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Testchange

Dynacare Laboratories Test Changes
AMIODARONE
AMIODARONE
Mnemonic
Mnemonic
Test Code
Test Code
Includes
Includes
Synonyms
Synonyms
Specimen
Specimen
Container
Container
Special Inst
Special Inst
Specimen Prep
Centrifuge* For Red Top Tube only, transfer Specimen Prep
Centrifuge* For Red Top Tube only, transfer Transport Temp
Transport Temp
Rej Criteria
Rej Criteria
Reference Value
Reference Value
Performed
Performed
Comments
Comments
Dynacare Laboratories Test Changes
ATYPICAL PNEUMONIA NUCLEIC ACID AMPLIFIED TEST (NAAT)
ATYPICAL PNEUMONIA NUCLEIC ACID AMPLIFIED TEST (NAAT)
Mnemonic
Mnemonic
Test Code
Test Code
Includes
Includes
Tatlockia micdadei in respiratory specimens.
Tatlockia micdadei in respiratory specimens.
Synonyms
Synonyms
Specimen
Specimen
Container
Container
Special Inst
Special Inst
using aseptic technique and accepted methods. using aseptic technique and accepted methods. Submit 5.0 mL (0.5 mL minimum) in a sterile Submit 5.0 mL (0.5 mL minimum) in a sterile deeply into either nostril. Suction while deeply into either nostril. Suction while withdrawing bulb. Transfer aspirate to a sterile withdrawing bulb. Transfer aspirate to a sterile saline into rubber bulb. Press one nostril closed. saline into rubber bulb. Press one nostril closed. Insert bulb into other nostril. Squeeze saline in Insert bulb into other nostril. Squeeze saline in and aspirate back into bulb. Transfer to sterile and aspirate back into bulb. Transfer to sterile NASOPHARYNGEAL: Insert a flexible mini-tip NASOPHARYNGEAL: Insert a flexible mini-tip swab through the nostril into the nasopharynx. swab through the nostril into the nasopharynx. Rotate gently and withdraw. Place swab into M- Rotate gently and withdraw. Place swab into M- collect entire specimen (0.5 mL minimum) of collect entire specimen (0.5 mL minimum) of expectorated sputum in a sterile container expectorated sputum in a sterile container Specimen Prep
Specimen Prep
Transport Temp
Transport Temp
Rej Criteria
Rej Criteria
volume, inappropriate transport device.
volume, inappropriate transport device.
Reference Value
Reference Value
Performed
Performed
Comments
Testing is only performed on the respiratory Comments
Testing is only performed on the respiratory specimens listed. Testing is not performed on specimens listed. Testing is not performed on throat specimens. All new positive specimens throat specimens. All new positive specimens are called. This test does not distinguish are called. This test does not distinguish between living and dead organisms and should between living and dead organisms and should not be used as a test-of-cure. If V RESPNAAT testing is also requested for a swab specimen, collect and submit a separate swab.
Dynacare Laboratories Test Changes
BORDETELLA PERTUSSIS NUCLEIC ACID AMPLIFIED TEST
BORDETELLA PERTUSSIS NUCLEIC ACID AMPLIFIED TEST
Mnemonic
Mnemonic
Test Code
Test Code
Includes
Includes
Synonyms
Synonyms
Specimen
Specimen
Container
Liquid Stuart's bacterial transport (Dark Green- Container
Liquid Stuart's bacterial transport (Dark Green- Special Inst
Special Inst
Specimen Prep
Using a flexible mini-tip swab, insert swab into Specimen Prep
Using a flexible mini-tip swab, insert swab into nostril with head at a 70° angle. Press swab tip nostril with head at a 70° angle. Press swab tip on the mucosal surface of the mid-inferior on the mucosal surface of the mid-inferior portion of the inferior turbinate. Rub the swab portion of the inferior turbinate. Rub the swab tip several times across the mucosal surface to tip several times across the mucosal surface to loosen and collect cellular material. Withdraw loosen and collect cellular material. Withdraw swab and insert into Liquid Stuart's Bacterial swab and insert into Liquid Stuart's Bacterial Transport Temp
Transport Temp
Rej Criteria
Rej Criteria
Reference Value
Reference Value
Performed
Performed
Comments
This test does not distinguish between living Comments
This test does not distinguish between living and dead organisms and should not be used as and dead organisms and should not be used as a test of cure. All new positive specimen results a test of cure. All new positive specimen results are called. Although not the preferred transport, are called. Although not the preferred transport, M4 Viral Transport medium has been validated M4 Viral Transport medium has been validated Dynacare Laboratories Test Changes
CHLORDIAZEPOXIDE
CHLORDIAZEPOXIDE
Mnemonic
Mnemonic
Test Code
Test Code
Includes
Includes
demoxepam; N-desmethylchlordiazepoxide; N- demoxepam; N-desmethylchlordiazepoxide; N- Synonyms
Synonyms
Specimen
Specimen
Container
Container
Special Inst
Oral peak is 4 hours after dose, trough is Special Inst
Oral peak is 4 hours after dose, trough is Specimen Prep
Centrifuge* For Red Top only, transfer serum to Specimen Prep
Centrifuge* For Red Top only, transfer serum to Transport Temp
Transport Temp
Rej Criteria
Rej Criteria
Reference Value
Reference Value
Performed
Performed
Comments
Drug half-life in blood ranges from 16-27 hours.
Comments
Drug half-life in blood ranges from 16-27 hours.
Dynacare Laboratories Test Changes
CLONAZEPAM
CLONAZEPAM
Mnemonic
Mnemonic
Test Code
Test Code
Includes
Includes
Synonyms
Synonyms
Specimen
Specimen
Container
Container
Special Inst
Collect specimen immediately prior to next dose Special Inst
Collect specimen immediately prior to next dose Specimen Prep
Centrifuge* For Red Top only, transfer serum to Specimen Prep
Centrifuge* For Red Top only, transfer serum to Transport Temp
Transport Temp
Rej Criteria
Rej Criteria
Reference Value
Reference Value
Performed
Performed
Comments
Comments
Dynacare Laboratories Test Changes
FELBAMATE
FELBAMATE
Mnemonic
Mnemonic
Test Code
Test Code
Includes
Includes
Synonyms
Synonyms
Specimen
Specimen
Container
Container
Special Inst
Special Inst
Specimen Prep
Centrifuge* For Red Top only, transfer serum to Specimen Prep
Centrifuge* For Red Top only, transfer serum to Transport Temp
Transport Temp
High Pressure Liquid Chromatography (HPLC) Rej Criteria
Rej Criteria
Reference Value
Reference Value
Performed
Performed
Comments
Felbamate has an elimination half-life of 20-23 Comments
Felbamate has an elimination half-life of 20-23 Dynacare Laboratories Test Changes
FLECAINIDE
FLECAINIDE
Mnemonic
Mnemonic
Test Code
Test Code
Includes
Includes
Synonyms
Synonyms
Specimen
Specimen
Container
Container
Special Inst
Draw immediately prior to next dose unless Special Inst
Draw immediately prior to next dose unless Specimen Prep
Centrifuge* For Red Top only, transfer serum to Specimen Prep
Centrifuge* For Red Top only, transfer serum to Transport Temp
Transport Temp
Rej Criteria
Rej Criteria
Reference Value
Reference Value
Performed
Performed
Comments
Comments
Dynacare Laboratories Test Changes
FLUOXETINE
FLUOXETINE
Mnemonic
Mnemonic
Test Code
Test Code
Includes
Includes
Synonyms
Synonyms
Specimen
Specimen
Container
Container
Special Inst
Special Inst
Specimen Prep
Centrifuge* For Red Top only, transfer serum to Specimen Prep
Centrifuge* For Red Top only, transfer serum to Transport Temp
Transport Temp
Rej Criteria
Rej Criteria
Reference Value
Reference Value
Performed
Performed
Comments
Comments
Dynacare Laboratories Test Changes
METHYLMALONIC ACID, Serum
METHYLMALONIC ACID, Serum
Mnemonic
Mnemonic
Test Code
Test Code
Includes
Includes
Synonyms
Synonyms
Specimen
Specimen
Container
Container
Special Inst
Special Inst
Specimen Prep
Centrifuge* For Red Top only, transfer serum to Specimen Prep
Centrifuge* For Red Top only, transfer serum to Plastic Transport Tube within one hour of Plastic Transport Tube within one hour of Transport Temp
Transport Temp
Rej Criteria
Rej Criteria
Reference Value
Reference Value
Performed
Performed
Comments
Comments
Dynacare Laboratories Test Changes
MUMPS ANTIBODY, IgM
MUMPS ANTIBODY, IgM
Mnemonic
Mnemonic
Test Code
Test Code
Includes
Includes
Synonyms
Synonyms
Specimen
Specimen
Container
Container
Special Inst
Special Inst
Specimen Prep
Centrifuge* For Red Top only, transfer serum to Specimen Prep
Centrifuge* For Red Top only, transfer serum to Transport Temp
Transport Temp
Rej Criteria
Rej Criteria
Reference Value
Reference Value
Performed
Performed
Comments
Comments
Dynacare Laboratories Test Changes
PROTEIN C ACTIVITY
PROTEIN C ACTIVITY
Mnemonic
Mnemonic
Test Code
Test Code
Includes
Includes
Synonyms
Synonyms
Specimen
Specimen
Container
Light Blue Top (3.2% Sodium Citrate) Tube Container
Light Blue Top (3.2% Sodium Citrate) Tube Special Inst
For patients with hematocrits >55%, please see Special Inst
For patients with hematocrits >55%, please see Coagulation Procedures or contact Dynacare Coagulation Procedures or contact Dynacare Coagulation Department at 414-805-8428.
Coagulation Department at 414-805-8428.
Specimen Prep
Centrifuge* and transfer to a Purple Screw Cap Specimen Prep
Centrifuge* and transfer to a Purple Screw Cap Transport Temp
Transport Temp
Rej Criteria
Rej Criteria
Reference Value
Reference Value
Performed
Performed
Comments
Comments
Dynacare Laboratories Test Changes
PROTEIN ELECTROPHORESIS, CSF
PROTEIN ELECTROPHORESIS, CSF
Mnemonic
Mnemonic
Test Code
Test Code
Includes
Prealbumin, Albumin, Alpha1 Globulin, Alpha2 Includes
Prealbumin, Albumin, Alpha1 Globulin, Alpha2 Globulin, Beta Globulin, Gamma Globulin, Total Globulin, Beta Globulin, Gamma Globulin, Total Synonyms
CSF Electrophoresis, Globulins, CSF, Spinal Synonyms
CSF Electrophoresis, Globulins, CSF, Spinal Specimen
Specimen
Container
Container
Special Inst
The third tube of a routinely obtained 3-tube set Special Inst
The third tube of a routinely obtained 3-tube set Specimen Prep
Specimen Prep
Transport Temp
Transport Temp
Rej Criteria
Rej Criteria
Reference Value
Reference Value
Performed
Performed
Comments
Comments
Dynacare Laboratories Test Changes
RESPIRATORY VIRUS NUCLEIC ACID AMPLIFIED TEST (NAAT)
RESPIRATORY VIRUS NUCLEIC ACID AMPLIFIED TEST (NAAT)
Mnemonic
Mnemonic
Test Code
Test Code
Includes
Polymerase Chain Reaction (PCR) for Influenza Includes
Polymerase Chain Reaction (PCR) for Influenza A and B, Respiratory Syncytial Virus A and B A and B, Respiratory Syncytial Virus A and B (RSV), and Parainfluenza 1, 2, 3 in respiratory (RSV), and Parainfluenza 1, 2, 3 in respiratory Synonyms
Synonyms
Specimen
Specimen
Container
Container
Special Inst
A combination of nasopharyngeal and throat Special Inst
A combination of nasopharyngeal and throat specimens is optimal for testing. Submit both specimens is optimal for testing. Submit both swabs in the same tube of M-4 or M-6 Viral swabs in the same tube of M-4 or M-6 Viral Specimen Prep
Specimen Prep
technique and accepted methods. Submit 5.0 technique and accepted methods. Submit 5.0 mL (0.5 mL minimum) in a sterile container mL (0.5 mL minimum) in a sterile container deeply into either nostril. Suction while deeply into either nostril. Suction while withdrawing bulb. Transfer aspirate to a sterile withdrawing bulb. Transfer aspirate to a sterile NASAL SWAB: Using a swab, collect specimen NASAL SWAB: Using a swab, collect specimen through nostril. Place swab in M-4 or M-6 Viral through nostril. Place swab in M-4 or M-6 Viral saline into rubber bulb. Press one nostril closed. saline into rubber bulb. Press one nostril closed. Insert bulb into other nostril. Squeeze saline in Insert bulb into other nostril. Squeeze saline in and aspirate back into bulb. Transfer to sterile and aspirate back into bulb. Transfer to sterile NASOPHARYNGEAL: Insert a flexible mini-tip NASOPHARYNGEAL: Insert a flexible mini-tip swab through the nostril into the nasopharynx. swab through the nostril into the nasopharynx. Rotate gently and withdraw. Place swab into M- Rotate gently and withdraw. Place swab into M- collect entire specimen (0.5 mL minimum) of collect entire specimen (0.5 mL minimum) of expectorated sputum in a sterile container expectorated sputum in a sterile container THROAT SWAB: Using a swab, vigorously rub THROAT SWAB: Using a swab, vigorously rub the tonsils and posterior pharynx. Place swab in the tonsils and posterior pharynx. Place swab in Transport Temp
Transport Temp
Rej Criteria
Rej Criteria
volume, inappropriate transport device.
volume, inappropriate transport device.
Reference Value
Reference Value
Performed
Performed
Comments
This test will detect Influenza A & B and will Comments
This test will detect Influenza A & B and will differentiate between the two. It will also detect differentiate between the two. It will also detect Parainfluenza Virus 1, 2, and 3. Specimens Parainfluenza Virus 1, 2, and 3. Specimens that are positive for Influenza A will reflex to that are positive for Influenza A will reflex to specimens are called. This test does not specimens are called. This test does not distinguish between living and dead virus and distinguish between living and dead virus and should not be used as a test-of-cure. During should not be used as a test-of-cure. During respiratory season, testing is performed daily. respiratory season, testing is performed daily. Outside of respiratory season, testing is Outside of respiratory season, testing is performed Monday, Wednesday, and Friday. If performed Monday, Wednesday, and Friday.
PNEUMONAAT testing is also requested for a swab specimen, collect and submit a separate swab.

Source: http://www.dynacarelab.com/Downloads/DynacareTestChanges_November2011.pdf

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