Introduction
To the Medical and Nursing Staff:
This manual contains information about tests available through the Clinical Laboratories. The professional staff of the Department of Laboratory Medicine is responsible for the performance or referral of requested tests. If problems arise relating to laboratory testing, please consult a Laboratory Medicine Resident, or the appropriate member of our staff.
Whenever possible for inpatients, order laboratory tests the night
before so that the orders can be preentered into the laboratory
computer for collection by staff the next morning. These orders are used pre-print
laboratory labels or are uploaded into the CareFusion system used by
inpatient phelbotomy staff to print labels at the patient bedside. The
use of pre-printed labels and the CareFusion system markedly increase
patient safety through propoer sample identification as well as
increasing the efficiency with which the samples are processed.
We also wish to call your attention to the online manual available at http://labmed.ucsf.edu/labman. From this page, you can find up to date information about laboratory policies, test information, Licenses, Medical Necessity and specific information for each Laboratory Section. There is also a link for laboratory updates that provide additional information on changes in policies, new tests and test availability. The policies announced in the Laboratory Updates only apply to Moffitt-Long, China Basin and Mount Zion, but we attempt to coordinate with SFGH and VAMC as much as possible in matters of test availability, methodology, and reference (normal) ranges at our hospitals, as well as to examine ways in which our institutions can better share resources and decrease the cost of laboratory testing.
Over 50 tests are routinely available on an emergency basis twenty four hours a day, 365 days a year. These tests are indicated in the on-line lab manual ('Yes' in the 'Available Stat?" field) and are listed under "Emergency (STAT) Testing." If you require emergency laboratory tests, please follow the Emergency Policy on the emergency (pink) requisition. Other tests may be made available, if justified, by contacting the Clinical Laboratory (353-1667) and speaking to a Laboratory Medicine Resident.
We regret that we are unable to perform tests on staff members, family members or pets as a professional courtesy. Tests on laboratory animals for research purposes which are charged against research funds can be performed only after prior arrangement with the head of the involved laboratory section, so as not to interfere with our patient care services.
| Timothy R. Hamill, M.D. Director, Clinical Laboratories |
Clifford A. Lowell, M.D., Ph.D. Chair, Department of Laboratory Medicine |
Clinical Laboratories Staff
| LOCATION* | PHONE | ||
|---|---|---|---|
| Chair, Laboratory Medicine | Clifford A. Lowell, M.D., Ph.D. | S 1057 | 6-2963 |
| Clinical Laboratory Directors | |||
| - Parnassus | Timothy R. Hamill, M.D. | CB 2107 | 3-1723 |
| - China Basin | Timothy R. Hamill, M.D. |
CB 2107 |
3-1723 |
| - Mount Zion | Edward Thornborrow, M.D., Ph.D. | MtZ, B-233 | 3-9885 |
| - Neonatal Clinical Physiology Laboratory | Enrique Terrazas, M.D. | M 1577 | 4-8931 (514-8931) |
| Administrative Director | John Chapman, MT | CB 2108 | 3-1560 |
| Blood Bank | M 501 | 3-1313 | |
| - Director | Pearl Toy, MD | M 501A | 3-1671 |
| - Medical Director | Ashok Nambiar, MD | M 501-E | 3-1311 |
| – Transfusion Service Supervisor | Delene Johnson, MT | M 501D | 3-1730 |
| – Donor Center Supervisor | Jean M. Katz, RN | MU 09 |
3-1809 |
| Bone Marrow Transplant Laboratory | S 1164 | 3-1789 | |
| – Director | Andrew D. Leavitt, MD | S 557 | 4-3432 |
| – Supervisor | Joy Cruz, MT | S 1164 | 3-1351 |
| Specimen Processing | |||
| – Parnassus | M 521 | 3-1667 | |
| – Supervisor | Cynthia Richardson | M 503 | 3-1391 |
| – Mt. Zion | MtZ, B 212 | 5-7845 | |
| – Supervisor | Felomino Caberto | MtZ, B 212 | 5-7532 |
| – China Basin | CB 2210 | 3-4840 | |
| – Supervisor | Jemal Jacobs | CB 2210 | 3-4804 |
| – Send Outs | James Dyes | CB 2120 | 3-1349 |
| Outpatient Phlebotomy | |||
| – Ambulatory Care Center (ACC) | A 122 | 3-2736 | |
| – Supervisor | Arlyn Mangonon | A 122 | 3-2147 |
| – 2330 Post St. Phlebotomy | Suite 100 | 5-7531 | |
| – Supervisor | Felamino Caberto | MtZ, B 212 | 5-7532 |
| – Mount Zion Cancer Center | 1600 Divisadero, 1st floor | 5-7764 | |
| Chemistry | |||
| - Director | Theodore W. Kurtz, MD | CB 2111 | 3-1979 |
| - Parnassus Laboratory | L 568 | 3-1501 | |
| - Parnassus Supervisor | Joanne Wong, MT | L 554 | 3-1485 |
| - China Basin (Special Chemistry) | CB 2210 | 3-4820 | |
| - China Basin Supervisor | Kirk Sujishi, MT | CB 2213 | 3-1239 |
| Laboratory Information Sys. | Enrique Terrazas, M.D. | CB 2131 | 4-8931 |
| Larry Rohe | CB 2133 | 3-4797 | |
| Hematology | M 524 | 3-1747 | |
| - Director | Joan Etzell, M.D. | M 524 D | 3-1750 |
| - Assistant Director, Hematology | Imran Siddiqi, M.D. | ||
| - Assistant Director, Coagulation | Scott C. Kogan, MD | 2340 Sutter N111 | 514-1590 |
| - Supervisor | Susan Huberty, MT | M 524H | 3-1472 |
| Immunology | CB 2210 | 3-1712 | |
| - Director | William Karlon, M.D. | CB 2112 | 3-4721 |
| - Supervisor | Irene Lee, MT | CB 2114 | 3-1514 |
| Microbiology | CB 2233 | 3-1268 | |
| - Director | Steve Miller, MD, PhD | CB 2233 | 3-9630 |
| - Assistant Director | Charles Chiu, MD, PhD | CB 185 | 4-8219 |
| - Director, Virology | W. Lawrence Drew, MD, PhD | CB 2234 | 3-4744 |
| - Supervisor | Rohan Nadarajah, MT | CB 2232 | 3-1333 |
| Molecular Diagnosis | CB 2210 | 3-1524 | |
| - Director | Farid F. Chehab, PhD | CB 2215 | 3-4725 |
| - Supervisor | Kirk Sujishi, MT | CB 2213 | 3-1239 |
| Cytogenetics | CB2412 | 3-4844 | |
| - Director | Jingwei Yu, Ph.D. | CB 2426 | 3-4809 |
| - Asst. Director | Maria Yui, PhD | CB 2313 | 3-8251 |
| - Supervisor | Randy Spinks, CSP | CB 2425 | 3-4813 |
| Molecular Pathology | |||
| - Co-Director (inherited) | Linda Jeng, M.D. | CB 2215 | 4-8218 |
| - Co-Director (neoplastic) | Martin Powers, M.D. | CB 1008 | 4-8980 |
| - Technical Director | Farid Chehab, Ph.D. | CB 1006 | 4-6063 |
| - Supervisor | Mei-Chi Cheung, MT | 3-4845 | |
| Evening Shift Sup. - Parnassus | Inese Lakis, MT |
L 554 |
3-1051 |
| Night Shift Sup. - Parnassus |
Leoni Alcantara, MT | L 579A | 3-1747 |
| Quality Assurance & Regulatory Compliance | Betty Yalich, RN | CB 2113 | 3-9319 |
| UCSF/Mount Zion | |||
| - Director | Edward Thornborrow, MD, PhD | MtZ, B 233 | 3-9885 |
| - Supervisor | Jacquline Lichaa, MT | MtZ, B 233 | 5-7314 |
| - Blood Bank | MtZ, B 232 | 5-7791 | |
| - Chemistry | MtZ, B 232 | 5-3615 | |
| - Hematology | MtZ, B 232 | 5-7680 |
*Send all mail to Box 0100
Pathology Phone Numbers
| Autopsy | 353-1629 |
| Cytology | 885-7301 |
| Dermatopathology | 353-7546 |
| Electron Microscopy (EM) Lab | 353-2673 |
| Fine Needle Aspiration (FNA) Clinic | 885-7301 |
| Grossing Room - Mt. Zion | 885-7304 |
| Grossing Room - Parnassus | 353-1608 |
| Histology Lab | 353-1629 |
| Neuro-Pathology | 476-5236 |
| Surgical Pathology | 353-1613 |
Laboratory Medicine Residents
| SECTION | PHONE | DAYTIME DIGITAL PAGER |
|---|---|---|
| Blood Bank | 3-1721 | 443-8296 |
| General Lab/Flow Cytometry | 3-1438 | 443-3638 |
| Hematology |
||
| - Bone Marrow | 3-1343 | 443-3518 |
| - Routine Hematology |
3-1614 | 443-3625 |
| - Fellow | 3-1343 | 443-9464 |
| - Fellow |
3-1343 |
443-0048 |
| On-Call (after 1700 hrs) | 3-1667 | Call 3-1667 and ask to speak to on-call resident |
Emergency (Stat) Testing
Excessive STAT usage increases the cost of laboratory services for all patients and decreases the speed with which genuinely important results can be reported. CALL x31667 TO INFORM THE LABORATORY ABOUT SPECIAL NEEDS WITH EMERGENCY SPECIMENS.
EMERGENCY (STAT) TESTS ROUTINELY AVAILABLE
[Marked as available Stat in test table entries]
Turn-around time 15 minutes to two hours (depending on test) from receipt of sample in lab
|
|
|
| Acetaminophen |
Drugs of Abuse Screen (U) |
| Albumin (B) | Electrolytes |
| Alkaline Phosphatase |
Ethanol |
| ALT |
Fetal Fibronectin (Vaginal Fluid) |
| Ammonia | Glucose (B,CSF, BF) |
| Amphetamine Screen (U) | HCG-Beta, for ectopic preganacy (B) (OB Only) |
| Amylase (B,U, BF) | Iron (B) |
| AST |
Ketones, Qualitative (B, U-Hematology) |
| Barbitrurate Screen (U) | Lactate (B, CSF) |
| Benzodiazepine Screen (U) | Lithium |
| Bilirubin, Direct (B) | Magnesium (B) |
| Bilirubin, Total (B, BF) | Opiate Screen (U) |
| Blood Gases | Osmolality (B, U) |
| B-type Natriuretic peptide | Phenobarbital |
| BUN | Phenytoin |
| Calcium, total & ionized (B) | Phosphorus (B) |
| Cannabinoid Screen (U) | Potassium (B, BF) |
| Carbamazepine | Protein, Total (BF, CSF) |
| Chloride (B, U) | S/A Ratio & PG (amniotic fluid) |
| CO2, total (B) | Salicylate |
| CK, Total (B) | Sodium (B,U) |
| CK-MB | Theophylline |
| Cocaine Screen (U) | Troponin I |
| Creatinine (B,U, BF) | Valproic acid |
| Digoxin | |
|
|
|
| CBC (incl Plt count) +/- Differential | Partial Thromboplastin Time |
| Cell Count & Diff (BF, CSF) | Platelet Count |
| Fibrinogen | HCG for pregnancy (U) |
| Fonaparinox | Prothrombin Time |
| Hematocrit (B, BF) | Sedimentation Rate |
| Hemoglobin | Urinalysis (U) +/- Microscopy |
| Malaria smear (thin) | |
|
|
|
| Culture set up on approval for normally sterile sites after 2345 |
Mycobacteria Smear (only for isolation purposes) |
| Gram Stain (normally sterile sites only) | Strep. Grp A antigen |
| KOH-Calcofluor white stain | |
|
|
|
| ABO & Rh typing | Indirect Coombs |
| Antibody Screen | Post-Transfusion Study |
| Crossmatched Blood | Type Specific Non-Crossmatched Blood |
| Direct Coombs | |
B = Blood, U = Urine, CSF = Cerebrospinal fluid, BF = Body Fluid
STAT performance of assays not on this list are uncommonly needed,
and
should be requested only when the resulting information will
immediately
alter patient management. Requests are screened by the Laboratory
Medicine
resident of the appropriate laboratory section during the day and by
the
resident on-call after 1700 hrs weekdays,
on weekends and holidays. The agreement
of the attending physician, an appropriate consultant and/or the
Laboratory
Director may be required.