC1

or Written  appropriate clinical notes

Do not used tourniquet.

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.

Record date and time of last dose on request form

Collect additional EDTA tube if cell count required

Fungal Culture performed on request

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

Only Tissue or DRY swab can be sent

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

Pre-dose

Pre-dose

Record date and time of last dose on request form

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

Record date and time of last dose on request form

Transport to department at room temperature only or frozen.

* NOT AT 4oC.

Collect on ice.

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

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.

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.

Record date and time of last dose on request form