Te Matau a Māui | Laboratory Services - User contributions [en]

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2024-04-03T02:20:36Z

Cgreenwo: Update clinical director and HOD histology

__NOTOC__
[[File:IANZLogo small.jpg|thumb|link=https://www.ianz.govt.nz/]]
Welcome to the Te Whatu Ora Te Matau a Māui Hawkes Bay Laboratory services Manual and test guide. Departmental information, guidance documents, and policies can be found in the sidebar on the left (desktop only).

The lab test guide can be searched in the search bar below, or at any time from the search bar at the top of the page. Alternatively a full list of available tests is available here: [[:Category:Tests|'''Full test list here (click)''']]

=== '''Search tests here:''' ===
Tests not listed here will be referred to our reference laboratory Canterbury Health Laboratories (CHL) - [https://www.chl.co.nz/test-manager/ Click here]
{| class="wikitable"
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type=create
break=no
type=search
type=fulltext
width = 30
placeholder=Enter test name here
</inputbox>
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=== '''Search entire manual here:''' ===
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===Opening Hours===
{| class="wikitable"
!
!
|-
|
====Hawkes Bay Hospital Laboratory====
Lab open hours 24/7

Phlebotomy hours at Villa 8

Mon – Fri 0800 – 1700

Ph 8781308 ext 2452
|
====Central Hawkes Bay Health Centre Laboratory====
Lab open hours Mon - Fri 0730-1700

Phlebotomy hours

Mon – Fri 0730 – 1600

Ph 06 8587797 ext 5553
|-
|

====Napier Health Centre Laboratory====
Lab open hours Mon – Fri 0800 – 1700

Phlebotomy hours
Mon – Fri 0800 – 1700

Ph 06 8341815 ext 4142
|
====Wairoa Hospital Laboratory====
Lab open hours Mon – Fri 0730 – 1630

Phlebotomy hours
Mon – Fri 0730 – 1500

Ph 06 8389710 ext 4859
|}

===Key Contacts===
{| class="wikitable"
|+
!Name
!Position
!Internal ext
!Ext Ph
|-
|Andrew Burns
|Clinical Director
|
|027 243 1754
|-
|
|Laboratory Manager
|2646
|06 878 1647
|-
|Pam Russell
|Quality Manager
|2538
|
|-
|Grace Lim
|HOD Haematology
|6249
|
|-
|Tim Aitken
|HOD Biochemistry
|2449
|
|-
|Lynne Morgan
|HOD Pre-Analytical
|2603
|
|-
|Tony Morgan
|HOD Transfusion Medicine (Blood bank)
|2629
|
|-
|Neil Campbell
|HOD Microbiology
|2630
|
|-
|Jade Chetty
|HOD Histology
|2485
|
|-
|Rebecca Warwick
|POCT Quality Manager
|2453
|
|}
[[File:Labnet Logo.jpg|none|thumb]]
[[File:CHL-Logo.png|none|thumb|link=https://www.chl.co.nz/test-manager/]]
Website by Chris Greenwood 2022

File:TWO-Logo square small.jpg

2024-03-05T07:50:35Z

Cgreenwo: Cgreenwo uploaded a new version of File:TWO-Logo square small.jpg

Tests:Total Protein - Urine

2023-09-24T23:37:20Z

Cgreenwo:

{{DISPLAYTITLE:Total Protein - Urine}}

[[Category:Tests]]
[[Category:Biochemistry]]
{| class="wikitable"
|'''Synonym(s)'''
|Urine Prot, PCR
|-
|'''Specimen'''
|Urine - random or timed
|-
|'''Paediatric Specimen'''
|Urine - random or timed
|-
|'''Add-on conditions'''
|7 days @ 4°C
|-
|'''Test Availability'''
|random urine: Mon - Sun 24 hours, timed urine: Mon - Fri 0800 - 1700
|-
|'''Turnaround Time'''
|Hastings 2 - 3 hours / Central HB 6 - 8 hours / Wairoa 12 hours
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Biochemistry, (06) 878 1308 ext. 2448
|-
|'''Registration Code'''
|UPRO
|-
|'''Deletion Code'''
|3594
|-
|'''Useful Information'''
|Click Here
|-
|'''Measurement Uncertainty'''
|Available upon request
|}
[https://hawkesbaylabmanual.co.nz/wiki/images/1/14/24-Hour-urine-collection.pdf 24 Hour Urine Instructions]

MediaWiki:Sidebar

2023-09-12T01:51:25Z

Cgreenwo:

* navigation
** mainpage|mainpage-description
*
** Category:Tests|Full Test List
** Category:Haematology|Haematology Tests
** Category:Biochemistry|Biochemistry Tests
** Category:Microbiology|Microbiology Tests
** Category:Transfusion|Blood Bank Tests
** Category:Preanalytical|Preanalytical Tests
** Histology_Department_Information|Histology Tests
** Category:POCT|Point of Care Tests
** https://www.chl.co.nz/test-manager/|Canterbury Manual (CHL)

* Departmental Information
** Patient_Services_Department_Information|Patient services
** Haematology_Department_information|Haematology
** Biochemistry_Department_Information|Biochemistry
** Microbiology_Department_Information|Microbiology
** Transfusion_Medicine_Department_Information|Transfusion (Blood Bank)
** Point_of_Care_Department_Information|Point of Care (POCT)
** Histology_Department_Information|Histology (Anatomical Pathology)
*Guidance for Clinicians
** Haematology Critical Ranges|Haematology Critical ranges
** CBC_Reference_Ranges|Haematology CBC Reference Ranges
** Coagulation_reference_ranges|Haematology Coagulation reference ranges
** Biochemistry Critical Ranges|Biochemistry Critical ranges
** Biochemistry_Reference_Ranges|Biochemistry Reference Ranges
** https://hawkesbaylabmanual.co.nz/wiki/images/c/cc/Order_of_Draw.pdf|Order of draw
** https://hawkesbaylabmanual.co.nz/wiki/index.php/After_hours_test_schedule|After hours tests
** https://hawkesbaylabmanual.co.nz/wiki/index.php/Drug_Level_Sampling_Times|Drug Levels
** https://hawkesbaylabmanual.co.nz/wiki/images/f/fc/Laboratory-Sample-Collection-and-Labelling-Procedure.pdf|Sample collection and labelling policy
*Information for patients
** https://hawkesbaylabmanual.co.nz/wiki/images/2/24/Fasting-samples.pdf|Fasting Bloods
** https://hawkesbaylabmanual.co.nz/wiki/images/0/09/Glucose-Challenge-in-Pregnancy.pdf|Glucose challenge in pregnancy (Polycose)
** https://hawkesbaylabmanual.co.nz/wiki/images/6/65/Glucose-Tolerance-Test.pdf|Glucose tolerance test
** https://hawkesbaylabmanual.co.nz/wiki/images/c/c1/MSU-Collection-Guide.pdf|Midstream Urine (MSU) collection
** https://hawkesbaylabmanual.co.nz/wiki/images/1/14/24-Hour-urine-collection.pdf|24 hour Urine collection
** https://hawkesbaylabmanual.co.nz/wiki/images/3/3c/Faeces-collection.pdf|Faeces collection
** https://hawkesbaylabmanual.co.nz/wiki/images/c/c7/Semen-collection.pdf|Semen collection
* Point of Care information
** https://hawkesbaylabmanual.co.nz/wiki/images/5/5b/Point-of-Care-Testing-Policy-CPG101-Oct-12.pdf|POCT policy
** https://hawkesbaylabmanual.co.nz/wiki/images/c/cb/2018-New-Zealand-Best-Practice-POCT-Guidelines.pdf|NZ POCT Best Practice Guidelines
** https://hawkesbaylabmanual.co.nz/wiki/images/2/29/New-User-HCA-QC-only.pdf|Blood Glucose Quality control for HCAs
* SEARCH
* TOOLBOX
* LANGUAGES

MediaWiki:Sidebar

2023-09-12T01:50:54Z

Cgreenwo:

* navigation
** mainpage|mainpage-description
*
** Category:Tests|Full Test List
** Category:Haematology|Haematology Tests
** Category:Biochemistry|Biochemistry Tests
** Category:Microbiology|Microbiology Tests
** Category:Transfusion|Blood Bank Tests
** Category:Preanalytical|Preanalytical Tests
** Histology_Department_Information|Histology Tests
** Category:POCT|Point of Care Tests
** https://www.chl.co.nz/test-manager/|CHL

* Departmental Information
** Patient_Services_Department_Information|Patient services
** Haematology_Department_information|Haematology
** Biochemistry_Department_Information|Biochemistry
** Microbiology_Department_Information|Microbiology
** Transfusion_Medicine_Department_Information|Transfusion (Blood Bank)
** Point_of_Care_Department_Information|Point of Care (POCT)
** Histology_Department_Information|Histology (Anatomical Pathology)
*Guidance for Clinicians
** Haematology Critical Ranges|Haematology Critical ranges
** CBC_Reference_Ranges|Haematology CBC Reference Ranges
** Coagulation_reference_ranges|Haematology Coagulation reference ranges
** Biochemistry Critical Ranges|Biochemistry Critical ranges
** Biochemistry_Reference_Ranges|Biochemistry Reference Ranges
** https://hawkesbaylabmanual.co.nz/wiki/images/c/cc/Order_of_Draw.pdf|Order of draw
** https://hawkesbaylabmanual.co.nz/wiki/index.php/After_hours_test_schedule|After hours tests
** https://hawkesbaylabmanual.co.nz/wiki/index.php/Drug_Level_Sampling_Times|Drug Levels
** https://hawkesbaylabmanual.co.nz/wiki/images/f/fc/Laboratory-Sample-Collection-and-Labelling-Procedure.pdf|Sample collection and labelling policy
*Information for patients
** https://hawkesbaylabmanual.co.nz/wiki/images/2/24/Fasting-samples.pdf|Fasting Bloods
** https://hawkesbaylabmanual.co.nz/wiki/images/0/09/Glucose-Challenge-in-Pregnancy.pdf|Glucose challenge in pregnancy (Polycose)
** https://hawkesbaylabmanual.co.nz/wiki/images/6/65/Glucose-Tolerance-Test.pdf|Glucose tolerance test
** https://hawkesbaylabmanual.co.nz/wiki/images/c/c1/MSU-Collection-Guide.pdf|Midstream Urine (MSU) collection
** https://hawkesbaylabmanual.co.nz/wiki/images/1/14/24-Hour-urine-collection.pdf|24 hour Urine collection
** https://hawkesbaylabmanual.co.nz/wiki/images/3/3c/Faeces-collection.pdf|Faeces collection
** https://hawkesbaylabmanual.co.nz/wiki/images/c/c7/Semen-collection.pdf|Semen collection
* Point of Care information
** https://hawkesbaylabmanual.co.nz/wiki/images/5/5b/Point-of-Care-Testing-Policy-CPG101-Oct-12.pdf|POCT policy
** https://hawkesbaylabmanual.co.nz/wiki/images/c/cb/2018-New-Zealand-Best-Practice-POCT-Guidelines.pdf|NZ POCT Best Practice Guidelines
** https://hawkesbaylabmanual.co.nz/wiki/images/2/29/New-User-HCA-QC-only.pdf|Blood Glucose Quality control for HCAs
* SEARCH
* TOOLBOX
* LANGUAGES

MediaWiki:Sidebar

2023-09-12T01:49:35Z

Cgreenwo:

* navigation
** mainpage|mainpage-description
*
** Category:Tests|Full Test List
** Category:Haematology|Haematology Tests
** Category:Biochemistry|Biochemistry Tests
** Category:Microbiology|Microbiology Tests
** Category:Transfusion|Blood Bank Tests
** Category:Preanalytical|Preanalytical Tests
** Histology_Department_Information|Histology Tests
** Category:POCT|Point of Care Tests
** https://www.chl.co.nz/test-manager/:CHL

* Departmental Information
** Patient_Services_Department_Information|Patient services
** Haematology_Department_information|Haematology
** Biochemistry_Department_Information|Biochemistry
** Microbiology_Department_Information|Microbiology
** Transfusion_Medicine_Department_Information|Transfusion (Blood Bank)
** Point_of_Care_Department_Information|Point of Care (POCT)
** Histology_Department_Information|Histology (Anatomical Pathology)
*Guidance for Clinicians
** Haematology Critical Ranges|Haematology Critical ranges
** CBC_Reference_Ranges|Haematology CBC Reference Ranges
** Coagulation_reference_ranges|Haematology Coagulation reference ranges
** Biochemistry Critical Ranges|Biochemistry Critical ranges
** Biochemistry_Reference_Ranges|Biochemistry Reference Ranges
** https://hawkesbaylabmanual.co.nz/wiki/images/c/cc/Order_of_Draw.pdf|Order of draw
** https://hawkesbaylabmanual.co.nz/wiki/index.php/After_hours_test_schedule|After hours tests
** https://hawkesbaylabmanual.co.nz/wiki/index.php/Drug_Level_Sampling_Times|Drug Levels
** https://hawkesbaylabmanual.co.nz/wiki/images/f/fc/Laboratory-Sample-Collection-and-Labelling-Procedure.pdf|Sample collection and labelling policy
*Information for patients
** https://hawkesbaylabmanual.co.nz/wiki/images/2/24/Fasting-samples.pdf|Fasting Bloods
** https://hawkesbaylabmanual.co.nz/wiki/images/0/09/Glucose-Challenge-in-Pregnancy.pdf|Glucose challenge in pregnancy (Polycose)
** https://hawkesbaylabmanual.co.nz/wiki/images/6/65/Glucose-Tolerance-Test.pdf|Glucose tolerance test
** https://hawkesbaylabmanual.co.nz/wiki/images/c/c1/MSU-Collection-Guide.pdf|Midstream Urine (MSU) collection
** https://hawkesbaylabmanual.co.nz/wiki/images/1/14/24-Hour-urine-collection.pdf|24 hour Urine collection
** https://hawkesbaylabmanual.co.nz/wiki/images/3/3c/Faeces-collection.pdf|Faeces collection
** https://hawkesbaylabmanual.co.nz/wiki/images/c/c7/Semen-collection.pdf|Semen collection
* Point of Care information
** https://hawkesbaylabmanual.co.nz/wiki/images/5/5b/Point-of-Care-Testing-Policy-CPG101-Oct-12.pdf|POCT policy
** https://hawkesbaylabmanual.co.nz/wiki/images/c/cb/2018-New-Zealand-Best-Practice-POCT-Guidelines.pdf|NZ POCT Best Practice Guidelines
** https://hawkesbaylabmanual.co.nz/wiki/images/2/29/New-User-HCA-QC-only.pdf|Blood Glucose Quality control for HCAs
* SEARCH
* TOOLBOX
* LANGUAGES

MediaWiki:Sidebar

2023-08-03T20:53:41Z

Cgreenwo:

* navigation
** mainpage|mainpage-description
*
** Category:Tests|Full Test List
** Category:Haematology|Haematology Tests
** Category:Biochemistry|Biochemistry Tests
** Category:Microbiology|Microbiology Tests
** Category:Transfusion|Blood Bank Tests
** Category:Preanalytical|Preanalytical Tests
** Histology_Department_Information|Histology Tests
** Category:POCT|Point of Care Tests

* Departmental Information
** Patient_Services_Department_Information|Patient services
** Haematology_Department_information|Haematology
** Biochemistry_Department_Information|Biochemistry
** Microbiology_Department_Information|Microbiology
** Transfusion_Medicine_Department_Information|Transfusion (Blood Bank)
** Point_of_Care_Department_Information|Point of Care (POCT)
** Histology_Department_Information|Histology (Anatomical Pathology)
*Guidance for Clinicians
** Haematology Critical Ranges|Haematology Critical ranges
** CBC_Reference_Ranges|Haematology CBC Reference Ranges
** Coagulation_reference_ranges|Haematology Coagulation reference ranges
** Biochemistry Critical Ranges|Biochemistry Critical ranges
** Biochemistry_Reference_Ranges|Biochemistry Reference Ranges
** https://hawkesbaylabmanual.co.nz/wiki/images/c/cc/Order_of_Draw.pdf|Order of draw
** https://hawkesbaylabmanual.co.nz/wiki/index.php/After_hours_test_schedule|After hours tests
** https://hawkesbaylabmanual.co.nz/wiki/index.php/Drug_Level_Sampling_Times|Drug Levels
** https://hawkesbaylabmanual.co.nz/wiki/images/f/fc/Laboratory-Sample-Collection-and-Labelling-Procedure.pdf|Sample collection and labelling policy
*Information for patients
** https://hawkesbaylabmanual.co.nz/wiki/images/2/24/Fasting-samples.pdf|Fasting Bloods
** https://hawkesbaylabmanual.co.nz/wiki/images/0/09/Glucose-Challenge-in-Pregnancy.pdf|Glucose challenge in pregnancy (Polycose)
** https://hawkesbaylabmanual.co.nz/wiki/images/6/65/Glucose-Tolerance-Test.pdf|Glucose tolerance test
** https://hawkesbaylabmanual.co.nz/wiki/images/c/c1/MSU-Collection-Guide.pdf|Midstream Urine (MSU) collection
** https://hawkesbaylabmanual.co.nz/wiki/images/1/14/24-Hour-urine-collection.pdf|24 hour Urine collection
** https://hawkesbaylabmanual.co.nz/wiki/images/3/3c/Faeces-collection.pdf|Faeces collection
** https://hawkesbaylabmanual.co.nz/wiki/images/c/c7/Semen-collection.pdf|Semen collection
* Point of Care information
** https://hawkesbaylabmanual.co.nz/wiki/images/5/5b/Point-of-Care-Testing-Policy-CPG101-Oct-12.pdf|POCT policy
** https://hawkesbaylabmanual.co.nz/wiki/images/c/cb/2018-New-Zealand-Best-Practice-POCT-Guidelines.pdf|NZ POCT Best Practice Guidelines
** https://hawkesbaylabmanual.co.nz/wiki/images/2/29/New-User-HCA-QC-only.pdf|Blood Glucose Quality control for HCAs
* SEARCH
* TOOLBOX
* LANGUAGES

MediaWiki:Sidebar

2023-07-30T21:46:55Z

Cgreenwo:

* navigation
** mainpage|mainpage-description
*
** Category:Tests|Full Test List
** Category:Haematology|Haematology Tests
** Category:Biochemistry|Biochemistry Tests
** Category:Microbiology|Microbiology Tests
** Category:Transfusion|Blood Bank Tests
** Category:Preanalytical|Preanalytical Tests
** Histology_Department_Information|Histology Tests
** Category:POCT|Point of Care Tests

* Departmental Information
** Patient_Services_Department_Information|Patient services
** Haematology_Department_information|Haematology
** Biochemistry_Department_Information|Biochemistry
** Microbiology_Department_Information|Microbiology
** Transfusion_Medicine_Department_Information|Transfusion (Blood Bank)
** Point_of_Care_Department_Information|Point of Care (POCT)
** Histology_Department_Information|Histology (Anatomical Pathology)
*Guidance for Clinicians
** Haematology Critical Ranges|Haematology Critical ranges
** CBC_Reference_Ranges|Haematology CBC Reference Ranges
** Coagulation_reference_ranges|Haematology Coagulation reference ranges
** Biochemistry Critical Ranges|Biochemistry Critical ranges
** Biochemistry_Reference_Ranges|Biochemistry Reference Ranges
** https://hawkesbaylabmanual.co.nz/wiki/images/c/cc/Order_of_Draw.pdf|Order of draw
** https://hawkesbaylabmanual.co.nz/wiki/index.php/After_hours_test_schedule|After hours tests
** https://hawkesbaylabmanual.co.nz/wiki/index.php/Drug_Level_Sampling_Times|Drug Levels
** https://hawkesbaylabmanual.co.nz/wiki/images/a/a8/Laboratory_Testing_Guidelines.pdf|Laboratory Testing Guidelines
** https://hawkesbaylabmanual.co.nz/wiki/images/f/fc/Laboratory-Sample-Collection-and-Labelling-Procedure.pdf|Sample collection and labelling policy
*Information for patients
** https://hawkesbaylabmanual.co.nz/wiki/images/2/24/Fasting-samples.pdf|Fasting Bloods
** https://hawkesbaylabmanual.co.nz/wiki/images/0/09/Glucose-Challenge-in-Pregnancy.pdf|Glucose challenge in pregnancy (Polycose)
** https://hawkesbaylabmanual.co.nz/wiki/images/6/65/Glucose-Tolerance-Test.pdf|Glucose tolerance test
** https://hawkesbaylabmanual.co.nz/wiki/images/c/c1/MSU-Collection-Guide.pdf|Midstream Urine (MSU) collection
** https://hawkesbaylabmanual.co.nz/wiki/images/1/14/24-Hour-urine-collection.pdf|24 hour Urine collection
** https://hawkesbaylabmanual.co.nz/wiki/images/3/3c/Faeces-collection.pdf|Faeces collection
** https://hawkesbaylabmanual.co.nz/wiki/images/c/c7/Semen-collection.pdf|Semen collection
* Point of Care information
** https://hawkesbaylabmanual.co.nz/wiki/images/5/5b/Point-of-Care-Testing-Policy-CPG101-Oct-12.pdf|POCT policy
** https://hawkesbaylabmanual.co.nz/wiki/images/c/cb/2018-New-Zealand-Best-Practice-POCT-Guidelines.pdf|NZ POCT Best Practice Guidelines
** https://hawkesbaylabmanual.co.nz/wiki/images/2/29/New-User-HCA-QC-only.pdf|Blood Glucose Quality control for HCAs
* SEARCH
* TOOLBOX
* LANGUAGES

Biochemistry Reference Ranges

2023-07-30T21:45:54Z

Cgreenwo: Created page with "Page under construction Please try again later."

Page under construction

Please try again later.

MediaWiki:Sidebar

2023-07-28T03:12:01Z

Cgreenwo:

* navigation
** mainpage|mainpage-description
*
** Category:Tests|Full Test List
** Category:Haematology|Haematology Tests
** Category:Biochemistry|Biochemistry Tests
** Category:Microbiology|Microbiology Tests
** Category:Transfusion|Blood Bank Tests
** Category:Preanalytical|Preanalytical Tests
** Histology_Department_Information|Histology Tests
** Category:POCT|Point of Care Tests

* Departmental Information
** Patient_Services_Department_Information|Patient services
** Haematology_Department_information|Haematology
** Biochemistry_Department_Information|Biochemistry
** Microbiology_Department_Information|Microbiology
** Transfusion_Medicine_Department_Information|Transfusion (Blood Bank)
** Point_of_Care_Department_Information|Point of Care (POCT)
** Histology_Department_Information|Histology (Anatomical Pathology)
*Guidance for Clinicians
** Haematology Critical Ranges|Haematology Critical ranges
** CBC_Reference_Ranges|Haematology CBC Reference Ranges
** Coagulation_reference_ranges|Haematology Coagulation reference ranges
** Biochemistry Critical Ranges|Biochemistry Critical ranges
** https://hawkesbaylabmanual.co.nz/wiki/images/c/cc/Order_of_Draw.pdf|Order of draw
** https://hawkesbaylabmanual.co.nz/wiki/index.php/After_hours_test_schedule|After hours tests
** https://hawkesbaylabmanual.co.nz/wiki/index.php/Drug_Level_Sampling_Times|Drug Levels
** https://hawkesbaylabmanual.co.nz/wiki/images/a/a8/Laboratory_Testing_Guidelines.pdf|Laboratory Testing Guidelines
** https://hawkesbaylabmanual.co.nz/wiki/images/f/fc/Laboratory-Sample-Collection-and-Labelling-Procedure.pdf|Sample collection and labelling policy
*Information for patients
** https://hawkesbaylabmanual.co.nz/wiki/images/2/24/Fasting-samples.pdf|Fasting Bloods
** https://hawkesbaylabmanual.co.nz/wiki/images/0/09/Glucose-Challenge-in-Pregnancy.pdf|Glucose challenge in pregnancy (Polycose)
** https://hawkesbaylabmanual.co.nz/wiki/images/6/65/Glucose-Tolerance-Test.pdf|Glucose tolerance test
** https://hawkesbaylabmanual.co.nz/wiki/images/c/c1/MSU-Collection-Guide.pdf|Midstream Urine (MSU) collection
** https://hawkesbaylabmanual.co.nz/wiki/images/1/14/24-Hour-urine-collection.pdf|24 hour Urine collection
** https://hawkesbaylabmanual.co.nz/wiki/images/3/3c/Faeces-collection.pdf|Faeces collection
** https://hawkesbaylabmanual.co.nz/wiki/images/c/c7/Semen-collection.pdf|Semen collection
* Point of Care information
** https://hawkesbaylabmanual.co.nz/wiki/images/5/5b/Point-of-Care-Testing-Policy-CPG101-Oct-12.pdf|POCT policy
** https://hawkesbaylabmanual.co.nz/wiki/images/c/cb/2018-New-Zealand-Best-Practice-POCT-Guidelines.pdf|NZ POCT Best Practice Guidelines
** https://hawkesbaylabmanual.co.nz/wiki/images/2/29/New-User-HCA-QC-only.pdf|Blood Glucose Quality control for HCAs
* SEARCH
* TOOLBOX
* LANGUAGES

MediaWiki:Sidebar

2023-07-28T03:09:22Z

Cgreenwo:

* navigation
** mainpage|mainpage-description
*
** Category:Tests|Full Test List
** Category:Haematology|Haematology Tests
** Category:Biochemistry|Biochemistry Tests
** Category:Microbiology|Microbiology Tests
** Category:Transfusion|Blood Bank Tests
** Category:Preanalytical|Preanalytical Tests
** Histology_Department_Information|Histology Tests
** Category:POCT|Point of Care Tests

* Departmental Information
** Patient_Services_Department_Information|Patient services
** Haematology_Department_information|Haematology
** Biochemistry_Department_Information|Biochemistry
** Microbiology_Department_Information|Microbiology
** Transfusion_Medicine_Department_Information|Transfusion (Blood Bank)
** Point_of_Care_Department_Information|Point of Care (POCT)
** Histology_Department_Information|Histology (Anatomical Pathology)
*Guidance for Clinicians
** Haematology Critical Ranges|Haematology Critical ranges
** Haematology CBC Reference Ranges|CBC Reference Ranges
** Haematology COAG Reference Ranges|Coagulation reference ranges
** Biochemistry Critical Ranges|Biochemistry Critical ranges
** https://hawkesbaylabmanual.co.nz/wiki/images/c/cc/Order_of_Draw.pdf|Order of draw
** https://hawkesbaylabmanual.co.nz/wiki/index.php/After_hours_test_schedule|After hours tests
** https://hawkesbaylabmanual.co.nz/wiki/index.php/Drug_Level_Sampling_Times|Drug Levels
** https://hawkesbaylabmanual.co.nz/wiki/images/a/a8/Laboratory_Testing_Guidelines.pdf|Laboratory Testing Guidelines
** https://hawkesbaylabmanual.co.nz/wiki/images/f/fc/Laboratory-Sample-Collection-and-Labelling-Procedure.pdf|Sample collection and labelling policy
*Information for patients
** https://hawkesbaylabmanual.co.nz/wiki/images/2/24/Fasting-samples.pdf|Fasting Bloods
** https://hawkesbaylabmanual.co.nz/wiki/images/0/09/Glucose-Challenge-in-Pregnancy.pdf|Glucose challenge in pregnancy (Polycose)
** https://hawkesbaylabmanual.co.nz/wiki/images/6/65/Glucose-Tolerance-Test.pdf|Glucose tolerance test
** https://hawkesbaylabmanual.co.nz/wiki/images/c/c1/MSU-Collection-Guide.pdf|Midstream Urine (MSU) collection
** https://hawkesbaylabmanual.co.nz/wiki/images/1/14/24-Hour-urine-collection.pdf|24 hour Urine collection
** https://hawkesbaylabmanual.co.nz/wiki/images/3/3c/Faeces-collection.pdf|Faeces collection
** https://hawkesbaylabmanual.co.nz/wiki/images/c/c7/Semen-collection.pdf|Semen collection
* Point of Care information
** https://hawkesbaylabmanual.co.nz/wiki/images/5/5b/Point-of-Care-Testing-Policy-CPG101-Oct-12.pdf|POCT policy
** https://hawkesbaylabmanual.co.nz/wiki/images/c/cb/2018-New-Zealand-Best-Practice-POCT-Guidelines.pdf|NZ POCT Best Practice Guidelines
** https://hawkesbaylabmanual.co.nz/wiki/images/2/29/New-User-HCA-QC-only.pdf|Blood Glucose Quality control for HCAs
* SEARCH
* TOOLBOX
* LANGUAGES

Coagulation reference ranges

2023-07-28T03:04:44Z

Cgreenwo:

{| class="wikitable"
|'''COAGULATION'''
|
|
|-
|INR (non-warf)
|Ratio
|0.8 - 1.2
|-
|APTT
|Seconds
|24-38
|-
|FIBRINOGEN
|g/L
|1.5-4.0
|-
|TCT
|Seconds
|15 - 21
|}

Coagulation reference ranges

2023-07-28T03:02:46Z

Cgreenwo: Created page with "{| class="wikitable" |'''COAGULATION''' | | |- |INR (non-warf) |Ratio |0.8 - 1.2 |- |APTT |Seconds |24-38 |- |FIBRINOGEN |g/L |1.5-4.0 |}"

{| class="wikitable"
|'''COAGULATION'''
|
|
|-
|INR (non-warf)
|Ratio
|0.8 - 1.2
|-
|APTT
|Seconds
|24-38
|-
|FIBRINOGEN
|g/L
|1.5-4.0
|}

CBC Reference Ranges

2023-07-28T02:59:04Z

Cgreenwo: Added retics

{| class="wikitable"
|'''Age'''
|'''Hb Female (g/L)'''
|'''Hb Male (g/L)'''
|'''HCT Female (Ratio)'''
|'''HCT Male (Ratio)'''
|'''RCC Female'''
|'''RCC Male'''
|'''MCV (fL)'''
|'''MCH (pg)'''
|'''MCHC'''
|'''RDW'''
|'''Platelets (x109/L)'''
|-
|
|
|
|
|
|'''(x1012/L)'''
|'''(x1012/L)'''
|
|
|
|
|
|-
|'''Cord'''
|'''124-192'''
|'''124-192'''
|'''0.37-0.56'''
|'''0.37-0.56'''
|'''3.53-5.52'''
|'''3.53-5.52'''
|'''99-119'''
|'''32-39'''
|'''305-345'''
|'''15.2-19.0'''
|'''150-400'''
|-
|'''1 month'''
|'''93-158'''
|'''93-158'''
|'''0.27-0.46'''
|'''0.27-0.46'''
|'''2.9-4.8'''
|'''2.9-4.8'''
|'''89-100'''
|'''28-34'''
|'''324-364'''
|'''13.2-17.5'''
|'''150-650'''
|-
|'''2-3 months'''
|'''97-130'''
|'''97-130'''
|'''0.29-0.38'''
|'''0.29-0.38'''
|'''3.3-4.8'''
|'''3.3-4.8'''
|'''72-91'''
|'''24-32'''
|'''323-361'''
|'''11.9-16.2'''
|'''150-650'''
|-
|'''4-11 months'''
|'''105-136'''
|'''105-136'''
|'''0.31-0.40'''
|'''0.31-0.40'''
|'''4.0-5.3'''
|'''4.0-5.3'''
|'''69-84'''
|'''22-29'''
|'''315-353'''
|'''12.0-16.0'''
|'''150-575'''
|-
|'''1-3 years'''
|'''105-140'''
|'''105-140'''
|'''0.32-0.41'''
|'''0.32-0.41'''
|'''4.0-5.4'''
|'''4.0-5.4'''
|'''70-86'''
|'''23-29'''
|'''317-353'''
|'''12-15.5'''
|'''150-500'''
|-
|'''4-7 years'''
|'''113-145'''
|'''113-145'''
|'''0.33-0.42'''
|'''0.33-0.42'''
|'''4.1-5.4'''
|'''4.1-5.4'''
|'''74-87'''
|'''24-29'''
|'''319-353'''
|'''12-14.5'''
|'''150-475'''
|-
|'''8-12 years'''
|'''115-145'''
|'''115-145'''
|'''0.35-0.43'''
|'''0.35-0.43'''
|'''4.2-5.6'''
|'''4.2-5.6'''
|'''75-90'''
|'''24-30'''
|'''315-350'''
|'''12-14.5'''
|'''150-425'''
|-
|'''13-15 years'''
|'''115-150'''
|'''125-160'''
|'''0.35-0.44'''
|'''0.37-0.47'''
|'''4-5.35'''
|'''4.4-5.7'''
|'''78-93'''
|'''25-31'''
|'''315-350*'''
|'''12.0-14.5'''
|'''150-400'''
|-
|'''16+ (Adult)'''
|'''115-155'''
|'''130-175'''
|'''0.35-0.46'''
|'''0.40-0.52'''
|'''3.6-5.6'''
|'''4.3-6.0'''
|'''80-99'''
|'''27-33'''
|'''300-365'''
|'''11.5-15.0'''
|'''150-400'''
|-
|'''Antenatal'''
|'''100-150'''
|
|'''0.31-0.47'''
|
|
|
|
|
|
|
|'''150-400'''
|}
{| class="wikitable"
|'''Age'''

|'''WCC (x109/L)'''
|'''Neutrophils (x109/L)'''
|'''Lymphs (x109/L)'''
|'''Monocytes (x109/L)'''
|'''Eosinophils (x109/L)'''
|'''Basophils (x109/L)'''
|-
|'''Cord'''
|7.3-25.8
|3.3-13.0
|2.1-10.7
|0.7-2.7
|0.0-1.0
|0.0-0.2
|-
|'''1 month'''
|5.8-13.0
|0.5-3.9
|3.7-8.0
|0.5-1.5
|0.0-0.9
|0.0-0.2
|-
|'''2-3 months'''
|6.6-15.0
|0.8-4.7
|4.2-10.6
|0.4-1.3
|0.0-0.9
|0.0-0.2
|-
|'''4-11 months'''
|6.4-17.0
|0.9-5.9
|3.5-11.5
|0.3-1.5
|0.0-0.9
|0.0-0.2
|-
|'''1-3 years'''
|5.0-14.5
|1.0-7.0
|2.0-8.0
|0.3-1.3
|0.0-0.9
|0.0-0.2
|-
|'''4-7 years'''
|4.5-12.0
|1.5-8.0
|1.4-5.7
|0.3-1.0
|0.0-1.0
|0.0-0.2
|-
|'''8-12 years'''
|4.3-12.0
|1.5-7.0
|1.4-4.5
|0.3-0.9
|0.0-0.9
|0.0-0.2
|-
|'''13-15 years'''
|4.2-10.0
|1.8-7.0
|1.4-4.0
|0.3-0.9
|0.0-0.8
|0.0-0.2
|-
|'''16+ (Adult)'''
|4.0-11.0
|1.9-7.5
|1.0-4.0
|0.2-1.0
|0.0-0.5
|0.0-0.2
|-
|'''Antenatal'''
|4.0-15.0
|1.9-10.5
|
|0.2-1.2
|
|
|}
<nowiki>*</nowiki> MCHC 13-15 years Female 315-350 Male 318-353

Reticulocytes (x 109/L)

Adult 15 - 100

PDW 15.3 - 18.0

MPV 7.4 - 10.4 (platelets normal or high)

9.4 - 14.4 (for low platelet counts)
[[Category:Reference Ranges]]

Main Page

2023-06-28T20:38:37Z

Cgreenwo: updated HOD Haematology

__NOTOC__
[[File:IANZLogo small.jpg|thumb|link=https://www.ianz.govt.nz/]]
Welcome to the Te Whatu Ora Te Matau a Māui Hawkes Bay Laboratory services Manual and test guide. Departmental information, guidance documents, and policies can be found in the sidebar on the left (desktop only).

The lab test guide can be searched in the search bar below, or at any time from the search bar at the top of the page. Alternatively a full list of available tests is available here: [[:Category:Tests|'''Full test list here (click)''']]

=== '''Search tests here:''' ===
Tests not listed here will be referred to our reference laboratory Canterbury Health Laboratories (CHL) - [https://www.chl.co.nz/test-manager/ Click here]
{| class="wikitable"
!<inputbox>
type=create
break=no
type=search
type=fulltext
width = 30
placeholder=Enter test name here
</inputbox>
|}

=== '''Search entire manual here:''' ===
{| class="wikitable"
|+
!<inputbox>
type=create
break=no
type=search
type=fulltext
width = 30
placeholder=Enter search term here
namespaces=Main**,File**,Tests**
</inputbox>
|}

===Opening Hours===
{| class="wikitable"
!
!
|-
|
====Hawkes Bay Hospital Laboratory====
Lab open hours 24/7

Phlebotomy hours at Villa 8

Mon – Fri 0800 – 1700

Ph 8781308 ext 2452
|
====Central Hawkes Bay Health Centre Laboratory====
Lab open hours Mon - Fri 0730-1700

Phlebotomy hours

Mon – Fri 0730 – 1600

Ph 06 8587797 ext 5553
|-
|

====Napier Health Centre Laboratory====
Lab open hours Mon – Fri 0800 – 1700

Phlebotomy hours
Mon – Fri 0800 – 1700

Ph 06 8341815 ext 4142
|
====Wairoa Hospital Laboratory====
Lab open hours Mon – Fri 0730 – 1630

Phlebotomy hours
Mon – Fri 0730 – 1500

Ph 06 8389710 ext 4859
|}

===Key Contacts===
{| class="wikitable"
|+
!Name
!Position
!Internal ext
!Ext Ph
|-
|Ross Boswell
|Clinical Director
|*73314
|021402142
|-
|Chris Greenwood
|Laboratory Manager
|2646
|06 878 1647
|-
|Pam Russell
|Quality Manager
|2538
|
|-
|Grace Lim
|HOD Haematology
|
|
|-
|Tim Aitken
|HOD Biochemistry
|2449
|
|-
|Lynne Morgan
|HOD Pre-Analytical
|2603
|
|-
|Tony Morgan
|HOD Transfusion Medicine (Blood bank)
|2629
|
|-
|Neil Campbell
|HOD Microbiology
|2630
|
|-
|Maureen Ali
|HOD Histology
|2485
|
|-
|Rebecca Warwick
|POCT Quality Manager
|2453
|
|}
[[File:Labnet Logo.jpg|none|thumb]]
[[File:CHL-Logo.png|none|thumb|link=https://www.chl.co.nz/test-manager/]]
Website by Chris Greenwood 2022

Tests:Polycose Test

2023-05-22T04:27:03Z

Cgreenwo:

{{DISPLAYTITLE:Polycose Test}}

[[Category:Tests]]
[[Category:Biochemistry]]
{| class="wikitable"
|'''Synonym(s)'''
|GTT
|-
|'''Specimen'''
|Contact Biochemistry to discuss
|-
|'''Paediatric Specimen'''
|Contact Biochemistry to discuss
|-
|'''Add-on conditions'''
|N/A
|-
|'''Test Availability'''
|Mon - Fri 0800 - 1400
|-
|'''Turnaround Time'''
|Hastings 2.5 hours / Central HB 6 - 8 hours / Wairoa 12 hours
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Biochemistry, (06) 878 1308 ext. 2448
|-
|'''Registration Code'''
|OGCT
|-
|'''Deletion Code'''
|3160
|-
|'''Useful Information'''
|Click Here
|-
|'''Measurement Uncertainty'''
|Not Applicable
|}
Please [https://hawkesbaylabmanual.co.nz/wiki/images/0/09/Glucose-Challenge-in-Pregnancy.pdf CLICK HERE] for the patient information sheet.

Tests:Polycose Test

2023-05-22T04:23:19Z

Cgreenwo:

{{DISPLAYTITLE:Polycose Test}}

[[Category:Tests]]
[[Category:Biochemistry]]
{| class="wikitable"
|'''Synonym(s)'''
|GTT
|-
|'''Specimen'''
|Contact Biochemistry to discuss
|-
|'''Paediatric Specimen'''
|Contact Biochemistry to discuss
|-
|'''Add-on conditions'''
|N/A
|-
|'''Test Availability'''
|Mon - Fri 0800 - 1400
|-
|'''Turnaround Time'''
|Hastings 2.5 hours / Central HB 6 - 8 hours / Wairoa 12 hours
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Biochemistry, (06) 878 1308 ext. 2448
|-
|'''Registration Code'''
|OGTT
|-
|'''Deletion Code'''
|3160
|-
|'''Useful Information'''
|Click Here
|-
|'''Measurement Uncertainty'''
|Not Applicable
|}
Please [https://hawkesbaylabmanual.co.nz/wiki/images/0/09/Glucose-Challenge-in-Pregnancy.pdf CLICK HERE] for the patient information sheet.

Tests:Polycose Test

2023-05-22T04:21:33Z

Cgreenwo: Created page with "{{DISPLAYTITLE:Polycose Test}} Category:Tests Category:Biochemistry {| class="wikitable" |'''Synonym(s)''' |GTT |- |'''Specimen''' |Contact Biochemistry to discuss |- |'''Paediatric Specimen''' |Contact Biochemistry to discuss |- |'''Add-on conditions''' |N/A |- |'''Test Availability''' |Mon - Fri 0800 - 1400 |- |'''Turnaround Time''' |Hastings 2.5 hours / Central HB 6 - 8 hours / Wairoa 12 hours |- |'''Where analysed''' |Hastings |- |'''Department''' |Biochemi..."

{{DISPLAYTITLE:Polycose Test}}

[[Category:Tests]]
[[Category:Biochemistry]]
{| class="wikitable"
|'''Synonym(s)'''
|GTT
|-
|'''Specimen'''
|Contact Biochemistry to discuss
|-
|'''Paediatric Specimen'''
|Contact Biochemistry to discuss
|-
|'''Add-on conditions'''
|N/A
|-
|'''Test Availability'''
|Mon - Fri 0800 - 1400
|-
|'''Turnaround Time'''
|Hastings 2.5 hours / Central HB 6 - 8 hours / Wairoa 12 hours
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Biochemistry, (06) 878 1308 ext. 2448
|-
|'''Registration Code'''
|OGTT
|-
|'''Deletion Code'''
|3160
|-
|'''Useful Information'''
|Click Here
|-
|'''Measurement Uncertainty'''
|Not Applicable
|}

Tests:Tacrolimus

2023-03-09T00:33:47Z

Cgreenwo: added useful information link

{{DISPLAYTITLE:Tacrolimus}}

[[Category:Tests]]
[[Category:Biochemistry]]
{| class="wikitable"
|'''Synonym(s)'''
|Tac, Tacro
|-
|'''Specimen'''
|SEPARATE TUBE - 4 mL EDTA (purple top) only.
|-
|'''Paediatric Specimen'''
|0.5 mL EDTA only
|-
|'''Add-on conditions'''
|7 days @ 4°C
|-
|'''Test Availability'''
|Batch Tested - Monday + Thursday
|-
|'''Turnaround Time'''
|See Test Availability (above)
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Biochemistry, (06) 878 1308 ext. 2448
|-
|'''Registration Code'''
|TAC
|-
|'''Deletion Code'''
|8578
|-
|'''Useful Information'''
|[https://pathologytestsexplained.org.au/learning/test-index/tacrolimus Click Here]
|-
|'''Measurement Uncertainty'''
|Available upon request
|}

Haematology Department information

2023-03-08T19:44:40Z

Cgreenwo: added link for ref ranges

== Routine Haematology (CBC, FBC, Blood count) ==
Specimen required: EDTA anticoagulated whole blood (purple or lavender top tube). Specimen must be well mixed and free from clots.

Automated analysis will provide:

Haemoglobin

Haematocrit

MCV

MCH

Platelets

WBC and differential

These results will be made available in Clinical Portal as soon as they are available.

Results from automated analysis may appear as unauthorised in Clinical Portal and are '''subject to change.''' These results will update to authorised when reviewed and released by Scientist staff - this may not be until the next day. Amended results that have changed by a clinically significant amount will be communicated by phone. Community results for General Practice will be reported electronically (by HL7 Healthlink) when the results are authorised, this may not be until the next working day.

If results indicate, or if specifically requested, the blood film is examined and a comment made. '''Note this may not be until the next day, or longer on weekends and public holidays.''' If not available immediately, blood film review can be arranged by phone at any time. Please contact the laboratory to arrange this.

== Paediatric ==
Capillary or venous blood collected into EDTA (purple or lavender top) Microtainers (0.5 ml) can be used. Successful analysis on volumes below 250ul cannot be guaranteed but analysis may be possible below this.

== Reticulocyte count ==
Performed on request or at the discretion of Haematology staff based on the CBC/Blood Film results. Analysis is automated and performed on the same specimen as the CBC so no additional samples are required.

== ESR ==
ESR requests are vetted and only performed for appropriate clinical indications. Clinical details must be provided. A minimum of 1.5ml whole blood is required for this assay, microtainer collects are therefore not appropriate.

=== Guideline on ESR acceptance criteria ===
The recommended marker for infection/inflammation is CRP. The lab will therefore only perform ESR testing for specific clinical indications where it has been shown to be of clinical value. ESR requests will only be processed if one of the following clinical details is provided and clearly marked on the request form:

[[ESR Indications for testing|Click here for ESR Indications for testing]]

=== Bone Marrow examination ===
Contact with clinical Haematology (Medlab Central, Palmerston North) is required before ordering Bone Marrow trephine and aspirate collection. Haematology staff must be present at the collection procedure to prepare the required samples and this '''must be pre-arranged with the laboratory''' as availability of staff cannot always be guaranteed.

Analysis is not carried out on site but referred to Clinical Haematology (Palmerston North) and other reference labs for specialist testing as appropriate.

== Coagulation Tests ==
Collection & Specimen required:

· Adults: 2.7 ml Sodium Citrate (Blue top tube)

· Paediatric: 1.8 ml Sodium Citrate (Blue top tube)

Samples must be thoroughly mixed by inversion and be filled to the marked fill level on the tube. Samples must be free from clots, and must not be grossly haemolysed or lipaemic to be suitable for analysis. Please refer to chart below for guidance on fill volumes, tubes filled below the minimum fill indicator may not be acceptable for analysis. Under or overfilled tubes may be rejected and a repeat specimen requested.

'''Please supply sufficient clinical information to ensure the appropriate tests are performed, including any anticoagulants that the patient is receiving.'''

== Coagulation screen ==
[[File:Citrate.png|thumb|Click to enlarge picture]]
A routine coagulation screen will include an INR & APTT only. Fibrinogen and TCT will be performed if specifically requested or at the discretion of Haematology staff for further investigation as required.

D-Dimer, and Factor Assays require one full Blue top
== Investigation of coagulation disorders ==
Unexplained abnormalities in coagulations screens will be investigated under the direction of the Head of Department. If a bleeding disorder is suspected please phone the laboratory for advice on further testing.

== Factor VIII ==
Routine Factor VIII assays are batched and performed weekly on Thursday. If this assay is requested urgently outside of 0800hrs to 2000hrs Monday to Friday, and on public holidays, a Haematology lab staff member will be called in to perform this assay. Laboratory staff may contact the requesting Doctor to confirm that the call back is required.

== Thrombophilia screen ==

6 full 2.7ml blue tops and 5ml in a red top are required.

Tests included in a thrombophilia screen:

Coagulation screen (INR, APTT, Fibrinogen and TCT)

Protein C and S

Antithrombin III (ATIII)

Activated Protein C Resistance (APCR)

Lupus Anticoagulant screen (LA)

Anticardiolipin antibodies (ACA)

Requests for thrombophilia testing are vetted and will only be performed for appropriate clinical indications as per below.

=== Guideline on Thrombophilia Screen acceptance criteria ===

=== When screening is indicated: ===
· Early age of onset <45 years

· Familial history of venous thromboembolism (VTE) with more than two other symptomatic 1st degree family members

· Thrombosis after trivial provocation, age <45 years with symptomatic 1st degree family member

· Intrauterine death at >20 weeks gestation

· Stillbirth at >20 weeks

· Neonatal purpura fulminans '''(Protein C and S only)'''

· Warfarin-induced skin necrosis '''(Protein C and S only – patient cannot be on warfarin)'''

· Association of thrombosis and fetal losses '''(Lupus anticoagulant only)'''

· Arterial thrombosis '''(Lupus anticoagulant only)'''

=== When screening is not indicated: ===
· Commencement of oral contraceptive/hormone replacement therapy.

· General obstetrics – those clinically at risk should receive thromboprophylaxis regardless of thrombophilia screening

· Cancer patient screening

· Recurrent idiopathic thrombosis - by definition this is an indication for prolonged secondary prophylaxis

· Age of onset >45 years

'''Note:''' The existence of underlying conditions, drugs and treatment need to be considered as these may be the causative agents of clot formation.

== HIT screen ==
Performed in Haematology using a particle gel immunoassay technique. Required sample type is serum from plain red top or SST tube.

== Malaria ==
Please include clinical details on the form including recent travel locations, previous history of malaria and which type if positive.

Malaria screen is performed by PCR, and if positive followed up with immunochromatography (ICT) for malarial antigens and thick and thin film examination. The required sample type is EDTA whole blood and can be performed from the same tube as the CBC.

== Reference ranges ==
Age and sex adjusted reference ranges are issued as part of the standard report for all haematology testing. [[CBC Reference Ranges|Click here for a detailed table.]] Contact the Haematology Department for advice on interpretation of Neonatal and paediatric coagulation results (to 16 years).

== Contact ==
Haematology Laboratory

Phone 06 878 1308 Ext 2445

'''Chris Greenwood'''

Head of Department

(06) 878 1647 or internal ext 2646

== Consultant Haematologist Clinical cover: ==
Mid-Central DHB provides a 24 hour specialist cover for clinicians and laboratory staff.

The following Haematologists can be contacted at (06) 350 8550 option 5

Dr Bart Baker

Dr Elayne Knottenbelt

Dr Paul Harper

Dr Allanah Kilfoyle

Dr Matt Stephens

Tests:Sodium - Blood

2023-03-03T01:12:04Z

Cgreenwo: Created page with "{{DISPLAYTITLE:Sodium - Blood}} Category:Tests Category:Biochemistry {| class="wikitable" |'''Synonym(s)''' |Sodium, Na, Na+, Elects, Electrolytes, sodium |- |'''Specimen''' |4 mL Lithium Heparin (green top) or SST (gold top) |- |'''Paediatric Specimen''' |0.5 mL Brown, yellow, or green top |- |'''Add-on conditions''' |7 days @ 4°C |- |'''Test Availability''' |Mon - Sun, 24 hours |- |'''Turnaround Time''' |Hastings 1 - 2.5 hours / Central HB 6 - 8 hours / Wair..."

{{DISPLAYTITLE:Sodium - Blood}}

[[Category:Tests]]
[[Category:Biochemistry]]
{| class="wikitable"
|'''Synonym(s)'''
|Sodium, Na, Na+, Elects, Electrolytes, sodium
|-
|'''Specimen'''
|4 mL Lithium Heparin (green top) or SST (gold top)
|-
|'''Paediatric Specimen'''
|0.5 mL Brown, yellow, or green top
|-
|'''Add-on conditions'''
|7 days @ 4°C
|-
|'''Test Availability'''
|Mon - Sun, 24 hours
|-
|'''Turnaround Time'''
|Hastings 1 - 2.5 hours / Central HB 6 - 8 hours / Wairoa 12 hours
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Biochemistry, (06) 878 1308 ext. 2448
|-
|'''Registration Code'''
|PE
|-
|'''Deletion Code'''
|7152
|-
|'''Useful Information'''
|Click Here
|-
|'''Measurement Uncertainty'''
|Available upon request
|}

Tests:Troponin I

2023-01-10T23:44:29Z

Cgreenwo: Created page with "{{DISPLAYTITLE:Troponin I}} Category:Tests Category:Biochemistry {| class="wikitable" |'''Synonym(s)''' |Trop, trop I, TNI, Cardiac Enzymes, CE |- |'''Specimen''' |4 mL Lithium Heparin (green top) or SST (gold top) |- |'''Paediatric Specimen''' |0.5 mL Brown, yellow, or green top - SEPARATE TUBE |- |'''Add-on conditions''' |8 hours @ RT |- |'''Test Availability''' |Mon - Sun, 24 hours |- |'''Turnaround Time''' |Hastings 1 - 2.5 hours / Central HB 6 - 8 hours / W..."

{{DISPLAYTITLE:Troponin I}}

[[Category:Tests]]
[[Category:Biochemistry]]
{| class="wikitable"
|'''Synonym(s)'''
|Trop, trop I, TNI, Cardiac Enzymes, CE
|-
|'''Specimen'''
|4 mL Lithium Heparin (green top) or SST (gold top)
|-
|'''Paediatric Specimen'''
|0.5 mL Brown, yellow, or green top - SEPARATE TUBE
|-
|'''Add-on conditions'''
|8 hours @ RT
|-
|'''Test Availability'''
|Mon - Sun, 24 hours
|-
|'''Turnaround Time'''
|Hastings 1 - 2.5 hours / Central HB 6 - 8 hours / Wairoa 12 hours
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Biochemistry, (06) 878 1308 ext. 2448
|-
|'''Registration Code'''
|PTNI
|-
|'''Deletion Code'''
|3917
|-
|'''Useful Information'''
|Click Here
|-
|'''Measurement Uncertainty'''
|Available upon request
|}
[[Category:Tests]]

Tests:Von Willebrand Screen

2022-12-21T00:55:33Z

Cgreenwo:

{{DISPLAYTITLE:Von Willebrand Screen}}

[[Category:Tests]]
[[Category:Haematology]]
[[Category:CHL]]
{| class="wikitable"
|'''Synonym(s)'''
|VWD, Von Willebrands disease, vWF, vWF:Ag; vWF:RCo; von Willebrand Panel; Ristocetin Cofactor; vWF:RCof; Collagen binding; vWF:CBA
|-
|'''Specimen'''
|2 x 2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Paediatric Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Add-on conditions'''
|4 hours @ 4°C
|-
|'''Test Availability'''
|Referred test to CHL - [https://www.chl.co.nz/test/von-willebrand-screen/ refer to CHL website.]
|-
|'''Turnaround Time'''
|Referred test to CHL - [https://www.chl.co.nz/test/von-willebrand-screen/ refer to CHL website.]
|-
|'''Where analysed'''
|CHL
|-
|'''Department'''
|Haematology, (06) 878 1308 ext. 2445
|-
|'''Registration Code'''
|AI, HFIB, HF8 and COAG
|-
|'''Deletion Code'''
|
|-
|'''Useful Information'''
|[https://pathologytestsexplained.org.au/learning/test-index/von-willebrand-factor Click Here]
|-
|'''Measurement Uncertainty'''
|Referred test to CHL - [https://www.chl.co.nz/test/von-willebrand-screen/ refer to CHL website.]
|-
|'''Lab Notes'''
|Two 2.7ml citrated (BLUE top) collection tubes are required. The samples are registered for an INR, APTT, Fibrinogen and FVIII and sendaway test – registration codes AI, HFIB, HF8 and COAG
|}

Main Page

2022-12-20T02:36:19Z

Cgreenwo:

__NOTOC__
[[File:IANZLogo small.jpg|thumb|link=https://www.ianz.govt.nz/]]
Welcome to the Te Whatu Ora Te Matau a Māui Hawkes Bay Laboratory services Manual and test guide. Departmental information, guidance documents, and policies can be found in the sidebar on the left (desktop only).

The lab test guide can be searched in the search bar below, or at any time from the search bar at the top of the page. Alternatively a full list of available tests is available here: [[:Category:Tests|'''Full test list here (click)''']]

=== '''Search tests here:''' ===
Tests not listed here will be referred to our reference laboratory Canterbury Health Laboratories (CHL) - [https://www.chl.co.nz/test-manager/ Click here]
{| class="wikitable"
!<inputbox>
type=create
break=no
type=search
type=fulltext
width = 30
placeholder=Enter test name here
</inputbox>
|}

=== '''Search entire manual here:''' ===
{| class="wikitable"
|+
!<inputbox>
type=create
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===Opening Hours===
{| class="wikitable"
!
!
|-
|
====Hawkes Bay Hospital Laboratory====
Lab open hours 24/7

Phlebotomy hours at Villa 8

Mon – Fri 0800 – 1700

Ph 8781308 ext 2452
|
====Central Hawkes Bay Health Centre Laboratory====
Lab open hours Mon - Fri 0730-1700

Phlebotomy hours

Mon – Fri 0730 – 1615

Ph 06 8587797 ext 5553
|-
|
====Napier Health Centre Laboratory====
Lab open hours Mon – Fri 0800 – 1700

Phlebotomy hours
Mon – Fri 0800 – 1700

Ph 06 8341815 ext 4142
|
====Wairoa Hospital Laboratory====
Lab open hours Mon – Fri 0730 – 1630

Phlebotomy hours
Mon – Fri 0730 – 1500

Ph 06 8389710 ext 4859
|}

===Key Contacts===
{| class="wikitable"
|+
!Name
!Position
!Internal ext
!Ext Ph
|-
|Ross Boswell
|Clinical Director
|*73314
|021402142
|-
|Shelli Turner
|Laboratory Manager
|2634
|0274958994
|-
|Pam Russell
|Quality Manager
|2538
|
|-
|
|
|
|
|-
|Chris Greenwood
|HOD Haematology
|2449
|06 878 1647
|-
|Tim Aitken
|HOD Biochemistry
|2449
|
|-
|Lynne Morgan
|HOD Pre-Analytical
|2603
|
|-
|Tony Morgan
|HOD Transfusion Medicine (Blood bank)
|2629
|
|-
|Neil Campbell
|HOD Microbiology
|2630
|
|-
|Maureen Ali
|HOD Histology
|2485
|
|-
|Rebecca Warwick
|POCT Quality Manager
|2453
|
|}
[[File:Labnet Logo.jpg|none|thumb]]
[[File:CHL-Logo.png|none|thumb|link=https://www.chl.co.nz/test-manager/]]
Website by Chris Greenwood 2022

Tests:Factor VIII Inhibitor assay

2022-12-16T01:51:49Z

Cgreenwo:

{{DISPLAYTITLE:Factor VIII Inhibitor Assay}}

[[Category:Tests]]
[[Category:Haematology]]
[[Category:CHL]]

{| class="wikitable"
|'''Synonym(s)'''
|Coagulation Inhibitor Assay, Bethesda, Acquired Haemophilia A
|-
|'''Specimen'''
|2.7 mL sodium citrate tubes ONLY (Must be FULL)
|-
|'''Paediatric Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Add-on conditions'''
|4 hours @ 4°C
|-
|'''Test Availability'''
|Referred test - [https://www.chl.co.nz/test/factor-viii-inhibitor-assay-plasma/ Refer to CHL website]
|-
|'''Turnaround Time'''
|Referred test - [https://www.chl.co.nz/test/factor-viii-inhibitor-assay-plasma/ Refer to CHL website]
|-
|'''Where analysed'''
|CHL
|-
|'''Department'''
|Haematology, (06) 878 1308 ext. 2445
|-
|'''Registration Code'''
|HINH
|-
|'''Deletion Code'''
|7182
|-
|'''Useful Information'''
|
|-
|'''Measurement Uncertainty'''
|N/A
|-
|'''Lab Notes'''
|This is not the same as an inhibitor screen, (screens are done in Hastings). One 2.7ml citrated (BLUE top) collection tube is required. The sample is registered for a sendaway test (registration code COAG) - Refer to senior Haematology staff for advice as other testing may be required.
|}

Tests:Factor VIII Inhibitor assay

2022-12-16T01:49:00Z

Cgreenwo:

{{DISPLAYTITLE:Factor VIII Inhibitor Assay}}

[[Category:Tests]]
[[Category:Haematology]]
[[Category:CHL]]

{| class="wikitable"
|'''Synonym(s)'''
|Coagulation Inhibitor Assay, Bethesda, Acquired Haemophilia A
|-
|'''Specimen'''
|2.7 mL sodium citrate tubes ONLY (Must be FULL)
|-
|'''Paediatric Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Add-on conditions'''
|4 hours @ 4°C
|-
|'''Test Availability'''
|Referred test - [https://www.chl.co.nz/test/factor-viii-inhibitor-assay-plasma/ Refer to CHL website]
|-
|'''Turnaround Time'''
|Referred test - [https://www.chl.co.nz/test/factor-viii-inhibitor-assay-plasma/ Refer to CHL website]
|-
|'''Where analysed'''
|CHL
|-
|'''Department'''
|Haematology, (06) 878 1308 ext. 2445
|-
|'''Registration Code'''
|HINH
|-
|'''Deletion Code'''
|7182
|-
|'''Useful Information'''
|
|-
|'''Measurement Uncertainty'''
|N/A
|-
|'''Lab Notes'''
|One 2.7ml citrated (BLUE top) collection tube is required. The sample is registered for a sendaway test (registration code COAG) - Refer to senior Haematology staff for advice as other testing may be required.
|}

Tests:Factor VIII Inhibitor assay

2022-12-16T01:45:14Z

Cgreenwo:

{{DISPLAYTITLE:Factor VIII Inhibitor Assay}}

[[Category:Tests]]
[[Category:Haematology]]
[[Category:CHL]]

{| class="wikitable"
|'''Synonym(s)'''
|Coagulation Inhibitor Screen, Acquired Haemophilia Screen
|-
|'''Specimen'''
|2 x 2.7 mL sodium citrate tubes ONLY (Must be FULL)
|-
|'''Paediatric Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Add-on conditions'''
|4 hours @ 4°C
|-
|'''Test Availability'''
|Mon - Fri 0800 - 1700
|-
|'''Turnaround Time'''
|Hastings 1 - 2.5 hours / Central HB 6 - 8 hours / Wairoa 12 hours
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Haematology, (06) 878 1308 ext. 2445
|-
|'''Registration Code'''
|HINH
|-
|'''Deletion Code'''
|7182
|-
|'''Useful Information'''
|
|-
|'''Measurement Uncertainty'''
|N/A
|-
|'''Lab Notes'''
|One 2.7ml citrated (BLUE top) collection tube is required. The sample is registered for an Inhibitor (registration code HINH) and/or Factor VIII (registration code HF8) which will also register an APTT. Note Inhibitor ASSAYS are different and are referred to CHL.
|}

Tests:Factor VIII Inhibitor assay

2022-12-16T01:44:56Z

Cgreenwo: Created page with "{{DISPLAYTITLE:Factor VIII Inhibitor Screen}} Category:Tests Category:Haematology Category:CHL {| class="wikitable" |'''Synonym(s)''' |Coagulation Inhibitor Screen, Acquired Haemophilia Screen |- |'''Specimen''' |2 x 2.7 mL sodium citrate tubes ONLY (Must be FULL) |- |'''Paediatric Specimen''' |2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL) |- |'''Add-on conditions''' |4 hours @ 4°C |- |'''Test Availability''' |Mon - Fri 0800 - 1700 |- |'''Turnaroun..."

{{DISPLAYTITLE:Factor VIII Inhibitor Screen}}

[[Category:Tests]]
[[Category:Haematology]]
[[Category:CHL]]

{| class="wikitable"
|'''Synonym(s)'''
|Coagulation Inhibitor Screen, Acquired Haemophilia Screen
|-
|'''Specimen'''
|2 x 2.7 mL sodium citrate tubes ONLY (Must be FULL)
|-
|'''Paediatric Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Add-on conditions'''
|4 hours @ 4°C
|-
|'''Test Availability'''
|Mon - Fri 0800 - 1700
|-
|'''Turnaround Time'''
|Hastings 1 - 2.5 hours / Central HB 6 - 8 hours / Wairoa 12 hours
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Haematology, (06) 878 1308 ext. 2445
|-
|'''Registration Code'''
|HINH
|-
|'''Deletion Code'''
|7182
|-
|'''Useful Information'''
|
|-
|'''Measurement Uncertainty'''
|N/A
|-
|'''Lab Notes'''
|One 2.7ml citrated (BLUE top) collection tube is required. The sample is registered for an Inhibitor (registration code HINH) and/or Factor VIII (registration code HF8) which will also register an APTT. Note Inhibitor ASSAYS are different and are referred to CHL.
|}

Tests:Factor IX Assay

2022-12-16T00:51:07Z

Cgreenwo:

{{DISPLAYTITLE:Factor IX Assay}}

[[Category:Tests]]
[[Category:Haematology]]
[[Category:CHL]]
{| class="wikitable"
|'''Synonym(s)'''
|Factor 9, Christmas Factor, Haemophilia B, Christmas Disease
|-
|'''Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Paediatric Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Add-on conditions'''
|4 hours @ 4°C
|-
|'''Test Availability'''
|Referred to CHL - [https://www.chl.co.nz/test/factor-ix-assay-plasma/ Refer to CHL website]
|-
|'''Turnaround Time'''
|Referred to CHL - [https://www.chl.co.nz/test/factor-ix-assay-plasma/ Refer to CHL website]
|-
|'''Where analysed'''
|CHL
|-
|'''Department'''
|Haematology, (06) 878 1308 ext. 2445
|-
|'''Registration Code'''
|COAG
|-
|'''Deletion Code'''
|7189
|-
|'''Useful Information'''
|[https://pathologytestsexplained.org.au/learning/test-index/coag-factors Click Here]
|-
|'''Measurement Uncertainty'''
|Available upon request
|-
|'''Lab Notes'''
|One 2.7ml citrated (BLUE top) collection tube is required. The sample is registered for an INR, APTT, fibrinogen, and sendaway coag. Registration codes AI, HFIB, COAG
|}

Tests:Factor IX Assay

2022-12-16T00:45:54Z

Cgreenwo: Created page with "{{DISPLAYTITLE:Factor IX Assay}} Category:Tests Category:Haematology Category:CHL {| class="wikitable" |'''Synonym(s)''' |Factor 8, Haemophilic Factor, Haemophilia A |- |'''Specimen''' |2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL) |- |'''Paediatric Specimen''' |2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL) |- |'''Add-on conditions''' |4 hours @ 4°C |- |'''Test Availability''' |Weekly on Thursday (unless urgent - contact Haematology) |- |'''T..."

{{DISPLAYTITLE:Factor IX Assay}}

[[Category:Tests]]
[[Category:Haematology]]
[[Category:CHL]]
{| class="wikitable"
|'''Synonym(s)'''
|Factor 8, Haemophilic Factor, Haemophilia A
|-
|'''Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Paediatric Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Add-on conditions'''
|4 hours @ 4°C
|-
|'''Test Availability'''
|Weekly on Thursday (unless urgent - contact Haematology)
|-
|'''Turnaround Time'''
|Hastings / Central HB / Wairoa 1 - 7 days
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Haematology, (06) 878 1308 ext. 2445
|-
|'''Registration Code'''
|HF8
|-
|'''Deletion Code'''
|7189
|-
|'''Useful Information'''
|[https://pathologytestsexplained.org.au/learning/test-index/coag-factors Click Here]
|-
|'''Measurement Uncertainty'''
|Available upon request
|-
|'''Lab Notes'''
|One 2.7ml citrated (BLUE top) collection tube is required. The sample is registered for an INR, APTT, fibrinogen and FVIII – registration codes AI, HFIB, HF8
|}

Tests:Factor VIII Inhibitor Screen

2022-12-16T00:44:02Z

Cgreenwo:

{{DISPLAYTITLE:Factor VIII Inhibitor Screen}}

[[Category:Tests]]
[[Category:Haematology]]
{| class="wikitable"
|'''Synonym(s)'''
|Coagulation Inhibitor Screen, Acquired Haemophilia Screen
|-
|'''Specimen'''
|2 x 2.7 mL sodium citrate tubes ONLY (Must be FULL)
|-
|'''Paediatric Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Add-on conditions'''
|4 hours @ 4°C
|-
|'''Test Availability'''
|Mon - Fri 0800 - 1700
|-
|'''Turnaround Time'''
|Hastings 1 - 2.5 hours / Central HB 6 - 8 hours / Wairoa 12 hours
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Haematology, (06) 878 1308 ext. 2445
|-
|'''Registration Code'''
|HINH
|-
|'''Deletion Code'''
|7182
|-
|'''Useful Information'''
|
|-
|'''Measurement Uncertainty'''
|N/A
|-
|'''Lab Notes'''
|One 2.7ml citrated (BLUE top) collection tube is required. The sample is registered for an Inhibitor (registration code HINH) and/or Factor VIII (registration code HF8) which will also register an APTT. Note Inhibitor ASSAYS are different and are referred to CHL.
|}

Tests:Von Willebrand Screen

2022-12-16T00:39:56Z

Cgreenwo:

{{DISPLAYTITLE:Von Willebrand Screen}}

[[Category:Tests]]
[[Category:Haematology]]
[[Category:CHL]]
{| class="wikitable"
|'''Synonym(s)'''
|VWD, Von Willebrands disease, vWF, vWF:Ag; vWF:RCo; von Willebrand Panel; Ristocetin Cofactor; vWF:RCof; Collagen binding; vWF:CBA
|-
|'''Specimen'''
|2 x 2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Paediatric Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Add-on conditions'''
|4 hours @ 4°C
|-
|'''Test Availability'''
|Referred test to CHL - refer to CHL website.
|-
|'''Turnaround Time'''
|Referred test to CHL - refer to CHL website.
|-
|'''Where analysed'''
|CHL
|-
|'''Department'''
|Haematology, (06) 878 1308 ext. 2445
|-
|'''Registration Code'''
|AI, HFIB, HF8 and COAG
|-
|'''Deletion Code'''
|
|-
|'''Useful Information'''
|[https://pathologytestsexplained.org.au/learning/test-index/von-willebrand-factor Click Here]
|-
|'''Measurement Uncertainty'''
|Referred test to CHL - [https://www.chl.co.nz/test/von-willebrand-screen/ refer to CHL website.]
|-
|'''Lab Notes'''
|Two 2.7ml citrated (BLUE top) collection tubes are required. The samples are registered for an INR, APTT, Fibrinogen and FVIII and sendaway test – registration codes AI, HFIB, HF8 and COAG
|}

Tests:Von Willebrand Screen

2022-12-16T00:38:53Z

Cgreenwo:

{{DISPLAYTITLE:Von Willebrand Screen}}

[[Category:Tests]]
[[Category:Haematology]]
[[Category:CHL]]
{| class="wikitable"
|'''Synonym(s)'''
|VWD, Von Willebrands disease, vWF
|-
|'''Specimen'''
|2 x 2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Paediatric Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Add-on conditions'''
|4 hours @ 4°C
|-
|'''Test Availability'''
|Referred test to CHL - refer to CHL website.
|-
|'''Turnaround Time'''
|Referred test to CHL - refer to CHL website.
|-
|'''Where analysed'''
|CHL
|-
|'''Department'''
|Haematology, (06) 878 1308 ext. 2445
|-
|'''Registration Code'''
|AI, HFIB, HF8 and COAG
|-
|'''Deletion Code'''
|
|-
|'''Useful Information'''
|[https://pathologytestsexplained.org.au/learning/test-index/von-willebrand-factor Click Here]
|-
|'''Measurement Uncertainty'''
|Referred test to CHL - [https://www.chl.co.nz/test/von-willebrand-screen/ refer to CHL website.]
|-
|'''Lab Notes'''
|Two 2.7ml citrated (BLUE top) collection tubes are required. The samples are registered for an INR, APTT, Fibrinogen and FVIII and sendaway test – registration codes AI, HFIB, HF8 and COAG
|}

Tests:Von Willebrand Screen

2022-12-16T00:34:10Z

Cgreenwo:

{{DISPLAYTITLE:Von Willebrand Screen}}

[[Category:Tests]]
[[Category:Haematology]]
[[Category:CHL]]
{| class="wikitable"
|'''Synonym(s)'''
|VWD, Von Willebrands disease, vWF
|-
|'''Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Paediatric Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Add-on conditions'''
|4 hours @ 4°C
|-
|'''Test Availability'''
|Weekly on Thursday (unless urgent - contact Haematology)
|-
|'''Turnaround Time'''
|Hastings / Central HB / Wairoa 1 - 7 days
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Haematology, (06) 878 1308 ext. 2445
|-
|'''Registration Code'''
|HF8
|-
|'''Deletion Code'''
|7189
|-
|'''Useful Information'''
|[https://pathologytestsexplained.org.au/learning/test-index/coag-factors Click Here]
|-
|'''Measurement Uncertainty'''
|Available upon request
|-
|'''Lab Notes'''
|One 2.7ml citrated (BLUE top) collection tube is required. The sample is registered for an INR, APTT, fibrinogen and FVIII – registration codes AI, HFIB, HF8
|}

Tests:Von Willebrand Screen

2022-12-16T00:32:12Z

Cgreenwo: Created page with "{{DISPLAYTITLE:Von Willebrand Screen}} Category:Tests Category:Haematology Category:CHL {| class="wikitable" |'''Synonym(s)''' |Factor 8, Haemophilic Factor, Haemophilia A |- |'''Specimen''' |2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL) |- |'''Paediatric Specimen''' |2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL) |- |'''Add-on conditions''' |4 hours @ 4°C |- |'''Test Availability''' |Weekly on Thursday (unless urgent - contact Haematology) |-..."

{{DISPLAYTITLE:Von Willebrand Screen}}

[[Category:Tests]]
[[Category:Haematology]]
[[Category:CHL]]
{| class="wikitable"
|'''Synonym(s)'''
|Factor 8, Haemophilic Factor, Haemophilia A
|-
|'''Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Paediatric Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Add-on conditions'''
|4 hours @ 4°C
|-
|'''Test Availability'''
|Weekly on Thursday (unless urgent - contact Haematology)
|-
|'''Turnaround Time'''
|Hastings / Central HB / Wairoa 1 - 7 days
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Haematology, (06) 878 1308 ext. 2445
|-
|'''Registration Code'''
|HF8
|-
|'''Deletion Code'''
|7189
|-
|'''Useful Information'''
|[https://pathologytestsexplained.org.au/learning/test-index/coag-factors Click Here]
|-
|'''Measurement Uncertainty'''
|Available upon request
|-
|'''Lab Notes'''
|One 2.7ml citrated (BLUE top) collection tube is required. The sample is registered for an INR, APTT, fibrinogen and FVIII – registration codes AI, HFIB, HF8
|}

Tests:Factor VIII Assay

2022-12-15T22:21:21Z

Cgreenwo:

{{DISPLAYTITLE:Factor VIII Assay}}

[[Category:Tests]]
[[Category:Haematology]]
{| class="wikitable"
|'''Synonym(s)'''
|Factor 8, Haemophilic Factor, Haemophilia A
|-
|'''Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Paediatric Specimen'''
|2.7 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Add-on conditions'''
|4 hours @ 4°C
|-
|'''Test Availability'''
|Weekly on Thursday (unless urgent - contact Haematology)
|-
|'''Turnaround Time'''
|Hastings / Central HB / Wairoa 1 - 7 days
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Haematology, (06) 878 1308 ext. 2445
|-
|'''Registration Code'''
|HF8
|-
|'''Deletion Code'''
|7189
|-
|'''Useful Information'''
|[https://pathologytestsexplained.org.au/learning/test-index/coag-factors Click Here]
|-
|'''Measurement Uncertainty'''
|Available upon request
|-
|'''Lab Notes'''
|One 2.7ml citrated (BLUE top) collection tube is required. The sample is registered for an INR, APTT, fibrinogen and FVIII – registration codes AI, HFIB, HF8
|}

Haematology Department information

2022-11-17T23:13:34Z

Cgreenwo:

== Routine Haematology (CBC, FBC, Blood count) ==
Specimen required: EDTA anticoagulated whole blood (purple or lavender top tube). Specimen must be well mixed and free from clots.

Automated analysis will provide:

Haemoglobin

Haematocrit

MCV

MCH

Platelets

WBC and differential

These results will be made available in Clinical Portal as soon as they are available.

Results from automated analysis may appear as unauthorised in Clinical Portal and are '''subject to change.''' These results will update to authorised when reviewed and released by Scientist staff - this may not be until the next day. Amended results that have changed by a clinically significant amount will be communicated by phone. Community results for General Practice will be reported electronically (by HL7 Healthlink) when the results are authorised, this may not be until the next working day.

If results indicate, or if specifically requested, the blood film is examined and a comment made. '''Note this may not be until the next day, or longer on weekends and public holidays.''' If not available immediately, blood film review can be arranged by phone at any time. Please contact the laboratory to arrange this.

== Paediatric ==
Capillary or venous blood collected into EDTA (purple or lavender top) Microtainers (0.5 ml) can be used. Successful analysis on volumes below 250ul cannot be guaranteed but analysis may be possible below this.

== Reticulocyte count ==
Performed on request or at the discretion of Haematology staff based on the CBC/Blood Film results. Analysis is automated and performed on the same specimen as the CBC so no additional samples are required.

== ESR ==
ESR requests are vetted and only performed for appropriate clinical indications. Clinical details must be provided. A minimum of 1.5ml whole blood is required for this assay, microtainer collects are therefore not appropriate.

=== Guideline on ESR acceptance criteria ===
The recommended marker for infection/inflammation is CRP. The lab will therefore only perform ESR testing for specific clinical indications where it has been shown to be of clinical value. ESR requests will only be processed if one of the following clinical details is provided and clearly marked on the request form:

[[ESR Indications for testing|Click here for ESR Indications for testing]]

=== Bone Marrow examination ===
Contact with clinical Haematology (Medlab Central, Palmerston North) is required before ordering Bone Marrow trephine and aspirate collection. Haematology staff must be present at the collection procedure to prepare the required samples and this '''must be pre-arranged with the laboratory''' as availability of staff cannot always be guaranteed.

Analysis is not carried out on site but referred to Clinical Haematology (Palmerston North) and other reference labs for specialist testing as appropriate.

== Coagulation Tests ==
Collection & Specimen required:

· Adults: 2.7 ml Sodium Citrate (Blue top tube)

· Paediatric: 1.8 ml Sodium Citrate (Blue top tube)

Samples must be thoroughly mixed by inversion and be filled to the marked fill level on the tube. Samples must be free from clots, and must not be grossly haemolysed or lipaemic to be suitable for analysis. Please refer to chart below for guidance on fill volumes, tubes filled below the minimum fill indicator may not be acceptable for analysis. Under or overfilled tubes may be rejected and a repeat specimen requested.

'''Please supply sufficient clinical information to ensure the appropriate tests are performed, including any anticoagulants that the patient is receiving.'''

== Coagulation screen ==
[[File:Citrate.png|thumb|Click to enlarge picture]]
A routine coagulation screen will include an INR & APTT only. Fibrinogen and TCT will be performed if specifically requested or at the discretion of Haematology staff for further investigation as required.

D-Dimer, and Factor Assays require one full Blue top
== Investigation of coagulation disorders ==
Unexplained abnormalities in coagulations screens will be investigated under the direction of the Head of Department. If a bleeding disorder is suspected please phone the laboratory for advice on further testing.

== Factor VIII ==
Routine Factor VIII assays are batched and performed weekly on Thursday. If this assay is requested urgently outside of 0800hrs to 2000hrs Monday to Friday, and on public holidays, a Haematology lab staff member will be called in to perform this assay. Laboratory staff may contact the requesting Doctor to confirm that the call back is required.

== Thrombophilia screen ==

6 full 2.7ml blue tops and 5ml in a red top are required.

Tests included in a thrombophilia screen:

Coagulation screen (INR, APTT, Fibrinogen and TCT)

Protein C and S

Antithrombin III (ATIII)

Activated Protein C Resistance (APCR)

Lupus Anticoagulant screen (LA)

Anticardiolipin antibodies (ACA)

Requests for thrombophilia testing are vetted and will only be performed for appropriate clinical indications as per below.

=== Guideline on Thrombophilia Screen acceptance criteria ===

=== When screening is indicated: ===
· Early age of onset <45 years

· Familial history of venous thromboembolism (VTE) with more than two other symptomatic 1st degree family members

· Thrombosis after trivial provocation, age <45 years with symptomatic 1st degree family member

· Intrauterine death at >20 weeks gestation

· Stillbirth at >20 weeks

· Neonatal purpura fulminans '''(Protein C and S only)'''

· Warfarin-induced skin necrosis '''(Protein C and S only – patient cannot be on warfarin)'''

· Association of thrombosis and fetal losses '''(Lupus anticoagulant only)'''

· Arterial thrombosis '''(Lupus anticoagulant only)'''

=== When screening is not indicated: ===
· Commencement of oral contraceptive/hormone replacement therapy.

· General obstetrics – those clinically at risk should receive thromboprophylaxis regardless of thrombophilia screening

· Cancer patient screening

· Recurrent idiopathic thrombosis - by definition this is an indication for prolonged secondary prophylaxis

· Age of onset >45 years

'''Note:''' The existence of underlying conditions, drugs and treatment need to be considered as these may be the causative agents of clot formation.

== HIT screen ==
Performed in Haematology using a particle gel immunoassay technique. Required sample type is serum from plain red top or SST tube.

== Malaria ==
Please include clinical details on the form including recent travel locations, previous history of malaria and which type if positive.

Malaria screen is performed by PCR, and if positive followed up with immunochromatography (ICT) for malarial antigens and thick and thin film examination. The required sample type is EDTA whole blood and can be performed from the same tube as the CBC.

== Reference ranges ==
Age and sex adjusted reference ranges are issued as part of the standard report for all haematology testing. Please contact the Haematology Department for advice on interpretation of Neonatal and paediatric coagulation results (to 16 years).

== Contact ==
Haematology Laboratory

Phone 06 878 1308 Ext 2445

'''Chris Greenwood'''

Head of Department

(06) 878 1647 or internal ext 2646

== Consultant Haematologist Clinical cover: ==
Mid-Central DHB provides a 24 hour specialist cover for clinicians and laboratory staff.

The following Haematologists can be contacted at (06) 350 8550 option 5

Dr Bart Baker

Dr Elayne Knottenbelt

Dr Paul Harper

Dr Allanah Kilfoyle

Dr Matt Stephens

Haematology Critical Ranges

2022-11-13T23:46:24Z

Cgreenwo: /* Hospital patients critical ranges (includes out-patients) */

== '''Hospital patients critical ranges (includes out-patients)''' ==
{| class="wikitable"
|'''Test'''
|'''Reporting units'''
|'''Lower limit'''
|'''Upper limit'''
|-
|WBC
|x 109/L
|N/A
|50
|-
|Hb
|g/L
|70
|
|-
|Platelets
|x 109/L
|50
|1000
|-
|Neutrophils
|x 109/L
|0.5
|30
|-
|INR
|
|
|2.0 (if not on anticoagulants)
|-
|
|
|
|5.0 (if on warfarin and fax results to pharmacy)
|-
|APTT
|secs
|
|50 (if not on anticoagulants)
|-
|
|
|
|150 (if on heparin)
|-
|Fibrinogen
|g/L
|1.0
|
|}

== '''Community patients critical ranges''' ==
{| class="wikitable"
|'''Test'''
|'''Reporting units'''
|'''Lower limit'''
|'''Upper limit'''
|-
|WBC
|x 109/L
|2.0
|50
|-
|Hb
|g/L
|80
|
|-
|Platelets
|x 109/L
|90
|1000
|-
|Neutrophils
|x 109/L
|0.5
|25
|-
|INR
|
|
|5.0
|-
|Fibrinogen
|g/L
|1.0
|
|-
|D-Dimers
|μg/L
|N/A
|Age
''≤ 50 500 ug/L''

''51-60 600 ug/L''

''61-70 700 ug/L''

''71-80 800 ug/L''

''>80 900 ug/L''
|-
|Malaria
|
| colspan="2" |All malaria results to be phoned and faxed
|}
<nowiki>*</nowiki>Also known as Panic Ranges

Haematology Critical Ranges

2022-11-13T23:45:58Z

Cgreenwo: /* Hospital patients critical ranges (includes out-patients) */

== '''Hospital patients critical ranges (includes out-patients)''' ==
{| class="wikitable"
|'''Test'''
|'''Reporting units'''
|'''Lower limit'''
|'''Upper limit'''
|-
|WBC
|x 109/L
|N/A
|50
|-
|Hb
|g/L
|70
|
|-
|Platelets
|x 109/L
|50
|1000
|-
|Neutrophils
|x 109/L
|0.5
|30
|-
|INR
|
|
|2.0 (if not on anticoagulants)
|-
|
|
|
|5.0 (if on warfarin and fax results to pharmacy)
|-
|APTT
|secs
|
|50 (if not on anticoagulants)
|-
|
|
|
|150 (if on heparin)
|-
|Fibrinogen
|g/L
|1.0
|
|}

== '''Community patients critical ranges''' ==
{| class="wikitable"
|'''Test'''
|'''Reporting units'''
|'''Lower limit'''
|'''Upper limit'''
|-
|WBC
|x 109/L
|2.0
|50
|-
|Hb
|g/L
|80
|
|-
|Platelets
|x 109/L
|90
|1000
|-
|Neutrophils
|x 109/L
|0.5
|25
|-
|INR
|
|
|5.0
|-
|Fibrinogen
|g/L
|1.0
|
|-
|D-Dimers
|μg/L
|N/A
|Age Cut-Off
''≤ 50 500 ug/L''

''51-60 600 ug/L''

''61-70 700 ug/L''

''71-80 800 ug/L''

''>80 900 ug/L''
|-
|Malaria
|
| colspan="2" |All malaria results to be phoned and faxed
|}
<nowiki>*</nowiki>Also known as Panic Ranges

Haematology Critical Ranges

2022-11-13T23:45:42Z

Cgreenwo: /* Hospital patients critical ranges (includes out-patients) */

== '''Hospital patients critical ranges (includes out-patients)''' ==
{| class="wikitable"
|'''Test'''
|'''Reporting units'''
|'''Lower limit'''
|'''Upper limit'''
|-
|WBC
|x 109/L
|N/A
|50
|-
|Hb
|g/L
|70
|
|-
|Platelets
|x 109/L
|50
|1000
|-
|Neutrophils
|x 109/L
|0.5
|30
|-
|INR
|
|
|2.0 (if not on anticoagulants)
|-
|
|
|
|5.0 (if on warfarin and fax results to pharmacy)
|-
|APTT
|secs
|
|50 (if not on anticoagulants)
|-
|
|
|
|150 (if on heparin)
|-
|Fibrinogen
|g/L
|1.0
|
|}

== '''Community patients critical ranges''' ==
{| class="wikitable"
|'''Test'''
|'''Reporting units'''
|'''Lower limit'''
|'''Upper limit'''
|-
|WBC
|x 109/L
|2.0
|50
|-
|Hb
|g/L
|80
|
|-
|Platelets
|x 109/L
|90
|1000
|-
|Neutrophils
|x 109/L
|0.5
|25
|-
|INR
|
|
|5.0
|-
|Fibrinogen
|g/L
|1.0
|
|-
|D-Dimers
|μg/L
|N/A
|Age Cut-Off
''≤ 50 500 ug/L''

''51-60 600 ug/L''

''61-70 700 ug/L''

''71-80 800 ug/L''

''>80 900 ug/L''
|-
|Malaria
|
| colspan="2" |All malaria results to be phoned and faxed
|}
<nowiki>*</nowiki>Also known as Panic Ranges

Haematology Critical Ranges

2022-11-13T23:45:22Z

Cgreenwo:

== '''Hospital patients critical ranges (includes out-patients)''' ==
{| class="wikitable"
|'''Test'''
|'''Reporting units'''
|'''Lower limit'''
|'''Upper limit'''
|-
|WBC
|x 109/L
|N/A
|50
|-
|Hb
|g/L
|70
|
|-
|Platelets
|x 109/L
|50
|1000
|-
|Neutrophils
|x 109/L
|0.5
|30
|-
|INR
|
|
|2.0 (if not on anticoagulants)
|-
|
|
|
|5.0 (if on warfarin and fax results to pharmacy)
|-
|APTT
|secs
|
|50 (if not on anticoagulants)
|-
|
|
|
|150 (if on heparin)
|-
|Fibrinogen
|g/L
|1.0
|
|}

== '''Community patients critical ranges''' ==
{| class="wikitable"
|'''Test'''
|'''Reporting units'''
|'''Lower limit'''
|'''Upper limit'''
|-
|WBC
|x 109/L
|2.0
|50
|-
|Hb
|g/L
|80
|
|-
|Platelets
|x 109/L
|90
|1000
|-
|Neutrophils
|x 109/L
|0.5
|25
|-
|INR
|
|
|5.0
|-
|Fibrinogen
|g/L
|1.0
|
|-
|D-Dimers
|μg/L
|N/A
|Age Cut-Off
''≤ 50 500 ug/L''
''51-60 600 ug/L''

''61-70 700 ug/L''

''71-80 800 ug/L''

''>80 900 ug/L''
|-
|Malaria
|
| colspan="2" |All malaria results to be phoned and faxed
|}
<nowiki>*</nowiki>Also known as Panic Ranges

Haematology Critical Ranges

2022-11-13T23:43:56Z

Cgreenwo: D-Dimer ranges

== '''Hospital patients critical ranges (includes out-patients)''' ==
{| class="wikitable"
|'''Test'''
|'''Reporting units'''
|'''Lower limit'''
|'''Upper limit'''
|-
|WBC
|x 109/L
|N/A
|50
|-
|Hb
|g/L
|70
|
|-
|Platelets
|x 109/L
|50
|1000
|-
|Neutrophils
|x 109/L
|0.5
|30
|-
|INR
|
|
|2.0 (if not on anticoagulants)
|-
|
|
|
|5.0 (if on warfarin and fax results to pharmacy)
|-
|APTT
|secs
|
|50 (if not on anticoagulants)
|-
|
|
|
|150 (if on heparin)
|-
|Fibrinogen
|g/L
|1.0
|
|}

== '''Community patients critical ranges''' ==
{| class="wikitable"
|'''Test'''
|'''Reporting units'''
|'''Lower limit'''
|'''Upper limit'''
|-
|WBC
|x 109/L
|2.0
|50
|-
|Hb
|g/L
|80
|
|-
|Platelets
|x 109/L
|90
|1000
|-
|Neutrophils
|x 109/L
|0.5
|25
|-
|INR
|
|
|5.0
|-
|Fibrinogen
|g/L
|1.0
|
|-
|D-Dimers
|μg/L
|
|''≤ 50 500 ug/L''
''51-60 600 ug/L''

''61-70 700 ug/L''

''71-80 800 ug/L''

''>80 900 ug/L''
|-
|Malaria
|
| colspan="2" |All malaria results to be phoned and faxed
|}
<nowiki>*</nowiki>Also known as Panic Ranges

Biochemistry Critical Ranges

2022-11-07T03:10:43Z

Cgreenwo:

== '''GP Patient critical ranges''' ==
{| class="wikitable"
| colspan="2" |'''TEST'''
|'''ADULT REFERENCE INTERVAL'''
|'''FAX/EMAIL'''
|'''FAX/EMAIL & PHONE'''
|-
|Sodium
|3511
|135 – 145 mmol/L
|<130 or >147
|<125 or >150
|-
|Potassium
|3512
|3.5 – 5.2 mmol/L
|<3.0 or >5.5
|<2.8 or >6.2
|-
|Urea
|3517
|3.2 – 7.7 mmol/L
|>30 (>10.0 up to age 18)

If not previously known.
|>45 even if previously known.
|-
|Creatinine
|5422
|Male: 50 – 110 umol/L

Female: 45 – 90 umol/L
|>300 (>150 up to age 18)

- if not previously known.

Fax if increase >50 in one week.
|>350 (or x3 baseline)

>200 up to age 18

Don’t phone if decreasing, or renal patient, or <200 higher than previously.
|-
|Urate
|3520
|Male: 0.20 - 0.42 mmol/L

Female: 0.15 - 0.36 mmol/L
|>0.70
|Phone >0.36 in pregnancy.
|-
|Calcium
|3521
|2.2 – 2.6 mmol/L
|<1.90 or >2.80
|<1.80 or >3.00
|-
|Phosphate
|3522
|Adult: 0.8 – 1.5 mmol/L
|<0.60 or >1.80
|<0.5 or >3.0
|-
|Glucose
|3516
|Fasting: 3.5-6.0 mmol/L

Random: 3.5-7.7 mmol/L
|<3.0

|<2.8

>15.0 if new

(>25.0 if known diabetic)
|-
|Bilirubin
|3525
|Adult: 2 – 20 umol/L
|>300
|All neonates (<1 month old)
|-
|GGT
|3528
|Male: 10 – 50 IU/L

Female: 10 – 35 IU/L
|>2500
|
|-
|Lipase
|
|10 – 70 IU/L
|>80
|
|-
|ALP
|3527
|Adult: 30 –150 IU/L
|>2500
|
|-
|ALT
|3530
|Male: 0 – 40 IU/L

Female: 0 – 30 IU/L

|>2000
|>30 in pregnancy
|-
|AST
|3529
|10 – 50 IU/L
|>2000
|>50 in pregnancy
|-
|Total protein
|3523
|64 – 83 g/L
|<45 or >100
|
|-
|Albumin
|3524
|35 –50 g/L
|<21
|
|-
|CK
|4100
|Male: 60 – 220 IU/L

Female:30 - 180 IU/L

|>2000
|>5000
|-
|LD
|3135
|110 – 220 IU/L
|>400
|
|-
|Digoxin
|3565
|0.6 – 2.0 nmol/L
|>2.0 if 12 h or later post dose
|>3 at any time post dose
|-
|Phenytoin
|4760
|40 – 80 umol/L
|>90 (trough)
|>100
|-
|Carbamazepine
|4648
|16 – 40 umol/L
|>55 (trough)
|>70
|-
|Valproate
|4810
|350 - 700 umol/L
|>800 (trough)
|>1000
|-
|Theophylline
|4781
|55 – 110 umol/L
|>110 (trough)
|>120
|-
|Lithium
|4716
|0.4 – 0.8 mmol/L
|>0.8 if >12hr post dose

>1.6 at any time
|>2.0 at any time
|-
|CRP
|3206
|<5 mg/L
|>100
|
|-
|hs TnI
|8674
|Women <16 ng/L

Men <34
|All results (should auto-fax)
|Women >16

Men >34
|-
|HCG
|3552
|<5 IU/L
|All results (should auto-fax)
|
|-
|Magnesium
|3532
|0.6 – 1.2 mmol/L
|<0.5 or >1.6
|<0.4 or >2.5
|-
|Iron
|3531
|10 – 30 umol/L
|
|All ?toxic ingestions
|-
|Triglyceride
|4151
|<1.7 mmol/L
|
|>20
|-
|Cortisol
|8621
|170 – 540 nmol/L
|
|<100 if taken before 10am and not dexamethasone suppression test
|-
|Prot/Creat ratio
|993
|<23
|
|>30 in pregnancy
|}

== Hospital Patients critical ranges ==
{| class="wikitable"
| colspan="2" |'''TEST'''
|'''LOWER LIMIT'''
|'''UPPER LIMIT'''
|-
|Blood pH
|3501
|7.00
|
|-
|Sodium
|3511
|120
|155
|-
|Potassium
|3512
|2.8
|6.2 (unless haemolysed, or refrigerated in contact with red cells.)
|-
|Chloride
|3513
|80
|125
|-
|Urea
|3517
|
|40.0 if new. 45.0 if already known.
|-
|Creatinine
|5422
|
|350 (or x3 baseline) if new
|-
|Glucose
|3516
|2.8 adults/children

|15.0 if new

35.0 if known diabetic
|-
|Calcium
|3521
|1.7
|3.0
|-
|Magnesium
|3532
|0.3
|1.9
|-
|Phosphate
|3522
|0.30
|3.00 ( 4.00 for dialysis patients)
|-
|Lactate
|5268
|
|7.0
|-
|hs TnI
|8674
|
|> 34 (men), >16 (women)

if Outpatient, GP patient, Napier, Waipukurau , or Wairoa
|-
|Cortisol
|8621
| colspan="2" |<50, if not Dexamethasone test, contact Endocrinologist by phone
|-
|SBR

|3125
|
|250 newborn (<1 day)

350 (>1 day)
|-
|Lithium
|4716
|
|>2.0 at any time
|-
|Digoxin
|3565
|
|3.0 if more than 12hr post dose
|-
|HCO3
|3504
|< 16
|
|-
|Gentamicin
|
|
|>1.5 Email in Delphic (HPHA)
|-
|Vancomycin
|
|<10 Email in Delphic (HPHA)
|>25 Email in Delphic (HPHA)
|}
<nowiki>*</nowiki>Also known as Panic Ranges

Haematology Critical Ranges

2022-11-07T03:10:02Z

Cgreenwo: /* Hospital patients critical ranges (includes out-patients) */

== '''Hospital patients critical ranges (includes out-patients)''' ==
{| class="wikitable"
|'''Test'''
|'''Reporting units'''
|'''Lower limit'''
|'''Upper limit'''
|-
|WBC
|x 109/L
|N/A
|50
|-
|Hb
|g/L
|70
|
|-
|Platelets
|x 109/L
|50
|1000
|-
|Neutrophils
|x 109/L
|0.5
|30
|-
|INR
|
|
|2.0 (if not on anticoagulants)
|-
|
|
|
|5.0 (if on warfarin and fax results to pharmacy)
|-
|APTT
|secs
|
|50 (if not on anticoagulants)
|-
|
|
|
|150 (if on heparin)
|-
|Fibrinogen
|g/L
|1.0
|
|}

== '''Community patients critical ranges''' ==
{| class="wikitable"
|'''Test'''
|'''Reporting units'''
|'''Lower limit'''
|'''Upper limit'''
|-
|WBC
|x 109/L
|2.0
|50
|-
|Hb
|g/L
|80
|
|-
|Platelets
|x 109/L
|90
|1000
|-
|Neutrophils
|x 109/L
|0.5
|25
|-
|INR
|
|
|5.0
|-
|Fibrinogen
|g/L
|1.0
|
|-
|D-Dimers
|μg/L
|less than 500 (email only)*
|500 (email and phone)*
|-
|Malaria
|
| colspan="2" |All malaria results to be phoned and faxed
|}
<nowiki>*</nowiki>Also known as Panic Ranges

Tests:Thrombophilia Screen

2022-10-12T19:37:05Z

Cgreenwo:

{{DISPLAYTITLE:Thrombophilia screen}}
{| class="wikitable"
|-
|'''Synonym(s)'''
|APTT, PTT
|-
|'''Specimen'''
|2.7 mL Sodium Citrate (Blue top - Must be FULL)
|-
|'''Paediatric Specimen'''
|1.8 mL Sodium Citrate ONLY (Blue top - Must be FULL)
|-
|'''Add-on conditions'''
|4 hours @ 4°C
|-
|'''Test Availability'''
|Mon - Sun, 24 hours
|-
|'''Turnaround Time'''
|Hastings 1 - 2.5 hours / Central HB 6 - 8 hours / Wairoa 12 hours
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Haematology, (06) 878 1308 ext. 2445
|-
|'''Registration Code'''
|HPTT
|-
|'''Deletion Code'''
|7171
|-
|'''Useful Information'''
|Samples that will take longer than 4 hours to arrive at the Hastings Laboratory should be separated and frozen for transport.
|-
|'''Measurement Uncertainty'''
|Available upon request
|}
[[Category:Tests]]
[[Category:Haematology]]
[[Category:CHL]]

Tests:Thrombophilia Screen

2022-10-12T19:36:34Z

Cgreenwo: Created page with "{{DISPLAYTITLE:Thrombophilia screen}} {| class="wikitable" |- |'''Synonym(s)''' |APTT, PTT |- |'''Specimen''' |2.7 mL Sodium Citrate (Blue top - Must be FULL) |- |'''Paediatric Specimen''' |1.8 mL Sodium Citrate ONLY (Blue top - Must be FULL) |- |'''Add-on conditions''' |4 hours @ 4°C |- |'''Test Availability''' |Mon - Sun, 24 hours |- |'''Turnaround Time''' |Hastings 1 - 2.5 hours / Central HB 6 - 8 hours / Wairoa 12 hours |- |'''Where analysed''' |Hastings |- |'''Depa..."

Biochemistry Department Information

2022-10-11T20:19:21Z

Cgreenwo:

== '''Blood sample requirements''' ==
Relevant clinical details on the request form help result authorising and decisions on contacting the clinician.

Most combinations of the following common tests can be done on one heparin tube (green top). Immediately after filling the heparin tube, mix gently by inversion 8 – 10 times.
{| class="wikitable"
|Antibiotics
(Gentamicin, Tobramycin, Vancomycin)
|
|Fertility Hormones
(FSH, LH, Oestradiol, Prolactin, Progesterone)
|Liver Function Tests
(ALB, ALP, ALT, AST, TBil)
|Rheumatoid Factor *
|-
|Albumin
|CK
|GGT
|LDH
|Salicylate
|-
|βHCG
|Cortisol
|Glucose
|Magnesium
|Thyroid Tests
(TSH, FT3, FT4)
|-
|Bilirubin

(Total, Direct)
|CRP
|Immunoglobulins
|Osmolality
|Total Protein
|-
|B12 & Folate
|Therapeutic Drugs
(Digoxin, Lithium *, Phenytoin, Carbamezapine, Valproate, Theophyliine)
|Iron Studies
(Iron, Transferrin, Ferritin)
|Paracetamol
|Troponin I
|-
|Calcium
|Electrolytes

(Na, K, Cl)
|Lipase
|Phosphate
|Urea
|-
|BNP (NT-proBNP)
|Ethanol
|Lipids
(Cholesterol, HDL, Triglycerides)
|Tumour Markers
(AFP, βHCG, CA125, CA153, CA199, PSA)
|Uric Acid
|}
'''NOTE:'''

1. BNP, HbA1c and PTH require EDTA blood (purple top). Separate tube from FBC please.

2. Lactate is performed on VBG or ABG samples.

3. * Lithium or Rheumatoid Factor requires serum (red top).

Specialised tests are sent away to Canterbury Health Laboratories (CHL) and access to CHL Test Guide Manager is recommended for guidance on sample type, volume, condition of collect, type of assay etc.

== '''Blood gases''' ==
Immediately after taking sample, expel any air from the syringe and mix gently by inversion 8 to 10 times. Label syringe. Pre-printed labels are acceptable on blood gas samples.

'''Cord gases''' need to be labelled with the Mother’s details (Mother’s name, NHI and/or date of birth), and NOT the baby’s details. The Mother’s pre-printed labels are acceptable, indicate if the sample is Arterial or Venous on this label.

== '''Paediatric samples''' ==
On children or difficult collects, we will be happy to give you the minimum sample requirement for the tests you would like to request. Phone Ext 2448.

It is helpful if you indicate on the form which tests are a priority when it is difficult to meet minimum blood volumes for all the tests requested. For maximum recovery of serum, please collect sample in a plastic Microtainer. Paediatric samples can be labelled with pre-printed labels.

== '''Haemolysed Blood samples''' ==
Haemolysis affects most biochemistry tests to some degree. The tests most seriously affected are:

· '''Falsely increased:''' potassium, magnesium, urate, iron, phosphate, total protein, AST, LD, folate.

· '''Falsely decreased:''' bilirubin, GGT. BNP is not performed on haemolysed samples.

The most common cause of haemolysis is forcing blood from a syringe into a blood tube through the needle. It is best to remove the needle from the syringe, and the stopper from the tube, and expel the blood gently down the wall of the tube.

== '''Lipaemic Blood samples''' ==
The analyser compensates fairly well for mild lipaemia. Moderate to gross lipaemia affects all tests to some degree. A fasting sample the next morning will resolve the interference for most patients.

== '''Key contacts''' ==
Biochemistry Laboratory: Phone 06 878 1308 Ext 2448

Head of Department: '''Tim Aitken''' 06 878 1308 Ext 2449

Tests:Tissue Transglutaminase IgA antibodies

2022-10-07T03:24:29Z

Cgreenwo:

{{DISPLAYTITLE:Tissue Transglutaminase IgA antibodies}}
{| class="wikitable"
|-
|'''Synonym(s)'''
|TTG, IgA, Coeliac
|}
[https://www.chl.co.nz/test/tissue-transglutaminase-iga-antibodies/ This test is referred to CHL please click here to go to the CHL test manager]
[[Category:Tests]]
[[Category:CHL]]

Tests:Tissue Transglutaminase IgA antibodies

2022-10-07T03:19:17Z

Cgreenwo:

{{DISPLAYTITLE:Tissue Transglutaminase IgA antibodies}}
{| class="wikitable"
|-
|'''Synonym(s)'''
|TTG, IgA, Coeliac
|}
[[Category:Tests]]
[[Category:CHL]]

Tests:Tissue Transglutaminase IgA antibodies

2022-10-07T03:18:26Z

Cgreenwo: Created page with "{{DISPLAYTITLE:Tissue Transglutaminase IgA antibodies}} {| class="wikitable" |- |'''Synonym(s)''' |APTT, PTT |} Category:Tests Category:CHL"

{{DISPLAYTITLE:Tissue Transglutaminase IgA antibodies}}
{| class="wikitable"
|-
|'''Synonym(s)'''
|APTT, PTT
|}
[[Category:Tests]]
[[Category:CHL]]