• Laboratory Test Database
  • Send-Out Test Forms
  • Patient Instructions
  • New Test Request
  • Normal Range Data
  • Clinical Analyte Unit Conversion
  • SI Unit Dictionary
  • Test Utilization Information
  • Transfusion Service & Blood Donor Center
  • Bone Marrow
  • Microbiology
  • General Lab Info
    • Laboratory Operations
    • Specimen Collection
    • Pathology Specimen Handling
    • Laboratory Inquiries & Reports
    • 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 7/17/2012 by Tim Hamill, MD

Laboratory Operations

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

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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

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Pathology Specimen Handling

• Specimen, Receipt, Identification and Rejection Policy

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Laboratory Inquiries & Reports x31667

• Laboratory Inquiries & Reports x31667
  1. Electronic Inquiries
  2. Telephone Inquiries
  3. STAT Results and Subcritical & Critical (Panic) Values
     1. STAT Results
     2. Critical Results
     3. Subcritical Results
  4. Printed Reports
  5. Fax Requests
  6. Computer Crashes
  7. Direct release of test results to patients
  8. Other Delays in Reporting
  9. Including Results from Other Laboratories in Sunquest LIS and/or the Electronic Medical Record
• Complaints About Service x26128

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

• Blood Bank (Transfusion Service) Hours
• Specimen requirements for ABO/Rh typing, ‘Type and Screen’, ‘Type and Cross’ and ABO/Rh Confirmation Tests
• Requests for Blood Products
1. Emergency Release of blood products
2. Massive Transfusion Protocol (MTP) – (Phase I -Moffitt-Long Hospitals only)
3. Other requests for blood products (routine orders, STAT orders and blood orders for elective surgeries)
• 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
• Red Blood Cells
• Granulocytes
• Blood Components Available
• Issuing Blood
• Administering Blood
• Transfusion Reactions
• Autologous and Directed Donations
• Circular of Information for the Use of Human Blood and Blood Components

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Bone Marrow Aspiration/Biopsy (x31747)

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

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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

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Molecular Diagnostics (x48488)

• Introduction

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Lab Regulations

• Quality Assurance (x31465)
• House Staff Laboratories

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Directory / Abbreviations

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

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