Directory of Laboratory Services th edition

Transcription

1 Palomar Health Laboratory Services Palomar Medical Center Pomerado Hospital Palomar Health Downtown Campus 2185 West Citracado Pkwy, Pomerado Road, 555 E. Valley Pkwy, Escondido, CA Poway CA, Escondido, CA Phone: Phone: Phone: Fax Fax Fax Directory of Laboratory Services th edition Contact Information Client Services Hours: Monday to Friday 8am to 8pm Phone number Fax number After hours number (8 pm 8 am) Phone number: (PMC) (POM) (SNF call for PMC) Infection Control Numbers (Emergency/After hours) 1

2 Overview of Palomar Health Laboratories Palomar Health Laboratories are full-service facilities offering comprehensive clinical and anatomic pathology testing to the community we serve. We have 30,000 square feet of laboratory space equipped with state-of- the-art instrumentation, positive patient identification, and patient centric culture providing high quality and most efficient services. Our laboratories at Palomar Medical Center, Pomerado Hospital, and Palomar Health Downtown Campus, are accredited by the College of American Pathologist, Joint Commission on Accreditation of Health Care Organizations, Centers for Medicare and Medicaid Services, and State of California Department of Health Services. 2

3 Table of Contents I. Laboratory Certification 4 II. Laboratory Leadership 5 III. Client Services Information 6 IV. Testing Policies 7-8 V. Physician Client Service 8-13 a. Summary of Services 8 b. Clinical Lab, Cytology Test Requisitions 9 c. Pathology Lab Requisitions 10 d. Examples of Different Requisitions VI. Skilled Nursing Facilities a. Summary of Services 14 b. Weekday and Weekend Services 15 c. Holiday Schedule Services 16 d. Test Requisition Information 17 e. Standing Order procedure 18 f. Change Order Procedure 18 VII. Appendix C SNF Stat Test List VIII. Appendix D Critical Values IX. Appendix E Specimen Collection Guide

4 Laboratory Certification Fully Accredited Laboratories Palomar Health Laboratory Services is acknowledged as a high quality laboratory and is accredited by the following: College of American Pathologists (CAP) Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Centers for Medicare and Medicaid Services (CLIA) California Department of Public Health CDPH Palomar Medical Center CLIA. 05D CAP Medicare Provider Medical Provider California Department of Public Health. CLF NPI (Lab) Pomerado Hospital CLIA. 05D CAP Medicare Provider Medical Provider ZZT40636F California Department of Public Health CLF3150 NPI (Lab) Palomar Health Downtown Campus CLIA 05D CAP Medicare Provider Medical Provider California Department of Public Health CLF 1006 NPI (Lab)

5 Laboratory Leadership Valley Pathology Medical Associates, Inc. Jerry Kolins, M.D. Medical Director Blesilda Singh, M.D. Lachlan Macleay, M.D. Pamela Danque, M.D. Linda Petroff, M.D. Andrea D Auria, D.O. Bradley Harward, M. D. Keith Lopes, PA Tim Barlow, MT (ASCP), CLS District Operations Manager Interim Blood Bank Supervisor Palomar Health Laboratory Services: Gloria Austria, MBA/HCM,CLS District Director, Laboratory Services Mariel Teng, MA, MT(ASCP), CLS Interim QA/QM/Patient Experience Manager Joane Barriteau, MBA/HCM, MT (ASCP) Hematology Supervisor Susan DeWindt, MT (ASCP) Microbiology Supervisor MaryAnn Snoke Phlebotomy Supervisor - PMC Sandy Lajeunesse, MLT (ASCP) Central Processing Supervisor - PMC Evelyn Chua, MT (ASCP) Evening Shift Supervisor PMC Robert Sharpell, MT (ASCP) Clinical Application Specialist, Cerner Sue Richardson Business Development Rep Debra Mason, MT (ASCP) POCT Supervisor Judy Cavallo, MT (ASCP) Chemistry Supervisor Rebecca Anderson, MT (ASCP) Night Shift Supervisor PMC Susan David Phlebotomy Supervisor - Pomerado Brian Bakerink Pathology Supervisor Rose Pfliger Anatomic Pathology Transcription Supervisor Jim Peters, MT (ASCP) Clinical Application Specialist, Cerne Leiann Crandall Interim Customer Service Supervisor 5

6 Client Services Telephone Inquiries Our Customer Service Representatives will gladly help you with your requests for test results, telephone orders, specimen requirements, and turnaround times. After hours, please call the PHLS Client Services Department and follow the steps to be transferred to Palomar Medical Center or Pomerado Hospital. PHLS Client Services Department: Phone: (442) , (760) or (858) Fax: (760) Hours of Operation: Monday Friday 8:00 A.M. 8:00 P.M. Result Reporting Specimens are processed and test results are reported to the client as soon as possible. Since reporting times vary, a testing schedule is available from the Outreach Laboratory office. STAT Results available within one (1) hour after specimen is received in the laboratory. ASAP Results are available within four (4) hours after specimen is received in laboratory. Routine Results of most routine tests are available within 24 hours. Lab Result Calling After Hours The CLS performing the test will call critical results with no time restrictions NOTE: The front office personnel will check the requisition for complete physician information including after-hours contact number. In the event that the information is not available the laboratory personnel will: Call the client to get the physician information. If information is not available or the physician cannot be reached, the CLS will call the pathologist on call. Result Faxing: All laboratory results will be automatically faxed to your office. This includes clinical, cytology and anatomic pathology reports. Critical Value Handling The laboratory will immediately call results that fall within a range, which has been determined to be Critical or may have an effect in delaying surgery or need to be brought to the attention of the physician. A complete list of Palomar Health Critical Values can be found in Appendix D of this manual. 6

7 Testing Policies STAT Test List: A complete list of Outpatient STAT tests can be found in the Appendix B of this manual. Repeat Determinations We will repeat a test without charge whenever the result does not correlate, in the physician s opinion or with the clinical picture presented by the patient. Contact the Outreach Laboratory office with any requests for repeats. Follow-up or confirmatory testing is not considered a repeat determination, and such specimens will therefore be processed as a new request. Cancellation of Tests Cancellations received prior to test setup will be honored at no charge. Requests received following test setup or resulting cannot be honored. Referred Tests Palomar Health Laboratory Services is a full service laboratory. Most tests are performed in our laboratories; however, a few highly esoteric tests are referred to reliable reference laboratories. Turn around time for results depend on the days and frequencies tests are performed by the reference laboratory. We use the services of Quest Clinical Laboratories as our primary reference laboratory. The fees for referred tests are subject to change. Professional Courtesy California State and Federal Laws prohibits the offering of professional courtesy testing ; therefore we cannot honor requests for this service. Billing Palomar Health will bill all insurance PPO, Medicare, Medical, and HMO insurance. However, it is the responsibility of the patient to check with his/her insurance company prior to using our laboratory services if Palomar Health Laboratories is a network provider of his/her insurance carrier. Valley Pathology Medical Associates will bill for professional services provided by the pathologists. The pathologist s fee is normally covered by most health insurance providers. A separate bill will be sent to the patient if the insurance does not cover the professional fee. If you have any VPMA billing questions, please contact patient representative at Reportable Disease All reportable diseases are reported to the County of San Diego, Public Health Department as outlined by Title 17 California Code of Regulations (17CCR). Within 24 hours of identifying a reportable organism, a Confidentiality Morbidity Report (CMR) is completed and faxed to San Diego County Public Health. Specimen Collection Information A complete list of tests performed at Palomar Health Laboratories, specimen requirements, and special handling can be found in Appendix A of this manual. Specimen Size/Sample Size Without adequate sample size, testing cannot be performed. This inadequate specimen collection is detrimental to patient and patient care. Computer generated labels/ requisitions contain recommended sample sizes, tube type and recommended handling; consult specific departments for questions regarding sample size, minimum sample volumes, and specimen handling guidelines for tests not contained in this section. Unacceptable Specimens Improperly labeled/unlabeled Specimens: Palomar Health Laboratory Services will not accept specimens submitted without patient identification (patient name and date of birth). o Note: In the event the specimen is identified as irreplaceable, Palomar Health Laboratory Services will process the specimen only if authorized by the physician or client. The report will have documentation that the specimen was received as improperly labeled or unlabeled. 7

8 Needles: Palomar Health Laboratory Services will not accept, transport or test any specimen with a needle attached. In cases where syringes must be submitted, the syringe must be plastic and have Lauer Lock securely attached. Glass Tubes: Glass tubes should be avoided due to the increased risk of broken glass and biological contamination. A. Physician Client Services Summary of Services Palomar Health Laboratories provide STAT and Routine Laboratory services for physicians, medical groups, and reference laboratories. These services include: Client Service Department is available Monday to Friday from 8 am 5:00 pm Laboratory service 7 days a week STAT turn-around-time in minutes after specimen is received in the laboratory Most routine results available the next day All critical values are called to the attending physician during normal business hours or on call physician after hours. Laboratory reports are distributed via fax, courier, or web-based. 8

9 Test Requisition Information Palomar Health Laboratory Services provide four types of personalized requisition forms for your convenience. They include: Clinical Laboratory testing - Blue/White form Cytology testing Purple Tissue/Surgical testing Green Skilled Nursing Facility testing- Yellow A requisition form or physician s order must accompany each laboratory order or specimen you submit. I. Clinical Laboratory Testing (Blue/White and SNF/Yellow Requisitions) used by physicians, skilled nursing facility, and other laboratories when sending specimens to Palomar Health Laboratories Filling Out the Clinical Laboratory Testing Requisitions: 1. Patient s full name (last, first, middle initial) 2. Current address 3. Phone number 4. Date of Birth 5. SSN, if possible 6. Check appropriate billing category and attach a copy of insurance card 7. Provide ICD-9 code(s) or chief complaint. This is a federal requirement and failure to provide may result in insurance denial. 8. Clearly mark tests to be performed. If not listed, use the Write-In area. 9. Clearly label each specimen being submitted with patient s name, date and time of collection. Use the identification labels provided. 10. Microbiology testing please indicate the source of the specimen being submitted for culture. The back of the requisition contains a complete list of panel components, specimen collection tube codes and reflexive tests. II. Cytology Testing Requisition (Purple/White Requisition) Filling Out the Test Requisition: All fields in bold red print on the requisition slip are required fields and must be filled out prior to specimen processing. Failure to do so may result in a delay of diagnosis. 1. Patient s full name (last, first, middle initial) 2. Current address 3. Phone number 4. Date of Birth 5. SSN, if possible 6. Ordering physician 7. Date and time of procedure 8. Check appropriate billing category and attach a copy of insurance card 9. Provide the Clinical History, prior history or clinical symptoms of the patient. 10. Provide ICD-9 code(s) or chief complaint. This is a federal requirement and failure to provide may result in insurance denial. 11. Provide the Clinical History, prior history or clinical symptoms of the patient. 12. Clearly mark site of specimen and laterality. 13. Clearly label each specimen being submitted with patient s name, date and time of collection. **Note: All Rush cases MUST have a direct physician contact number (preferably cell phone or pager) provided on the submission requisition to ensure timely communication by the pathologist to the treating physician. 9

10 III. Pathology Testing Requisition (Green/White Requisition) Filling out the Test Requisition: All fields in bold red print on the requisition slip are required fields and must be filled out prior to specimen processing. Failure to do so may result in a delay of diagnosis 1. Patient s full name (last, first, middle initial) 2. Current address 3. Phone number 4. Date of Birth 5. SSN, if possible 6. Ordering physician 7. Date and time of procedure 8. Check appropriate billing category and attach a copy of insurance card 9. Provide the Clinical History, prior history or clinical symptoms of the patient. 10. Provide ICD-9 code(s) or chief complaint. This is a federal requirement and failure to provide may result in insurance denial. 11. Provide the Clinical History, prior history or clinical symptoms of the patient. 12. Clearly mark site of specimen and laterality. 13. Clearly label each specimen being submitted with patient s name, date and time of collection. **Note: All Rush cases MUST have a direct physician contact number (preferably cell phone or pager) provided on the submission requisition to ensure timely communication by the pathologist to the treating physician. 10

11 Palomar Health Clinical Laboratory Test Requisition 11

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14 B. Skilled Nursing Facility Client Services 1. Summary of Services Palomar Health Laboratories provide mobile phlebotomy services across San Diego County. Advantages of using Palomar Health include: Fast turn-around times Prothrombin Time results between 10 a.m. 12 p.m. STAT testing results in 2 4 hours from your call. Most routine results before 3 p.m. All STAT testing performed in-house 7 days a week on most tests High quality results. Specimens are tested shortly after collection to minimize hemolysis and ensure accuracy. All critical values are communicated to the facility by a telephone call and fax. Extremely competitive rates Infection Prevention Nurses available for consultation Serving Skilled Nursing Facilities for more than 21 years 14

15 2. Weekday and Weekend Services Weekdays Routine Testing: All routine test requests fulfilled the same day on contracted phlebotomy days. * STAT Testing: Standard Service STAT Test Menu available 24 hours a day Standing Orders: All routine (standing) orders are fulfilled Note: Clearly mark on the requisition write in section Standing Order, Expiration date: ) Time Draws: Peak and trough therapeutic drug level requests fulfilled as routine service on weekdays with 24-hour prior arrangement for the following therapeutic drugs: Amikacin, Gentamicin, Tobramycin, and Vancomycin Weekends Routine Testing: Routine test requests fulfilled the day for any test on Appendix A when requests are phoned by 7:00 p.m. STAT Testing: Standard Service STAT Test Menu available 24 hours a day Standing Orders: Routine (standing) orders on file are fulfilled on Saturdays** and Sundays ** on limited tests Note: Clearly mark on the requisition write in section Standing Order, Expiration date: ) Time Draws: Peak and trough therapeutic drug level requests fulfilled as routine service on weekdays with 24-hour prior arrangement for the following therapeutic drugs: Amikacin, Gentamicin, Tobramycin, and Vancomycin Facility collected specimens will be picked up at the next scheduled phlebotomy visit Weekdays are defined as the period between Monday at 4:30 am through Friday at 11:30 P.M Facility collected specimens will be picked up at the next scheduled phlebotomy visit. Unless the specimen integrity will be compromised, pick up will be done on the same day. Weekends are defined as the period between Friday at 11:31 P.M. through Monday 4:31 A.M. 15

16 3. Skilled Nursing Facility Services Holiday Schedule February President s Day Open for regular business May Memorial Day Closed: STAT service only July Fourth of July Closed: STAT service only September Labor day Closed: STAT service only November Thanksgiving Closed: STAT service only December Christmas Closed: STAT service only January New year s Day Closed: STAT service only PLEASE NOTE OUR HOLIDAY POLICY 1. Palomar Health will accept STAT orders for tests that appear on the SNF STAT Test menu only. (Refer to Appendix C) 2. Call all routine orders before 7:00 PM the day before the holiday. 3. Daily standing orders that fall on the holiday will be performed as scheduled. 4. All other standing orders will be rescheduled for the business day prior to, or the first business day following the holiday. 5. No peaks and troughs will be scheduled on the holiday. 16

17 1. Test Requisitions Filling Out the Skilled Nursing Facility Testing Requisitions: a. Patient s full name (last, first, middle initial) b. Room # and Bed # c. Date of Birth d. SSN, if possible e. Check appropriate billing category and attach a copy of insurance card f. Provide ICD-9 code(s) or chief complaint. This is a federal requirement and failure to provide may result in insurance denial. g. Clearly mark tests to be performed. If not listed, use the Write-In area. h. Clearly label each specimen being submitted with patient s name, date and time of collection. Use the identification labels provided. i. Microbiology testing please indicate the source of the specimen being submitted for culture. j. For Standing Orders: Write Standing Order in the Write order/special Instruction area and the expiration date of the standing order. 17

18 2. New Routine Standing Order Procedure *A standing order is valid until its expiration date, but no longer than 12 months a. To initiate a routine (standing) Order, use the Palomar Health (triplicate) requisition form. b. Write in Standing Order, Expiration Date once a week or every Monday as an example. c. Complete all required information, patient name, date of birth, room #, bed#, billing information, tests ordered File the completed requisition in the card file by the first letter of the last name. 3. Change Order Form for Pre-Existing Routine (standing) Order a. Palomar Health requires written authorization to change pre-existing routine (standing) orders to be in compliance with the State law and the Office of the Inspector General of the Department of Health and Human Services. b. Please write the appropriate change/s below. c. Authorized person must sign and date the form. d. Fax the form to the appropriate location marked on the form (Palomar or Pomerado) e. For new orders, a new requisition must be filled out. SNF Change Order Form Palomar Medical Center Pomerado Hospital 2185 W. Citracado Pkwy., Pomerado Road, Escondido, CA Poway, CA Phone: Phone: Fax: Fax: DO NO T USE FO R NEW O RDERS Attention: Director of Nurses/Medical Director Palomar Health requires written authorization to change pre-existing routine (standing) orders to be in compliance with the State law and the Office of the Inspector General of the Department of Health and Human Services. Please write the appropriate chan ge/s below. Sign, date, and fax the form to the marked location (Palomar or Pomerado) O rders MUST be received before 3:30 P.M. Monday Friday in order to be processed Please check action/s that applies: Add on Test Cancel T est Change Order Note: For Change O rder please fill out a new requisition FACILITY: Resident s Name: Sex: Room #: Date of Birth: Diagnosis Code: Physician: Physician Phone: ( Last, First name) Test(s) Added-on: Test(s) Canceled: Authorized by: Date: Time: Print Signature: For Palomar Health Use only: Patient s MRN: Original Accession #: Date and Time Collected: Completed by : Date: 18

19 Acetaminophen Level Acetone Albumin Level Blood Alcohol Level Blood Alkaline Phosphatase ALT AST Bilirubin Direct Bilirubin Indirect Bilirubin Total Blood Gas Arterial Blood Gas Venous BMP-Mini Panel BNP BUN Calcium Level Blood Calcium Level Ionized Carbamazepine Level Carbon Dioxide Blood Carboxyhemoglobin Blood CBC CBC w/ Differential Chem Panel Chloride Level Blood CK CKMB Co-Oximetry Creatinine Blood D-Dimer Digoxin Level Electrolyte Panel Fibrin Degradation Products Fibrinogen Gentamicin Level Peak Gentamicin Level Random Gentamicin Level Trough GGT Glucose Blood Gram Stain HCG Qualitative HCG Quantitative KOH Lactic Acid Blood LD Blood Appendix C Skilled Nursing Facility Client STAT Services 19

20 Lipase Level Liver Panel Magnesium Level Blood Methemoglobin Mono Screen ph Blood Venous Phenobarbital Level Phenytoin Level Phosphorus Level Blood Platelet Count Automated Potassium Level Blood Procainamide Level Protein Blood Total Protime PTT Renal Panel Respiratory Syncytial Virus by EIA Retic Count Salicylate Level Sed Rate Sodium Level Blood Strep Gr A Rapid Immunoassay Theophylline Level Tobramycin Level Peak Tobramycin Level Random Tobramycin Level Trough Troponin I Uric Acid Blood Urinalysis Screen Dipstick Urinalysis Sedimentation Microscopic Urine Drug Screen (In House Test) Valproic Acid Level Vancomycin Level Peak Vancomycin Level Random Vancomycin Level Trough WBC Smear Wet Mount 20

21 Appendix D Palomar Health Laboratories Critical Values Table Table 1. Blood Gas, Coagulation, Chemistry, and Hematology Test Unit Critical Values Low High Blood Gases ph, Arterial or Venous N/A <7.20 >7.60 pco2, Arterial or Venous mm Hg n/a >60 po2, Arterial mm Hg <50 N/A Chemistry Calcium, Total mg/dl <6.0 >13.5 CO2 mmol/l <10 >40 Glucose mg/dl <40 >500 Magnesium mg/dl <1.0 >6.9 Phosphorus mg/dl <1.0 > 12.0 Potassium mmol/l < 2.8 > 6.2 Sodium mmol/l <120 >160 Troponin ng/ml N/A >0.5 Urea Nitrogen (BUN) mg/dl N/A N/A Coagulation Prothrombin Time INR N/A N/A >4.0 Partial Thromboplastin Time (PTT) seconds N/A > 150 Hematology Absolute Neutrophil Count (ANC) X1000 mm3 < 0.5 N/A Hematocrit % <19.8 >70 Hemoglobin g/dl < 6.6 > 23 Platelet X1000 mm3 <20 >1000 White Blood Cells X1000 mm3 < 1.0 N/A Table 2. Therapeutic Drugs Test Unit Therapeutic Drugs Through Peak Gentamicin mcg/ml >2.0 >25 Tobramycin mcg/ml >2.0 >25 Vancomycin mcg/ml >25 >50 Test Unit Potentially Toxic Values Carbamezapine mcg/ml >15 Digoxin mcg/ml >2.2 Lithium mcg/ml >1.5 Phenobarbital mcg/ml >50 Phenytoin mcg/ml >25 Theophylline mcg/ml >20 Valproic Acid mcg/ml >200 21

22 Table 3. Microbiology Malarial smears - Any positive Blood Culture - Any positive CSF Gram Stain or Culture Any positive Gram Stain or Culture from any sterile body fluid Any positive CSF Latex antigens Any positive India Ink Any positive Gram Stain or culture on tissue abscess or aspirate from a visceral organ (ex. lung, liver, or brain - Any positive Carbapenem resistant Enterobacteriaceae Extended spectrum Beta lactamase producing organism Methicillin Resistant Staphylococcus aureus (MRSA) with a MIC as caused of an infection Vancomycin Resistant Enterococci (VRE) with a MIC as caused of an infection Stool Positive for Clostridium difficile Toxin Stool Positive for Shiga Toxin Table 4. Anatomic Pathology All first time malignant diagnoses (with the exception of carcinoma of the skin). Absence of chorionic villi when clinically expected (potential ectopic pregnancy) Change of a frozen section diagnosis after review of permanent sections. Significant unexpected findings and/or significant discordant pre-op and post-op diagnoses. Mycobacterial, fungal or other significant infectious organisms identified on special stains. 22

23 Palomar Health Specimen Collection Guide Transport Container Test(s) Transport Container Test(s) E Swab Sterile Container Aerobic wound Anaerobic wound Cervical Culture Throat Culture (not rapid Group A screen) Yeast Screen Strep A or B Culture Screen MRSA or VRE Culture Screen KOH Wet Mount NO TE: DO NO T collect body fluid and tissue with a swab, send in sterile container Room Temperature BBL Red Top Double Swab or White Top Single Swab Rapid Group A Strep NO TE: DO NO T use for tissue, body fluid or anaerobic wound Room Temperature Urine Culture Stool Culture Stool for WBC C.diff toxin Rapid Rotavirus Ova and Parasites Shiga Toxin Tissue Culture* Body Fluid* Sputum Nasopharyngeal wash for a. Rapid RSV b. Rapid Influenza A/B Catheter tip* *Room Temperature, all others refrigerate UTM w/ Flocked Swab Viral culture (DFA or PCR) Mycoplasma culture Ureaplasma culture Chlamydia culture Rapid Influenza A/B Rapid RSV Refrigerate BBL Green Top-Mini Tip Pertussis Culture/DFA/PCR [nasopharyngeal( NP) swab] Eye Culture Urethral Culture NOTE: Collect 1 NP swab for each test method Copan Red Capped Swab with RED Lettering on Plastic Tube Group B Strep Screen by PCR MRSA Nasal Screen by PCR Room Temperature Room Temperature 23

24 Transport Container Test(s) Transport Container Test(s) Hemosure BD AFFIRM Fecal Occult Blood Vaginal swab DNA Probe Candida species Trichomonas vaginalis, Gardnerella vaginalis Room Temperature GC/Chlamydia APTIMA Collection Kit Nucleic Acid Amplification Test (NAAT) Endocervical or Male urethral swab Urine collect in sterile urine container Refrigerate Sure Swab APTIMA Vaginal Collection Kit (Orange Label) Nucleic Acid Amplification Test (NAAT) Vaginal swab ONLY! Chlamydia trachomatis Neisseria gonorrhoeae Candida albicans Candida glabrata Candida tropicalis Candida parapsilosis Trichomonas vaginalis Bacterial vaginosis Herpes Simplex Virus 1&2 Room Temperature UA Screen and Culture & Sensitivity Transport Urinalysis w/ culture Urinalysis w/ Culture if indicated Note: Submit both urine cup and urine tube with boric acid (UBOR) to the lab) Urine C&S Preservative Tube Urine for Culture and Sensitivity, not acceptable for urinalysis Note: Fill the tube with urine up to fill line (minimum of 4 ml) Room Temperature Refrigerate Urine Cup only 24

25 Transport Container Tests(s) Transport Container Test(s) Platelet Function Assay (PFA-EPI) AKA Platelet Function Epinephrine NOTE: 4.5 ml GLASS tube only. DO NOT use plastic tubes. DO NOT SPIN Room Temperature Platelet Function PF P2Y12 (Plavix Inhibition) PF Aspirin NOTE: 2.0 ml Special partial fill Blue Top tube DO NOT send platelet function test tubes via pneumatic tube system DO NOT Spin QuantiFERON-TB Gold Tubes Shake tubes 10 times Room Temperature Room Temperature 25

26 Blood Culture Room Temperature Amount per Venipuncture Amount in BACTEC Plus Aerobic Vial Amount in BACTEC Plus Anaerobic Vial ml Split equally between aerobic and anaerobic vials ml 8 ml 5 8 ml ml 5 7 ml 5 ml 3 9 ml entire blood amount 0 Amount in BACTEC Ped Plus < 3 ml entire blood amount Vial 26