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1 Diabetes Chem Panel (Glu, Trig, Chol, HDL, LDL, Chol:HDL Ratio, AST, ALT, BUN, Creat, GFR, Na, K, Cl, CO2, Ca) ANMC Lab Test Requirements Updated 4/7/15 Key: Room Temp (20-25C), Refrigerated (2-8C), (-15 to -25C), Hr (Hours), D (Days), W (Weeks), Mo (Months), Yr (Years). Basic Processing Instructions: Centrifuge all blood specimens (except "whole blood") and pour off supernatant (serum or plasma) into leak-proof transport tube. Leave "whole blood" specimens in primary collection tube. Seal lids tightly and use parafilm or tape around caps. for chemistry testing should be sent in a sterile red-top tube or carefully sealed urine cup. Urinalysis specimens must be sent using BD UA Preservative tubes (yellow/red). cultures must be sent using BD Culture Preservative tubes (grey). Clinics with ANMC Warehouse accounts may call (907) to place orders for BD urine preservative tube kits (Item # N50110). Labeling: Each individual specimen must be labeled with collection date and time and at least two patient identifiers including full name and date of birth or ANMC MR#. Specimens with one or fewer identifiers will be rejected in the interest of patient safety. Minimum Volumes and Other Questions: Contact ANMC Lab (907) Transport: Most specimens must be shipped with a gel cold pack. Refer to Transport Requirements below. Clinics with ANMC Warehouse accounts may call (907) to place orders for gel cold packs (Item #s: X-Small: , Small: , Medium: ). specimens must be shipped with dry ice. Chemistry/Hepatitis (Panel Tests) Acute Hepatitis Panel (HAV IgM, HBV Room Temp: 8 Hr Core IgM, HBV Surface Ag, HCV Ab) Refrigerated (2-8C): 48 Hr Basic Metabolic Panel (Na, K, Cl, Glu, CO2, BUN, Creat, Ca, GFR) Chronic Hepatitis Screen (HAV Ab, HBV Core Ab, HBV Surface Ab, HCV Ab) Comprehensive Metabolic Panel (Na, K, Cl, Glu, CO2, BUN, Creat, Ca, TP, Alb, TBili, Alk Phos, ALT, AST, GFR) Diabetes Panel (Microalbumin, Creat, Microalbumin:Creat Ratio) BD Preservative Refrigerated (2-8C): 6D : 3D Room Temp: 5D Electrolyte Panel (Na, K, Cl, CO2) Room Temp,, or Hepatic Function Panel (Alb, TBili, DBili, Alk Phos, TP, ALT, AST)

2 Hepatitis B Carrier Panel w AFP (Hep B Surface Ag, AFP, Alb, T Bili, D Bili, ALP, TP, ALT, AST) Hepatitis C Follow-Up Panel (AFP, Alb, T Bili, D Bili, ALP, TP, ALT, AST) Iron Profile (Iron, UIBC, TIBC, % Sat) Lipid Panel (TChol, Trig, HDL, LDL, Chol:HDL Ratio) Fasting Renal Function Panel (Na, K, Cl, Alb, Ca, CO2, Creat, Glu, PO4, BUN, GFR) Tox Screen (Amp, Bar, Ben, Can/THC, Coc, Opi, PCP) Chemistry/Hepatitis (Individual Tests) A1c Acetaminophen Whole Blood (K2 EDTA) Refrigerated (2-8C): 2D : 4W AFP Albumin Room Temp: 10W Refrigerated (2-8C): 5Mo : 4Mo Room Temp,, or, Refrigerated (2-8C): 2W Alcohol : 4W : 30D, Plasma (Li Hep), Uncapped (Any Temp): 30min DO NOT SEND Alk Phos ALT : 2Mo : >7D Room Temp,, or Ammonia Plasma (K2 EDTA) MIN DO NOT SEND Amphetamine

3 Amylase Refrigerated (2-8C): 30D Refrigerated (2-8C): 10D AST Barbiturates Benzodiazapine Bilirubin, Direct Bilirubin, Total Protect from Light Protect from Light Refrigerated (2-8C): 3W Calcium : 8Mo : 3W Cannabinoids Cholesterol CKMB Room Temp: 4Hr Refrigerated (2-8C): 8Hr CO2 Cocaine Cortisol Plasma (Li-Hep) Room Temp or. Protect from Light.. Protect from Light. Room Temp,, or Creatine Kinase : 4W

4 Room Temp,, or Creatinine Refrigerated (2-8C): 6D BD Preservative Digoxin : 3D Refrigerated (2-8C): 2D Dilantin/ Phenytoin Electrolytes Na+K+Cl-, : 2Mo Room Temp: K/Na 14D, Cl 7D Refrigerated (2-8C): K/Na 14D, Cl 7D Room Temp,, or Room Temp,, or Ferritin Folate Free PSA, Protect from Light : All Stable Room Temp: 2Hr Refrigerated (2-8C): 24Hr. Protect from Light. Free T3 Free T4 FSH Gel Tube: Refrigerated (2-8C): 48Hr Separated: : 30D Gel Tube: Refrigerated (2-8C): 48Hr Separated: Refrigerated (2-8C): 14D GGT Room Temp,, or Glucose, CSF/body fluid CSF/body fluid: ASAP or Freeze HCG

5 HDL : 30D Hep A IgM Hep A Total Hep B Core IgM Hep B Core Total Hep B Surface Ab Hep B Surface Ag Hep C Ab HIV Screen Refrigerated (2-8C): 48Hr Room Temp: 12Hr Refrigerated (2-8C): 48Hr Room Temp: 12Hr Refrigerated (2-8C): 72Hr Refrigerated (2-8C): 72Hr Refrigerated (2-8C): 14D Refrigerated (2-8C): 14D hscrp Room Temp: 11D Refrigerated (2-8C): 2Mo Room Temp,, or Insulin : 3Yr Refrigerated (2-8C): 24Hr Iron LDH Refrigerated (2-8C): 3W : 4Yr Room Temp,, or Room Temp,, or LDL : 6W : 30D LH Refrigerated (2-8C): 14D Lipase Lithium Room Temp,, or

6 Magnesium Room Temp,, or Methadone Microalbumin Myoglobin BD Preservative Plasma (Li-Hep) Refrigerated (2-8C): 1Mo : 3D Room Temp: 4Hr Refrigerated (2-8C):7D Room Temp,, or NT-Pro-BNP Refrigerated (2-8C):6D : 2Yr Opiates Phencyclidine Phosphate Prealbumin Prolactin Gel Tube: Refrigerated (2-8C): 24Hr Separated: Refrigerated (2-8C): 14D Protein, Fluid BD Preservative CSF/Body Fluid : 3D Refrigerated (2-8C): 6D Refrigerated (2-8C): 1Mo Protein, Total PSA, Total

7 Rheumatoid Factor Rubella : 4W Refrigerated (2-8C): 3W Salicylate Refrigerated (2-8C): 2W Total T4 Triglyceride Refrigerated (2-8C): 5-7D Troponin I Plasma (Li-Hep) Room Temp: 2Hr : 12Mo TSH UIBC Urea Nitrogen Uric Acid Valproic Acid/Depakene

8 Vancomycin Room Temp: 2Hr Refrigerated (2-8C): 2D : 4W Vitamin B12, Protect from Light. Protect from Refrigerated (2-8C): 2D Light. : 2Mo Vitamin D, Total : 24Wk Urinalysis UA in BD UA Preservative Tube BD UA Preservative Room BD UA Preservative tube ONLY. (Red/Yellow) Temp: 3D Room Temp. Culture in BD C&S Preservative Tube BD C&S Preservative C&S BD C&S Preservative tube ONLY. (Grey) Room Temp: 5D Room Temp. Misc/Rapid Tests Fecal Occult Blood Stool Smear on Hemoccult Card Room Temp: 14D Room Temp Fetal Fibronectin FFN Collection Kit Gastric Occult Blood Fresh Gastric Specimen Room Temp: 24H Fresh: Specimen on Gastroccult Card Card: Room Temp Monotest Refrigerated (2-8C): 48Hr Whole Blood (K2 EDTA) Refrigerated (2-8C): 24Hr Hematology CBC (no Diff) Whole Blood (K2 EDTA) CBC with Differential Whole Blood (K2 EDTA) Diabetes Heme Panel Whole Blood (K2 EDTA) ESR Whole Blood (K2 EDTA) Room Temp: 4Hr Refrigerated (2-8C): 12Hr DO NOT SEND Retic Whole Blood (K2 EDTA)

9 Coagulation D-Dimer Fibrinogen Heparin (Unfrac. & LMW) PT/INR PTT : Stable : Stable Room Temp: 2Hr : Stable Room Temp: 4Hr : Stable Blood Bank / Transfusion Service Antibody Titer 2 Whole Blood (EDTA - pink or lavender) Antigen Typing (specify Whole Blood (EDTA - pink or DAT Whole Blood (EDTA - pink or Type and Screen Whole Blood (EDTA - pink or lavender) Pathology / Cytology Pathology Tissue Specimens in Formalin Deliver ASAP Room Temp Chromosomal Studies Tissue/Blood (Call ANMC) Deliver ASAP Pathology Fetus (*If > 20 weeks or > 500g ANMC consent required for autopsy) Deliver ASAP & Gold Streak Cytology All Body Fluids Deliver ASAP Cytology Nipple Discharge Slides Deliver ASAP Room Temp Cytology Other Deliver ASAP

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