collection tube list for laboratory tests
Preferred tube for most specimens. 0000002176 00000 n The Isolator tube must be filled to the line on the side. 0000185379 00000 n Swabbing pus collection in corner of the eyes is not adequate. Stops are made at Sea-Tac Airport as needed. To avoid dietary-induced high lipid levels prior to testing, many physicians require patients to exclude the high-fat foods from their diets or to fast for 12 to 14 hours prior to specimen collection. Place on a coolant pack and fill the vacant space with any type of packaging material. 0000014084 00000 n The tolbutamide (Orinase) test is similar to a glucose tolerance test, but the collection intervals vary. 0000459642 00000 n Most blood collection tubes contain an additive that either accelerates clotting of the blood (clot activator) or prevents the blood from clotting (anticoagulant). Store unpreserved specimens refrigerated or in a cool place until ready for transport. For infants, the minimum volume is 0.5 mL in one aerobic bottle. Failure to invert tubes may lead to the formation of microscopic clots. Formed stools will be rejected for C. difficile testing. WebStep 2: Collect the Specimen. Transport in Cary-Blair for bacterial culture and Enteric Pathogen PCR testing. Ferritin FTN SST Urea Nit, Blood BUN GRN FOL SSTVitamin B12 B12 GGT GGT SEROLOGY GRN INFECTIOUS DISEASE Please follow the appropriate directions whether you intend to use our courier, the bus, airfreight, or mail services (clients should follow any additional guidelines established by the U.S. Red The red bottle is less common it is used for biochemistry tests requiring serum which might be adversely affected by the separator gel used in the yellow bottle. Turbid serum or plasma appears cloudy or milky. 0000695552 00000 n If the tube is not filled completely it must, at a minimum, be half full otherwise the blood to anticoagulant ratio is not correct and the specimen will be rejected. 0000040030 00000 n Evert the lower eyelid and gently rub the conjunctival surface with mini-tipped flocked swab. Specimens should be collected in a manner that minimizes contamination with indigenous flora. Contains a spray-dried EDTA and separator gel. The proper selection of specimens is extremely important for the laboratory. Laboratory tube collection is a process applied when withdrawing blood samples from patients before they get tested in the laboratory. In all settings in which specimens are collected and prepared for testing, laboratory and health care personnel should follow current recommended sterile techniques, including precautions regarding the use of needles and other sterile equipment. Stops are made at the Greyhound Bus Terminal in the morning and afternoon, Monday through Friday. Preparing the Specimen. Fold completed request form and place it in the outside pocket of the Specimen Bag. Boston, Pearson Education, 2017, B. Keichle, F. So Youre Going to Collect a Blood Specimen: An Introduction to Phlebotomy, Fifteenth Edition, College of American Pathologists. This tube is a serum separator tube with clot activator and barrier gel to separate serum from the clot below. The specimens are clearly labeled with their chronological sequence (1 of 6, 2 of 6, time of drawn or Fasting, hr, 1hr, etc) and with the patient's name, other unique identifier, and date of collection. 0000876850 00000 n Specimens containing a preservative or anticoagulant should be mixed thoroughly. Patient name, sex, birthdate, include unique I.D. For clients whose specimen lockboxes must be placed outdoors, adding a frozen gel pack to the lockbox during warmer weather will help provide a moderate temperature inside the lockbox until specimens are collected by your LabCorp service representative. Aspirate the fluid using a syringe. Each specimen should be accompanied by the corresponding requisition sheet, folded, and placed in the outside pocket of the specimen bag. If two or more types of specimens (i.e., serum and plasma) are submitted on one patient, indicate the type of specimen and anticoagulant on each vial. * T465 Clear Aliquot Tube Standard polypropylene tube for serum and plasma specimens. Avoid hemolysis: red blood cells broken down and components spilled into serum. Maintain at 4 C before and during transport to the laboratory. If there is no pocket, place them inside the bag with the specimens. Test(s) requested. Mix by inverting specimen with additive immediately after collection. WebThere are four steps involved in obtaining a good quality specimen for testing: (1) preparation of the patient, (2) collection of the specimen, (3) processing the specimen, and (4) storing and/or transporting the specimen. 0000383639 00000 n It follows the principle, which is most commonly known as the "order of draw." It contains a detergent to lyse both red and white blood cells present in the sample, releasing any intracellular organisms. After swabbing the site to be tested, return the swab to a plastic sleeve or insert the swab deep into the transport medium and break off the applicator just below the point where it was held or the scored mark on the shaft of the swab. This tube contains sodium citrate as an anticoagulant, used for collection of blood for coagulation studies. SERUM SEPARATOR TUBE(SST) Acute Hep Pl.ASTALTAmylaseAlk. Type of specimen submitted, indicate serial and timed collection, Patient fasting conditions (if applicable), Interval and total volume of a timed urine collection, Source of the specimen if for Microbiology or Virology test(s), or other comments in "comments" box. 0000027220 00000 n Glass tube contains 1.5 mL Acid Citrate Dextrose (ACD) Solution A liquid: trisodium citrate (22.0g/L), citric acid (8.0g/L), and dextrose (24.5g/L). Do not pull on syringe too hard. You are now leaving the Quest Diagnostics web site. Web30-60 minutes Spin 10-15 minutes Do not use gel tubes for toxicology or drug testing M SERU Pour intoTransport Vial Label withSpecimen Type See Blood, Serum or Plasma in the Specimen Collection and Handling section of this Directory Make sure the swab is fully immersed in the UTM, and that the shaft is short enough to completely tighten the cap. Use the anticoagulant indicated. Use our convenient insurance lookup tool to find out. Used for blood banking studies, HLA phenotyping, DNA testing, and paternity testing. T027 WebBlood Collection Tubes. This tube has a clot activator sprayed inside. To test the effect of a certain medication, a physician may order the same test to be obtained on consecutive days, before, during, and after the patient has received a medication. This tube contains heparin and plasma gel separator and is used for many different tests. Test tubes are usually placed in special-purpose racks . Make sure the swab is fully immersed in the UTM, and that the shaft is short enough to completely tighten the cap. 0000148369 00000 n Resolve lab test orders faster - and streamline your workflow. The tools and services to make your lab more efficient and optimize patient care. Minimum urine volume is 4 mL. 0000653536 00000 n 0000011604 00000 n 0000908091 00000 n Larger pieces of tissue are ideal and maintain anaerobic conditions within the interior of the tissue. Specimen Requirements/Containers Maintain at room temperature before and during transport to the laboratory. 0000021170 00000 n Example: If a test requires 5 mL of EDTA whole blood, then a 2.5 mL purple tube cannot be used to procure the specimen. Postal Service or commercial carrier they are using for the safe transport of biological specimens). 0000032001 00000 n All rights reserved. Regardless of diet and length of fast, some patients may produce cloudy specimens. Specimen Collection Collection Tubes 2023 Quest Diagnostics Incorporated. There must be absorbent material between the primary receptacle (tube/container) and the secondary packaging (bag) that is able to absorb the entire contents of the bag. Boiling tube. Careful attention to routine procedures can eliminate most of the potential problems related to specimen collection. Copyright and Disclaimer, Department of Laboratory Medicine & Pathology, Potassium Oxalate/Sodium Fluoride (Grey Top Tube)*, QuantiFERON (Gray, Green, Yellow, Red Top set of Tubes)**, SST Hemogard (5 mL) (Serum Separator Tube) - (Gold Top Tube), Streck Cell-Free DNC BCT (Brown Brick Top Tube)*, Miscellaneous Devices, Hardware or Catheter Tips, Patient Instructions for 24-Hour Urine Collection, Sputum, BAL, Bronchial Washes, and Tracheal Aspirates, Order of Draw with Multiple Tube Collections, patient instructions for 24-hour urine collection. Collection Tubes For information, assistance, or for pre-addressed labels, call 206.520.4600 or 800.713.5198. Store tubes upright after collection. Break or cut the swab off into universal transport media (UTM). 0000806074 00000 n Use dark, indelible ink. If there is air leakage around the needle or loss of vacuum in the tube, replace the vacuum tube. Premature removal of the tube causes a rush of air to enter the tube, which may result in damage to the red cells. If you are currently experiencing COVID-19 Ideal for Complete Blood Count (CBC) testing because it does not change cell morphology. (Biotin is one example of this that is often administered in high dosages.). Harborview Medical CenterClinical Laboratory, Room GWH47325 9th AvenueSeattle, WA 98104Call on Arrival - 206.731.3451 RUSH. Always draw at least twice as much blood when plasma or serum specimens are required. Separate plasma from cells within two hours of venipuncture or as indicated in the test requirements. WebCollection tubes are color-coded according to the tubes additive. There is a specific ratio of blood-to-liquid anticoagulant; if those ratios are not met, test results may be inaccurate. If there is difficulty in performing venipuncture, minimum volume may be submitted if it is indicated in the test description. Collection Provide the patient, in advance, with appropriate collection instructions and information on fasting, diet, and medication restrictions when indicated for the specific test. For lockbox instructions and Q&A, selectInstructions for Use. During the COVID-19 health crisis, fast action and trusted information matter more than ever. Drug interference of notable clinical significance has been well-documented in the following instances. Mark it Frozen, Refrigerate, Avoid hemolysis, as some tests are invalidated by hemolysis. Cell-Free DNA BCT contains the anticoagulant K3EDTA and a cell preservative in a liquid medium. Gently insert regular flocked swab into rectum enough to dirty it. Introduction to Specimen Collection Phos.Basic Met Pl. Specimens were drawn from the correct patient but labeled with the wrong name and identification number. Please confirm proper preparation and most updated tube type in our Laboratory Test Directory or call our client service department at 800-245-3725. Collection Tubes Inform patients that fasting does not include abstaining from water. Blood Specimens: Chemistry and Hematology Preparing Serum, Combatting Modern Slavery and Human Trafficking Statement, Please examine specimen collection and transportation supplies to be sure they do not include, Label a specimen correctly and provide all pertinent information required on the test request form. It contains detailed instructions on requisitions, irreplaceable sample handling, collection procedures, infectious substances, and more. For lower volumes, submit refrigerat-ed urine in a sterile container without preservatives. Specimens should be collected using appropriate collection devices and should be tightly sealed to prevent leaks. This results in increase in both total serum thyroxine and unsaturated thyroxine-binding globulin, but with no significant change in unbound (free) thyroxine. The patient should void a small amount of urine before collecting in a clean container. Centrifuge the specimen at the end of the waiting period in accordance with the manufacturer's instructions for speed. It must be capable of withstanding, without leakage, an internal pressure of 95 kPa in the range of -40C to 55C. Specimen Collection Tubes ACD (Yellow Top Tube)* EDTA (Lavender Top Tube)* EDTA (Pink Top Tube)* Lithium Heparin (Green Top Tube)* Potassium Oxalate/Sodium Fluoride (Grey Top Tube)* PPT (Pearl Top Tube)* PST (Lime Green Plasma Separator Tube)* QuantiFERON (Gray, Green, Yellow, Red Top set of Tubes)** RTS (Orange Top Tube)* Specimen Collection Tubes ACD (Yellow Top Tube)* EDTA (Lavender Top Tube)* EDTA (Pink Top Tube)* Lithium Heparin (Green Top Tube)* Potassium Oxalate/Sodium Fluoride (Grey Top Tube)* PPT (Pearl Top Tube)* PST (Lime Green Plasma Separator Tube)* QuantiFERON (Gray, Green, Yellow, Red Top set of Tubes)** RTS (Orange Top Tube)* Aerobic (Grey/Blue) or Anaerobic (Purple), Fungal: Yellow Isolator 10 Draw sufficient blood with the indicated anticoagulant to yield the required volume of plasma. Specimen Collection Mark STAT or RUSH on the outside of the package as well as on the request form. For Viral culture, clean catch urine without preservatives is required. Yellow and white label Laboratory Use Additives/Inversions at Collection For culture and sensitivity (C&S) urine testing. Macular lesions do not yield high viral titers. 0000008247 00000 n Whenever an unacceptable specimen is received, the ordering location will be notified of the error and requested to send a new specimen. Plasma Preparation Tube (PPT) with K2EDTA and Gel for Separation, spray-coated K2EDTA Tubes are used for whole blood hematology determinations and immunohematology testing. Specimens that have labels and requisitions that agree but have been drawn from the wrong patient. Mottled Red Top contains clot activator with gel separator in the bottom, for collection of serum samples. COVID-19 is highly contagious. This results in a hemolyzed specimen. Collection Tube Requirements of Commonly Ordered Laboratory tube collection is a process applied when withdrawing blood samples from patients before they get tested in the laboratory. Only one test request form accompanies the serial samples, and it is completed with all patient information, including any medications administered and the number of samples sent. Other collection tubes may be rejected. Store tubes upright after collection. Do not remove the liquid transport media in the ESwab as this is needed for processing the sample. Image content features models and is intended for illustrative purposes only. WebCentrifugation: When plasma is required, or when not using a serum gel separator tube, follow these instructions: Draw 12 mL of whole blood for each 5 mL of serum or plasma needed. 0000014197 00000 n Hemolysis occurs when the red cells rupture and hemoglobin and other intracellular components spill into the serum. Collecting Proper Volumes of Blood for Test Requirements, Outpatient Laboratory Service Center Locations, Blood Culture: Aerobic Medium (Grey/Blue), Order Grey Sodium Fluoride & Potassium Oxalate Tubes, Order Light Blue Sodium Citrate Coagulation Tubes, Light Green Lithium Heparin Plasma Separator (PST), Order Light Green Lithium Heparin Plasma Separator Tubes, Order Royal Blue (Purple Stripe) K2EDTA Tubes, Order Royal Blue (Red Stripe) Plain Tubes, Order White K2EDTA Plasma Preparation (PPT) Tubes, Yellow (Glass) Whole Blood ACD Solution A, Order Yellow Whole Blood ACD Tubes - Solution A, Yellow (Glass) Whole Blood ACD Solution B, Order Yellow Whole Blood ACD Tubes - Solution B, Light blue sodium citrate tubes should be inverted. Preparing the Patient. There are two types of timed blood specimens: One is for a single blood specimen ordered to be drawn at a specific time. Replacement for T192. The courier route includes bus and air freight depots. Use the container/tube indicated in the test requirements for appropriate specimen preservation. This tube contains EDTA as an anticoagulant and is used for most hematological procedures. Amber-colored polypropylene tube to prevent analyte degradation from exposure to light. address visible. Tap the tube gently at a point just below the top to release any additive adhering to the tube or top. Most cases of hemolysis can be avoided by observing the steps listed. (List Updated 02/11/2019) If blood is drawn by use of a syringe, transfer the specimen into the appropriate collection tube (s) by puncturing the rubber stopper with the syringe needle and allowing the blood to be drawn into the tube by the vacuum. There will be some dead space at the top of the tube. No doctor's visit required. Fasting here is defined as no caloric intake for at least eight hours. may be sent to the address below: UW MedicineDepartment of Laboratory Medicine and Pathology1959 NE Pacific Street, room NW220Seattle, WA 98195Tel: 206.520.4600 or 800.713.5198. those taken immediately after ablative therapy, may be held until they are less radioactive or they may be analyzed by methods that are not routine in our laboratories. Do not shake tubes vigorously. Correct diagnostic and therapeutic decisions rely, in part, on the accuracy of test results. Routine specimens for ANY departmental laboratory (including Virology, Toxicology, Immunology, Microbiology, Hematopathology, etc.) Centrifuge for at least 15 minutes at 2200-2500 RPM. : Phlebotomy Handbook, Ninth Edition. The address you select for packages will vary according to the urgency of the package and the time it is sent. To schedule a pickup, please telephone us. Different tests and biochemical assays require varying types of sample collection tubes. 0000387970 00000 n Collection Tubes 0000025902 00000 n The list below lists the most commonly used blood collection tubes, their additives and uses in laboratory: 1. 0000027548 00000 n WebSpecimen Collection Tubes Gold-top serum separator tube (SST) This tube contains a clot activator and serum gel separator used for various chemistry, serology, and immunology tests. The test request form and all specimens are sent in one container (box or plastic specimen transport bag). Violent shaking of tubes with or without an anticoagulant present will cause the red blood cells to break and release their components into the plasma or serum. It contains detailed instructions on requisitions, irreplaceable sample handling, collection procedures, infectious substances, and more. A polymer gel forms a barrier between the plasma and red blood cells, white blood cells, and platelets after centrifugation. Address this problem by collecting a fresh tube when blood flow is established or select another puncture site and, using sterile/unused equipment, collect a second specimen. Materials provided by the laboratory for specimen collection can maintain the quality of the specimen only when they are used in strict accordance with the instructions provided. 0000617687 00000 n Ambient Specimen Bag - white Collection Tubes Laboratory Transfer serum to a plastic vial unless otherwise specified. Mark the outside of the container: REFRIGERATED MATERIAL - DO NOT FREEZE. Then, the patient is given glucose orally and blood specimens are drawn at fixed intervals. Learn about innovative solutions and the latest advances in the diagnostic space that may be beneficial to your health system. WebCheck the list of Light Protection Tests before packaging your specimen. Send it to the laboratory as soon as possible. The general rule is that all body fluids should be collected in sterile containers, without transport media. 0000657867 00000 n Please confirm proper preparation and most updated tube type in our Laboratory Test Directory or call our client service department at 800-245-3725. Alcohol used to clean the puncture site may cause contamination in a tube. Vernon, Olympia, Renton, Seattle, and Tacoma. Used for chromosome and tissue typing studies. General Specimen Collection. Permit the tube to fill completely to ensure the proper ratio of blood to additive. Collection Tubes The gel-barrier tube is an additive tube and should be inverted five to six times after collection. Access your Supply Storefront Account to see previous orders, shipping addresses, and more. * T465 Clear Aliquot Tube Standard polypropylene tube for serum and plasma specimens. Place the tube or container in a Mayo Clinic Laboratories color-coded (temperature-specific) shipping bag. 0000349478 00000 n On the request form, clearly indicate the site of the body the sample was collected from. One of the most common problems in specimen collection is the submission of an insufficient volume of specimen for testing. Learn about our relationships and collaborations with academic hospitals on a wide variety of medical and scientific research. These specimens should be placed in sterile containers. Blood collection tubes are part of the Evacuated Tube System (ETS) for collecting blood specimens. Collection Tubes The tube is used for the collection of serum for selected chemistry tests and special immunohematology tests. We'll redirect you to MyDocBill.com, the website of Quests billing services provider. 0000020185 00000 n Send to the laboratory as soon as possible. This requirement is important in order to achieve the proper blood-to-additive ratio; otherwise, the specimen may be found to be QNS. A successful launch starts with an informed strategy. Submitted slides may be labeled with a single identifier, but two identifiers are preferred. You can count on the domain expertise of our team of 650+ medical, scientific, and regulatory thought leaders to help you apply insight to data and make more informed decisions. Collection Tubes WebBeaumont Laboratorys tube chart shows the most commonly ordered tests with their associated specimen tube. 0000516266 00000 n WebDownload the Specimen Collection & Transport Guide to provide a handy reference for you and your staff. Complement your expertise with clinical consultations from Quest. Contains sodium heparin, vapor-coated or solid disc. Allow specimen to clot completely (for 30 to 60 minutes) before centrifuging. WebThere are four steps involved in obtaining a good quality specimen for testing: (1) preparation of the patient, (2) collection of the specimen, (3) processing the specimen, and (4) storing and/or transporting the specimen. Labcorp sometimes offers reduced fees for serial tests when the following conditions are met: Monitoring a patient over time for a specific condition is a variation of sequential sampling. (See appendices or individual tests for specific information.). Fasting does not include abstaining from coffee, tea, or sugar-free liquids. Collect in an appropriate collection tube. Place all specimens for the temperature-specific batch number into one bag. If the tubes are not completely filled to the optimal level, they may still contain enough blood to perform the test. When tests require whole blood, drawing the amount of blood required is sufficient to perform the test. 0000267801 00000 n Fold and insert the forms into the outside pocket of the biohazard bag. Labcorp also offers a different lockbox for use at locations that experience extreme temperatures. Any questions should be directed to Client Support Services at 206.520.4600 or 800.713.5198. The accuracy of test results is dependent on the integrity of specimens. Provide a 24-hour urine volume when an aliquot from the 24-hour collection is submitted. 0000808209 00000 n Most blood collection tubes contain an additive that either accelerates clotting of the blood (clot activator) or prevents the blood from clotting (anticoagulant). Blood Culture: Aerobic Medium (Grey/Blue) All tubes should be inspected just before use. Specimen Requirements/Containers WebBlood Collection Tubes and General Guidelines **NOTE: Our testing is validated for BD vacutainers. Prior to each collection, review the appropriate test description, including the specimen type indicated, the volume, the procedure, the collection materials, patient preparation, and storage and handling instructions. Since information related to any of these areas may change as clinical laboratory technology changes, please refer to the latest edition of the Labcorp Directory of Services and Interpretive Guide for current instructions. WebCOLLECTION TUBES. Review existing inventory for expired tubes at a defined schedule. Obtain specimen from the most active site of the wound. 0000039993 00000 n After drawing specimen, invert the tube to mix before centrifuging for 10 minutes. Break or cut the swab off into universal transport media (UTM). Postprandial glucose may be performed two hours after a meal for a timed test that is helpful in diabetes detection. Proper identification of specimens is extremely important. The laboratory sends out a report marked QNS (quantity not sufficient), and the patient has to be called back for a repeat collection at an inconvenience to the patient and to the physician. Glass tube contains 1 mL Acid Citrate Dextrose (ACD) Solution B liquid: trisodium citrate (13.2g/L), citric acid (4.8g/L), and dextrose (14.7g/L). symptoms-free for at least 10 days. Centrifuge for at least 15 minutes at 2200-2500 RPM. Aerobic medium is an all-purpose, enriched soybean-casein digest broth medium capable of supporting the growth of aerobic organisms. Mislabeled/unlabeled specimens will be rejected. For refrigerated specimens, use the same Styrofoam mailing container as is provided for frozen specimens. Potassium oxalate binds with calcium to inhibit clotting. Hours: 24/7 phone supportTel: 206.520.4600 or 1.800.713.5198Fax: 206.520.4903Email: commserv@uw.edu (All emails will be answered within 24 hours, M-F). A test tube, also known as a culture tube or sample tube, is a common piece of laboratory glassware consisting of a finger-like length of glass or clear plastic tubing, open at the top and closed at the bottom. Most laboratory tests are performed on anticoagulated plasma, serum, or whole blood. Labeled bags for shipments sent to Client Support Services will be provided on request. Please visit our appointment scheduling page to make your appointment. All specimens should be contained in sealed plastic specimen bags. Do not use Heparin, it is inhibitory to PCR reactions. Do not substitute the yellow top (SPS) tube. Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Diseases & Conditions Toggle Diseases & Conditions, OnDemand Testing Toggle OnDemand Testing, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Environmental Testing Toggle Environmental Testing, Lab Testing & Research Toggle Lab Testing & Research, Data & Commercialization Toggle Data & Commercialization, Product & Molecule Testing Toggle Product & Molecule Testing, Partnering Solutions Toggle Partnering Solutions. It is mandatory to fill Yellow ACD tubes with the designated amount of blood. The following is a list of tubes, additives present, and the state of those additives. Drive efficiency and better patient outcomes. 0000000016 00000 n Introduction to Specimen Collection Review the Test Directory or contact Client Services to confirm the required amount of blood before redrawing the patients blood. Folded batch sheet with ESwabs are recommended for the transport and processing of specimens. Instructions for Use. Most blood collection tubes contain an additive that either accelerates clotting of the blood (clot activator) or prevents the blood from clotting (anticoagulant).