After hours test schedule: Difference between revisions

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|Carbamazepine
|Carbamazepine
|Rheumatoid factor
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|Carbon monoxide
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|* Iron, transferrin, ferritin
|* Iron, transferrin, ferritin
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|Lipid tests
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|* PSA
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|Magnesium
|Magnesium
|* Thyroid tests
|Thyroid tests
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|Osmolality (plasma, urine)
|Osmolality (plasma, urine)
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|Available if urgent and appropriate clinical details are provided.  
|Available if urgent and appropriate clinical details are provided.  
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|HIT Screen
||INR, APTT, Fibrinogen, DDimer
|Available at all times.
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|INR, APTT, Fibrinogen, DDimer
|Available at all times.
|Available at all times.
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Latest revision as of 01:59, 21 April 2023

Listed below are the laboratory tests available after hours and Public holidays (normal hours for the laboratory are regarded as Monday – Friday: 0800-1700).

BIOCHEMISTRY
Ammonia Paracetamol
Bicarbonate Phenytoin
Blood Gases Phosphate
Calcium Salicylate
Carbamazepine * Rheumatoid factor
Carbon monoxide Theophylline
CK Tobramycin
Creatinine Troponin I
CRP Total Protein
CSF protein, glucose Urate
Digoxin Urea
Electrolytes Urine – routine chemistry tests
Ethanol Valproate
Fertility Hormones Vancomycin
Gentamicin * B12 + folate
Glucose * BNP
HCG * Cortisol
Lactate * HbA1C
LD * Immunoglobulins
Lipase * Iron, transferrin, ferritin
* Lipid tests * PSA
Lithium * PTH
Liver function tests * Tacrolimus
Magnesium Thyroid tests
Osmolality (plasma, urine) * Tumour Markers
* Note: The * tests will be analysed on the next business day, and are not considered urgent tests.
HAEMATOLOGY
Test Notes
CBC CBC analysis is available at all times.
Blood film review Available out of hours by arrangement only.  Suitably trained Haematology Scientists may not be available on site and may need to be called in, therefore a delay is possible.
ESR Subject to ESR acceptance criteria – Please include clinical details.
Kleihauer Available if urgent and appropriate clinical details are provided.
INR, APTT, Fibrinogen, DDimer Available at all times.
Factor VIII Available out of hours by arrangement only.  Suitably trained Haematology Scientists may not be available on site and may need to be called in, therefore a delay is possible.
Monospot Available at all times.
Malaria Malaria PCR is available at all times. If a positive PCR result is obtained, species identification including RDT and microscopy will follow.  Suitably trained Haematology Scientists may not be available on site and may need to be called in, therefore a delay is possible.
TRANSFUSION MEDICINE
Crossmatches - urgent Group, Antibody Screen and Hold's (GSH)
DAT - Direct Antiglobulin Test Neonatal Blood Group & DAT


MICROBIOLOGY
Ascitic Fluid Peritoneal Fluid
Blood Cultures Pleural Fluids
CAPD Fluids ** Urine Pneumococcal/Legionella Antigen
**Coronavirus PCR **Rotavirus/Adenovirus Faeces
CSF RSVs (Respiratory Syncytial Virus)
Influenza Testing ** Urine MC&S
Joint Aspirates/Biopsy
** These Microbiology tests will only be done after-hours if specifically requested as “urgent” on the lab request form and supported by clinical details.


N.B This method can be found on the Te Whatu Ora Hawkes Bay intranet (Our Hub)