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

Tests:Trichomonas

2026-11-03T19:50:34Z

Lmorgan: Updated specimen type after discussion with N Campbell

{{DISPLAYTITLE: Trichomonas}}

[[Category:Tests]]
[[Category:Microbiology]]
{| class="wikitable"
|'''Synonym(s)'''
|Trichs, Trich, trichomonas vaginalis
|-
|'''Specimen'''
|Female - Genital Swab, Male - First Catch Urine
|-
|'''Paediatric Specimen'''
|As above
|-
|'''Aliquot Instructions'''
|N/A
|-
|'''Minimum Volumes'''
|N/A
|-
|'''Add-on conditions'''
|Contact Microbiology to discuss
|-
|'''Test Availability'''
|Mon - Sun 0800 - 1600
|-
|'''Turnaround Time'''
|Hastings / Central HB / Wairoa 24 hrs
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Microbiology (06) 878 1308 ext. 2637
|-
|'''Registration Code'''
|GESP or URIN (dependant on sample type)
|-
|'''Deletion Code'''
|N/A
|-
|'''Useful Information'''
|Direct Microscopy only
|-
|'''Measurement Uncertainty'''
|N/A
|}

Patient Services Department Information

2026-08-24T23:19:05Z

Lmorgan:

== '''Patient Services Information (Laboratory Test Manual)''' ==

=== Phlebotomy Service - Hastings ===
The laboratory provides a phlebotomy ward round between the hours of 7:30am and 12pm weekdays and a Weekend service as follows:

Saturday and Sunday: 7:30am - 11:30am

'''Request forms for this service should be completed prior to 7:30am, and placed on the appropriate clip in the ward office.'''

Any requests for blood tests received by the phlebotomist after the ward round has started will not be accepted unless the workload permits. If the phlebotomist feels they are unable to complete the requested collects due to the remaining workload in the hospital they will decline the requests. The requestor will be referred to the Pre-Analytics manager if discussion is required. Blood collection after the ward round is finished is the responsibility of the medical officer initiating the request.

Ward round phlebotomists are trained for routine venepuncture.

They do not perform any collect from luers or lines.

Any request for a blood gas will be handed back to the clinical team as this collection requires specialised training. The phlebotomy staff do not carry the required equipment and the time frame for processing the samples impacts upon the day’s workflow.

The week day phlebotomist can be contacted if required via the following pager number: 3085.

The Pre-Analytics HOD can be contacted on extension 2603 or 2452.

=== '''DHB Collection Sites''' ===

Mycology collections are only performed at the CHB site.

Collection site staff do not perform swab collects. They will advise people regarding self-collection procedures for screening requests. All other collections should be performed by the Clinical team.

'''<big>Laboratory Specimen & Request Form Acceptance Criteria</big>'''

'''<big>Specimens for Diagnostic Laboratory Testing ''except'' Transfusion Medicine</big>'''

==== '''The specimen:''' ====

It is important to check that for the test(s) requested:

* The correct sample type has been selected (e.g.: additive/tube type)
* Sample containers/tubes are within expiry dates
* There is sufficient volume of sample
* Any transportation requirements are met (e.g.: temperature).

Ensure the '''tubes are mixed after collection''' to prevent clotting in those tubes with additives.

A list of collection guidelines and references is included at the bottom of this document.

=== '''Specimen labelling:''' ===

'''Minimum information on each specimen shall include:'''

* ''Surname and First name and Hospital number (NHI), OR''
* ''Surname and First name and Date of Birth.''

· All laboratory specimens shall be labelled by the '''collector''' after collection, and before leaving the patient i.e.: in front of and witnessed by the patient.

'''Remember the final check: SAY IT OUT LOUD'''

'''Read back the tube details to the patient for confirmation'''

* In an emergency a unique patient identification number can be used i.e.: Red Bracelet Number and Hospital Number.

* Where patient confidentiality is paramount a code may be used. The nationally recognised convention for coding of these specimens is as follows:
* First 2 letters of surname, first letter of first name, sex followed by DOB e.g.: DOJM01021903 for John Doe 01/02/1903.
* Cord Blood Gas specimens to be labelled:
* "Baby of"
* Mother's surname
* Mother's first name
* Baby's Hospital Number where available, otherwise Baby's date of birth.

''If a multiple birth then also state “Twin 1 and Twin 2 etc.” on appropriate forms and specimens.''

=== '''Request form:''' ===
The laboratory has five main types of request forms available:

* White for routine laboratory test requests.
* Green for “Add On” test requests in general ward areas.
* Pink for ED/AAU urgent test requests.
* Blue for ED/AAU “Add On” requests.

* Light Yellow Histology and Cytology requests

Laboratory request forms shall contain the following information:

* Complete patient details including Surname, First name, DOB and NHI.
* Consultant/Specialty Team name.
* Location (e.g.: ED, AB1, and OPD).
* Encounter/Visit number (for hospital requests).
* Relevant clinical details.
* Name and signature of the person requesting the test(s).
* Name and signature of the person identifying the patient and sample(s).
* Time and date of specimen collection.

Bradma labels with up to date information are strongly recommended for all Laboratory request forms. The encounter number is required to direct results to the requestor's read list for sign off.

Refer to: Laboratory Sample Collection and Labelling Procedures HBDHB/CPG/120

=== '''Labelling Exceptions:''' ===
All samples with no labelling or mislabelling will be discarded unless a valid clinical reason can be provided to the Laboratory Manager or their delegate:

Samples from difficult to re-collect sites (e.g.: Histology samples, CSF’s, Blood Cultures collected prior to administration of antibiotics) meet this criteria. Specimens not listed may be accepted at the discretion of the Laboratory Manager.

=== '''Inadequate Labelling of Samples and /or Request Forms Includes:''' ===
Partial labelling of sample or request

* Incorrect labelling of sample (e.g.: name spelt wrong or different date of birth on specimen to that of the form)
* Missing First name or missing Surname
* Unlabelled request forms.

Acceptance will be on a case-by-case basis according to laboratory protocols.

=== '''Air Tube Delivery System''' ===
Hawke's Bay Hospital has a 16 station air tube delivery system. The main clinical areas and the Laboratory are included in the network. The reliability of the service depends upon the correct usage. Please do not use the system if you have not been trained. Errors in usage will shut down the system for a number of other users. Refer to:

Lamson Tube System Policy HBDHB/OPM/098

=== '''Key contacts''' ===

* Pre-analytical Laboratory

Ph. 06 878 1308 ext. 2452

* Villa 8 - Phlebotomy Services Ext 2648

Monday - Friday 0800 - 1700

Pre-analytical HOD - Lynne Morgan Ext 2603
=== '''Links''' ===
HBDHB Laboratory Test Manual

Canterbury Health Lab Test Guide

Page Reviewed August 2026

Patient Services Department Information

2026-08-24T23:18:13Z

Lmorgan:

== '''Patient Services Information (Laboratory Test Manual)''' ==

=== Phlebotomy Service ===
The laboratory provides a phlebotomy ward round between the hours of 7:30am and 12pm weekdays and a Weekend service as follows:

Saturday and Sunday: 7:30am - 11:30am

'''Request forms for this service should be completed prior to 7:30am, and placed on the appropriate clip in the ward office.'''

Any requests for blood tests received by the phlebotomist after the ward round has started will not be accepted unless the workload permits. If the phlebotomist feels they are unable to complete the requested collects due to the remaining workload in the hospital they will decline the requests. The requestor will be referred to the Pre-Analytics manager if discussion is required. Blood collection after the ward round is finished is the responsibility of the medical officer initiating the request.

Ward round phlebotomists are trained for routine venepuncture.

They do not perform any collect from luers or lines.

Any request for a blood gas will be handed back to the clinical team as this collection requires specialised training. The phlebotomy staff do not carry the required equipment and the time frame for processing the samples impacts upon the day’s workflow.

The week day phlebotomist can be contacted if required via the following pager number: 3085.

The Pre-Analytics HOD can be contacted on extension 2603 or 2452.

=== '''DHB Collection Sites''' ===

Mycology collections are only performed at the CHB site.

Collection site staff do not perform swab collects. They will advise people regarding self-collection procedures for screening requests. All other collections should be performed by the Clinical team.

'''<big>Laboratory Specimen & Request Form Acceptance Criteria</big>'''

'''<big>Specimens for Diagnostic Laboratory Testing ''except'' Transfusion Medicine</big>'''

==== '''The specimen:''' ====

It is important to check that for the test(s) requested:

* The correct sample type has been selected (e.g.: additive/tube type)
* Sample containers/tubes are within expiry dates
* There is sufficient volume of sample
* Any transportation requirements are met (e.g.: temperature).

Ensure the '''tubes are mixed after collection''' to prevent clotting in those tubes with additives.

A list of collection guidelines and references is included at the bottom of this document.

=== '''Specimen labelling:''' ===

'''Minimum information on each specimen shall include:'''

* ''Surname and First name and Hospital number (NHI), OR''
* ''Surname and First name and Date of Birth.''

· All laboratory specimens shall be labelled by the '''collector''' after collection, and before leaving the patient i.e.: in front of and witnessed by the patient.

'''Remember the final check: SAY IT OUT LOUD'''

'''Read back the tube details to the patient for confirmation'''

* In an emergency a unique patient identification number can be used i.e.: Red Bracelet Number and Hospital Number.

* Where patient confidentiality is paramount a code may be used. The nationally recognised convention for coding of these specimens is as follows:
* First 2 letters of surname, first letter of first name, sex followed by DOB e.g.: DOJM01021903 for John Doe 01/02/1903.
* Cord Blood Gas specimens to be labelled:
* "Baby of"
* Mother's surname
* Mother's first name
* Baby's Hospital Number where available, otherwise Baby's date of birth.

''If a multiple birth then also state “Twin 1 and Twin 2 etc.” on appropriate forms and specimens.''

=== '''Request form:''' ===
The laboratory has five main types of request forms available:

* White for routine laboratory test requests.
* Green for “Add On” test requests in general ward areas.
* Pink for ED/AAU urgent test requests.
* Blue for ED/AAU “Add On” requests.

* Light Yellow Histology and Cytology requests

Laboratory request forms shall contain the following information:

* Complete patient details including Surname, First name, DOB and NHI.
* Consultant/Specialty Team name.
* Location (e.g.: ED, AB1, and OPD).
* Encounter/Visit number (for hospital requests).
* Relevant clinical details.
* Name and signature of the person requesting the test(s).
* Name and signature of the person identifying the patient and sample(s).
* Time and date of specimen collection.

Bradma labels with up to date information are strongly recommended for all Laboratory request forms. The encounter number is required to direct results to the requestor's read list for sign off.

Refer to: Laboratory Sample Collection and Labelling Procedures HBDHB/CPG/120

=== '''Labelling Exceptions:''' ===
All samples with no labelling or mislabelling will be discarded unless a valid clinical reason can be provided to the Laboratory Manager or their delegate:

Samples from difficult to re-collect sites (e.g.: Histology samples, CSF’s, Blood Cultures collected prior to administration of antibiotics) meet this criteria. Specimens not listed may be accepted at the discretion of the Laboratory Manager.

=== '''Inadequate Labelling of Samples and /or Request Forms Includes:''' ===
Partial labelling of sample or request

* Incorrect labelling of sample (e.g.: name spelt wrong or different date of birth on specimen to that of the form)
* Missing First name or missing Surname
* Unlabelled request forms.

Acceptance will be on a case-by-case basis according to laboratory protocols.

=== '''Air Tube Delivery System''' ===
Hawke's Bay Hospital has a 16 station air tube delivery system. The main clinical areas and the Laboratory are included in the network. The reliability of the service depends upon the correct usage. Please do not use the system if you have not been trained. Errors in usage will shut down the system for a number of other users. Refer to:

Lamson Tube System Policy HBDHB/OPM/098

=== '''Key contacts''' ===

* Pre-analytical Laboratory

Ph. 06 878 1308 ext. 2452

* Villa 8 - Phlebotomy Services Ext 2648

Monday - Friday 0800 - 1700

Pre-analytical HOD - Lynne Morgan Ext 2603
=== '''Links''' ===
HBDHB Laboratory Test Manual

Canterbury Health Lab Test Guide

Page Reviewed August 2026

Patient Services Department Information

2026-08-24T23:14:34Z

Lmorgan:

Tests:Pleural Fluid

2026-07-28T03:59:47Z

Lmorgan:

{{DISPLAYTITLE:Pleural Fluid}}

[[Category:Tests]]
[[Category:Microbiology]]
{| class="wikitable"
|'''Synonym(s)'''
|Pleural aspirate, aspirate
|-
|'''Specimen'''
|Sterile aspirate - 2 x 70 mL sterile containers and 1 x Lithium Heparin (Green top) and 1 x EDTA (Purple top)
|-
|'''Paediatric Specimen'''
|
|-
|'''Add-on conditions'''
|
|-
|'''Test Availability'''
|
|-
|'''Turnaround Time'''
|
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Microbiology, (06) 878 1308 ext. 2637
|-
|'''Registration Code'''
|ASP
|-
|'''Deletion Code'''
|
|-
|'''Useful Information'''
|Aspirates may also be received in blood culture bottles, they are registered on the same laboratory number as the other culture specimens. No additional test codes are required.
|-
|'''Measurement Uncertainty'''
|}

Tests:Synovial Fluid Aspirate

2026-07-28T03:58:28Z

Lmorgan:

{{DISPLAYTITLE:Synovial Fluid Aspirate}}

[[Category:Tests]]
[[Category:Microbiology]]
{| class="wikitable"
|-
|'''Synonym(s)'''
|Joint Aspirate
|-
|'''Specimen'''
|
|-
|'''Paediatric Specimen'''
|
|-
|'''Add-on conditions'''
|
|-
|'''Test Availability'''
|
|-
|'''Turnaround Time'''
|
|-
|'''Where analysed'''
|
|-
|'''Department'''
|
|-
|'''Registration Code'''
|ASP
|-
|'''Deletion Code'''
|2124
|-
|'''Useful Information'''
|Aspirates may also be received in blood culture bottles, they are registered on the same laboratory number as the other culture specimens. No additional test codes are required.
|-
|'''Measurement Uncertainty'''
|}

Tests:Pericardial Fluid

2026-07-28T03:57:53Z

Lmorgan:

{{DISPLAYTITLE:Pericardial Fluid}}

[[Category:Tests]]
[[Category:Microbiology]]
{| class="wikitable"
|'''Synonym(s)'''
|Pericardial aspirate, aspirate
|-
|'''Specimen'''
|Sterile aspirate - 70 mL sterile container and 1 x Lithium Heparin (Green top) and 1 x EDTA (Purple top)
|-
|'''Paediatric Specimen'''
|
|-
|'''Add-on conditions'''
|
|-
|'''Test Availability'''
|
|-
|'''Turnaround Time'''
|
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Microbiology, (06) 878 1308 ext. 2637
|-
|'''Registration Code'''
|ASP
|-
|'''Deletion Code'''
|
|-
|'''Useful Information'''
|Aspirates may also be received in blood culture bottles, they are registered on the same laboratory number as the other culture specimens. No additional test codes are required.
|-
|'''Measurement Uncertainty'''
|}

Tests:Pericardial Fluid

2026-07-28T03:57:36Z

Lmorgan:

{{DISPLAYTITLE:Pericardial Fluid}}

[[Category:Tests]]
[[Category:Microbiology]]
{| class="wikitable"
|'''Synonym(s)'''
|Pericardial aspirate, aspirate
|-
|'''Specimen'''
|Sterile aspirate - 70 mL sterile container and 1 x Lithium Heparin (Green top) and 1 x EDTA (Purple top)
|-
|'''Paediatric Specimen'''
|
|-
|'''Add-on conditions'''
|
|-
|'''Test Availability'''
|
|-
|'''Turnaround Time'''
|
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Microbiology, (06) 878 1308 ext. 2637
|-
|'''Registration Code'''
|
|-
|'''Deletion Code'''
|
|-
|'''Useful Information'''
|Aspirates may also be received in blood culture bottles, they are registered on the same laboratory number as the other culture specimens. No additional test codes are required.
|-
|'''Measurement Uncertainty'''
|}

Tests:Pleural Fluid

2026-07-28T03:57:15Z

Lmorgan:

{{DISPLAYTITLE:Pleural Fluid}}

[[Category:Tests]]
[[Category:Microbiology]]
{| class="wikitable"
|'''Synonym(s)'''
|Pleural aspirate, aspirate
|-
|'''Specimen'''
|Sterile aspirate - 2 x 70 mL sterile containers and 1 x Lithium Heparin (Green top) and 1 x EDTA (Purple top)
|-
|'''Paediatric Specimen'''
|
|-
|'''Add-on conditions'''
|
|-
|'''Test Availability'''
|
|-
|'''Turnaround Time'''
|
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Microbiology, (06) 878 1308 ext. 2637
|-
|'''Registration Code'''
|
|-
|'''Deletion Code'''
|
|-
|'''Useful Information'''
|Aspirates may also be received in blood culture bottles, they are registered on the same laboratory number as the other culture specimens. No additional test codes are required.
|-
|'''Measurement Uncertainty'''
|}

Tests:Ascites Fluid

2026-07-28T03:56:34Z

Lmorgan:

{{DISPLAYTITLE:Ascites Fluid}}
{| class="wikitable"
|'''Test'''
|Ascites Fluid
|-
|'''Synonym(s)'''
|Ascites aspirate, aspirate
|-
|'''Specimen'''
|Sterile aspirate - 70 mL sterile container and 1 x Lithium Heparin (Green top) and 1 x EDTA (Purple top)
|-
|'''Paediatric Specimen'''
|N/A
|-
|'''Add-on conditions'''
|N/A
|-
|'''Test Availability'''
|Mon - Sun, 24 hours
|-
|'''Turnaround Time'''
|3 - 4 days
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Microbiology, (06) 878 1308 ext. 2637
|-
|'''Registration Code'''
|ASP
|-
|'''Deletion Code'''
|2124
|-
|'''Useful Information'''
|Aspirates may also be received in blood culture bottles, they are registered on the same laboratory number as the other culture specimens. No additional test codes are required.
|-
|'''Measurement Uncertainty'''
|}
[[Category:Tests]]
[[Category:Microbiology]]

Tests:Aspirate Microbiology

2026-07-28T03:53:04Z

Lmorgan:

{{DISPLAYTITLE:Aspirate Microbiology}}

[[Category:Tests]]
[[Category:Microbiology]]
{| class="wikitable"
|'''Synonym(s)'''
|Joint Aspirate, Pleural Aspirate, Peritoneal Aspirate, Breast milk, MC&S
|-
|'''Specimen'''
|Sterile aspirate - 2 x 70 mL sterile continers, for cell count: 1 x Lithium Heparin (Green top), 1 x EDTA (Purple top)
|-
|'''Paediatric Specimen'''
|Sealed Arterial Blood Gas Syringe
|-
|'''Add-on conditions'''
|Contact Microbiology to discuss
|-
|'''Test Availability'''
|Mon - Sun, 24 hours
|-
|'''Turnaround Time'''
|Hastings / Central HB / Wairoa 2 - 5 days
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Microbiology, (06) 878 1308 ext. 2637
|-
|'''Registration Code'''
|ASP
|-
|'''Deletion Code'''
|2124
|-
|'''Useful Information'''
|Aspirates may also be received in blood culture bottles, they are registered on the same laboratory number as the other culture specimens. No additional test codes are required.
|-
|'''Measurement Uncertainty'''
|N/A
|}

Tests:Faecal PCR

2026-05-14T20:14:42Z

Lmorgan:

{{DISPLAYTITLE:Faecal Viral Pathogens}}

[[Category:Tests]]
[[Category:Microbiology]]
{| class="wikitable"
|'''Synonym(s)'''
|Rotavirus, Adenovirus, Norovirus, PCR, Faeces
|-
|'''Specimen'''
|5g Faeces in sterile container
|-
|'''Paediatric Specimen'''
|5g Faeces in sterile container
|-
|'''Add-on conditions'''
|Contact Microbiology to discuss
|-
|'''Test Availability'''
|Mon - Sun 0800 - 1600
|-
|'''Turnaround Time'''
|Hastings / Central HB / Wairoa 2 - 5 days
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Microbiology, (06) 878 1308 ext. 2637
|-
|'''Registration Code'''
|FPCR
|-
|'''Deletion Code'''
|
|-
|'''Useful Information'''
|Pathogens tested: Rotavirus, Adenovirus, Norovirus, Sapovirus and Astrovirus.
Tested by PCR analysis.
Microbiology will assess the request and amend the registration as appropriate
|-
|'''Measurement Uncertainty'''
|N/A
|}

Tests:Faecal Microscopy & Culture

2026-05-14T20:14:01Z

Lmorgan:

{{DISPLAYTITLE:Faecal Bacterial Pathogens}}

[[Category:Tests]]
[[Category:Microbiology]]
{| class="wikitable"
|'''Synonym(s)'''
|Faecal Culture, Faecal Bacterial Pathogen Screen, PCR, MC&S
|-
|'''Specimen'''
|5g Faeces in sterile container
|-
|'''Paediatric Specimen'''
|5g Faeces in sterile container
|-
|'''Add-on conditions'''
|Contact Microbiology to discuss
|-
|'''Test Availability'''
|Mon - Sun 0800 - 1600
|-
|'''Turnaround Time'''
|Hastings / Central HB / Wairoa 2 - 5 days
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Microbiology, (06) 878 1308 ext. 2637
|-
|'''Registration Code'''
|FAEC
|-
|'''Deletion Code'''
|
|-
|'''Useful Information'''
|Pathogens tested includes: ''Campylobacter spp''., ''Salmonella spp, Shigella spp.'', pathogenic ''Esch. coli.'' Tested by PCR,
''Yersinia spp.'' tested by routine culture methods. Symptomatic patients may be tested if not previously performed per hospital admission.
|-
|'''Measurement Uncertainty'''
|N/A
|}

Tests:Urine for Microscopy and Culture

2026-05-14T20:12:58Z

Lmorgan:

{{DISPLAYTITLE:Urine for Microscopy and Culture}}
{| class="wikitable"
|-
|'''Synonym(s)'''
|MC&S, C/S, MSU
|-
|'''Specimen'''
|Urine in sterile container
|-
|'''Paediatric Specimen'''
|Urine in sterile container
|-
|'''Add-on conditions'''
|Contact Microbiology to discuss
|-
|'''Test Availability'''
|Mon - Sun 0800 - 1600
|-
|'''Turnaround Time'''
|Hastings / Central HB / Wairoa 2 - 5 days
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Microbiology, (06) 878 1308 ext. 2637
|-
|'''Registration Code'''
|URIN
|-
|'''Deletion Code'''
|5273
|-
|'''Useful Information'''
|Click Here
|-
|'''Measurement Uncertainty'''
|N/A
|}
[[Category:Tests]]
[[Category:Microbiology]]

Tests:Aspirate Microbiology

2026-05-14T20:10:49Z

Lmorgan:

Tests:Protein Electrophoresis

2026-05-14T04:40:04Z

Lmorgan:

{{DISPLAYTITLE:Protein Electrophoresis}}

[[Category:Tests]]
[[Category:Preanalytical]]
{| class="wikitable"
|'''Synonym(s)'''
|SPEP, serum protein electrophoresis
|-
|'''Specimen'''
|10 mL plain (RED - NO GEL) or SST (Gold top). No haemolysis.
|-
|'''Paediatric Specimen'''
|2 x 0.5 mL plain ONLY. No haemolysis.
|-
|'''Aliquot Instructions'''
|Serum aliquot for Awanui
|-
|'''Minimum Volume'''
|400 uL
|-
|'''Add-on conditions'''
|Plain tube ONLY
|-
|'''Test Availability'''
|Mon - Fri 0800 - 1600
|-
|'''Turnaround Time'''
|3 - 7 days
|-
|'''Where analysed'''
|External Laboratory
|-
|'''Department'''
|Specimen Services
|-
|'''Registration Code'''
|SCL
|-
|'''Deletion Code'''
|5997
|-
|'''Useful Information'''
|Performed at Awanui
|-
|'''Measurement Uncertainty'''
|N/A
|}

Tests:Myeloma Screen

2026-05-14T01:53:38Z

Lmorgan:

{{DISPLAYTITLE:Myeloma Screen}}

[[Category:Tests]]
[[Category:Biochemistry]]
[[Category:Haematology]]
[[Category:Preanalytical]]
{| class="wikitable"
|'''Synonym(s)'''
|Myeloma
|-
|'''Specimen'''
|4 mL green top or gold top and 4 mL purple top - Serum sample required for SPEP sendaway (Awanui)
|-
|'''Paediatric Specimen'''
|0.5 mL Paediatric brown, yellow, or green top and 0.5 purple top - Serum sample required for SPEP sendaway (Awanui)
|-
|'''Aliquot Instructions'''
|EDTA whole blood for CBC, Plasma or Serum for biochemistry and Serum for SPEP
|-
|'''Minimum Volumes'''
|350 uL for Biochemistry, 250 uL for CBC, 400 uL for SPEP sendaway (Awanui)
|-
|'''Add-on conditions'''
|CBCD & blood film 24 hours @ 4°C
For Biochemistry tests (Immunoglobulins, Calcium and Creatinine): Please see individual tests.
|-
|'''Test Availability'''
|N/A
|-
|'''Turnaround Time'''
|N/A
|-
|'''Where analysed'''
|Hastings and External Laboratory
|-
|'''Department'''
|Specimen Services ext. 2452, Biochemistry ext. 2448 and Haematology ext.2445
|-
|'''Registration Code'''
|CBCD, IMMG, PCA, PCRN and SCL
|-
|'''Deletion Code'''
|N/A
|-
|'''Useful Information'''
|Copy of form to Haematology to ensure Film performed
|-
|'''Measurement Uncertainty'''
|Available upon request
|}

Tests:Tier 2

2026-04-29T01:51:24Z

Lmorgan: expanded test list

{{DISPLAYTITLE:Tier 2}}

[[Category:Tests]]
[[Category:Preanalytical]]
{| class="wikitable"
|'''Synonym(s)'''
|Vit D, Calprotectin, C Peptide, Zinc, Selenium, Copper, Homocysteine, ACTH, Growth hormone, Insulin like growth factor, HSV type specific antibodies, TPMT genotype, JAK2 PCR, Urine Mg, Bordetella Pertussis
|-
|'''Specimen'''
|All sample types
|-
|'''Paediatric Specimen'''
|All
|-
|'''Aliquot Instructions'''
|Refer to external laboratory website
|-
|'''Minimum Volumes'''
|Refer to external laboratory website
|-
|'''Add-on conditions'''
|N/A
|-
|'''Test Availability'''
|Mon - Sun, 24 hours
|-
|'''Turnaround Time'''
|N/A
|-
|'''Where analysed'''
|External Laboratory
|-
|'''Department'''
|Specimen Services ext. 2452
|-
|'''Registration Code'''
|N/A
|-
|'''Deletion Code'''
|N/A
|-
|'''Useful Information'''
|Require specialist approval and/or appropriate clinical details. JAK2 can be approved by the Haematology Scientists. Refer to Tier Two method
|-
|'''Measurement Uncertainty'''
|N/A
|}

File:Adult Blood Tests.pdf

2026-04-23T04:03:03Z

Lmorgan:

File:Info 21 v1.0 Female swab collection.pdf

2026-04-15T23:26:35Z

Lmorgan: Female Swab collection

== Summary ==
Female Swab collection

File:Info 22 v1.0 MRSA swabs.pdf

2026-04-15T23:24:13Z

Lmorgan: MRSA Swab collection

== Summary ==
MRSA Swab collection

Tests:First Antenatal Screen - Community

2026-02-23T00:29:25Z

Lmorgan: removed red top

{{DISPLAYTITLE:First Antenatal Screen - Community}}

[[Category:Tests]]
[[Category:Transfusion]]
[[Category:Haematology]]
{| class="wikitable"
|'''Synonym(s)'''
|First Antenatal, AN1, 1st Antenatal, Includes: Group and Screen, CBC, HBsAg serology, HIV serology, Rubella IgG serology, Syphilis serology
|-
|'''Specimen'''
|6 mL EDTA (Pink top) + 2 x 4 mL EDTA (Purple top) + SST. Minimum labelling - Surname + Forename + NHI Number and/or Date of Birth
|-
|'''Paediatric Specimen'''
|N/A
|-
|'''Minimum Volume'''
|250uL for CBC
|-
|'''Add-on conditions'''
|Please view individual tests (serology specimen stored for 12 months)
|-
|'''Test Availability'''
|Mon - Fri 0800 - 1600
|-
|'''Turnaround Time'''
|3 - 7 days
|-
|'''Where analysed'''
|Hastings and External Laboratory
|-
|'''Department'''
|Biochemistry, Haematology, Microbiology and Transfusion Medicine (06) 878 1308 ext. 2447, 2445, 2637 or 2645
|-
|'''Registration Code'''
|CBCD + HBA + SCL
|-
|'''Deletion Code'''
|N/A
|-
|'''Useful Information'''
|Private midwives and GP requests have CBC, HBA and group and hold performed at the DHB. Serology is performed by SCL
|-
|'''Measurement Uncertainty'''
|N/A
|}

Tests:Myeloma Screen

2026-02-09T03:14:50Z

Lmorgan:

{{DISPLAYTITLE:Myeloma Screen}}

[[Category:Tests]]
[[Category:Biochemistry]]
[[Category:Haematology]]
[[Category:Preanalytical]]
{| class="wikitable"
|'''Synonym(s)'''
|Myeloma
|-
|'''Specimen'''
|4 mL green top or gold top and 4 mL purple top - Serum sample required for SPEP sendaway (Awanui)
|-
|'''Paediatric Specimen'''
|0.5 mL Paediatric brown, yellow, or green top and 0.5 purple top - Serum sample required for SPEP sendaway (Awanui)
|-
|'''Aliquot Instructions'''
|EDTA whole blood for CBC, Plasma or Serum for biochemistry and Serum for SPEP
|-
|'''Minimum Volumes'''
|200 uL for Biochemistry, 250 uL for CBC, 300 uL for SPEP sendaway (Awanui)
|-
|'''Add-on conditions'''
|CBCD & blood film 24 hours @ 4°C
|-
|'''Test Availability'''
|N/A
|-
|'''Turnaround Time'''
|N/A
|-
|'''Where analysed'''
|Hastings and External Laboratory
|-
|'''Department'''
|Specimen Services ext. 2452, Biochemistry ext. 2448 and Haematology ext.2445
|-
|'''Registration Code'''
|CBCD, PTP, PALB, IMMG, PCA, PCRN and SCL
|-
|'''Deletion Code'''
|N/A
|-
|'''Useful Information'''
|Copy of form to Haematology to ensure Film performed
|-
|'''Measurement Uncertainty'''
|Available upon request
|}

Tests:Protein Electrophoresis

2026-02-09T02:00:12Z

Lmorgan:

{{DISPLAYTITLE:Protein Electrophoresis}}

[[Category:Tests]]
[[Category:Preanalytical]]
{| class="wikitable"
|'''Synonym(s)'''
|SPEP, serum protein electrophoresis
|-
|'''Specimen'''
|10 mL plain (RED - NO GEL) or SST (Gold top). No haemolysis.
|-
|'''Paediatric Specimen'''
|2 x 0.5 mL plain ONLY. No haemolysis.
|-
|'''Aliquot Instructions'''
|Serum, aliquot for biochemistry and aliquot for SPEP sendaway (Awanui)
|-
|'''Minimum Volume'''
|150 uL for Biochemistry, 300 uL for SPEP sendaway (Awanui)
|-
|'''Add-on conditions'''
|Plain tube ONLY
|-
|'''Test Availability'''
|Mon - Fri 0800 - 1600
|-
|'''Turnaround Time'''
|3 - 7 days
|-
|'''Where analysed'''
|External Laboratory
|-
|'''Department'''
|Specimen Services
|-
|'''Registration Code'''
|PTP, PALB and SCL
|-
|'''Deletion Code'''
|5997
|-
|'''Useful Information'''
|Performed at Awanui
|-
|'''Measurement Uncertainty'''
|N/A
|}

Tests:Myeloma Screen

2026-02-09T01:59:21Z

Lmorgan:

{{DISPLAYTITLE:Myeloma Screen}}

[[Category:Tests]]
[[Category:Biochemistry]]
[[Category:Haematology]]
[[Category:Preanalytical]]
{| class="wikitable"
|'''Synonym(s)'''
|Myeloma
|-
|'''Specimen'''
|4 mL green top or gold top and 4 mL purple top - Serum sample required for SPEP sendaway (Awanui)
|-
|'''Paediatric Specimen'''
|0.5 mL Paediatric brown, yellow, or green top and 0.5 purple top - Serum sample required for SPEP sendaway (Awanui)
|-
|'''Aliquot Instructions'''
|EDTA whole blood for CBC, plasma or serum for biochemistry and serum for SPEP
|-
|'''Registration Code'''
|CBCD, PTP, PALB, IMMG, PCA, PCRN and SCL
|-
|'''Aliquot Instructions'''
|Plasma or Serum for biochemistry tests, Whole blood EDTA for CBC, Serum for SPEP sendaway (Awanui)
|-
|'''Minimum Volumes'''
|200 uL for Biochemistry, 250 uL for CBC, 300 uL for SPEP sendaway (Awanui)
|-
|'''Add-on conditions'''
|CBCD & blood film 24 hours @ 4°C
|-
|'''Test Availability'''
|N/A
|-
|'''Turnaround Time'''
|N/A
|-
|'''Where analysed'''
|Hastings and External Laboratory
|-
|'''Department'''
|Specimen Services ext. 2452, Biochemistry ext. 2448 and Haematology ext.2445
|-
|'''Deletion Code'''
|N/A
|-
|'''Useful Information'''
|Copy of form to Haematology to ensure Film performed
|-
|'''Measurement Uncertainty'''
|Available upon request
|}

Tests:PH - Urine

2025-11-11T22:40:52Z

Lmorgan:

{{DISPLAYTITLE:pH - Urine}}

[[Category:Tests]]
[[Category:Biochemistry]]
{| class="wikitable"
|'''Synonym(s)'''
|Urine pH is measured using POCT urine test strips, the same as those available on the wards.
|-
|'''Tube/Container Type'''
|Urine - random, mid-stream preferred. Do not centrifuge.
|-
|'''''
|As above.
|-
|'''Sample Type'''
|
|-
|'''Registration Code'''
|UPH
|-
|'''Add-on conditions'''
|Should not stand at room temperature for >2hrs, if longer store at 4'C.
|-
|'''Test Availability'''
|Mon - Sun, 24 hours
|-
|'''Turnaround Time'''
|Hastings Lab - 2 hours, POCT on Wards - 5 min.
|-
|'''Where analysed'''
|Hastings Lab. This can also be measured using POCT urine test strips, available on the wards.
|-
|'''Department'''
|Biochemistry, (06) 878 1308 ext. 2448
|-
|'''Deletion Code'''
|3790
|-
|'''Useful Information'''
|
|-
|'''Measurement Uncertainty'''
|}

File:Order of Draw.pdf

2025-11-07T01:51:12Z

Lmorgan: Lmorgan uploaded a new version of File:Order of Draw.pdf

== Summary ==
Order of Draw

CPO

2025-07-09T03:59:16Z

Lmorgan:

{{DISPLAYTITLE:CPO Screen}}

[[Category:Tests]]
[[Category:Microbiology]]
{| class="wikitable"
|'''Synonym(s)'''
|CPE, CRE, Carbapenemase Resistant Organisms
|-
|'''Specimen'''
|Rectal Swab in Transport Media or 5g Faeces in sterile container
|-
|'''Paediatric Specimen'''
|Rectal Swab in Transport Media or 5g Faeces in sterile container
|-
|'''Add-on conditions'''
|Contact Microbiology to discuss
|-
|'''Test Availability'''
|Mon - Sun 0800 - 1600
|-
|'''Turnaround Time'''
|Hastings / Central HB / Wairoa 2 - 5 days
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Microbiology, (06) 878 1308 ext. 2637
|-
|'''Registration Code'''
|CPO
|-
|'''Deletion Code'''
|
|-
|'''Useful Information'''
|
|-
|'''Measurement Uncertainty'''
|N/A
|}

Tests:NT pro-BNP

2025-05-27T21:25:19Z

Lmorgan:

{{DISPLAYTITLE:NT pro-BNP}}

[[Category:Tests]]
[[Category:Biochemistry]]
{| class="wikitable"
|'''Synonym(s)'''
|Brain Natiuretic Peptide, BNP, bnp
|-
|'''Tube/Container Type'''
|4 mL green top or gold top
|-
|'''''
|0.5 mL Paediatric brown, yellow, or green top
|-
|'''Sample Type'''
|
|-
|'''Registration Code'''
|PBNP
|-
|'''Add-on conditions'''
|24 hours @ 4°C
|-
|'''Test Availability'''
|Monday to Sunday 8am - 5pm
|-
|'''Turnaround Time'''
|See Test Availability (above)
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Biochemistry, (06) 878 1308 ext. 2448
|-
|'''Deletion Code'''
|4695
|-
|'''Useful Information'''
|[https://www.pathologytestsexplained.org.au/ptests-pro.php?q=BNP+%28Brain+natriuretic+peptide%29 Click Here]
|-
|'''Measurement Uncertainty'''
|Available upon request
|}

Tests:Bence Jones Protein

2025-05-13T04:35:17Z

Lmorgan:

{{DISPLAYTITLE:Bence Jones Protein}}
{| class="wikitable"
|'''Synonym(s)'''
|BJP, Urine free light chains, Urine electrophoresis
|-
|'''Specimen'''
|Urine (Early morning sample recommended)
|-
|'''Paediatric Specimen'''
|N/A
|-
|'''Aliquot Instructions'''
|Urine Pottle
|-
|'''Minimum Volumes'''
|3 mL
|-
|'''Registration Code'''
|SCL
|-
|'''Add-on conditions'''
|Within 24 hours of collection. Urine sample ONLY.
|-
|'''Test Availability'''
|Mon - Fri 0800 - 1600
|-
|'''Turnaround Time'''
|3 - 7 days
|-
|'''Where analysed'''
|External Laboratory
|-
|'''Department'''
|Specimen Services
|-
|'''Deletion Code'''
|3200
|-
|'''Useful Information'''
|Click Here
|-
|'''Measurement Uncertainty'''
|N/A
|}
[[Category:Tests]]
[[Category:Biochemistry]]

Tests:Bence Jones Protein

2025-05-13T04:33:34Z

Lmorgan:

{{DISPLAYTITLE:Bence Jones Protein}}
{| class="wikitable"
|'''Synonym(s)'''
|BJP, Urine light chains, Urine electrophoresis
|-
|'''Specimen'''
|Urine (Early morning sample recommended)
|-
|'''Paediatric Specimen'''
|N/A
|-
|'''Aliquot Instructions'''
|Urine Pottle
|-
|'''Minimum Volumes'''
|3 mL
|-
|'''Registration Code'''
|SCL
|-
|'''Add-on conditions'''
|Within 24 hours of collection. Urine sample ONLY.
|-
|'''Test Availability'''
|Mon - Fri 0800 - 1600
|-
|'''Turnaround Time'''
|3 - 7 days
|-
|'''Where analysed'''
|External Laboratory
|-
|'''Department'''
|Specimen Services
|-
|'''Deletion Code'''
|3200
|-
|'''Useful Information'''
|Click Here
|-
|'''Measurement Uncertainty'''
|N/A
|}
[[Category:Tests]]
[[Category:Biochemistry]]

Tests:ESBL Swab

2025-04-24T04:37:44Z

Lmorgan:

{{DISPLAYTITLE:ESBL Swab}}

[[Category:Tests]]
[[Category:Microbiology]]
{| class="wikitable"
|'''Synonym(s)'''
|ESBL, CRE, CPE
|-
|'''Specimen'''
|Rectal Swab in Transport Media (AMIES w/o CH 108CFVL)
|-
|'''Paediatric Specimen'''
|Rectal Swab in Transport Media (AMIES w/o CH 108CFVL)
|-
|'''Add-on conditions'''
|Contact Microbiology to discuss
|-
|'''Test Availability'''
|Mon - Sun 0800 - 1600
|-
|'''Turnaround Time'''
|Hastings / Central HB / Wairoa 2 - 5 days
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Microbiology, (06) 878 1308 ext. 2637
|-
|'''Registration Code'''
|ESBL + VRE
|-
|'''Deletion Code'''
|7183 + 5994
|-
|'''Useful Information'''
|CRE is excluded as part of the ESBL screening process.
|-
|'''Measurement Uncertainty'''
|N/A
|}

Tests:OPT OFF

2025-04-23T23:04:59Z

Lmorgan:

{{DISPLAYTITLE:OPT OFF}}

[[Category:Tests]]
[[Category:Preanalytical]]
{| class="wikitable"
|'''Synonym(s)'''
|Opt, Off, ECA, Repository
|-
|'''Specimen'''
|All sample types
|-
|'''Paediatric Specimen'''
|All
|-
|'''Aliquot Instructions'''
|N/A
|-
|'''Minimum volumes'''
|N/A
|-
|'''Add-on conditions'''
|N/A
|-
|'''Test Availability'''
|Mon - Sun, 24 hours
|-
|'''Turnaround Time'''
|N/A
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Specimen Services ext. 2452
|-
|'''Registration Code'''
|OFF - '''For Hastings use only. CHB and Wairoa send bagged to Hastings labelled as "OFF - Please reg"'''
|-
|'''Deletion Code'''
|N/A
|-
|'''Useful Information'''
|Prevents reports to Clinical Portal and ECA
|-
|'''Measurement Uncertainty'''
|N/A
|}

Tests:OPT OFF

2025-04-23T23:02:45Z

Lmorgan:

{{DISPLAYTITLE:OPT OFF}}

[[Category:Tests]]
[[Category:Preanalytical]]
{| class="wikitable"
|'''Synonym(s)'''
|Opt, Off, ECA, Repository
|-
|'''Specimen'''
|All sample types
|-
|'''Paediatric Specimen'''
|All
|-
|'''Aliquot Instructions'''
|N/A
|-
|'''Minimum volumes'''
|N/A
|-
|'''Add-on conditions'''
|N/A
|-
|'''Test Availability'''
|Mon - Sun, 24 hours
|-
|'''Turnaround Time'''
|N/A
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Specimen Services ext. 2452
|-
|'''Registration Code'''
|OFF - For Hastings use only. CHB and Wairoa send samples as "OFF - Please reg"
|-
|'''Deletion Code'''
|N/A
|-
|'''Useful Information'''
|Prevents reports to Clinical Portal and ECA
|-
|'''Measurement Uncertainty'''
|N/A
|}

Patient Services Department Information

2025-04-09T04:11:14Z

Lmorgan:

== '''Patient Services Information (Laboratory Test Manual)''' ==

=== Phlebotomy Service ===
The laboratory provides a phlebotomy ward round between the hours of 7:30am and 12pm weekdays and a Weekend service as follows:

Saturday and Sunday: 7:30am - 11:30am

'''Request forms for this service should be completed prior to 7:30am, and placed on the appropriate clip in the ward office.'''

Any requests for blood tests received by the phlebotomist after the ward round has started will not be accepted unless the workload permits. If the phlebotomist feels they are unable to complete the requested collects due to the remaining workload in the hospital they will decline the requests. The requestor will be referred to the Pre-Analytics manager if discussion is required. Blood collection after the ward round is finished is the responsibility of the medical officer initiating the request.

Ward round phlebotomists are trained for routine venepuncture.

They do not perform any collect from luers or lines.

Any request for a blood gas will be handed back to the clinical team as this collection requires specialised training. The phlebotomy staff do not carry the required equipment and the time frame for processing the samples impacts upon the day’s workflow.

The week day phlebotomist can be contacted if required via the following pager number: 3085.

The Pre-Analytics HOD can be contacted on extension 2603 or 2452.

=== '''DHB Collection Sites''' ===

Mycology collections are only performed at the Wairoa and CHB sites.

Collection site staff do not perform swab collects. They will advise people regarding self-collection procedures for screening requests. All other collections should be performed by the Clinical team.

'''<big>Laboratory Specimen & Request Form Acceptance Criteria</big>'''

'''<big>Specimens for Diagnostic Laboratory Testing ''except'' Transfusion Medicine</big>'''

==== '''The specimen:''' ====

It is important to check that for the test(s) requested:

* The correct sample type has been selected (e.g.: additive/tube type)
* Sample containers/tubes are within expiry dates
* There is sufficient volume of sample
* Any transportation requirements are met (e.g.: temperature).

Ensure the '''tubes are mixed after collection''' to prevent clotting in those tubes with additives.

A list of collection guidelines and references is included at the bottom of this document.

=== '''Specimen labelling:''' ===

'''Minimum information on each specimen shall include:'''

* ''Surname and First name and Hospital number (NHI), OR''
* ''Surname and First name and Date of Birth.''

· All laboratory specimens shall be labelled by the '''collector''' after collection, and before leaving the patient i.e.: in front of and witnessed by the patient.

'''Remember the final check: SAY IT OUT LOUD'''

'''Read back the tube details to the patient for confirmation'''

* In an emergency a unique patient identification number can be used i.e.: Red Bracelet Number and Hospital Number.

* Where patient confidentiality is paramount a code may be used. The nationally recognised convention for coding of these specimens is as follows:
* First 2 letters of surname, first letter of first name, sex followed by DOB e.g.: DOJM01021903 for John Doe 01/02/1903.
* Cord Blood Gas specimens to be labelled:
* "Baby of"
* Mother's surname
* Mother's first name
* Baby's Hospital Number where available, otherwise Baby's date of birth.

''If a multiple birth then also state “Twin 1 and Twin 2 etc.” on appropriate forms and specimens.''

=== '''Request form:''' ===
The laboratory has five main types of request forms available:

* White for routine laboratory test requests.
* Green for “Add On” test requests in general ward areas.
* Pink for ED/AAU urgent test requests.
* Blue for ED/AAU “Add On” requests.

* Light Yellow Histology and Cytology requests

Laboratory request forms shall contain the following information:

* Complete patient details including Surname, First name, DOB and NHI.
* Consultant/Specialty Team name.
* Location (e.g.: ED, AB1, and OPD).
* Encounter/Visit number (for hospital requests).
* Relevant clinical details.
* Name and signature of the person requesting the test(s).
* Name and signature of the person identifying the patient and sample(s).
* Time and date of specimen collection.

Bradma labels with up to date information are strongly recommended for all Laboratory request forms. The encounter number is required to direct results to the requestor's read list for sign off.

Refer to: Laboratory Sample Collection and Labelling Procedures HBDHB/CPG/120

=== '''Labelling Exceptions:''' ===
All samples with no labelling or mislabelling will be discarded unless a valid clinical reason can be provided to the Laboratory Manager or their delegate:

Samples from difficult to re-collect sites (e.g.: Histology samples, CSF’s, Blood Cultures collected prior to administration of antibiotics) meet this criteria. Specimens not listed may be accepted at the discretion of the Laboratory Manager.

=== '''Inadequate Labelling of Samples and /or Request Forms Includes:''' ===
Partial labelling of sample or request

* Incorrect labelling of sample (e.g.: name spelt wrong or different date of birth on specimen to that of the form)
* Missing First name or missing Surname
* Unlabelled request forms.

Acceptance will be on a case-by-case basis according to laboratory protocols.

=== '''Air Tube Delivery System''' ===
Hawke's Bay Hospital has a 16 station air tube delivery system. The main clinical areas and the Laboratory are included in the network. The reliability of the service depends upon the correct usage. Please do not use the system if you have not been trained. Errors in usage will shut down the system for a number of other users. Refer to:

Lamson Tube System Policy HBDHB/OPM/098

=== '''Key contacts''' ===

* Pre-analytical Laboratory

Ph. 06 878 1308 ext. 2452

* Villa 8 - Phlebotomy Services Ext 2648

Monday - Friday 0800 - 1700

Pre-analytical HOD - Lynne Morgan Ext 2603
=== '''Links''' ===
HBDHB Laboratory Test Manual

Canterbury Health Lab Test Guide

Page Reviewed April 2025

Patient Services Department Information

2025-04-09T04:10:46Z

Lmorgan:

== '''Patient Services Information (Laboratory Test Manual)''' ==

=== Phlebotomy Service ===
The laboratory provides a phlebotomy ward round between the hours of 7:30am and 12pm weekdays and a Weekend service as follows:

Saturday and Sunday: 7:30am - 11:30am

'''Request forms for this service should be completed prior to 7:30am, and placed on the appropriate clip in the ward office.'''

Any requests for blood tests received by the phlebotomist after the ward round has started will not be accepted unless the workload permits. If the phlebotomist feels they are unable to complete the requested collects due to the remaining workload in the hospital they will decline the requests. The requestor will be referred to the Pre-Analytics manager if discussion is required. Blood collection after the ward round is finished is the responsibility of the medical officer initiating the request.

Ward round phlebotomists are trained for routine venepuncture.

They do not perform any collect from luers or lines.

Any request for a blood gas will be handed back to the clinical team as this collection requires specialised training. The phlebotomy staff do not carry the required equipment and the time frame for processing the samples impacts upon the day’s workflow.

The week day phlebotomist can be contacted if required via the following pager number: 3085.

The Pre-Analytics HOD can be contacted on extension 2603 or 2452.

=== '''DHB Collection Sites''' ===

Mycology collections are only performed at the Wairoa and CHB sites.

Collection site staff do not perform swab collects. They will advise people regarding self-collection procedures for screening requests. All other collections should be performed by the Clinical team.

'''<big>Laboratory Specimen & Request Form Acceptance Criteria</big>'''

'''<big>Specimens for Diagnostic Laboratory Testing ''except'' Transfusion Medicine</big>'''

==== '''The specimen:''' ====

It is important to check that for the test(s) requested:

* The correct sample type has been selected (e.g.: additive/tube type)
* Sample containers/tubes are within expiry dates
* There is sufficient volume of sample
* Any transportation requirements are met (e.g.: temperature).

Ensure the '''tubes are mixed after collection''' to prevent clotting in those tubes with additives.

A list of collection guidelines and references is included at the bottom of this document.

=== '''Specimen labelling:''' ===

'''Minimum information on each specimen shall include:'''

* ''Surname and First name and Hospital number (NHI), OR''
* ''Surname and First name and Date of Birth.''

· All laboratory specimens shall be labelled by the '''collector''' after collection, and before leaving the patient i.e.: in front of and witnessed by the patient.

'''Remember the final check: SAY IT OUT LOUD'''

'''Read back the tube details to the patient for confirmation'''

* In an emergency a unique patient identification number can be used i.e.: Red Bracelet Number and Hospital Number.

* Where patient confidentiality is paramount a code may be used. The nationally recognised convention for coding of these specimens is as follows:
* First 2 letters of surname, first letter of first name, sex followed by DOB e.g.: DOJM01021903 for John Doe 01/02/1903.
* Cord Blood Gas specimens to be labelled:
* "Baby of"
* Mother's surname
* Mother's first name
* Baby's Hospital Number where available, otherwise Baby's date of birth.

''If a multiple birth then also state “Twin 1 and Twin 2 etc.” on appropriate forms and specimens.''

=== '''Request form:''' ===
The laboratory has five main types of request forms available:

* White for routine laboratory test requests.
* Green for “Add On” test requests in general ward areas.
* Pink for ED/AAU urgent test requests.
* Blue for ED/AAU “Add On” requests.

* Light Yellow Histology and Cytology requests

Laboratory request forms shall contain the following information:

* Complete patient details including Surname, First name, DOB and NHI.
* Consultant/Specialty Team name.
* Location (e.g.: ED, AB1, and OPD).
* Encounter/Visit number (for hospital requests).
* Relevant clinical details.
* Name and signature of the person requesting the test(s).
* Name and signature of the person identifying the patient and sample(s).
* Time and date of specimen collection.

Bradma labels with up to date information are strongly recommended for all Laboratory request forms. The encounter number is required to direct results to the requestor's read list for sign off.

Refer to: Laboratory Sample Collection and Labelling Procedures HBDHB/CPG/120

=== '''Labelling Exceptions:''' ===
All samples with no labelling or mislabelling will be discarded unless a valid clinical reason can be provided to the Laboratory Manager or their delegate:

Samples from difficult to re-collect sites (e.g.: Histology samples, CSF’s, Blood Cultures collected prior to administration of antibiotics) meet this criteria. Specimens not listed may be accepted at the discretion of the Laboratory Manager.

=== '''Inadequate Labelling of Samples and /or Request Forms Includes:''' ===
Partial labelling of sample or request

* Incorrect labelling of sample (e.g.: name spelt wrong or different date of birth on specimen to that of the form)
* Missing First name or missing Surname
* Unlabelled request forms.

Acceptance will be on a case-by-case basis according to laboratory protocols.

=== '''Air Tube Delivery System''' ===
Hawke's Bay Hospital has a 16 station air tube delivery system. The main clinical areas and the Laboratory are included in the network. The reliability of the service depends upon the correct usage. Please do not use the system if you have not been trained. Errors in usage will shut down the system for a number of other users. Refer to:

Lamson Tube System Policy HBDHB/OPM/098

=== '''Key contacts''' ===

* Pre-analytical Laboratory

Ph. 06 878 1308 ext. 2452

* Villa 8 - Phlebotomy Services Ext 2648

Monday - Friday 0800 - 1700

Pre-analytical HOD - Lynne Morgan Ext 2603
=== '''Links''' ===
HBDHB Laboratory Test Manual

Canterbury Health Lab Test Guide

Page Reviewed April 2025

Patient Services Department Information

2025-04-09T04:06:38Z

Lmorgan:

== '''Patient Services Information (Laboratory Test Manual)''' ==

=== Phlebotomy Service ===
The laboratory provides a phlebotomy ward round between the hours of 7:30am and 12pm weekdays and a Weekend service as follows:

Saturday and Sunday: 7:30am - 11:30am

'''Request forms for this service should be completed prior to 7:30am, and placed on the appropriate clip in the ward office.'''

Any requests for blood tests received by the phlebotomist after the ward round has started will not be accepted unless the workload permits. If the phlebotomist feels they are unable to complete the requested collects due to the remaining workload in the hospital they will decline the requests. The requestor will be referred to the Pre-Analytics manager if discussion is required. Blood collection after the ward round is finished is the responsibility of the medical officer initiating the request.

Ward round phlebotomists are trained for routine venepuncture.

They do not perform any collect from luers or lines.

Any request for a blood gas will be handed back to the clinical team as this collection requires specialised training. The phlebotomy staff do not carry the required equipment and the time frame for processing the samples impacts upon the day’s workflow.

The week day phlebotomist can be contacted if required via the following pager number: 3085.

The Pre-Analytics HOD can be contacted on extension 2603 or 2452.

=== '''DHB Collection Sites''' ===

Mycology collections are only performed at the Wairoa and CHB sites.

Collection site staff do not perform swab collects. They will advise people regarding self-collection procedures for screening requests. All other collections should be performed by the Clinical team.

'''<big>Laboratory Specimen & Request Form Acceptance Criteria</big>'''

'''<big>Specimens for Diagnostic Laboratory Testing ''except'' Transfusion Medicine</big>'''

==== '''The specimen:''' ====

It is important to check that for the test(s) requested:

* The correct sample type has been selected (e.g.: additive/tube type)
* Sample containers/tubes are within expiry dates
* There is sufficient volume of sample
* Any transportation requirements are met (e.g.: temperature).

Ensure the '''tubes are mixed after collection''' to prevent clotting in those tubes with additives.

A list of collection guidelines and references is included at the bottom of this document.

=== '''Specimen labelling:''' ===

'''Minimum information on each specimen shall include:'''

* ''Surname and First name and Hospital number (NHI), OR''
* ''Surname and First name and Date of Birth.''

· All laboratory specimens shall be labelled by the '''collector''' after collection, and before leaving the patient i.e.: in front of and witnessed by the patient.

'''Remember the final check: SAY IT OUT LOUD'''

'''Read back the tube details to the patient for confirmation'''

* In an emergency a unique patient identification number can be used i.e.: Red Bracelet Number and Hospital Number.

* Where patient confidentiality is paramount a code may be used. The nationally recognised convention for coding of these specimens is as follows:
* First 2 letters of surname, first letter of first name, sex followed by DOB e.g.: DOJM01021903 for John Doe 01/02/1903.
* Cord Blood Gas specimens to be labelled:
* "Baby of"
* Mother's surname
* Mother's first name
* Baby's Hospital Number where available, otherwise Baby's date of birth.

''If a multiple birth then also state “Twin 1 and Twin 2 etc.” on appropriate forms and specimens.''

=== '''Request form:''' ===
The laboratory has five main types of request forms available:

* White for routine laboratory test requests.
* Green for “Add On” test requests in general ward areas.
* Pink for ED/AAU urgent test requests.
* Blue for ED/AAU “Add On” requests.

* Light Yellow Histology and Cytology requests

Laboratory request forms shall contain the following information:

* Complete patient details including Surname, First name, DOB and NHI.
* Consultant/Specialty Team name.
* Location (e.g.: ED, AB1, and OPD).
* Encounter/Visit number (for hospital requests).
* Relevant clinical details.
* Name and signature of the person requesting the test(s).
* Name and signature of the person identifying the patient and sample(s).
* Time and date of specimen collection.

Bradma labels with up to date information are strongly recommended for all Laboratory request forms. The encounter number is required to direct results to the requestor's read list for sign off.

Refer to: Laboratory Sample Collection and Labelling Procedures HBDHB/CPG/120

=== '''Labelling Exceptions:''' ===
All samples with no labelling or mislabelling will be discarded unless a valid clinical reason can be provided to the Laboratory Manager or their delegate:

Samples from difficult to re-collect sites (e.g.: Histology samples, CSF’s, Blood Cultures collected prior to administration of antibiotics) meet this criteria. Specimens not listed may be accepted at the discretion of the Laboratory Manager.

=== '''Inadequate Labelling of Samples and /or Request Forms Includes:''' ===
Partial labelling of sample or request

* Incorrect labelling of sample (e.g.: name spelt wrong or different date of birth on specimen to that of the form)
* Missing First name or missing Surname
* Unlabelled request forms.

Acceptance will be on a case-by-case basis according to laboratory protocols.

=== '''Air Tube Delivery System''' ===
Hawke's Bay Hospital has a 16 station air tube delivery system. The main clinical areas and the Laboratory are included in the network. The reliability of the service depends upon the correct usage. Please do not use the system if you have not been trained. Errors in usage will shut down the system for a number of other users. Refer to:

Lamson Tube System Policy HBDHB/OPM/098

=== '''Key contacts''' ===

* Pre-analytical Laboratory

Ph. 06 878 1308 ext. 2452

* Villa 8 - Phlebotomy Services Ext 2648

Monday - Friday 0800 - 1700

Pre-analytical HOD - Lynne Morgan Ext 2603
=== '''Links''' ===
HBDHB Laboratory Test Manual

Canterbury Health Lab Test Guide

Patient Services Department Information

2025-04-09T04:04:24Z

Lmorgan:

== '''Patient Services Information (Laboratory Test Manual)''' ==

=== Phlebotomy Service ===
The laboratory provides a phlebotomy ward round between the hours of 7:30am and 12pm weekdays and a Weekend service as follows:

Saturday and Sunday: 7:30am - 11:30am

'''Request forms for this service should be completed prior to 7:30am, and placed on the appropriate clip in the ward office.'''

Any requests for blood tests received by the phlebotomist after the ward round has started will not be accepted unless the workload permits. If the phlebotomist feels they are unable to complete the requested collects due to the remaining workload in the hospital they will decline the requests. The requestor will be referred to the Pre-Analytics manager if discussion is required. Blood collection after the ward round is finished is the responsibility of the medical officer initiating the request.

Ward round phlebotomists are trained for routine venepuncture.

They do not perform any collect from luers or lines.

Any request for a blood gas will be handed back to the clinical team as this collection requires specialised training. The phlebotomy staff do not carry the required equipment and the time frame for processing the samples impacts upon the day’s workflow.

The week day phlebotomist can be contacted if required via the following pager number: 3085.

The Pre-Analytics HOD can be contacted on extension 2603 or 2452.

=== '''DHB Collection Sites''' ===

Mycology collections are only performed at the Wairoa and CHB sites.

Collection site staff do not perform swab collects. They will advise people regarding self-collection procedures for screening requests. All other collections should be performed by the Clinical team.

'''<big>Laboratory Specimen & Request Form Acceptance Criteria</big>'''

'''<big>Specimens for Diagnostic Laboratory Testing ''except'' Transfusion Medicine</big>'''

==== '''The specimen:''' ====

It is important to check that for the test(s) requested:

* The correct sample type has been selected (e.g.: additive/tube type)
* Sample containers/tubes are within expiry dates
* There is sufficient volume of sample
* Any transportation requirements are met (e.g.: temperature).

Ensure the '''tubes are mixed after collection''' to prevent clotting in those tubes with additives.

A list of collection guidelines and references is included at the bottom of this document.

=== '''Specimen labelling:''' ===

'''Minimum information on each specimen shall include:'''

* ''Surname and First name and Hospital number (NHI), OR''
* ''Surname and First name and Date of Birth.''

· All laboratory specimens shall be labelled by the '''collector''' after collection, and before leaving the patient i.e.: in front of and witnessed by the patient.

'''Remember the final check: SAY IT OUT LOUD'''

'''Read back the tube details to the patient for confirmation'''

* In an emergency a unique patient identification number can be used i.e.: Red Bracelet Number and Hospital Number.

* Where patient confidentiality is paramount a code may be used. The nationally recognised convention for coding of these specimens is as follows:
First 2 letters of surname, first letter of first name, sex followed by DOB e.g.: DOJM01021903 for John Doe 01/02/1903.
* ·Cord Blood Gas specimens to be labelled:
"Baby of"
Mother's surname
Mother's first name
Baby's Hospital Number where available, otherwise Baby's date of birth.

''If a multiple birth then also state “Twin 1 and Twin 2 etc.” on appropriate forms and specimens.''

=== '''Request form:''' ===
The laboratory has five main types of request forms available:

* White for routine laboratory test requests.
* Green for “Add On” test requests in general ward areas.
* Pink for ED/AAU urgent test requests.
* Blue for ED/AAU “Add On” requests.

* Light Yellow Histology and Cytology requests

Laboratory request forms shall contain the following information:

* Complete patient details including Surname, First name, DOB and NHI.
* Consultant/Specialty Team name.
* Location (e.g.: ED, AB1, and OPD).
* Encounter/Visit number (for hospital requests).
* Relevant clinical details.
* Name and signature of the person requesting the test(s).
* Name and signature of the person identifying the patient and sample(s).
* Time and date of specimen collection.

Bradma labels with up to date information are strongly recommended for all Laboratory request forms. The encounter number is required to direct results to the requestor's read list for sign off.

Refer to: Laboratory Sample Collection and Labelling Procedures HBDHB/CPG/120

=== '''Labelling Exceptions:''' ===
All samples with no labelling or mislabelling will be discarded unless a valid clinical reason can be provided to the Laboratory Manager or their delegate:

Samples from difficult to re-collect sites (e.g.: Histology samples, CSF’s, Blood Cultures collected prior to administration of antibiotics) meet this criteria. Specimens not listed may be accepted at the discretion of the Laboratory Manager.

=== '''Inadequate Labelling of Samples and /or Request Forms Includes:''' ===
Partial labelling of sample or request

* Incorrect labelling of sample (e.g.: name spelt wrong or different date of birth on specimen to that of the form)
* Missing First name or missing Surname
* Unlabelled request forms.

Acceptance will be on a case-by-case basis according to laboratory protocols.

=== '''Air Tube Delivery System''' ===
Hawke's Bay Hospital has a 16 station air tube delivery system. The main clinical areas and the Laboratory are included in the network. The reliability of the service depends upon the correct usage. Please do not use the system if you have not been trained. Errors in usage will shut down the system for a number of other users. Refer to:

Lamson Tube System Policy HBDHB/OPM/098

=== '''Key contacts''' ===

* Pre-analytical Laboratory

Ph. 06 878 1308 ext. 2452

* Villa 8 - Phlebotomy Services Ext 2648

Monday - Friday 0800 - 1700

Pre-analytical HOD - Lynne Morgan Ext 2603
=== '''Links''' ===
HBDHB Laboratory Test Manual

Canterbury Health Lab Test Guide

Patient Services Department Information

2025-04-09T04:03:06Z

Lmorgan:

== '''Patient Services Information (Laboratory Test Manual)''' ==

=== Phlebotomy Service ===
The laboratory provides a phlebotomy ward round between the hours of 7:30am and 12pm weekdays and a Weekend service as follows:

Saturday and Sunday: 7:30am - 11:30am

'''Request forms for this service should be completed prior to 7:30am, and placed on the appropriate clip in the ward office.'''

Any requests for blood tests received by the phlebotomist after the ward round has started will not be accepted unless the workload permits. If the phlebotomist feels they are unable to complete the requested collects due to the remaining workload in the hospital they will decline the requests. The requestor will be referred to the Pre-Analytics manager if discussion is required. Blood collection after the ward round is finished is the responsibility of the medical officer initiating the request.

Ward round phlebotomists are trained for routine venepuncture.

They do not perform any collect from luers or lines.

Any request for a blood gas will be handed back to the clinical team as this collection requires specialised training. The phlebotomy staff do not carry the required equipment and the time frame for processing the samples impacts upon the day’s workflow.

The week day phlebotomist can be contacted if required via the following pager number: 3085.

The Pre-Analytics HOD can be contacted on extension 2603 or 2452.

=== '''DHB Collection Sites''' ===

Mycology collections are only performed at the Wairoa and CHB sites.

Collection site staff do not perform swab collects. They will advise people regarding self-collection procedures for screening requests. All other collections should be performed by the Clinical team.

'''<big>Laboratory Specimen & Request Form Acceptance Criteria</big>'''

'''<big>Specimens for Diagnostic Laboratory Testing ''except'' Transfusion Medicine</big>'''

==== '''The specimen:''' ====

It is important to check that for the test(s) requested:

* The correct sample type has been selected (e.g.: additive/tube type)
* Sample containers/tubes are within expiry dates
* There is sufficient volume of sample
* Any transportation requirements are met (e.g.: temperature).

Ensure the '''tubes are mixed after collection''' to prevent clotting in those tubes with additives.

A list of collection guidelines and references is included at the bottom of this document.

=== '''Specimen labelling:''' ===

'''Minimum information on each specimen shall include:'''

* ''Surname and First name and Hospital number (NHI), OR''
* ''Surname and First name and Date of Birth.''

· All laboratory specimens shall be labelled by the '''collector''' after collection, and before leaving the patient i.e.: in front of and witnessed by the patient.

'''Remember the final check: SAY IT OUT LOUD'''

'''Read back the tube details to the patient for confirmation'''

* In an emergency a unique patient identification number can be used i.e.: Red Bracelet Number and Hospital Number.

* Where patient confidentiality is paramount a code may be used. The nationally recognised convention for coding of these specimens is as follows:
First 2 letters of surname, first letter of first name, sex followed by DOB e.g.: DOJM01021903 for John Doe 01/02/1903.
* ·Cord Blood Gas specimens to be labelled:
* "Baby of"
* Mother's surname
* Mother's first name
* Baby's Hospital Number where available, otherwise Baby's date of birth.

''If a multiple birth then also state “Twin 1 and Twin 2 etc.” on appropriate forms and specimens.''

=== '''Request form:''' ===
The laboratory has five main types of request forms available:

* White for routine laboratory test requests.
* Green for “Add On” test requests in general ward areas.
* Pink for ED/AAU urgent test requests.
* Blue for ED/AAU “Add On” requests.

* Light Yellow Histology and Cytology requests

Laboratory request forms shall contain the following information:

* Complete patient details including Surname, First name, DOB and NHI.
* Consultant/Specialty Team name.
* Location (e.g.: ED, AB1, and OPD).
* Encounter/Visit number (for hospital requests).
* Relevant clinical details.
* Name and signature of the person requesting the test(s).
* Name and signature of the person identifying the patient and sample(s).
* Time and date of specimen collection.

Bradma labels with up to date information are strongly recommended for all Laboratory request forms. The encounter number is required to direct results to the requestor's read list for sign off.

Refer to: Laboratory Sample Collection and Labelling Procedures HBDHB/CPG/120

=== '''Labelling Exceptions:''' ===
All samples with no labelling or mislabelling will be discarded unless a valid clinical reason can be provided to the Laboratory Manager or their delegate:

Samples from difficult to re-collect sites (e.g.: Histology samples, CSF’s, Blood Cultures collected prior to administration of antibiotics) meet this criteria. Specimens not listed may be accepted at the discretion of the Laboratory Manager.

=== '''Inadequate Labelling of Samples and /or Request Forms Includes:''' ===
Partial labelling of sample or request

* Incorrect labelling of sample (e.g.: name spelt wrong or different date of birth on specimen to that of the form)
* Missing First name or missing Surname
* Unlabelled request forms.

Acceptance will be on a case-by-case basis according to laboratory protocols.

=== '''Air Tube Delivery System''' ===
Hawke's Bay Hospital has a 16 station air tube delivery system. The main clinical areas and the Laboratory are included in the network. The reliability of the service depends upon the correct usage. Please do not use the system if you have not been trained. Errors in usage will shut down the system for a number of other users. Refer to:

Lamson Tube System Policy HBDHB/OPM/098

=== '''Key contacts''' ===

* Pre-analytical Laboratory

Ph. 06 878 1308 ext. 2452

* Villa 8 - Phlebotomy Services Ext 2648

Monday - Friday 0800 - 1700

Pre-analytical HOD - Lynne Morgan Ext 2603
=== '''Links''' ===
HBDHB Laboratory Test Manual

Canterbury Health Lab Test Guide

Patient Services Department Information

2025-04-09T04:01:21Z

Lmorgan:

== '''Patient Services Information (Laboratory Test Manual)''' ==

=== Phlebotomy Service ===
The laboratory provides a phlebotomy ward round between the hours of 7:30am and 12pm weekdays and a Weekend service as follows:

Saturday and Sunday: 7:30am - 11:30am

'''Request forms for this service should be completed prior to 7:30am, and placed on the appropriate clip in the ward office.'''

Any requests for blood tests received by the phlebotomist after the ward round has started will not be accepted unless the workload permits. If the phlebotomist feels they are unable to complete the requested collects due to the remaining workload in the hospital they will decline the requests. The requestor will be referred to the Pre-Analytics manager if discussion is required. Blood collection after the ward round is finished is the responsibility of the medical officer initiating the request.

Ward round phlebotomists are trained for routine venepuncture.

They do not perform any collect from luers or lines.

Any request for a blood gas will be handed back to the clinical team as this collection requires specialised training. The phlebotomy staff do not carry the required equipment and the time frame for processing the samples impacts upon the day’s workflow.

The week day phlebotomist can be contacted if required via the following pager number: 3085.

The Pre-Analytics HOD can be contacted on extension 2603 or 2452.

=== '''DHB Collection Sites''' ===

Mycology collections are only performed at the Wairoa and CHB sites.

Collection site staff do not perform swab collects. They will advise people regarding self-collection procedures for screening requests. All other collections should be performed by the Clinical team.

'''<big>Laboratory Specimen & Request Form Acceptance Criteria</big>'''

'''<big>Specimens for Diagnostic Laboratory Testing ''except'' Transfusion Medicine</big>'''

==== '''The specimen:''' ====

It is important to check that for the test(s) requested:

* The correct sample type has been selected (e.g.: additive/tube type)
* Sample containers/tubes are within expiry dates
* There is sufficient volume of sample
* Any transportation requirements are met (e.g.: temperature).

Ensure the '''tubes are mixed after collection''' to prevent clotting in those tubes with additives.

A list of collection guidelines and references is included at the bottom of this document.

=== '''Specimen labelling:''' ===

'''Minimum information on each specimen shall include:'''

* ''Surname and First name and Hospital number (NHI), OR''
* ''Surname and First name and Date of Birth.''

· All laboratory specimens shall be labelled by the '''collector''' after collection, and before leaving the patient i.e.: in front of and witnessed by the patient.

'''Remember the final check: SAY IT OUT LOUD'''

'''Read back the tube details to the patient for confirmation'''

· In an emergency a unique patient identification number can be used i.e.: Red Bracelet Number and Hospital Number.

· Where patient confidentiality is paramount a code may be used. The nationally recognised convention for coding of these specimens is as follows:

* First 2 letters of surname, first letter of first name, sex followed by DOB e.g.: DOJM01021903 for John Doe 01/02/1903.
* ·Cord Blood Gas specimens to be labelled:
* "Baby of"
* Mother's surname
* Mother's first name
* Baby's Hospital Number where available, otherwise Baby's date of birth.

''If a multiple birth then also state “Twin 1 and Twin 2 etc.” on appropriate forms and specimens.''

=== '''Request form:''' ===
The laboratory has five main types of request forms available:

* White for routine laboratory test requests.
* Green for “Add On” test requests in general ward areas.
* Pink for ED/AAU urgent test requests.
* Blue for ED/AAU “Add On” requests.

* Light Yellow Histology and Cytology requests

Laboratory request forms shall contain the following information:

* Complete patient details including Surname, First name, DOB and NHI.
* Consultant/Specialty Team name.
* Location (e.g.: ED, AB1, and OPD).
* Encounter/Visit number (for hospital requests).
* Relevant clinical details.
* Name and signature of the person requesting the test(s).
* Name and signature of the person identifying the patient and sample(s).
* Time and date of specimen collection.

Bradma labels with up to date information are strongly recommended for all Laboratory request forms. The encounter number is required to direct results to the requestor's read list for sign off.

Refer to: Laboratory Sample Collection and Labelling Procedures HBDHB/CPG/120

=== '''Labelling Exceptions:''' ===
All samples with no labelling or mislabelling will be discarded unless a valid clinical reason can be provided to the Laboratory Manager or their delegate:

Samples from difficult to re-collect sites (e.g.: Histology samples, CSF’s, Blood Cultures collected prior to administration of antibiotics) meet this criteria. Specimens not listed may be accepted at the discretion of the Laboratory Manager.

=== '''Inadequate Labelling of Samples and /or Request Forms Includes:''' ===
Partial labelling of sample or request

* Incorrect labelling of sample (e.g.: name spelt wrong or different date of birth on specimen to that of the form)
* Missing First name or missing Surname
* Unlabelled request forms.

Acceptance will be on a case-by-case basis according to laboratory protocols.

=== '''Air Tube Delivery System''' ===
Hawke's Bay Hospital has a 16 station air tube delivery system. The main clinical areas and the Laboratory are included in the network. The reliability of the service depends upon the correct usage. Please do not use the system if you have not been trained. Errors in usage will shut down the system for a number of other users. Refer to:

Lamson Tube System Policy HBDHB/OPM/098

=== '''Key contacts''' ===

* Pre-analytical Laboratory

Ph. 06 878 1308 ext. 2452

* Villa 8 - Phlebotomy Services Ext 2648

Monday - Friday 0800 - 1700

Pre-analytical HOD - Lynne Morgan Ext 2603
=== '''Links''' ===
HBDHB Laboratory Test Manual

Canterbury Health Lab Test Guide

Patient Services Department Information

2025-04-09T03:59:48Z

Lmorgan:

== '''Patient Services Information (Laboratory Test Manual)''' ==

=== Phlebotomy Service ===
The laboratory provides a phlebotomy ward round between the hours of 7:30am and 12pm weekdays and a Weekend service as follows:

Saturday and Sunday: 7:30am - 11:30am

'''Request forms for this service should be completed prior to 7:30am, and placed on the appropriate clip in the ward office.'''

Any requests for blood tests received by the phlebotomist after the ward round has started will not be accepted unless the workload permits. If the phlebotomist feels they are unable to complete the requested collects due to the remaining workload in the hospital they will decline the requests. The requestor will be referred to the Pre-Analytics manager if discussion is required. Blood collection after the ward round is finished is the responsibility of the medical officer initiating the request.

Ward round phlebotomists are trained for routine venepuncture.

They do not perform any collect from luers or lines.

Any request for a blood gas will be handed back to the clinical team as this collection requires specialised training. The phlebotomy staff do not carry the required equipment and the time frame for processing the samples impacts upon the day’s workflow.

The week day phlebotomist can be contacted if required via the following pager number: 3085.

The Pre-Analytics HOD can be contacted on extension 2603 or 2452.

=== '''DHB Collection Sites''' ===

Mycology collections are only performed at the Wairoa and CHB sites.

Collection site staff do not perform swab collects. They will advise people regarding self-collection procedures for screening requests. All other collections should be performed by the Clinical team.

'''<big>Laboratory Specimen & Request Form Acceptance Criteria</big>'''

'''<big>Specimens for Diagnostic Laboratory Testing ''except'' Transfusion Medicine</big>'''

==== '''The specimen:''' ====

It is important to check that for the test(s) requested:

* The correct sample type has been selected (e.g.: additive/tube type)
* Sample containers/tubes are within expiry dates
* There is sufficient volume of sample
* Any transportation requirements are met (e.g.: temperature).

Ensure the '''tubes are mixed after collection''' to prevent clotting in those tubes with additives.

A list of collection guidelines and references is included at the bottom of this document.

=== '''Specimen labelling:''' ===

'''Minimum information on each specimen shall include:'''

* ''Surname and First name and Hospital number (NHI), OR''
* ''Surname and First name and Date of Birth.''

· All laboratory specimens shall be labelled by the 'collector' after collection, and before leaving the patient i.e.: in front of and witnessed by the patient.

'''Remember the final check: SAY IT OUT LOUD'''

'''Read back the tube details to the patient for confirmation'''

· In an emergency a unique patient identification number can be used i.e.: Red Bracelet Number and Hospital Number.

· Where patient confidentiality is paramount a code may be used. The nationally recognised convention for coding of these specimens is as follows:

* First 2 letters of surname, first letter of first name, sex followed by DOB e.g.: DOJM01021903 for John Doe 01/02/1903.
* ·Cord Blood Gas specimens to be labelled:
* "Baby of"
* Mother's surname
* Mother's first name
* Baby's Hospital Number where available, otherwise Baby's date of birth.

''If a multiple birth then also state “Twin 1 and Twin 2 etc.” on appropriate forms and specimens.''

=== '''Request form:''' ===
The laboratory has five main types of request forms available:

* White for routine laboratory test requests.
* Green for “Add On” test requests in general ward areas.
* Pink for ED/AAU urgent test requests.
* Blue for ED/AAU “Add On” requests.

* Light Yellow Histology and Cytology requests

Laboratory request forms shall contain the following information:

* Complete patient details including Surname, First name, DOB and NHI.
* Consultant/Specialty Team name.
* Location (e.g.: ED, AB1, and OPD).
* Encounter/Visit number (for hospital requests).
* Relevant clinical details.
* Name and signature of the person requesting the test(s).
* Name and signature of the person identifying the patient and sample(s).
* Time and date of specimen collection.

Bradma labels with up to date information are strongly recommended for all Laboratory request forms. The encounter number is required to direct results to the requestor's read list for sign off.

Refer to: Laboratory Sample Collection and Labelling Procedures HBDHB/CPG/120

=== '''Labelling Exceptions:''' ===
All samples with no labelling or mislabelling will be discarded unless a valid clinical reason can be provided to the Laboratory Manager or their delegate:

Samples from difficult to re-collect sites (e.g.: Histology samples, CSF’s, Blood Cultures collected prior to administration of antibiotics) meet this criteria. Specimens not listed may be accepted at the discretion of the Laboratory Manager.

=== '''Inadequate Labelling of Samples and /or Request Forms Includes:''' ===
Partial labelling of sample or request

* Incorrect labelling of sample (e.g.: name spelt wrong or different date of birth on specimen to that of the form)
* Missing First name or missing Surname
* Unlabelled request forms.

Acceptance will be on a case-by-case basis according to laboratory protocols.

=== '''Air Tube Delivery System''' ===
Hawke's Bay Hospital has a 16 station air tube delivery system. The main clinical areas and the Laboratory are included in the network. The reliability of the service depends upon the correct usage. Please do not use the system if you have not been trained. Errors in usage will shut down the system for a number of other users. Refer to:

Lamson Tube System Policy HBDHB/OPM/098

=== '''Key contacts''' ===

* Pre-analytical Laboratory

Ph. 06 878 1308 ext. 2452

* Villa 8 - Phlebotomy Services Ext 2648

Monday - Friday 0800 - 1700

Pre-analytical HOD - Lynne Morgan Ext 2603
=== '''Links''' ===
HBDHB Laboratory Test Manual

Canterbury Health Lab Test Guide

Patient Services Department Information

2025-04-09T03:48:43Z

Lmorgan: /* Patient Services Information (Laboratory Test Manual) */

== '''Patient Services Information (Laboratory Test Manual)''' ==

=== Phlebotomy Service ===
The laboratory provides a phlebotomy ward round between the hours of 7:30am and 12pm weekdays and a Weekend service as follows:

Saturday and Sunday: 7:30am - 11:30am

'''Request forms for this service should be completed prior to 7:30am, and placed on the appropriate clip in the ward office.'''

Any requests for blood tests received by the phlebotomist after the ward round has started will not be accepted unless the workload permits. If the phlebotomist feels they are unable to complete the requested collects due to the remaining workload in the hospital they will decline the requests. The requestor will be referred to the Pre-Analytics manager if discussion is required. Blood collection after the ward round is finished is the responsibility of the medical officer initiating the request.

Ward round phlebotomists are trained for routine venepuncture.

They do not perform any collect from luers or lines.

Any request for a blood gas will be handed back to the clinical team as this collection requires specialised training. The staff do not carry the required equipment and the time frame for processing the samples impacts upon the day’s workflow.

The week day phlebotomist can be contacted if required via the following pager number: 3085.

The Pre-Analytics HOD can be contacted on extension 2603 or 2452.

=== '''DHB Collection Sites''' ===

Mycology collections are only performed at the Wairoa and CHB sites.

Collection site staff do not perform swab collects. They will advise people regarding self-collection procedures for screening requests. All other collections should be performed by the Clinical team.

'''<big>Laboratory Specimen & Request Form Acceptance Criteria</big>'''

'''<big>Specimens for Diagnostic Laboratory Testing ''except'' Transfusion Medicine</big>'''

==== '''The specimen:''' ====

It is important to check that for the test(s) requested:

* The correct sample type has been selected (e.g.: additive/tube type)
* Sample containers/tubes are within expiry dates
* There is sufficient volume of sample
* Any transportation requirements are met (e.g.: temperature).

Ensure the '''tubes are mixed after collection''' to prevent clotting in those tubes with additives.

A list of collection guidelines and references is included at the bottom of this document.

=== '''Specimen labelling:''' ===

'''Minimum information on each specimen shall include:'''

* ''Surname and First name and Hospital number (NHI), OR''
* ''Surname and First name and Date of Birth.''

· All laboratory specimens shall be labelled by the 'collector' after collection, and before leaving the patient i.e.: in front of and witnessed by the patient.

'''Remember the final check: SAY IT OUT LOUD'''

'''Read back the tube details to the patient for confirmation'''

· In an emergency a unique patient identification number i.e.: Red Bracelet Number including Hospital Number.

· Where patient confidentiality is paramount a code may be used. The nationally recognised convention for coding of these specimens is as follows:

* First 2 letters of surname, first letter of first name, sex followed by DOB e.g.: DOJM01021903 for John Doe 01/02/1903.
* ·Cord Blood Gas specimens to be labelled:
* "Baby of"
* Mother's surname
* Mother's first name
* Baby's Hospital Number where available, otherwise Baby's date of birth.

''If a multiple birth then also state “Twin 1 and Twin 2 etc.” on appropriate forms and specimens.''

=== '''Request form:''' ===
The laboratory has five main types of request forms available:

* White for routine laboratory test requests.
* Green for “Add On” test requests in general ward areas.
* Pink for ED/AAU urgent test requests.
* Blue for ED/AAU “Add On” requests.

* Light Yellow Histology and Cytology requests

Laboratory request forms shall contain the following information:

* Complete patient details including Surname, First name, DOB and NHI.
* Consultant/Specialty Team name.
* Location (e.g.: ED, AB1, and OPD).
* Encounter/Visit number (for hospital requests).
* Relevant clinical details.
* Name and signature of the person requesting the test(s).
* Name and signature of the person identifying the patient and sample(s).
* Time and date of specimen collection.

Bradma labels with up to date information are strongly recommended for all Laboratory request forms. The encounter number is required to direct results to the requestor's read list for sign off.

Refer to: Laboratory Sample Collection and Labelling Procedures HBDHB/CPG/120

=== '''Labelling Exceptions:''' ===
All samples with no labelling or mislabelling will be discarded unless a valid clinical reason can be provided to the Laboratory Manager or their delegate:

Samples from difficult to re-collect sites (e.g.: Histology samples, CSF’s, Blood Cultures collected prior to administration of antibiotics) meet this criteria. Specimens not listed may be accepted at the discretion of the Laboratory Manager.

=== '''Inadequate Labelling of Samples and /or Request Forms Includes:''' ===
Partial labelling of sample or request

* Incorrect labelling of sample (e.g.: name spelt wrong or different date of birth on specimen to that of the form, but all other details match)
* Unlabelled request forms.

Acceptance will be on a case-by-case basis according to laboratory protocols.

=== '''Air Tube Delivery System''' ===
Hawke's Bay Hospital has a 15 station air tube delivery system. The main clinical areas and the Laboratory are included in the network. The reliability of the service depends upon the correct usage. Please do not use the system if you have not been trained. Errors in usage will shut down the system for a number of other users. Refer to:

Lamson Tube System Policy HBDHB/OPM/098

=== '''Key contacts''' ===

* Pre-analytical Laboratory

Ph. 06 878 1308 ext. 2452

* Villa 8 - Phlebotomy Services Ext 2648

Monday - Friday 0800 - 1700

Pre-analytical HOD - Lynne Morgan Ext 2603
=== '''Links''' ===
HBDHB Laboratory Test Manual

Canterbury Health Lab Test Guide

Tests:First Antenatal Screen - Hospital

2025-04-09T02:31:37Z

Lmorgan:

{{DISPLAYTITLE:First Antenatal Screen - Hospital}}

[[Category:Tests]]
[[Category:Transfusion]]
[[Category:Haematology]]
{| class="wikitable"
|'''Test'''
|First Antenatal Screen - Hospital
|-
|'''Synonym(s)'''
|First Antenatal, AN1, 1st Antenatal, Includes: Group and Screen, CBC, HBsAg serology, HIV serology, Rubella IgG serology, Syphilis serology
|-
|'''Specimen'''
|6 mL EDTA (Pink top) + 2 x 4 mL EDTA (Purple top) + 10 ml plain (RED - NO GEL) or SST. Minimum labelling - Surname + Forename + NHI Number and/or Date of Birth
|-
|'''Paediatric Specimen'''
|N/A
|-
|'''Minimum Volume'''
|250uL for CBC
|-
|'''Add-on conditions'''
|Please view individual tests (serology specimen stored for 12 months)
|-
|'''Test Availability'''
|Mon - Fri 0800 - 1600
|-
|'''Turnaround Time'''
|3 - 7 days
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Haematology, Microbiology and Transfusion Medicine (06) 878 1308 ext. 2445, 2637 or 2645
|-
|'''Registration Code'''
|CBCD + HBA + BB + AN1
|-
|'''Deletion Code'''
|N/A
|-
|'''Useful Information'''
|Hospital requests have CBC, HBA, Serology and group and hold performed at the DHB.
|-
|'''Measurement Uncertainty'''
|N/A
|}

Tests:First Antenatal Screen DHB

2025-04-09T02:29:43Z

Lmorgan:

{{DISPLAYTITLE: First Antenatal Screen DHB}}

[[Category:Tests]]
[[Category:Transfusion]]
[[Category:Haematology]]
{| class="wikitable"
|'''Synonym(s)'''
|1st AN bloods, Includes: Group and Screen, CBC, HBsAg serology, HIV serology, Rubella IgG serology, Syphilis serology
|-
|'''Specimen'''
|6 mL EDTA (Pink top) + 2 x 4 mL EDTA (Purple top) + 10 ml plain (RED - NO GEL). Minimum labelling - Surname + Forename + NHI Number and/or Date of Birth
|-
|'''Paediatric Specimen'''
|N/A
|-
|'''Minimum Volume'''
|250uL for CBC
|-
|'''Add-on conditions'''
|Please view individual tests (serology specimen stored for 12 months)
|-
|'''Test Availability'''
|Mon - Fri 0800 - 1600
|-
|'''Turnaround Time'''
|Hastings / Central HB / Wairoa 24 hours
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Haematology, Microbiology and Transfusion Medicine (06) 878 1308 ext. 2445, 2637 or 2645
|-
|'''Registration Code'''
|CBCD + HBA + BB + AN1
|-
|'''Deletion Code'''
|N/A
|-
|'''Useful Information'''
|
|-
|'''Measurement Uncertainty'''
|N/A
|}

Tests:First Antenatal Screen - Hospital

2025-04-09T02:29:01Z

Lmorgan:

Tests:First Antenatal Screen - Community

2025-04-09T02:28:20Z

Lmorgan:

{{DISPLAYTITLE:First Antenatal Screen - Community}}

[[Category:Tests]]
[[Category:Transfusion]]
[[Category:Haematology]]
{| class="wikitable"
|'''Synonym(s)'''
|First Antenatal, AN1, 1st Antenatal, Includes: Group and Screen, CBC, HBsAg serology, HIV serology, Rubella IgG serology, Syphilis serology
|-
|'''Specimen'''
|6 mL EDTA (Pink top) + 2 x 4 mL EDTA (Purple top) + 10 ml plain (RED - NO GEL) or SST. Minimum labelling - Surname + Forename + NHI Number and/or Date of Birth
|-
|'''Paediatric Specimen'''
|N/A
|-
|'''Minimum Volume'''
|250uL for CBC
|-
|'''Add-on conditions'''
|Please view individual tests (serology specimen stored for 12 months)
|-
|'''Test Availability'''
|Mon - Fri 0800 - 1600
|-
|'''Turnaround Time'''
|3 - 7 days
|-
|'''Where analysed'''
|Hastings and External Laboratory
|-
|'''Department'''
|Biochemistry, Haematology, Microbiology and Transfusion Medicine (06) 878 1308 ext. 2447, 2445, 2637 or 2645
|-
|'''Registration Code'''
|CBCD + HBA + BB + SCL
|-
|'''Deletion Code'''
|N/A
|-
|'''Useful Information'''
|Private midwives and GP requests have CBC, HBA and group and hold performed at the DHB. Serology is performed by SCL
|-
|'''Measurement Uncertainty'''
|N/A
|}

Tests:Myeloma Screen

2025-01-27T00:41:59Z

Lmorgan:

{{DISPLAYTITLE:Myeloma Screen}}

[[Category:Tests]]
[[Category:Biochemistry]]
[[Category:Haematology]]
[[Category:Preanalytical]]
{| class="wikitable"
|'''Synonym(s)'''
|Myeloma
|-
|'''Tube/Container Type'''
|4 mL green top or gold top and 4 mL purple top - Serum sample required for SPEP sendaway (SCL)
|-
|'''''
|0.5 mL Paediatric brown, yellow, or green top and 0.5 purple top - Serum sample required for SPEP sendaway (SCL)
|-
|'''Sample Type'''
|EDTA whole blood for CBC, plasma or serum for biochemistry and serum for SPEP
|-
|'''Registration Code'''
|CBCD, PTP, PALB, IMMG, PCA, PCRN and SCL
|-
|'''Aliquot Instructions'''
|Plasma or Serum for biochemistry tests, Whole blood EDTA for CBC, Serum for SPEP sendaway (SCL)
|-
|'''Minimum Volumes'''
|200 uL for Biochemistry, 250 uL for CBC, 300 uLfor SPEP sendaway (SCL)
|-
|'''Add-on conditions'''
|N/A
|-
|'''Test Availability'''
|N/A
|-
|'''Turnaround Time'''
|N/A
|-
|'''Where analysed'''
|Hastings and External Laboratory
|-
|'''Department'''
|Specimen Services ext. 2452, Biochemistry ext. 2448 and Haematology ext.2445
|-
|'''Deletion Code'''
|N/A
|-
|'''Useful Information'''
|Copy of form to Haematology to ensure Film performed
|-
|'''Measurement Uncertainty'''
|Available upon request
|}

Tests:Tissue - Microscopy & Culture

2025-01-09T00:15:51Z

Lmorgan:

{{DISPLAYTITLE:Tissue - Microscopy & Culture}}

[[Category:Tests]]
[[Category:Microbiology]]
{| class="wikitable"
|'''Synonym(s)'''
|Tissue, MC&S, MCS
|-
|'''Specimen'''
|Tissue in sterile container
|-
|'''Paediatric Specimen'''
|Tissue in sterile container
|-
|'''Add-on conditions'''
|Contact Microbiology to discuss
|-
|'''Test Availability'''
|Mon - Sun 0800 - 1600
|-
|'''Turnaround Time'''
|Microscopy 1 - 2 hours : Culture 2 - 5 days
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Microbiology, (06) 878 1308 ext. 2637
|-
|'''Registration Code'''
|TISS
|-
|'''Deletion Code'''
|2126
|-
|'''Useful Information'''
|
|-
|'''Measurement Uncertainty'''
|N/A
|}

Tests:Tissue - Microscopy & Culture

2025-01-09T00:11:17Z

Lmorgan: Created page with "{| class="wikitable" |'''Synonym(s)''' |Tissue, MC&S, MCS |- |'''Specimen''' |Tissue in sterile container |- |'''Paediatric Specimen''' |Tissue in sterile container |- |'''Add-on conditions''' |Contact Microbiology to discuss |- |'''Test Availability''' |Mon - Sun 0800 - 1600 |- |'''Turnaround Time''' |Microscopy 1 - 2 hours : Culture 2 - 5 days |- |'''Where analysed''' |Hastings |- |'''Department''' |Microbiology, (06) 878 1308 ext. 2637 |- |'''Registration Code''' |TIS..."

{| class="wikitable"
|'''Synonym(s)'''
|Tissue, MC&S, MCS
|-
|'''Specimen'''
|Tissue in sterile container
|-
|'''Paediatric Specimen'''
|Tissue in sterile container
|-
|'''Add-on conditions'''
|Contact Microbiology to discuss
|-
|'''Test Availability'''
|Mon - Sun 0800 - 1600
|-
|'''Turnaround Time'''
|Microscopy 1 - 2 hours : Culture 2 - 5 days
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Microbiology, (06) 878 1308 ext. 2637
|-
|'''Registration Code'''
|TISS
|-
|'''Deletion Code'''
|2126
|-
|'''Useful Information'''
|
|-
|'''Measurement Uncertainty'''
|N/A
|}

Tests:Trichomonas

2024-12-30T19:24:50Z

Lmorgan:

{{DISPLAYTITLE: Trichomonas}}

[[Category:Tests]]
[[Category:Microbiology]]
{| class="wikitable"
|'''Synonym(s)'''
|Trichs, Trich, trichomonas vaginalis
|-
|'''Specimen'''
|Male or Female Genital Swab or First Catch Urine
|-
|'''Paediatric Specimen'''
|As above
|-
|'''Aliquot Instructions'''
|N/A
|-
|'''Minimum Volumes'''
|N/A
|-
|'''Add-on conditions'''
|Contact Microbiology to discuss
|-
|'''Test Availability'''
|Mon - Sun 0800 - 1600
|-
|'''Turnaround Time'''
|Hastings / Central HB / Wairoa 24 hrs
|-
|'''Where analysed'''
|Hastings
|-
|'''Department'''
|Microbiology (06) 878 1308 ext. 2637
|-
|'''Registration Code'''
|GESP or URIN (dependant on sample type)
|-
|'''Deletion Code'''
|N/A
|-
|'''Useful Information'''
|Direct Microscopy/NAAT testing
|-
|'''Measurement Uncertainty'''
|N/A
|}