SALICYLATE 1 x 4.5 mL Mint Green Top (PST)
Minimum 0.25 mL serum required.
Send SPUN tube to Main Lab.
Daily Serum Storage: 4'C Refrigerate SAL LAB: SAL SCABIES IDENTIFICATION See "PARASITE INVESTIGATION ECTOPARASITES"
SCHISTOSOMA ANTIBODY 1 x 5.0 mL SST Tube Prov. Lab History form required.
Send spun SST tube to Main Lab.
Referred Out
Storage: 4'C Refrigerate. SCHAB LAB: MISC SCHISTOSOMA SPECIES
INVESTIGATION
See "PARASITE INVESTIGATION OTHER PARASITIC INFESTATIONS"
SCLERODERMA AB See "ANTI-SCLERODERMA 70"
SELENIUM SERUM See “TRACE ELEMENTS SERUM”
SEMEN SCREEN FOR INFERTILITY
90 mL Sterile Plastic Container
Patient instruction sheet available. Monday to Friday
EXAMINATION INCLUDES:
• Motility
• Count
SMNF LAB: SMNF
SEMEN ANALYSIS POST VAS 90 mL Sterile Plastic Container
Patient instruction sheet available. Monday to Friday
SMNPV LAB:
SMNPV
SEMEN CULTURE 90 mL Sterile Plastic
Container
Collect fresh semen by ejaculation into sterile container. Transport immediately.
Daily Specimen Storage: Room temperature EXAMINATION INCLUDES:
• Gram stain
• Aerobic culture (includes Neisseria gonorrhoeae)
CUGEN MIC:
CUGEN
SEMEN VASOVASOSTOMY Slides Collect semen onto slides. Send to Laboratory immediately.
Monday- Friday
SMNVASO LAB: MISC SEROTONIN 1 x 5.0 mL SST • Contact Client Services @ 403-388-6057if this test
is ordered.
• Pathologist approval required if not ordered by a specialist
• Collect at LCA and SZ West Rural Hospitals only.
PATIENT PREPARATION:
48 hours prior to collection, patient must abstain from:
avocados, bananas, coffee, plums, pineapple, tomatoes, walnuts, hickory nut, mollusks, eggplant and medications such as aspirin, corticotropins, MAO inhibiters, phenacetin, catecholamines, resperine and nicotine.
• Centrifuge specimen and transfer to two mailing tubes. Send completely frozen specimern to Main Lab.
Referred Out
Storage: Freeze SERO LAB: MISC
SEROTONIN URINE QUANTITATION
24 hr Urine Collection Container
A 24 h collection of urine is required. If possible patient should avoid taking medications and follow diet restrictions for 72 h prior to urine collection.
PATIENT PREPARATION: Incidence of false positive results can be reduced if patient avoids intake of the following medications and foods for 72 hrs prior to and during the urine collection: acetaminophen, atenolol and Lomotil; fruit (especially bananas, avocados, tomatoes, plums & pineapple), nuts (especially walnuts) and other foods containing serotonin.
PRESERVATIVE:
Adults: 25 mL of 6 mol/L HCL Children: 10 mL of 6 mol/L HCl.
Final pH should be <3.
Submit to the laboratory ASAP after completion of the collection. Ensure that lid on container is tight prior to transport.
COLLECTION: Instruct patient to void upon wakening and discard the specimen. Note this time on the collection container. Then collect all urine voided for the rest of the 24 hour period. Example: if the patient voids at 8:00 a.m., discards and records this time, then the stop time should be 8:00 am the next morning. Clearly indicate start time/date and stop time/date on collection container and Laboratory Request Form.
DO NOT aliquot. Send entire 24 h urine specimen to Main Lab.
Referred Out
Storage: 4'C Refrigerate
Patient Instruction Sheets are available for 24 hour urine collection.
5HIAAUR24 LAB:
5HIAAUR24
SEROTONIN URINE SCREEN Plastic Container 10 mL random urine collection. If possible patient should avoid taking medications and follow diet restrictions for 72 h prior to urine collection.
First morning sample preferred. Deliver to lab ASAP.
PATIENT PREPARATION: Incidence of false positive results can be reduced if patient avoids intake of the following medications and foods for 72 hrs prior to and during the urine collection: acetaminophen, atenolol and Lomotil; fruit (especially bananas, avocados, kiwi, tomatoes, plums & pineapple), eggplant, caffeine, nuts (especially walnuts), and other foods containing serotonin.
Sample must arrive at Main Lab within 4 hours of collection, or else preserve with 6N HCI to a pH of <3.
Monday to Friday
Storage: 4'C Refrigerate 5HIAASUR LAB:
5HIAASUR
SEX HORMONE BINDING GLOBULIN
1 x 5.0 mL SST Minimum 0.3 mL serum required.
Centrifuge specimen and send SPUN tube to Main Lab.
Main Lab: Transfer specimen to a mailing tube.
Referred Out
Serum Storage: Refrigerate Send on ice pack
SHBG LAB: SHBG
SEXUAL ASSAULT PROTOCOL Contact the Emergency Department -Chinook Regional Hospital (388-6300)
SHAKE TEST See "AMNIOTIC FLUID FETAL LUNG MATURITY"
SICKLE CELL TEST See “HEMOGLOBIN INVESTIGATION”
SILVER, URINE 24 HR 24 hr Urine Collection Container
Pathologist approval required.
Send entire specimen to Main Lab.
Enter collection Start/Finish dates/times in computer.
Send on ice pack.
Main Lab Handling:
- Forward specimen to Chemistry.
- Mix well. Measure and record volume in computer.
- Transfer 30 mL specimen to a polypropylene plastic screw cap tube Sarstedt.
Storage: Refrigerate SILVUR24 LAB:
SILVUR24
SINEQUAN See "DOXEPIN"
SINUS CULTURE See "RESPIRATORY CULTURE"
SIROLIMUS See “RAPAMYCIN”
SJORGREN'S SYNDROME See "ENA PROFILE"
SKELETAL MUSCLE ANTIBODY 2 x 5.0 mL SST Minimum 3.0 mL serum required.
Pathologist approval required.
Call Client Services (403-388-6057) if this test is ordered.
Must be collected at Lethbridge Community Lab or SZ West Rural hospital only.
Spin specimen and transfer to mailing tube. Send FROZEN sample to Main Lab.
Referred Out
Serum Storage: Freeze SKMAB LAB:
SKMAB
SKIN CULTURE See “WOUND CULTURE SUPERFICIAL”
SKIN SCRAPINGS See "FUNGAL CULTURE DERMATOPHYTES"
SLE SCREEN See “ENA PROFILE”
SLIDE FOR MALIGNANT CELLS Blue Frosted Glass Slide
Using pencil, label frosted end of slide(s) with Patient First Name, Last Name and DOB.
- Apply sample to the glass slide(s).
- As each slide is collected, cover the frosted end and immediately spray with cytology fixative.
- A maximum of 2 slides are required.
Mon-Friday CYSL
SMALL BOWEL ASPIRATES See "PARASITE INVESTIGATION GIARDIA"
SMEAR FOR EOSINOPHILS White Frosted Glass Slides
Cotton Tipped Swabs
Using Pencil, label the frosted end of the slide with Patient First Name, Last Name and DOB. Swab each nasal passage and spread on a glass slide. Indicate on slide "R" or "L" nostril.
Daily A patient with an active allergy will have large numbers of eosinophils in their nasal secretions.
EOSSM LAB:
EOSSM
SMEAR TO PATHOLOGIST 1 x 2 mL Lavender or
1 x 4 mL Lavender PEDIATRIC:
1 Lavender Top Microtainer
Lavender top tubes should be allowed to fill to maximum draw and MUST be well mixed by GENTLE inversion. Microtainer MUST be filled to TOP line and well mixed by GENTLE inversion. Also order "CBC"
and "DIFF". Patient diagnosis/clinical information required.
Daily Smear to Pathologist is automatically ordered on all CBC specimens accompanying Bone Marrows.
All peripheral smears that fall within the CRH Laboratory "Criteria for Sending Smears to a Pathologist" are forwarded to a CRH Pathologist for review.
SMEP1 LAB:
SMEP1
SMOOTH MUSCLE ANTIBODY 1 x 5.0 mL SST Minimum 1.0 mL serum required
Centrifuge specimen and send SPUN specimen to Main Lab
Main Lab: send specimen in original tube
Referred Out
Storage: Refrigerate Send on ice pack
SMAB
SODIUM BLOOD 1 x 4.5 mL Mint
Green Top (PST)
Minimum 0.25 mL plasma required.
Send SPUN tube to Main Lab.
Daily Serum Storage: 4'C Refrigerate Usually ordered as part of "Electrolytes"
NA LAB: NA
SODIUM STOOL 90 mL Sterile
specimen container
Contact Client Services @ 403-388-6057 if this test is ordered.
• Pathologist approval required (unless specialist ordered test).
• Submit liquid stool (Do not send formed stool).
• Collect at Main Lab or SZ West Rural hospital only.
• Send frozen stool to Main Lab.
Referred Out
Storage: Freeze NASTL LAB: MISC
SODIUM URINE See "ELECTROLYTES URINE"
SOMATOMEDIN C See “INSULIN-LIKE GROWTH
HORMONE FACTOR I”
SOMATOSTATIN 1 x 4 mL Lavender
(pre-chilled)
Contact Client Service Centre @403-388-6057 if this test is ordered.
• Pathologist approval required.
• Pre-chill EDTA tube
• Collect at LCA or SZ West Rural Hospital only.
• Centrifuge specimen immediately and transfer to mailing tube.
• Send completely frozen specimen to Main Lab Submit liquid
Referred Out
Storage: Freeze SOMATO LAB: MISC
SPECIFIC GRAVITY URINE See "URINALYSIS"
SPUTUM CULTURE 90 mL Sterile Plastic Container
or
Auger Suction Container
A separate specimen is required. Do NOT combine specimens with AFB/TB or Cytology.
Sputum MUST be placed in a sterile container.
SWABS ARE NOT ACCEPTED.
Patient instruction sheet available.
Daily Specimen Storage: Refrigerate EXAMINATION INCLUDES:
• Gram stain
• Aerobic Culture
CUSPU MIC:
CUSPU
SPUTUM
MALIGNANT CELLS
90 mL Sterile Plastic Container
A fresh sample is best.
A separate specimen is required. Do NOT combine specimens with AFB/TB or Cytology.
Collect on three consecutive days. Instruct the patient to expectorate first morning specimen from the lungs into sterile container. Have patient deliver specimen to Lab same day of collection.
Forward to Main Lab ASAP.
Monday - Friday
Storage: 4’C Refrigerate if delay in transport to Main Lab is anticipated.
CYSP
STERILE FLUID CULTURE See “BODY FLUID CULTURE”
STILLBIRTH INVESTIGATION PROTOCOL
Pediatric Blood Culture Bottle 2 x 4 mL Dark Green Top (Na Heparin) 4 x 10 mL Plain Red 3 x 2 mL Lavender 3 x 10 mL Plain Red Sterile scalpel &
forceps (CSR)
A stillbirth collection kit is located at CRH Labor and Delivery as well as each SZ West Rural Hospital Site.
Each kit contains instructions, sterile supplies and collection materials for both cord blood and placental tissue investigation.
Refer to “STILLBORN EXAMINATION AND INVESTIGATION PROCESS” in “Specimen Procurement & Handling” Section.
Upon delivery of the stillborn physician must indicate on the Laboratory Request Form the tests required.
Doctor must check off testing needed on the stillbirth form
CORD BLOOD TESTING may include:
• Blood cultures- Minimum of 1mL required in the Low Volume (Peds Plus) bottle. 3-5 mL is preferred.
• Cytogenetics- 1-5 mL in each of two Green Top Tubes.
• Syphilis serology IgG & IgM for Parvovirus, CMV, Rubella and Toxoplasmosis- 2-5 mL in a 10 mL plain red top tube.
• ABO/Rh Blood Type and Direct Antihuman Globulin Test (DAT) - 2-3 mL in a 2 mL Lavender top tube.
• CBC- 2-3 mL in a 2 mL Lavender top tube.
Infant cardiac blood can be drawn for serology and culture if there is insufficient amount of cord blood. A minimum of 10 mL is required.
PLACENTAL TISSUE TESTING may include:
Bacterial culture- Swab surface of placenta membranes with an alcohol swab prior to cutting through to tissue and then swab surface of tissue prior to collecting the sample. Obtain placental tissue from the fetal side by the site of cord insertion beneath the amnion. Add sterile saline to completely cover the tissue in the tube.
Viral Culture- same as bacterial culture.
Cytogenetics:
Daily Cytogenetic studies are time sensitive;
therefore if the delivery occurs after routine Lab hours a Callback must be initiated.
The Lab will pack the specimens and requisitions, notify Main Lab and arrange for a STAT courier.
If there is any doubt as to whether cytogenetics is required, collect the specimens. The test request can be cancelled if not required.
CHRSB CUB DAT ABORH CMVSERO RUBIGG SYPH VI
Refer to:
Cytogenetics: Placental Tissue Cytogenetics: Stillborn
Ideal tissues for sampling:
Fetal surface of placenta by the umbilical cord insertion site
May also sample:
Umbilical cord
Maternal surface of placenta
The following completed forms MUST accompany the specimen(s):
Laboratory Request Form
Histology Request Form (indicate what
testing/sampling has already been performed on the specimen )
Cytogenetics Request Form
Stillborn Examination and Investigation Form (one copy) (HS001-128)
STONE ANALYSIS See "CALCULUS-RENAL"
STOOL CULTURE Enteric Pathogen
Transport (EPT) or
90 mL Sterile Plastic Container
Patient instruction sheet available.
Stool specimens from patients hospitalized for >3 days will NOT be cultured unless there are clinical or epidemiological indications to do so.
No more than one stool culture per day is accepted.
Daily Storage: Refrigerate EXAMINATION INCLUDES:
• Aeromonas species
• Campylobacter
• E.coli 0157:H7
• Plesiomonas species
• Salmonella
• Shigella
• Yersinia species
• Candida species
• Pseudomonas species
• Staph. aureus
CUST MIC: CUST
STOOL OVA AND PARASITES INVESTIGATION
See "OVA AND PARASITE INVESTIGATION "
•
STREPTOCOCCAL ANTIGEN See "ANTIGEN-ANTIBODY SCREEN BACTERIAL"
STREPTOZYME See "ANTI-STREPTOLYSIN O TITRE"
STRONGYLOIDES ANTIBODY 1 x 5.0 mL SST Contact Client Services @ 403-388-6057 if this test is ordered.
- Pathologist approval required.
- Centrifuge specimen and send in original tube to Main Lab.
Referred Out
Storage: 4’C Refrigerate STRONGAB LAB: MISC
SUCROSE LYSIS See “FLOW CYTOMETRY BLOOD”
SUGAR CHROMATOGRAPHY See "REDUCING SUBSTANCE IDENTIFICATION
URINE"
SUGAR IDENTIFICATION, STOOL 90 mL Sterile Container
• Reducing substance testing is no longer available
• Collect randon stool specimen
• Freeze specimen within 24 hours of collection
• Minimum test volume: 1 mL
Referred Out
Storage: Freeze SUGIDSTL SUGIDSTL
SUGAR IDENTIFICATON, URINE 90 mL Sterile Container
• Order SUGIDUR if pentosuria or fructosuria is suspected
• Order G1PUT if glactosemia is suspected
• Collect random urine specimen
• Freeze specimen within 24 hours of collection.
Referred Out
Storage: Freeze SUGIDUR SUGIDUR
SULFATIDE ANTIBODY 1 x red top tube or 1 x 5 mL SST
Contact Client Service Centre @403-388-6057 if this test is ordered.
• Collect at Lethbridge Community Lab or Rural Hospital.
• Collect Monday – Thursday
• Send Unspun specimen to Main Lab.
Main Lab:
• Spin and aliquot specimen
• Send serum at room temperature to CLS.
Referred Out
Storage: Room Temperature SULFAB LAB: MISC
SUPERFICIAL WOUND See "WOUND CULTURE SUPERFICIAL"
SUPRAPUBIC ASPIRATE CULTURE
See "URINE CULTURE"
SURMONTIL See "TRIMIPRAMINE GROUP"
SWEAT TEST Collection procedure performed at CRH (inpatients) or
Lethbridge Community Lab (Out Patients) Test must be booked with CIS @ 403-388-6201.
Patient should be well hydrated prior to collection.
Minimum 20 uL sweat required.
Monday to Friday
For Cystic Fibrosis Screening SWT LAB: SWT
SYNAGIS No blood sample
required prior to the administration of this product.
See "Departmental/Site Consultations and Services Section", TRANSFUSION MEDICINE for specific information on this blood product.
Daily Non-Blood Product Synagis must be pre- approved by manufacturer. Contact Transfusion Medicine for approval form.
Blood Product Respigam must be pre- approved and is available from CBS.
Contact Transfusion Medicine for Information.
SYN BBK: SYN
SYNOVIAL FLUID Cell Count: 1 x 5mL Lavender
Crystals: 1 x 4 mL Dark Green Top (Na Heparin)
Cell Count (Hematology):
Submit sample in 5 mL EDTA tube.
Crystals (Chemistry): Dark Green Top Tube
Monday to Friday
See "BODY FLUIDS HANDLING” in the
“Specimen Procurement & Handling”
Section for further information.
CCSNV
CRYSNV
LAB:
CCSNV LAB:
CRYSNV
SYNOVIAL FLUID CULTURE See “BODY FLUID CULTURE”
SYNOVIAL FLUID MALIGNANT CELLS
90 mL Sterile Plastic Container
Send the specimen to the Laboratory ASAP.
REFRIGERATE ONLY: No other preservative is required.
Monday - Friday
CYFL
SYPHILIS See "RPR (SYPHILIS SEROLOGY)"
SYPHILIS SEROLOGY See "RPR (SYPHILIS SEROLOGY)"
