Updated/Latest Laboratory Services Manual and Test Compendium 2025–2026 Comprehensive Laboratory Reference Guide for Diagnostic Testing Specimen Collection Clinical Interpretation Laboratory Procedures and Healthcare Education Success Resource

LABORATORY SERVICES MANUAL AND TEST COMPENDIUM L L L L L L




TABLE OF CONTENTS L L




I LABRegOP7900 GENERAL INFORMATIONL L



I Laboratory Services at RQHR Sites .......................................................... 1
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II Hours of Operation................................................................................... 2
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III Laboratory Administration ....................................................................... 2
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IV Phlebotomy Services ................................................................................ 3
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V Laboratory Requisitions ........................................................................... 4
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VI Test Priority ............................................................................................. 5
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VII Test Order Entry....................................................................................... 6
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VIII Requisition Test Add-Ons or Changes ...................................................... 7
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IX Specimen Requirements ............................................................................ 7
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X Specimen Collection L



1. Client Identification. ......................................................................... 8
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2. Typenex Red Arm Bands .................................................................. 8
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3. Collection of Blood Specimens ......................................................... 9
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4. Specimen Labelling ........................................................................ 10
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XI Transporting Specimens to the lab ........................................................... 10
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XII Specimen Rejection................................................................................. 11
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XIII Laboratory Information System .............................................................. 11
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XIV Results Reporting ................................................................................... 12
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XV Types of Reports .................................................................................... 13
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XVI Requests for Results ............................................................................... 13
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XVII Availability of Tests “After Hours” ........................................................ 13
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XVIII Laboratory Tests Available on 24 Hour Basis.......................................... 14
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XIX Turn Around Time ................................................................................. 14
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XX Critical Values ....................................................................................... 15
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XXI Laboratory Abbreviations ....................................................................... 15
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APPENDIXES
LABRegOP7109 Laboratory Specimen Portering Competency L L L L L



LABRegOP7109A1 Instructions for Portering Laboratory Specimens L L L L L L



LABRegOP7109A2 Portering Laboratory Specimens Competency Quiz L L L L L L



LABRegOp7109A3 Portering Laboratory Specimens Competency Quiz Answers L L L L L L L



LABPhlbOP7009A1 Sending Patient Specimens using the Pneumatic Tube L L L L L L L




Critical Values: L



LABChemOP8200T1 Chemistry Critical Values L L L L



LABHemaOP7019T1 Hematology Critical Values L L L L



LABMicOP8000A1 Microbiology Critical Values L L L L



LABTranOP7001W3Transfusions Critical Values L L L



LABHistOP1000T1 Anatomic Pathology Critical Results L L L L L



LABCytoOP7047 Communication of Cytopathology Critical Results L L L L L L



LABRlabOP7900A2 Rural Lab Critical Results L L L L




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, Turn Around Times:
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LABChemOP8202C1 Chemistry Tests L L



LABHemaOP7031C1 Guidelines for Expected TAT in Hematology L L L L L L L



LABMicOP8000A2 Anticipated TAT for Microbiology Tests L L L L L L



LABTranOP7001W2 TAT for Transfusions L L L




SDCL Requisition Completion Instructions
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LABRlabOP7900A3 Tests Performed at Rural RQHR sites L L L L L L




II LABChemOP7269 CHEMISTRY L



Purpose .................................................................................................... 1
Procedure ................................................................................................. 1
Blood Specimens ..................................................................................... 2
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Rapid ACTH Test (Cortrosyn) ........................................................ 2
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Blood Ethanol ................................................................................ 2
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Blood Gases ................................................................................... 2
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Dexamethasone Suppression Test ................................................... 3 L L



Glucose Tolerance ......................................................................... 3
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Growth Hormone Suppression Test ................................................. 4
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Insulin............................................................................................ 4
Xylose Test .................................................................................... 5
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Urine Specimens ...................................................................................... 5
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Specimen Collection ...................................................................... 5
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Urine Testing Notes ....................................................................... 6
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Feces Specimens ...................................................................................... 6
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Feces Tests .................................................................................... 6
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CSF Specimens ........................................................................................ 7
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Toxicology Specimens ............................................................................. 7
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Fluid Specimens ....................................................................................... 8
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Specimen Collection ...................................................................... 8
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Tests Performed ............................................................................. 8
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Fluid Notes .................................................................................... 8
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Therapeutic Drug Testing ........................................................................ 9-11
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LABChemOP7352A1 ACTH Stimulation Test L L L L




LABChemOP7317A1 75 Gm Maternal Glucose Tolerance L L L L L




III LABAccnOP7200 CYTOGENETICS L



I General Information ................................................................................. 1
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II Blood Chromosome Studies ..................................................................... 2
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III Bone Marrow Studies ............................................................................... 2
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IV Aminotic Fluid Analysis ........................................................................... 2
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, V Products of Conception Analysis .............................................................. 3
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VI Cord Blood Studies .................................................................................. 3
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VII Buccal Smears for Sex Chromatin Studies ................................................ 3
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VIII Out Patient Services ................................................................................. 3
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IV LABCytoOP7000 CYTOLOGY L



I Purpose .................................................................................................... 1
II Specimens – Types, Collection Methods, Identification and Labelling ...... 1
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III Specimen Submission and Transportation ................................................. 2
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IV Cytology Requisitions .............................................................................. 2
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V Specimen Rejection Criteria ..................................................................... 3
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VI RQHR Cytology Laboratory Address and Hours of Operation .................. 3
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VII General Techniques L



A. Pap Smears ................................................................................... 4
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B. Sputum......................................................................................... 5
C. Bronchial Brushings ..................................................................... 6 L



D. Bronchial Washings ...................................................................... 6 L



E. Urine Specimens/Bladder Washings ............................................. 6
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F. Serous Effusions (Pleural, Peritoneal, Pericardial Fluids) .............. 7 L L L L L



G. Cerebrospinal Fluids ..................................................................... 7 L



H. Abdominal and Pelvic Washings ................................................... 8 L L L



I. Gastrointestinal, Esophageal and Gastroesophageal Brushings ....... 8 L L L L



J. Breast Secretions (Nipple Discharges) .......................................... 8
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K. Joint Fluids ................................................................................... 9
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L. Cyst Fluids ................................................................................... 9
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M. Ocular Specimens ......................................................................... 9
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N. Guided Fine Needle Aspiration Biopsies (Cat Scan, Ultrasound) L L L L L L L L



Adequacy Check .........................................................................10 L



O. Fine Needle Aspiration Clinic, Pasqua Hospital............................11
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V LABHemaOP7001 HEMATOLOGY L



Hematology
I General Information ................................................................................. 1
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II Requisition Forms .................................................................................... 1
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III Collection of Specimens ........................................................................... 2
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IV Bone Marrow Examinations ..................................................................... 2
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V List of Tests Provided in Hematology........................................................ 3-4
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VI Blood Required for Laboratory Tests ........................................................ 5
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VII Normal (Reference) Ranges ..................................................................... 6-9
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LABHemaOP7037 Flowcytometry L



General Information ................................................................................. 1
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Collection of Specimens ........................................................................... 1
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List of Tests provided in Flowcytometry ................................................... 2
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, VI LABHistOP1000 HISTOPATHOLOGY L



Hours of Operation .............................................................................................. 1
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I Submission of Tissues for Examination .................................................... 1
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1. Routine Pathological Examination ................................................ 1
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2. Urgent or Overnight Reports ......................................................... 1
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3. Tissues for Microbiological Examination Prior to Pathological L L L L L L L



Examination ................................................................................. 1
4. Tissues for Quick Section ............................................................. 2
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5. Tissue for Electron Microscopy .................................................... 2
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6. Photography ................................................................................. 2
7. Immunofluorescence for Bound Immunoglobulin.......................... 2 L L L



8. Lymph Nodes and Open Lung Biopsies......................................... 3
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9. Testicular Biopsies ....................................................................... 3
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10. Amputated Limbs ......................................................................... 3
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11. Specimens Sent to Lab After 1630 Hours ...................................... 3 L L L L L L



12. Muscle Biopsies for Enzyme Histochemistry................................. 3
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13. Nerve Biopsies ............................................................................. 3
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14. Flow Cytometry............................................................................ 4
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15. Chromosome Studies .................................................................... 4 L



16. Kidney Biopsies ........................................................................... 4
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II Autopsies ................................................................................................. 4
1. Coroner’s Cases............................................................................ 4
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2. Hospital Autopsies........................................................................ 5
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3. Courtesy Autopsies ....................................................................... 5
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Consent for Autopsy. .................................................................... 5
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VII LABMicOP7204 MICROBIOLOGY L



Hours of Operation................................................................................... 1
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Scope of Service....................................................................................... 1
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Specimens for Microbiology..................................................................... 2
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Reporting Results ..................................................................................... 3
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APPENDIXES
LABMicOp7204A1 Specimen Containers for Microbiology L L L L L



LABMicOP7204A2 Microbiology Collection and Test Compendium L L L L L L



LABMicOP7204A3 Sputum Collection L L



LABMicOP7204A4 Stool Collection L L L



LABMicOP7204A5 Urine Collection L L L



LABMicOP7204A6 Pinworm Collection L L



LABMicOP7204T1 Criteria for Rejection of Microbiology Specimens
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LABMicOP7021 Collection of Blood Cultures L L L L




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