Pathology Handbook

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Recent changes for all departments


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 Recent changes for Allergy to Carrot

Recent changes for Allergy to Carrot
DateFieldChanged FromChanged To
13th September 2022
Transport Instructions between sites and/or laboratories

___


 Recent changes for Allergy to Rabbit Epithelium

Recent changes for Allergy to Rabbit Epithelium
DateFieldChanged FromChanged To
9th September 2022
Transport Instructions between sites and/or laboratories

___

9th September 2022
Registration Instructions

Only 4 allergens/mixes can be requested at any one time. For requests of more than 4 allergens, patients will be billed for the excess number.


 Recent changes for AMPA

Recent changes for AMPA
DateFieldChanged FromChanged To
22nd August 2022
Registration Instructions

CSF sample should be directed to Microbiology (NPV) prior to forwarding to refer laboratory.

Can be ordered in combincation with : NMDA, GABAB, ANTI-LGI 1, ANTI- CASPR2, ANTI DPPX, ANTI- VGKC. (1.0mls csf is adequate for combination testing).

Samples suitable for auto-antibody screening:

Blood Serum: request for 10mls of blood collected in serum gel tubes (SST).

CSF: request for 1.0mls

Samples not available for delivery following collection are to be stored at 4oC and delivered on ice. Storage at 4oC is suitable for up to 2 weeks thereafter samples need to be frozen and sent on dry ice.

Urgent requests can be performed within 72hrs

CSF sample should be directed to Microbiology (NPV) prior to forwarding to refer laboratory.

Can be ordered in combincation with : NMDA, GABAB, ANTI-LGI 1, ANTI- CASPR2, ANTI DPPX, ANTI- VGKC. (1.0mls csf is adequate for combination testing).

Samples suitable for auto-antibody screening:

Blood Serum: request for 5.0 mls of blood collected in serum gel tubes (SST).

CSF: request for 1.0mls

Samples not available for delivery following collection are to be stored at 4oC and delivered on ice. Storage at 4oC is suitable for up to 2 weeks thereafter samples need to be frozen and sent on dry ice.

Urgent requests can be performed within 72hrs


 Recent changes for Anatomical specimen for disposal

Recent changes for Anatomical specimen for disposal
DateFieldChanged FromChanged To
12th September 2022
Registration Instructions

Store the specimen in the mortuary coldroom


 Recent changes for Anti Cspr2

Recent changes for Anti Cspr2
DateFieldChanged FromChanged To
22nd August 2022
Volume (Adults)

5 mL

Registration Instructions

From the 23/12/2019 - 05/01/2020 MND laboratory closed. All specimens received during this time to be frozen at -70o C. 

CSF sample should be directed to Microbiology (NPV) prior to forwarding to refer laboratory.

Can be ordered in combination with NMDA, GABAB, AMPA, ANTI- LGI1, ANTI-DPPX, ANTI- VGKC. (1.0ml csf is adequate for combination testing).

Samples suitable for auto-antibody screening:

Blood Serum: request for 6.5mls of blood collected in serum gel tubes (SST).

CSF: request for 1.0mls

Samples not available for delivery following collection are to be stored at 4 oC and delivered on ice. Storage at 4 oC is suitable for up to 2 weeks thereafter samples need to be frozen and sent on dry ice.

 

 

CSF sample should be directed to Microbiology (NPV) prior to forwarding to refer laboratory.

Can be ordered in combination with NMDA, GABAB, AMPA, ANTI- LGI1, ANTI-DPPX, ANTI- VGKC. (1.0ml csf is adequate for combination testing).

Samples suitable for auto-antibody screening:

Blood Serum: request for 5.0 mls of blood collected in serum gel tubes (SST).

CSF: request for 1.0mls

Samples not available for delivery following collection are to be stored at 4 oC and delivered on ice. Storage at 4 oC is suitable for up to 2 weeks thereafter samples need to be frozen and sent on dry ice.

 


 Recent changes for Anti F-Actin Antibodies (Sendaway Test)

Recent changes for Anti F-Actin Antibodies (Sendaway Test)
DateFieldChanged FromChanged To
29th April 2022
MBS rebatable

No

Yes

28th April 2022
Transport Instructions between sites and/or laboratories

Room Temperature
Use Esky from SDMH or CGMC to Alfred

Room Temperature

28th April 2022
Laboratory

Anatomical Pathology

Immunology

Registration Instructions

Note: Performance of this test has changed. Consultant Immunologist must authorise. Request will be reviewed by the Immunologist and determined on the basis of anti-Smooth Muscle results.

Send away test to St Vincents Pathology where test is warranted.

Any sendaway results will be entered by Anatomical Pathology and verified by the consultant immunologist.


 Recent changes for Anti-68kD HSP 70 Inner Ear Antibodies (Sendaway Test)

Recent changes for Anti-68kD HSP 70 Inner Ear Antibodies (Sendaway Test)
DateFieldChanged FromChanged To
22nd August 2022
Laboratory

Haematology

Clinical Biochemistry

22nd August 2022
MBS rebatable

Yes

No

Collection & Request Instructions

No Medicare rebate for this test.

Cost to patient  $75 (as at 22-Aug-2022)

22nd August 2022
Volume (Adults)

6 mL

5 mL


 Recent changes for Anti-Skin Antibodies (Sendaway Test)

Recent changes for Anti-Skin Antibodies (Sendaway Test)
DateFieldChanged FromChanged To
19th May 2022
Laboratory

Anatomical Pathology

Immunology

Volume (Adults)

6 mL

5 mL

Registration Instructions

Sendaway Test: St Vincent's Hospital, Biochemistry, Level 2 Inpatient Service Building, Princess St, Fitzroy.

Authorisation: Doctor request sufficient. Approved sendaway.

 

If clinical notes indicate vasculitis/vasculitic screen, before registration, check with pre-analytical manager if this is the correct test.

Sendaway Test: St Vincent's Hospital, Biochemistry, Level 2 Inpatient Service Building, Princess St, Fitzroy.

Authorisation: Doctor request sufficient. Approved sendaway.

 


 Recent changes for Anti-skin Antibody Profile ELISA

Recent changes for Anti-skin Antibody Profile ELISA
DateFieldChanged FromChanged To
5th August 2022
Alternative names

BP180, BP230, Collagen VII Elisa

BP180, BP230, Collagen VII Elisa, Bullous Pemphigoid


 Recent changes for ARA-H2 IgE

Recent changes for ARA-H2 IgE
DateFieldChanged FromChanged To
26th August 2022
Registration Instructions

If this test is requested with combined other allergy tests on the same request, NPV staff are to forward all testing to RCH.

This test requires consultant Immunopathologist approval.

Specimens will be stored in the Immunology Laboratory until the Immunopathologist has reviewed the clinical details and/or discussed the patient with the requesting clinician.

Cost

$50.00

If this test is requested with combined other allergy tests on the same request, NPV staff are to forward all testing to RCH.

Proceed to testing if it is requested by Dr Ee Lyn Su (immunologist), otherwise the test requires consultant Immunopathologist/Director of Pathology approval.

Specimens will be stored in the Laboratory until the Immunopathologist/Director of Pathology has reviewed the clinical details and/or discussed the request with the requesting clinician.

Cost $50.00


 Recent changes for Blood Group and Screen

Recent changes for Blood Group and Screen
DateFieldChanged FromChanged To
30th August 2022
Optional Container Type

EDTA 10 mL
EDTA 4 mL

EDTA 4 mL

30th August 2022
Alternative names

Blood Group and Antibody Screen, Blood Group and Hold, Group and Screen, Group and Hold, Group and Antibodies

Blood Group and Antibody Screen, Blood Group and Hold, Group and Screen, Group and Hold, Group and Antibodies, Red cell phenotype, Red cell genotype


 Recent changes for Bordetella pertussis PCR (Sendaway Test)

Recent changes for Bordetella pertussis PCR (Sendaway Test)
DateFieldChanged FromChanged To
15th July 2022
Notes

This test is now performed as part of the Respiratory PCR panel.

15th July 2022
Collection & Request Instructions

A nasopharyngeal swab or aspirate is the preferred specimen for this test.

Nasopharyngeal swabs should be collected using a flocked swab and sent in viral transport medium.

If both Respiratory virus PCR and Bordetella pertussis PCR are required, a single specimen is now suitable.

A nasopharyngeal swab or aspirate is the preferred specimen for this test.

Nasopharyngeal swabs should be collected using a flocked swab and sent in viral transport medium.

 


 Recent changes for Carbohydrate Deficient Transferrin

Recent changes for Carbohydrate Deficient Transferrin
DateFieldChanged FromChanged To
22nd August 2022
Volume (Adults)

6.5 mL

5 mL


 Recent changes for Chlamydia and Gonorrhoea PCR (Eye, Anorectal, Throat/Pharyngeal)

Recent changes for Chlamydia and Gonorrhoea PCR (Eye, Anorectal, Throat/Pharyngeal)
DateFieldChanged FromChanged To
24th May 2022
Registration Instructions

This panel is only to be used for eye swabs.  All other sites are to be registered as UCG and sent to the Alfred

This panel is only to be used for eye, anorectal, throat, pharyngeal swabs.  

23rd May 2022
Assay name

Chlamydia and Gonorrhoea PCR (Eye)

Chlamydia and Gonorrhoea PCR (Eye, Anorectal, Throat/Pharyngeal)


 Recent changes for Chlamydia and Gonorrhoea PCR (Urine, Vaginal, Cervical, Urethral)

Recent changes for Chlamydia and Gonorrhoea PCR (Urine, Vaginal, Cervical, Urethral)
DateFieldChanged FromChanged To
23rd May 2022
Request Group

CNG (Chlamydia and Gonorrhoea PCR)

CNG (Chlamydia and Gonorrhoea PCR), GON (Gonorrhoeae PCR), CHL (Chlamydia trachomatis PCR)

23rd May 2022
Registration Instructions

Copan swabs and urine only. 

If Cobas swab is received, please panel UCG (Alfred)

If eye swab is received, please panel CTN (VIDRL)

Copan swabs and urine only. 

If Cobas swab is received, please panel UCG (Alfred)

If eye swab / Anorectal / Throat (pharyngeal) is received, please panel CTN (VIDRL)

23rd May 2022
Request Group

CNG

CNG (Chlamydia and Gonorrhoea PCR)

23rd May 2022
Request Group

CNG

CNG (Chlamydia and Gonorrhoea PCR)GON (Gonorrhoeae PCR), CHL (Chlamydia trachomatis PCR)

23rd May 2022
Request Group

CNG

CNG (Chlamydia and Gonorrhoea PCR), GON (Gonorrhoeae PCR), CHL (Chlamydia trachomatis PCR)

23rd May 2022
Registration Instructions

Copan swabs and urine only.  All other swab types are to be panelled as either UCG (Cobas) and CTN (VIDRL)

Copan swabs and urine only. 

If Cobas swab is received, please panel UCG (Alfred)

If eye swab is received, please panel CTN (VIDRL)


 Recent changes for Chlamydia trachomatis Serology (STI/ Genital) (Sendaway Test)

Recent changes for Chlamydia trachomatis Serology (STI/ Genital) (Sendaway Test)
DateFieldChanged FromChanged To
23rd May 2022
Registration Instructions

This is not the optimal test for the exclusion of chlamydia trachomatis infection. Please refer to chlamydia trachomatis PCR (Test code UCG) and collect either a first pass urine, endocervical swab, urethral swab or anorectal swab.

This is not the optimal test for the exclusion of chlamydia trachomatis infection. Please refer to chlamydia trachomatis PCR (Test code CNG) and collect either a first pass urine, endocervical swab, urethral swab or anorectal swab.


 Recent changes for CRE Screen

Recent changes for CRE Screen
DateFieldChanged FromChanged To
4th April 2022
Alternative names

Carbapenem-Resistant Enterobacteriaciae Screen, CRE Culture

Carbapenem-Resistant Enterobacteriaciae Screen, CRE Culture, CPE


 Recent changes for Cryoglobulin (Sendaway Test)

Recent changes for Cryoglobulin (Sendaway Test)
DateFieldChanged FromChanged To
22nd August 2022
Volume (Adults)

6 mL

5 mL


 Recent changes for CSF for Flow Cytometry (Sendaway Test)

Recent changes for CSF for Flow Cytometry (Sendaway Test)
DateFieldChanged FromChanged To
5th September 2022
Registration Instructions

Samples must be marked “Urgent”. Flow cytometry is NOT available after 1pm on Fridays or during weekends/afterhours. Testing during these times require approval from a laboratory haematologist PRIOR to sample collection. Otherwise, the sample may not be tested in time (within 2-4 hours) or tested at all. Samples not processed in time is non-viable and non-diagnostic.

ALL CSF FLOW CYTOMETRY REQUESTS MUST ALSO HAVE CYTOLOGY REQUESTED.

Samples must be marked “Urgent”. Flow cytometry is NOT available after 1pm on Fridays or during weekends/afterhours. Testing during these times require approval from a laboratory haematologist PRIOR to sample collection. Otherwise, the sample may not be tested in time (within 2-4 hours) or tested at all. Samples not processed in time is non-viable and non-diagnostic.

Collection & Request Instructions

Collection tubes: collection into specialised media (RPMI) tube 2 or   RPMI tube 3

Collection tubes: collection into specialised media (RPMI are available from the pathology laboratory- ring flow lab on ex 52596)

CSF specimen rapidly degrades upon lumbar puncture. Cells combined within a CSF specimen have a short bench life and rapidly die. Immediate addition of RPMI medium and prompt delivery to the Flow Cytometry laboratory (within 2 hours of collection, ideally 30 mins) minimises cell loss.

 

 

 

Collection tubes: collection into specialised media (RPMI) tube 2 or   RPMI tube 3

Collection tubes: collection into specialised media (RPMI are available from the pathology laboratory- ring flow lab on ex 52596)

CSF specimen rapidly degrades upon lumbar puncture. Cells combined within a CSF specimen have a short bench life and rapidly die. Immediate addition of RPMI medium and prompt delivery to the Flow Cytometry laboratory (within 2 hours of collection, ideally 30 mins) minimises cell loss.

ALL CSF FLOW CYTOMETRY REQUESTS MUST ALSO HAVE CYTOLOGY REQUESTED.

 

 

 


 Recent changes for Cytology - Bronchial Brushing, Washing & BAL (Sendaway Test)

Recent changes for Cytology - Bronchial Brushing, Washing & BAL (Sendaway Test)
DateFieldChanged FromChanged To
15th August 2022
External Transport Instructions

Send at ambient temperature

Send at 4'C with Ice Pack

External Transport Instructions

Slides and formalin specimens to be transported at room temperature.

All fresh fluids to be transported at 4oC.


 Recent changes for Enterovirus PCR (Sendaway Test)

Recent changes for Enterovirus PCR (Sendaway Test)
DateFieldChanged FromChanged To
10th May 2022
Alternative names

Coxsackie A PCR, Coxsackie B PCR, Echovirus PCR, Poliovirus PCR

Coxsackie A PCR, Coxsackie B PCR, Echovirus PCR


 Recent changes for Extended respiratory virus multiplex PCR

Recent changes for Extended respiratory virus multiplex PCR
DateFieldChanged FromChanged To
15th July 2022
Alternative names

Influenza A/B PCR, RSV PCR, Flu virus PCR, Respiratory virus extended panel

Influenza A/B PCR, RSV PCR, Flu virus PCR, Respiratory virus extended panel, parainfluenza PCR, human metapneumovirus PCR, adenovirus PCR, Rhinovirus PCR

12th July 2022
Assay name

Respiratory PCR

Extended respiratory virus multiplex PCR

Laboratory

Microbiology

Molecular

Request Group

FRS

ERV

Registration Instructions

Use FRS for Respiratory test performed at NPV.  Code RVM for extended testing (if instructed by microbiology department) of Respiratory PCR performed at the Alfred.

Always register as ERV. The old panel FRS will only be used when the clinical request slip states urgent or if requested urgently by clinician.

If request states Pertusis (Bordetella pertussis) or mycoplasma, please code RVM.

Preferred Specimen Type

Swab

Swab
Nasopharyngeal Aspirate

Preferred Container Type

eSwab (Elution swab)

Viral Transport Medium Swab

Collection & Request Instructions

Rapid testing for Influenza A, Influenza B and RSV is performed on all specimens. 

Testing using the extended respiratory virus PCR panel available on request.

Mouth swabs are not an acceptable specimen.

Mouth swabs are not an acceptable specimen.

Notes

The following respiratory pathogens are detected with the extended panel: Influenza A/B, Parainfluenza 1,2,3, RSV, Adenovirus, Human Metapneumovirus, Rhinovirus/Enterovirus, Bordetella pertussis and Mycoplasma pneumoniae.

Turn around time for the extended panel is 36 to 48 hours (longer over weekends).

The following respiratory pathogens are detected with the extended panel: Influenza A/B, Parainfluenza, RSV, Adenovirus, Human Metapneumovirus, Rhinovirus/Enterovirus

 


 Recent changes for Faecal Multiplex PCR

Recent changes for Faecal Multiplex PCR
DateFieldChanged FromChanged To
29th August 2022
Request Group

TNA

FPC

Registration Instructions

This test is not available for testing at NPV and should be registered as TNA.

This assay screens for the following bacterial and parasitic infections: Salmonella, Shigella, Campylobacter, C. difficile, Yersinia, Shiga-Toxin 1, Aeromonas, Cholera toxin, Giardia, Cryptosporidium, Dientamoeba fragilis, E. histolytica, Blastocytis hominis, and Cyclospora.

External Laboratory

V.I.D.R.L.


 Recent changes for FBE

Recent changes for FBE
DateFieldChanged FromChanged To
6th May 2022
Collection & Request Instructions

Retrospective testing within 24 hours

Retrospective testing within 12 hours


 Recent changes for Flecainide (Sendaway Test)

Recent changes for Flecainide (Sendaway Test)
DateFieldChanged FromChanged To
29th April 2022
MBS rebatable

No

Yes

Frequency

By Arrangement


 Recent changes for GABA Antibodies (Sendaway Test)

Recent changes for GABA Antibodies (Sendaway Test)
DateFieldChanged FromChanged To
22nd August 2022
Registration Instructions

From the 23/12/2019 - 05/01/2020 MND laboratory closed. All specimens received during this time to be frozen at -70o C.

CSF sample should be directed to Microbiology (NPV) prior to forwarding to refer laboratory.

Can be ordered in combination with NMDA, AMPA, ANTI- LGI 1, ANTI- CASPR2, ANTI DPX, ANTI- VGKC. (1.0ml csf is adequate for combination testing).

 

Samples suitable for auto-antibody screening:

Blood Serum: request for 6.5mls of blood collected in serum gel with tubes (SST)

CSF: request for 1.0mls

Samples not available for delivery following collection are to be stored at 4oC and delivered on ice. Storage at 4oC is suitable for up to 2 weeks thereafter samples need to be frozen and sent on dry ice.

Urgent requests can be performed on receival by refering laboratory.

 

From the 23/12/2019 - 05/01/2020 MND laboratory closed. All specimens received during this time to be frozen at -70o C.

CSF sample should be directed to Microbiology (NPV) prior to forwarding to refer laboratory.

Can be ordered in combination with NMDA, AMPA, ANTI- LGI 1, ANTI- CASPR2, ANTI DPX, ANTI- VGKC. (1.0ml csf is adequate for combination testing).

 

Samples suitable for auto-antibody screening:

Blood Serum: request for 5.0 mls of blood collected in serum gel with tubes (SST)

CSF: request for 1.0mls

Samples not available for delivery following collection are to be stored at 4oC and delivered on ice. Storage at 4oC is suitable for up to 2 weeks thereafter samples need to be frozen and sent on dry ice.

Urgent requests can be performed on receival by refering laboratory.

 


 Recent changes for Hepatitis E Serology (Sendaway Test)

Recent changes for Hepatitis E Serology (Sendaway Test)
DateFieldChanged FromChanged To
21st September 2022
Collection & Request Instructions

This test is only performed on patients with a recent history of travel to a Hepatitis E endemic area.  Please provide details of travel history in clinical notes.

If this test is required on patients with NO history of travel to an endemic area, please contact Microbiologist prior to sending sample. 


 Recent changes for Herpes Virus Multiplex PCR (Sendaway Test)

Recent changes for Herpes Virus Multiplex PCR (Sendaway Test)
DateFieldChanged FromChanged To
29th March 2022
Processing Instructions

Please note, Adenovirus PCR on Faeces is sent to a different lab - see separate enty in Handbook


 Recent changes for HLA Antibodies (Sendaway Test)

Recent changes for HLA Antibodies (Sendaway Test)
DateFieldChanged FromChanged To
22nd August 2022
Volume (Adults)

6 mL

5 mL


 Recent changes for HTLV 1/2 Antibodies (Sendaway Test)

Recent changes for HTLV 1/2 Antibodies (Sendaway Test)
DateFieldChanged FromChanged To
22nd August 2022
Volume (Adults)

6 mL

5 mL


 Recent changes for Infliximab (Sendaway Test)

Recent changes for Infliximab (Sendaway Test)
DateFieldChanged FromChanged To
22nd August 2022
Volume (Adults)

6 mL

5 mL


 Recent changes for JAK2 Kinase Mutation (Sendaway Test)

Recent changes for JAK2 Kinase Mutation (Sendaway Test)
DateFieldChanged FromChanged To
3rd June 2022
Alternative names

Exon 12 mutation, Jak2 V617F

Jak2 V617F

Registration Instructions

Primary EDTA tube required to be sent to the external laboratory (Not an aliquot)

If JAK2 is requested together with CALR and/or MPL, use the panel code PMC and send the sample to PMC.

Primary EDTA tube required to be sent to the external laboratory (Not an aliquot)

Only JAK2V617F (or exon 14) can be sent as a single gene request.

JAK2e12 (exon 12) can no longer be requested as a single gene panel. Please refer to the Laboratory Haematology Registrar/Consultant.


 Recent changes for LGI- 1 Antibodies (Sendaway)

Recent changes for LGI- 1 Antibodies (Sendaway)
DateFieldChanged FromChanged To
22nd August 2022
Registration Instructions

From the 23/12/2019 - 05/01/2020 MND laboratory closed. All specimens recieved during this time to be frozen at -70o C.

CSF sample should be directed to Microbiology (NPV) prior to forwarding to refer laboratory.

Can be ordered in  combination with: NMDA, GABAB , AMPA, ANTI- CASPR2, ANTI- DPPX. (1.0ml csf is adequate for combination testing).

 

Samples suitable for auto-antibody screening:

Blood Serum: request for 6.5mls of blood collected in serum gel tube (SST).

CSF: request for 1.0ml

Samples not available for delivery following collection are to be stored at 4o C. Storage at 4oC is suitable for up to 2 weeks thereafter samples need to be frozen and sent on dry ice.

 

 

CSF sample should be directed to Microbiology (NPV) prior to forwarding to refer laboratory.

Can be ordered in  combination with: NMDA, GABAB , AMPA, ANTI- CASPR2, ANTI- DPPX. (1.0ml csf is adequate for combination testing).

 

Samples suitable for auto-antibody screening:

Blood Serum: request for 5.0 mls of blood collected in serum gel tube (SST).

CSF: request for 1.0ml

Samples not available for delivery following collection are to be stored at 4o C. Storage at 4oC is suitable for up to 2 weeks thereafter samples need to be frozen and sent on dry ice.

 


 Recent changes for Malarial Parasite Investigation

Recent changes for Malarial Parasite Investigation
DateFieldChanged FromChanged To
20th July 2022
Request Group

MPI

MPI, FBE

Collection & Request Instructions

An FBE is performed at the same time.

Retrospective testing for Malaria Thick Thin Film is within 12 hours.

Retrospective testing for Malaria Immunochromatographic Test is within 3 days.

An FBE must be performed at the same time.

Retrospective testing for Malaria Thick Thin Film is within 12 hours.

Retrospective testing for Malaria Immunochromatographic Test is within 3 days.


 Recent changes for Monkey Pox Virus PCR

Recent changes for Monkey Pox Virus PCR
DateFieldChanged FromChanged To
8th September 2022
Preferred Container Type

Viral Transport Medium Swab

Dry Swab

Optional Container Type

Viral Transport Medium Swab

Collection & Request Instructions

Bacterial culture swabs are not suitable (charcoal or gel)

External Transport Instructions

Specimen must be triple packaged and esky labelled as "Suspected Monkeypox"

29th August 2022
Request Group

VID

ORT

Volume (Adults)

Minimum/Paediatric Volume

11th August 2022
Volume (Adults)

6 mL

0.0 mL

Minimum/Paediatric Volume

2 mL

0.0 mL


 Recent changes for Mycoplasma pneumoniae PCR (Respiratory)

Recent changes for Mycoplasma pneumoniae PCR (Respiratory)
DateFieldChanged FromChanged To
15th July 2022
Processing Instructions

Centrifuge
Store at 4'C

Store at 4'C

15th July 2022
Assay name

Mycoplasma pneumoniae PCR (Repiratory)

Mycoplasma pneumoniae PCR (Respiratory)

Registration Instructions

This test is performed in a multiplex with common respiratory pathogens.  Order Respiratory PCR, stating Mycoplasma PCR is required in the clinical notes.

This test is not part of the current in-house panel ERV. If requested, it will be coded as RVM and sent externally to Alfred Pathology 

Collection & Request Instructions

Collect Nose/Throat swab in transport media for this test.

Collect Nose/Throat swab in universal transport media (UTM) for this test.


 Recent changes for NMDA Receptor Antibody (Sendaway Test)

Recent changes for NMDA Receptor Antibody (Sendaway Test)
DateFieldChanged FromChanged To
22nd August 2022
Registration Instructions

From the 23/12/2019 - 05/01/2020 MND laboratory closed. All specimens received during this time to be frozen at -70o C.

CSF sample should be forwarded to Microbiology (NPV) prior to sending to referring laboratory.

Can be ordered in combination with GABAB , AMPA, ANTI- LGI 1, ANTI- CASPR2, ANTI- DPPX, ANTI-VGKC(1.0mls csf is adequate for combination testing)

Samples suitable for auto-antibody screening:

Blood Serum: request for 6.5mls of blood collected in serum gel (SST)

CSF: request for 1.0ml

 Storage at 4oC is suitable for up to 2 weeks thereafter samples need to be frozen and sent on dry ice.

 

 

CSF sample should be forwarded to Microbiology (NPV) prior to sending to referring laboratory.

Can be ordered in combination with GABAB , AMPA, ANTI- LGI 1, ANTI- CASPR2, ANTI- DPPX, ANTI-VGKC(1.0mls csf is adequate for combination testing)

Samples suitable for auto-antibody screening:

Blood Serum: request for 5.0 mls of blood collected in serum gel (SST)

CSF: request for 1.0ml

 Storage at 4oC is suitable for up to 2 weeks thereafter samples need to be frozen and sent on dry ice.

 


 Recent changes for Nucleophosmin (NPM1) Gene Mutation (Sendaway Test)

Recent changes for Nucleophosmin (NPM1) Gene Mutation (Sendaway Test)
DateFieldChanged FromChanged To
26th April 2022
Request Group

MRD

ALR


 Recent changes for Parkinsons Disease Genetic Screen (Sendaway Test)

Recent changes for Parkinsons Disease Genetic Screen (Sendaway Test)
DateFieldChanged FromChanged To
22nd August 2022
Volume (Adults)

10 mL

4 mL

Minimum/Paediatric Volume

Preferred Container Type

SST

EDTA


 Recent changes for Parvovirus PCR (Sendaway Test)

Recent changes for Parvovirus PCR (Sendaway Test)
DateFieldChanged FromChanged To
22nd August 2022
Volume (Adults)

6 mL

5 mL


 Recent changes for Pneumococcal Urinary Antigen

Recent changes for Pneumococcal Urinary Antigen
DateFieldChanged FromChanged To
29th March 2022
Request Group

PAN

PUA

External Laboratory

The Alfred Pathology Service (APS)


 Recent changes for Pneumococcal Urinary Antigen (Sendaway Test)

Recent changes for Pneumococcal Urinary Antigen (Sendaway Test)
DateFieldChanged FromChanged To
19th April 2022
Request Group

PUA

PAN

External Laboratory

The Alfred Pathology Service (APS)

External Transport Instructions

Send at 4'C with Ice Pack


 Recent changes for Reticulocytes

Recent changes for Reticulocytes
DateFieldChanged FromChanged To
6th May 2022
Collection & Request Instructions

An FBE is performed at the same time.

Retrospective testing within 24 hours.

An FBE is performed at the same time.

Retrospective testing within 12 hours.

Processing Instructions

Blood storage: 8 hours at 20 ± 5°C. 24 hours at 2-8°C.


 Recent changes for Serum Amyloid A (Sendaway Test)

Recent changes for Serum Amyloid A (Sendaway Test)
DateFieldChanged FromChanged To
22nd August 2022
Volume (Adults)

6 mL

5 mL


 Recent changes for Silicosis Trial

Recent changes for Silicosis Trial
DateFieldChanged FromChanged To
3rd May 2022
Registration Instructions

Ward - ALF

Bill to  - ALH

Panel - SSB only


 Recent changes for Sindbis virus Serology

Recent changes for Sindbis virus Serology
DateFieldChanged FromChanged To
12th May 2022
Alternative names

Sinbis serology, Sinbus serology

12th May 2022
Assay name

Sinbis virus Serology

Sindbis virus Serology

MBS rebatable

No

No

Volume (Adults)

2 mL

Collection & Request Instructions

Deaprtment head authorization required

Consider alphavirus PCR (performed at VIDRL) instead of Sindbis serology. If alphavirus PCR positive, VIDRL will type to identify actual virus. 

Please contact Microbiologist if you have any questions. 

External Laboratory

V.I.D.R.L.

Institute of Clin.Pathology & Medical Res. (ICPMR)

External Transport Instructions

Send at ambient temperature

Send at 4'C with Ice Pack

Frequency

As Required


 Recent changes for Swab wound - Superfical

Recent changes for Swab wound - Superfical
DateFieldChanged FromChanged To
20th September 2022
Collection & Request Instructions

The site or origin of the swab is essential for interpretation of culture results.

The site or origin of the swab is essential for interpretation of culture results. Dry swab may be appropriate please confirm with microbiology staff.


 Recent changes for Thalassaemia/Haemoglobinopathy Screen and DNA Testing

Recent changes for Thalassaemia/Haemoglobinopathy Screen and DNA Testing
DateFieldChanged FromChanged To
24th May 2022
Registration Instructions

2x EDTA lavender top tube required for thalassaemia testing (1x Hb Electophoresis, 1x DNA testing if required)

1x Serum gold top tube

Please register THL, FBE and IS panel when for all thalassaemia screens.

If the word gene or DNA is used in the request, this is for genetic test. Thalassaemia genetic test is performed at Monash, register as MON.

FBE, iron studies and Hb electrophoresis results must be sent together with second EDTA tube.

All samples requiring DNA analysis will be packaged up by the scientist prior to handing over to the sendaway department for sendout. 

2x EDTA lavender top tube required for thalassaemia testing (1x Hb Electophoresis, 1x DNA testing if required)

1x Serum gold top tube

Please register THL, FBE and IS panel when for all thalassaemia screens.

If the word gene or DNA is used in the request, this is for genetic test. Thalassaemia genetic test is performed at Monash, register as MON. ALL Thalassaemia DNA analysis must be approved by the Haematology Scientist, Registrar or Consultant first. DO NOT SEND TO MONASH DIRECTLY FROM CSR. All samples requiring DNA analysis will be packaged up by the scientist prior to handing over to the sendaway department for sendout. 

FBE, iron studies and Hb electrophoresis results must be sent together with second EDTA tube.

External Transport Instructions

DNA testing performed by Monash Pathology. FBE, iron studies and Hb electrophoresis results must be sent together with second EDTA tube.

DNA testing performed by Monash Pathology. FBE, iron studies and Hb electrophoresis results must be sent together with second EDTA tube.

DO NOT SEND DNA analysis directly from CSR without approval from the Haematology Scientist, Registrar or Consultant.


 Recent changes for Thiopurine Metabolites (Sendaway Test)

Recent changes for Thiopurine Metabolites (Sendaway Test)
DateFieldChanged FromChanged To
19th September 2022
Registration Instructions

Samples must be collected Mondays to Thursdays (midday) only. Do not collect before a Friday or public holiday. 

Samples must be collected Mondays to Thursdays (midday) only. Do not collect a sample on a Friday or public holiday. 

9th September 2022
Request Group

SSA, FBE

TME

8th September 2022
Collection & Request Instructions

Dedicated EDTA tube required. 

1 x 4mL EDTA  and 1 x 6mL EDTA (Dedicated EDTA tube required) required for this test. 

23rd August 2022
Collection & Request Instructions

Dedicated EDTA tube required. FBE result must be dispatched with the specimen

Dedicated EDTA tube required. 

Transport Instructions between sites and/or laboratories

 FBE result must be dispatched with the specimen

23rd August 2022
Request Group

EAH

SSA, FBE

Registration Instructions

Samples must be collected Mondays to Thursdays only. Do not collect before a Friday or public holiday. The test costs $145 and the below patient consent form must be completed.

Patient Consent form

Samples must be collected Mondays to Thursdays (midday) only. Do not collect before a Friday or public holiday. 

Collection & Request Instructions

A separate container is required for this test.

A separate container is required for this test.
Two (2x) collection tubes required

Collection & Request Instructions

Dedicated EDTA tube required.

Dedicated EDTA tube required. FBE result must be dispatched with the specimen

External Laboratory

Eastern Health Pathology

Sth Aust Pathology

Notes

Thiopurine metabolites are stable for up to 4 days at 4 degrees Celsius.

Sample sent via Eastern Health Pathology (EAH) to Monash University Gastroenterology Laboratory.

Thiopurine metabolites are stable for up to 7 days at 4 degrees Celsius.

 


 Recent changes for UEC

Recent changes for UEC
DateFieldChanged FromChanged To
12th September 2022
Alternative names

UE, Urea & Electrolytes, U&E, U+E, Electrolytes

UE, Urea & Electrolytes, U&E, U+E, Electrolytes, RFT, renal function test


 Recent changes for Urine Chemistry

Recent changes for Urine Chemistry
DateFieldChanged FromChanged To
27th April 2022
Alternative names

Urine pH


 Recent changes for Urine Red Cell Morphology

Recent changes for Urine Red Cell Morphology
DateFieldChanged FromChanged To
30th August 2022
Registration Instructions

Order when "red cell morphology", "active sediment" or "phase contrast" is requested on the slip.

Urine must be delivered to Microbiology urgently for processing.

Order when "red cell morphology", "active sediment" or "phase contrast" is requested on the slip.

Urine must be delivered to Microbiology urgently for processing. 

Collection & Request Instructions

This test is only performed on samples less than 6 hours old. 

This test is only performed on samples less than 6 hours old. CSR staff are to register all specimens and consult microbiology staff before rejecting the test.  After hours store specimen in the microbiology overnight specimen fridge.


 Recent changes for Vasoactive Intestinal Peptide (Sendaway Test)

Recent changes for Vasoactive Intestinal Peptide (Sendaway Test)
DateFieldChanged FromChanged To
7th September 2022
Collection & Request Instructions

Investigation of secretory diarrhoea for possible VIPoma.

Collect after overnight Fast.

Investigation of secretory diarrhoea for possible VIPoma.

Collect after overnight Fast.

5mL EDTA - trasylol (aprotinin)


 Recent changes for Vitamin K

Recent changes for Vitamin K
DateFieldChanged FromChanged To
26th April 2022
Laboratory

Clinical Biochemistry

Haematology

Registration Instructions

Refer all requests to the Clinical Haematologist. Suggest INR

Refer all requests to the Laboratory Haematology registrar or Haematologist.  Suggest INR.


 Recent changes for Voltage gated K+ Channel Antibody (Sendaway Test)

Recent changes for Voltage gated K+ Channel Antibody (Sendaway Test)
DateFieldChanged FromChanged To
22nd August 2022
Registration Instructions

From the 23/12/2019 - 05/01/2020 MND laboratory closed. All specimens received during this time to be frozen at -70o C.

CSF sample should be directed to Microbiology (NPV) prior to forwarding to refer laboratory.

Can be ordered in combination with:  NMDA, GABAB , AMPA, ANTI- LGI 1, ANTI -CASPR2, ANTI- DPPX. (1.0ML csf is adequate for combination testing).

Blood Serum: request for 6.5mls of blood collected in serum gel (SST).

CSF: request for 1.0mls

Samples not available for delivery following collection are to the department to book in an to be stored at 4 oC. Storage at 4 o C is suitable for up to 2 weeks thereafter samples need to be frozen and sent on dry ice.

 

 

CSF sample should be directed to Microbiology (NPV) prior to forwarding to refer laboratory.

Can be ordered in combination with:  NMDA, GABAB , AMPA, ANTI- LGI 1, ANTI -CASPR2, ANTI- DPPX. (1.0ML csf is adequate for combination testing).

Blood Serum: request for 5.0 mls of blood collected in serum gel (SST).

CSF: request for 1.0mls

Samples not available for delivery following collection are to the department to book in an to be stored at 4 oC. Storage at 4 o C is suitable for up to 2 weeks thereafter samples need to be frozen and sent on dry ice.