S02 Attachment Twenty Three 23 CBOC Laboratory Supplies and Panels.pdf

CBOC LABORATORY SUPPLIES / PANELS

The following is a list of specific laboratory supplies needed for CBOCs. The specific tubes listed are tubes that our instrumentation can easily accommodate, any deviation from this list of supplies must be approved by supervisory staff at the West Palm Beach VAMC Laboratory.

Supplies Ordered / Supplied by CBOC:

Vacutainer Tubes:

K2 EDTA w/ Hemoguard closure, 13X75: 4.0 ml draw item # 367861 (lavender top tubes) 2.0 ml draw item # 367841

SST plus tubes (16X100)* 8.5 ml draw item #367988 (large marbled top tube)

SST plus tubes (13X100)* 4.0 ml draw item #367977 (gold top tube)

PST plus tubes (13X100)* 4.5 ml draw item #367962 (light green top tube)

Sodium Citrate (13X75) 2.7 ml draw item # 363083 (blue top tube for coags)

Clot tube (13 X 100) 6 ml draw item # 367815 (plain red – no gel tube)

Swabs:

Culturette II (double swab) item # 4360219 Minitip Culturette item # 260215

Polymedco Fecal Occult Blood Immunochemical Test (FIT):

Polymedco Personal Packs 20/Box OCPU-VA1

Ova and Parasite:

Para Pak Kit, LV-PVA/Formalin, item # 380112

Specimen cups (urine, stool):

Starplex leak-proof vials, 120 ml, item # B1202-10

24-hour urine containers:

Fisherbrand Amber colored container, 3000ml capacity, item# 14-375-248

Specimen Bags:

Single patient specimen, two-part bag: Fisherbrand Saf-T-Zip bags, 6X9 inches, cat# 22-043196 Large specimen bag (holds racked specimens): Fisher Scientific: Therapak Zip Bag with Biohazard Symbol, 13 X 18 inches, 500/case STK:22-130-11

Attachment Twenty-Three (23) 36C24821R0092

Supplies supplied by VAMC Vacutainer Tubes: Dark Green top (heparin) tubes, Yellow top (ACD) tubes, Royal Blue tubes (either EDTA or no additive)

Pap Smears:

Laboratory will supply the Thinprep Collection vials, brushes and spatulas.

Other Specialty Items:

Genprobe collection supplies, Viral Transport Media, Blood Culture Bottles

All tubes marked with an * denote centrifugation required at the CBOC site.

The following are common lab test panels that may be requested through GUI:

CBC (Complete Blood Count)

WBC MCH

RBC MCHC

HGB RDW

HCT PLT

MCV MPV

Differential – (Diff Count –Blood)

Neutrophils % Eosinophils % Segs % Basophil % Lymphs % RBC Morphology Monos % WBC Morphology (Note: Cell types reported as seen; abnormal RBC, WBC, and Platelet morphology reported—normal morphology not reported)

Electrolytes Sodium Chloride Potassium Bicarbonate

Basic Metabolic Profile BUN Potassium Creatinine Chloride Glucose Bicarbonate Sodium Calcium

Iron group Iron TIBC Ferritin Calculated Transferrin Saturation

Renal Function Panel BUN Potassium Creatinine Chloride Glucose Bicarbonate Sodium Calcium Phosphorus Albumin

Hepatitis B Profile Hepatitis B Core Antibody (Total) Hepatitis B Surface Antigen Hepatitis B Surface Antibody

LA Panel (Lupus Anticoagulant Panel) Dilute Russell Viper Venom Time (DRVVT or LA Check) Lupus Anticoagulant Confirmatory Test (LA Confirm or LA Check) Lupus Anticoagulant Ratio (LA Ratio) The panel also includes the PT/INR and PTT and, if indicated, mixing studies on the DRVVT, LA Confirm, and

PTT.

Lipid Profile Cholesterol LDL Cholesterol (calculated)* Triglyceride HDL Cholesterol Cholesterol / HDL Cholesterol Ratio

* In cases when the Calculated LDL is not valid, a measured LDL will be performed.

Hepatic Function Panel (Liver Profile) Albumin AST (SGOT) Alkaline Phosphatase Bilirubin, total ALT (SGPT) Bilirubin, direct Total Protein

Reticulocyte Panel (RETIC PANEL) Reticulocyte Count (Retic %) Retic Count, Absolute (Retic #) IRF (Immature Reticulocyte Fraction %)

Thyroid Profile Thyroid Stimulating Hormone (TSH) Free Thyroxine

PSA Panel Prostate Specific Antigen (PSA) Free PSA (performed only for PSA between 4.0 and 10.0 ng/ml) Percent Free PSA (reported only when Free PSA is performed)