• Laboratory Test Database
  • Send-Out Test Forms
  • New Test Request
  • Normal Range Data
  • Clinical Analyte Unit Conversion
  • SI Unit Dictionary
  • Test Utilization Information
  • General Lab Info
    • Laboratory Operations
    • Specimen Collection
    • Laboratory Inquiries & Reports
    • Transfusion Service & Blood Donor Center
    • Bone Marrow
    • Microbiology
    • Lab Regulations
    • Directory/Abbrev.
• Licensing/Medical Necessity
  • Our Licensing and Accreditation
  • Medical Necessity Requirements
    • ICD9 Verification
    • OIG
    • Interpretive Reports
• Point of Care/Provider Performed Testing
  • Point Of Care Testing Manual
  • Specimen Collection Procedures
  • Provider Performed Microscopy Competency Testing
• Special Reporting Regulations
• Other Resources
  • Graph Of Recent Viral Isolates
  • Likelihood Ratios
• Outreach/Research Testing
  • Research Testing
  • Outreach Testing
  • UCSF Lab Requisitions
• Updates & Tips
  • Clinical Lab Updates
  • Tips
  • FAQs
  • Feedback

UCSF & UCSF/MOUNT ZION CLINICAL LABORATORIES MANUAL
Content last updated 8/15/2009 by Tim Hamill, MD

Laboratory Operations

• Introduction
• Clinical Laboratories Staff
• Laboratory Medicine Residents
• Pathology Phone Numbers
• Emergency (Stat) Testing
• Reflex Testing
• Interpretive Reports

Top of Page

Specimen Collection x31667

• Introduction
• Laboratory Services For Ambulatory Patients, Including Phlebotomy
  1. Patient Registration
  2. Locations and Hours of Service
  3. Containers and Instructions
  4. Scheduling Special Tests
  5. Who May Order Tests?
  6. Medical Necessity
  7. Advanced Beneficiary Notice
• In-Patient Services
  1. Admission, Preoperative and Other In-Patient Blood Drawing
  2. Routine a.m. Phlebotomy
• Point-of-Care Testing (POCT)
• Blood Drawing - Technical Issues
  1. Collection Containers Available
  2. Minimum Volumes
  3. General Technique
  4. Complete filling of vacutainers, especially coagulation testing:
  5. Order in which multiple samples should be drawn:
  6. Drawing from Intravascular Catheters
  7. 'Micro' Determinations
• Urine Collection For Chemical Analyses
  1. Urine Preservative Table
• Cerebrospinal Fluid (CSF) Collection

• Supplies For Specimen Collection
• Specimen Identification And Labeling
• Processing Of Mislabeled And Unlabeled Specimens
  1. Specimen Labels
  2. Specimens Received Without A Requisition
  3. Mislabeled and Unlabeled Specimens
• Reporting Results on tests ordered in error
• Test Cancellation
• Charging Tests To Another Patient's Account
• Needle-Bearing And Other Hazardous Specimen Containers And Requisitions
• Specimen Transport And Messenger Service
• Add-On Requests And Retention Of Specimens

Top of Page

Laboratory Inquiries & Reports x31667

• Laboratory Inquiries & Reports x31667
  1. Electronic Inquiries
  2. Telephone Inquiries
  3. STAT Results and Critical (Panic) Values
  4. Printed Reports
  5. Fax Requests
  6. Computer Crashes
  7. Direct release of test results to patients
  8. Other Delays in Reporting
• Complaints About Service x26128

Top of Page

Transfusion Service (x31313) and Blood Donor Center (x31809)

• Blood Donation
• Infection Transmitted by Blood Transfusion
• Autologous and Directed Donation
• Blood Bank (Transfusion Service) Hours
• Requirements for ABO type, antibody screen, cross match and "check" specimens
• Requests for Blood Products and Automatic Blood Orders
• CMV-Seronegative Blood Products
• Irradiation of Blood Components
• Policy for the Use of Leukocyte-Poor Blood Products
• Policy for the Use of Hemoglobin S Negative Blood
• Platelets
• Cross-Matched or HLA-Matched Platelets
• Fresh Frozen Plasma (FFP)
• Cryoprecipitate
• Washed RBCs
• Granulocytes
• Blood Components Available
• Issuing Blood
• Administering Blood
• Transfusion Reactions

Top of Page

Bone Marrow Aspiration/Biopsy (x31747)

• Suggestions for Improving Bone Marrow Aspirations
• Emergency Processing of Bone Marrow Samples for Histologic Examination
• Bone Marrow Culture

Top of Page

Microbiology (x31268)

• Introduction
• Specimen Collection (by Anatomic Site)
• Reporting and Normal Flora
• Susceptibility Testing
  1. Conditional Reporting of Antimicrobial Susceptibility
  2. Criteria for Susceptibility
  3. Antimicrobial Susceptibility Patterns
• Appropriate Specimens for Identifying Most Common Viral Etiologies

Top of Page

Lab Regulations

• Quality Assurance (x31465)
• House Staff Laboratories

Top of Page

Directory / Abbreviations

• On-Campus Laboratories
• Abbreviations Used In Test Tables
  1. Symbols, Units and Miscellaneous
  2. Laboratories

Top of Page