Laboratory Health care provider

Medical/Scientific consultation

The Medical/Scientific team at the Seymour Health Laboratory is open to consultations from all healthcare providers regarding:
• General information about laboratory testing
• Questions or problems with testing
• Interpretation of clinical decision values

Note: Test results deemed critical will be escalated and the requestor contacted

Medical Director

Dr. Aref Tabarsi MD FRCPSC

Campbell River Hospital,
Dept of Pathology 375 2 Ave
Campbell River,
BC V9W 3V1


Cell: (250) 202 0866
Fax: (250) 287 8481

Requisitions

To ensure quality processing and services at Seymour Health Laboratory, the highlighted fields must be completed by the ordering physician.
The personal information collected on this form is collected under the authority of the Personal Information Protection Act. The personal information is used to provide medical services requested on this requisition. The information collected is used for quality assurance management and disclosed to healthcare practitioners involved in providing care or when required by law. Personal information is protected from unauthorized use and disclosure in accordance with the Personal Information Protection Act and when applicable the Freedom of Information and Protection of Privacy Act and may be used and disclosed only as provided by those Acts.

Refer to the British Columbia-Ministry of Health for more information

Turn around time for results (TAT)

All work in the Seymour Health Laboratory is performed either STAT or ROUTINE. All work ordered from the Urgent Patient Care Center (UPCC) is considered STAT unless indicated otherwise by the patient’s physician.
In the interest of efficient utilization of laboratory personnel and equipment, all laboratory tests performed in-house may be ordered STAT and reported out no longer than one (1) hour from receipt of specimen. See the list of tests available as STAT at Seymour Health UPCC Laboratory

Stat Test.pdf

Routine tests will have a turnaround time of one (1) working day, with the exception of those tests not performed in-house and sent to a reference lab.

Seymour Health Urgent primary Care centre Laboratory test directory

This information is provided to assist our clients in collecting high quality specimens that meet integrity guidelines and ensure accurate test results.

PLEASE NOTE: All specimens must be clearly labeled with 2 patient identifiers including full name AND date of birth or health card number

Testing not found here may be available via our send out program. For questions or comments about the linked directory please contact Margaret Green at
margaret.green@seymourhealth.ca

The measurement of uncertainty expresses the level of confidence a laboratory has in the utility of a test result. It also provides a measure of the expected variability in a laboratory result when a test is performed.

To obtain the measurement of uncertainty for each measurand performed at Seymour Health City Centre Laboratory, please call a laboratory technologist at 604-416-1870 ext. 127.

Travel COVID-19 PCR Test

Test Info

Pre-Test Preparation:

Healthcare Practitioner review and follow the collection requirements as per PHSA COVID-19 Testing Guidelines 
Healthcare Practitioner to collect the following specimen type using the approved container: COVID19 Collection Containers
• Swabs, from Nasopharyngeal or Throat:
• Yocon Viral Transport Media swab

Completing the BC Laboratory Requisition for swab collections:

Specimen type MUST be noted on the requisition

Specimen Handling:

1) Label specimen with:
• Full name of patient   
• One other unique patient identifier (i.e. DOB and/or Medical Health Number).    
• Test name & specimen type  
• When applicable, testing priority (HOSP, LTCF, HCW or OBK)    
2) Place specimen in specimen transport bag & seal bag    
3) Fold the requisition and place in sleeve of specimen transport bag.   
4) Label the outside of the bag: COVID-19 & Testing priority   
5) Store and transport according to TDG Cat B regulations  

Storage:

Nasopharyngeal/Throat Swab - Refrigerated. Test within 5 days of collection.

Transportation:

Nasopharyngeal/Throat Swab
Alanine Aminotransferase

Test Info

Test Name:

Alanine Aminotransferase

Test Code:

ALT

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>0D

>3Y

>16Y

>0D

>3Y

>16Y

<55

<40

10-55

<55

<40

10-45

Pre-Test Preparation:

1. Complete requisition.
2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Enzymatic)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
Albumin Creatinine Ratio, Urine

Test Info

Test Name:

Albumin Creatinine Ratio, Urine

Test Code:

UACR

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0-19Y

>19Y

0-19Y

>19Y

<2.5

<2.0

<2.5

<2.0

Pre-Test Preparation:

1. Complete Laboratory requisition.
2. Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.
3. This is the test of choice if physician requests Albumin/Creatinine Ratio (ACR).
4. First morning specimen is preferred.
5. Do not collect during menses.
1. Complete the requisition.
2. Ensure full patient & physician demographic information is included.
3. Label sterile urine container with:
    • full name of patient
    • one other unique patient identifier (i.e. DOB and/or Medical Health Number)
    • test name
    • date & time of collection

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Sterile Urine Container

Sample Type:

Urine

Minimum Volume:

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Calculated Value

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Albumin, Plasma

Test Info

Test Name:

Albumin, Plasma

Test Code:

ALB

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0-6D

>6D

0-6D

>6D

26-36

34-50

26-36

34-50

Pre-Test Preparation:

1. Complete requisition.

2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Bromocresol Purple, Dye Binding)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
Alkaline Phosphatase

Test Info

Test Name:

Alkaline Phosphatase

Test Code:

ALKP

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0-365D

>1Y

>9Y

>11Y

>13Y

>15Y

>20Y

>20Y

0-365D

>1Y

>9Y

>11Y

>13Y

>15Y

>20Y

>20Y

140-420

185-550

165-740

270-650

165-690

80-340

30-135

30-135

140-420

185-550

165-740

140-550

85-300

50-160

30-135

30-160

Pre-Test Preparation:

1. Complete requisition.
2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Enzymatic)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
Bilirubin, Total

Test Info

Test Name:

Bilirubin, Total

Test Code:

TBIL

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>1D

>2D

>3D

>4D

>5D

>15D

>90D

>91D

>1D

>2D

>3D

>4D

>5D

>15D

>90D

>91D

<136

<226

<271

<301

<260

<20

<20

<20

<136

<226

<271

<301

<260

<20

<20

<20

Pre-Test Preparation:

1. Complete requisition.
2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. Protect from Light. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Jendrassik Groff)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
C-Reactive Protein

Test Info

Test Name:

C-Reactive Protein

Test Code:

CRP

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>0Y

>0Y

<8 mg/L

<8 mg/L

Pre-Test Preparation:

1. Complete requisition.
2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Turbidimetry)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
COVID-19 Testing

Test Info

Test Name:

COVID-19 Testing

Test Code:

COVID-19

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

Pre-Test Preparation:

Turnaround Time (TAT):

Collection Container:

Sample Type:

Minimum Volume:

Collection and Shipping:

Method:

Measurement Uncertainty:

Add-on Stability:

Calsium, Plasma

Test Info

Test Name:

Calsium, Plasma

Test Code:

CA

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0Y

1D

2D

8D

>16Y

>19Y

0Y

1D

2D

8D

>16Y

>19Y

2.26-2.66

1.76-3.00

2.24-2.72

2.20-2.70

2.12-2.62

2.10-2.55

2.26-2.66

1.76-3.00

2.24-2.72

2.20-2.70

2.12-2.62

2.10-2.55

Pre-Test Preparation:

1. Complete requisition.
2. Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (o-cresolphthalein complexone)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
Chloride, Plasma

Test Info

Test Name:

Chloride, Plasma

Test Code:

CL

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0-30D

>31D

0-30D

>31D

98-113

95-107

98-113

95-107

Pre-Test Preparation:

1.Complete requisition.
2.Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.
3.Request CL and CO2 as individual tests.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Indirect Ion Selective Electrode - Integrated Multisensor)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
Complete Blood Count with Differential

Test Info

Test Name:

Complete Blood Count with Differential

Test Code:

CBCD

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

Basophils (Florescent Flow Cytometry, Sysmex)

Age Category

Male Reference Interval

Female Reference Interval

Units

0-18Y

0.0-0.2

0.0-0.2

x10(9)/L

Eosinophils (Florescent Flow Cytometry, Sysmex)

Age Category

Male Reference Interval

Female Reference Interval

Units

0-5Y

6Y-18Y

≥19

0.0-0.6

0.0-0.8

0.0-0.7

0.0-0.6

0.0-0.8

0.0-0.7

x10(9)/L

x10(9)/L

x10(9)/L

Hematocrit (Calculated Value)

Age Category

Male Reference Interval

Female Reference Interval

Units

0-13D

14D-29D

1M

2M-5M

6M-1Y

2Y-5Y

6Y-11Y

12Y-18Y

≥19

0.42-0.67

0.39-0.63

0.31-0.55

0.28-0.42

0.31-0.39

0.33-0.40

0.35-0.43

0.35-0.44

0.40-0.50

0.42-0.67

0.39-0.63

0.31-0.55

0.28-0.42

0.31-0.39

0.33-0.40

0.35-0.43

0.35-0.44

0.35-0.45

L/L

L/L

L/L

L/L

L/L

L/L

L/L

L/L

L/L

Hemoglobin (Sodium Laurel Sulfate, Sysmex)

Age Category

Male Reference Interval

Female Reference Interval

Units

0-6D

7D-13D

14D-29D

1M

2M-5M

5M-1Y

2Y-5Y

6Y-11Y

12Y-18Y

≥19

135-225

135-225

125-205

100-180

90-140

100-135

105-147

118-146

125-169

135-170

135-225

135-225

125-205

100-180

90-140

100-135

105-147

118-146

125-169

115-155

g/L

g/L

g/L

g/L

g/L

g/L

g/L

g/L

g/L

g/L

Immature Granulocytes (Florescent Flow Cytometry, Sysmex)

Age Category

Male Reference Interval

Female Reference Interval

Units

0-18Y

≥19

0.0-0.1

0.0-0.1

0.0-0.1

0.0-0.1

x10(9)/L

x10(9)/L

Pre-Test Preparation:

1.Complete requisition.
2.Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.
3.When CBC and A1C are ordered in a combination, collect two full 4 ml EDTA lavender tubes and assign a unique episode for the A1C.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Lavender

Sample Type:

Whole Blood EDTA

Minimum Volume:

1.0 mL

Collection and Shipping:

Do not freeze. If sent out to referral lab, ship at room temperature. Sample stable 24 hrs at RT or 36 hrs at 4ºC.

Method:

Sysmex Automated Analyzer (XN 550)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Creatine Kinase

Test Info

Test Name:

Creatine Kinase

Test Code:

CPK

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0-90D

>90D

0-90D

>90D

<500

40-275

<500

25-250

Pre-Test Preparation:

1. Complete requisition.
2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (NAC activated)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
Creatinine

Test Info

Test Name:

Creatinine

Test Code:

Creat

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0Y

>1Y

>4Y

>7Y

>10Y

>14Y

≥19Y

0Y

>1Y

>4Y

>7Y

>10Y

>14Y

≥19Y

10-90

10-50

10-60

30-60

40-90

45-115

60-115

10-90

10-50

10-60

30-60

40-90

30-105

40-95

Pre-Test Preparation:

1. Complete requisition.
2. Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Enzymatic, Siemens)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
D-Dimer Quantitative

Test Info

Test Name:

D-Dimer Quantitative

Test Code:

Dimer

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>0Y

>0Y

<500

<500

Pre-Test Preparation:

1. Complete requisition.
2. Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.
3. Specimens must be tested same day as collection.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Blue

Sample Type:

Citrated Plasma

Minimum Volume:

1.0 mL

Collection and Shipping:

If sent out to referral lab, aliquot, spin, re-aliquot and freeze, send frozen on dry ice. Must arrive at referral lab frozen. Thawed specimens will be rejected.

Method:

Sysmex Automated Analyzer CS 2500 (Immunoturbidometric)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Ferritin

Test Info

Test Name:

Ferritin

Test Code:

Ferr

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>51Y

>17Y

>6M

>51Y

>17Y

>6M

15-370

15-300

12-140

15-225

15-130

12-140

Pre-Test Preparation:

1. Complete Laboratory requisition.
2. Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.
3. Note: if Iron test is required, order FE separately under "other tests"
4. Hemolysis is unacceptable.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

1 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Enzyme immunoassay)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
Free T3

Test Info

Test Name:

Free T3

Test Code:

FT3

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>0Y

>0Y

3.5-6.5

3.5-6.5

Pre-Test Preparation:

1. Complete requisition.
2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.
3. Ensure applicable Thyroid Function box is marked and when required, a written justification/diagnosis is noted.
4. BC Laboratory Algorithm for Thyroid tests provided, https://www2.gov.bc.ca/assets/gov/health/practitioner-pro/bc-guidelines/thyroid-function-testing-appendix1.pdf.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

1.0 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Chemiluminescence)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
Free T4

Test Info

Test Name:

Free T4

Test Code:

FT4

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

1M

>30D

1M

>30D

10.0-20.0

10.0-40.0

10.0-20.0

10.0-40.0

Pre-Test Preparation:

1. Complete requisition.
2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.
3. Ensure applicable Thyroid Function box is marked and when required, a written justification/diagnosis is noted.
4. BC Laboratory Algorithm for Thyroid tests provided, https://www2.gov.bc.ca/assets/gov/health/practitioner-pro/bc-guidelines/thyroid-function-testing-appendix1.pdf.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

1.0 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Chemiluminescence)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Two days
Gamma Glutamyl Transferase

Test Info

Test Name:

Gamma Glutamyl Transferase

Test Code:

Ggt

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0-30D

>31D

>60D

>3Y

>16Y

>19Y

0-30D

>31D

>60D

>3Y

>16Y

>19Y

18-371

12-220

7-44

7-38

<54

15-80

18-371

12-220

7-44

7-38

<38

10-55

Pre-Test Preparation:

1. Complete requisition.
2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Enzymatic)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
Glucose Fasting Plasma

Test Info

Test Name:

Glucose Fasting Plasma

Test Code:

Glf

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>0Y

>0Y

3.6-6.0

3.6-6.0

Pre-Test Preparation:

1. Complete requisition.
2. Ensure Phlebotomists initials and the date and time of collection are also noted on the requisition.
3. A fasting interval of at least 8-12 hours must precede this test.
4. If patient has been fasting for more than 12 hours, proceed with collection.
5. If the patient has been fasting for less than 8 hours, they must return another day.
6. Water is permitted according to thirst.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Hexokinase)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Eight hours
Glucose Tolerance Test, Gestational 50G Screen

Test Info

Test Name:

Glucose Tolerance Test, Gestational 50G Screen

Test Code:

GLP50

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>0Y

>0Y

<10.0

<10.0

Pre-Test Preparation:

1. Complete requisition.
2. Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Hexokinase)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Glucose, Random Plasma

Test Info

Test Name:

Glucose, Random Plasma

Test Code:

GLU

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>0Y

>3D

>20Y

>0Y

>3D

>20Y

2.6-6.0

3.3-11.0

3.6-11.0

2.6-6.0

3.3-11.0

3.6-11.0

Pre-Test Preparation:

1.Complete requisition.
2.Ensure the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Hexokinase)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Eight hours
Hemoglobin A1C

Test Info

Test Name:

Hemoglobin A1C

Test Code:

HA1C

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>0Y

>0Y

4.0-6.0%

4.0-6.0%

Pre-Test Preparation:

1. Complete requisition.
2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Lavender

Sample Type:

Whole Blood EDTA

Minimum Volume:

3.0 mL

Collection and Shipping:

Do not spin or separate. Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Colorimetric, Turbidimetric)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Eight hours
High Sensitivity (HS) Troponin I

Test Info

Test Name:

High Sensitivity (HS) Troponin I

Test Code:

TROPI

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>0D

>0D

<45

<45

Pre-Test Preparation:

1.Complete requisition.
2.Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

1.0 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Sandwich immunoassay, chemiluminescence)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

24 hours
Human Chorionic Gonadotropin

Test Info

Test Name:

Human Chorionic Gonadotropin

Test Code:

HCG

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>0Y

>0Y

0-6

0-6

Pre-Test Preparation:

1. Complete requisition.
2. Ensure the Phlebotomist’s initials and date and time of collection are also noted on the requisition.
3. Do not confuse with Qualitative hCG (Urine HCG)

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

1.0 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Enzyme immuno-assay)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Eight hours
INR

Test Info

Test Name:

INR

Test Code:

INR

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0-6M

>6M

0-6M

>6M

Not Established

0.9-1.1

Not Established

0.9-1.1

Pre-Test Preparation:

1. Complete requisition.
2. Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.
3. Indicate on requisition what anticoagulant, if any, patient is taking.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Blue

Sample Type:

Citrated Plasma

Minimum Volume:

Full Tube

Collection and Shipping:

If test NOT performed in-house, aliquot and freeze, send frozen on ice. Must arrive at referral lab frozen. Thawed specimens will be rejected.

Method:

Sysmex Automated Analyzer CS 2500 (Clotting Time)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Iron

Test Info

Test Name:

Iron

Test Code:

Fe

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0-365D

>1Y

>14Y

0-365D

>1Y

>14Y

4-18

4-25

7-32

4-18

4-25

7-32

Pre-Test Preparation:

1. Complete requisition.
2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.
3. Note: if Total Iron Binding Capacity (or %SAT) test is required, order TIBC separately under "other tests"
4. Hemolysis is unacceptable.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Gold

Sample Type:

Serum

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Ferene, colorimetric)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
Lactate

Test Info

Test Name:

Lactate

Test Code:

LACT

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>0Y

>0Y

0.5-2.2

0.5-2.2

Pre-Test Preparation:

1. Complete requisition.
2. Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Grey

Sample Type:

Oxalate Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Enzymatic)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Eight hours
Lactate Dehydrogenase

Test Info

Test Name:

Lactate Dehydrogenase

Test Code:

LDH

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0-30D

>1M

>3M

>1Y

>7Y

>12Y

0-30D

>1M

>3M

>1Y

>7Y

>12Y

200-720

180-420

180-390

180-340

160-270

90-240

200-720

180-420

180-390

180-340

160-270

90-240

Pre-Test Preparation:

1. Complete requisition.
2. Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.
3. Hemolyzed specimens are unacceptable for analysis.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Enzymatic)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Eight hours
Lipase

Test Info

Test Name:

Lipase

Test Code:

LIPA

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>0Y

>0Y

0-393

0-393

Pre-Test Preparation:

1. Complete requisition.
2. Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.
Note: As per MSP requirements: Do not request Lipase if Amylase is also required.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Enzymatic, Colorimetric)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
PTT

Test Info

Test Name:

PTT

Test Code:

PTT

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0-6M

>6M

0-6M

>6M

Not Established

22-30

Not Established

22-30

Pre-Test Preparation:

1. Complete requisition.
2. Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.
3. Indicate on requisition what anticoagulant, if any, patient is taking.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Blue

Sample Type:

Citrated Plasma

Minimum Volume:

Full Tube

Collection and Shipping:

Spin within 2 hours of collection. If sent out to referral lab, aliquot and freeze, send frozen on ice. Must arrive at referral lab frozen. Thawed specimens will be rejected.

Method:

Sysmex Automated Analyzer CS 2500 (Clotting Time)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Potassium, Plasma

Test Info

Test Name:

Potassium, Plasma

Test Code:

K

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0-30D

31-60D

>61D

0-30D

31-60D

>61D

3.7-5.9

4.1-5.3

3.5-5.0

3.7-5.9

4.1-5.3

3.5-5.0

Pre-Test Preparation:

1. Complete requisition.
2. Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.
3. Request Sodium and Potassium as individual tests.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack

Method:

Automated Siemens Dimension EXL 200 (Indirect Ion Selective Electrode - Integrated Multisensor)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Two days
Sodium, Plasma

Test Info

Test Name:

Sodium, Plasma

Test Code:

NA

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>0Y

>0Y

135-145

135-145

Pre-Test Preparation:

1. Complete requisition.
2. Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.
3. Request Sodium and Potassium as individual tests.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Indirect Ion Selective Electrode - Integrated Multisensor

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three Days
Thyroid Stimulating Hormone

Test Info

Test Name:

Thyroid Stimulating Hormone

Test Code:

TSH

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0-30D

>30D

>6Y

0-30D

>30D

>6Y

0.60-10.00

0.30-6.0

0.34-4.82

0.60-10.00

0.30-6.0

0.34-4.82

Pre-Test Preparation:

1. Complete requisition.
2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.
3. Ensure applicable Thyroid Function box is marked and when required, a written justification/diagnosis is noted.
4. BC Laboratory Algorithm for Thyroid tests provided, https://www2.gov.bc.ca/assets/gov/health/practitioner-pro/bc-guidelines/thyroid-function-testing-appendix1.pdf.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

2.0 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Chemiluminescence)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
Total CO2

Test Info

Test Name:

Total CO2

Test Code:

CO2

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0-30D

>31D

>61D

<3Y

>19Y

0-30D

>31D

>61D

<3Y

>19Y

17-24

19-24

16-23

21-29

22-31

17-24

19-24

16-23

21-29

22-31

Pre-Test Preparation:

1. Complete requisition.
2. Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.
3. Request CL and CO2 as individual tests.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack. DO NOT open tube prior to testing as CO2 will dissipate within 30 minutes.

Method:

Automated Siemens Dimension EXL 200 (Enzymatic)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Cannot be added on to previously analysed sample.
Total Iron Binding Capacity (Saturation, Percentage)

Test Info

Test Name:

Total Iron Binding Capacity (Saturation, Percentage)

Test Code:

SAT

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

 >0D

 >0D

45-73

45-73

Pre-Test Preparation:

1. Complete requisition.
2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.
3. Note: if Iron test is required, order FE separately under "other tests"
4. Hemolysis is unacceptable.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Gold

Sample Type:

Serum

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Ferene, colorimetric)

Measurement Uncertainty:

Add-on Stability:

Total Protein

Test Info

Test Name:

Total Protein

Test Code:

TP

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0

>2D

>8D

>1Y

>3Y

>19Y

0

>2D

>8D

>1Y

>3Y

>19Y

46-70

44-76

51-73

56-75

60-80

62-82

46-70

44-76

51-73

56-75

60-80

62-82

Pre-Test Preparation:

1. Complete requisition.
2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Biuret reaction)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
Travel Covid-19 PCR Test

Test Info

Test Name:

Travel Covid-19 PCR Test

Test Code:

COVID-19 TRAVEL TEST

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

Pre-Test Preparation:

Healthcare Practitioner review and follow the collection requirements as per PHSA COVID-19 Testing Guidelines 

Healthcare Practitioner to collect the following specimen type using the approved container: COVID19 Collection Containers 

  • Swabs, from Nasopharyngeal or Throat:
  • Yocon Viral Transport Media swab

Turnaround Time (TAT):

Collection Container:

Specimen type MUST be noted on the requisition

Sample Type:

Minimum Volume:

Collection and Shipping:

Nasopharyngeal/Throat Swab - Refrigerated. Test within 5 days of collection. Nasopharyngeal/Throat Swab.

Method:

Measurement Uncertainty:

Add-on Stability:

Urea, Plasma

Test Info

Test Name:

Urea, Plasma

Test Code:

BUN

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

>0Y

>0Y

2.0-8.2

2.0-8.2

Pre-Test Preparation:

1. Complete requisition.
2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Enzymatic, UV)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
Uric Acid, Plasma

Test Info

Test Name:

Uric Acid, Plasma

Test Code:

URIC

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units

0-16Y

>17Y

>19Y

0-16Y

>17Y

>19Y

120-320

200-420

208-428

120-320

130-340

155-357

Pre-Test Preparation:

1. Complete requisition.
2. Ensure that the Phlebotomist’s initials and the date and time of collection are also noted on the requisition.

Turnaround Time (TAT):

Available on a STAT basis. If STAT, one (1) hour from receipt of specimen during lab operating hours. Within one (1) working day for routine.

Collection Container:

Light Green

Sample Type:

Lithium Heparin Plasma

Minimum Volume:

0.5 mL

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Automated Siemens Dimension EXL 200 (Uricase, colorimetric)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

Three days
Urinalysis

Test Info

Test Name:

Urinalysis

Test Code:

UMAC

Reference Interval

Age Category

Male Reference Interval

Female Reference Interval

Units





Bilirubin

Age Category

Male Reference Interval

Female Reference Interval

Units

>0D

NEG

NEG

-

Glucose

Age Category

Male Reference Interval

Female Reference Interval

Units

>0D

NEG

NEG

-

Hemoglobin

Age Category

Male Reference Interval

Female Reference Interval

Units

>0D

NEG

NEG

-

Ketones

Age Category

Male Reference Interval

Female Reference Interval

Units

>0D

NEG

NEG

-

Leukocytes

Age Category

Male Reference Interval

Female Reference Interval

Units

>0D

NEG

NEG

-

Pre-Test Preparation:

  1. As per the MSP Requirement, https://www2.gov.bc.ca/gov/content/health/practitioner-professional-resources/bc-guidelines/urological-system
    Exemptions:
  2. Catheter or bagged specimen or suprapubic aspiration
  3. Patient is <19 years old
  4. Non-MSP patients
  5. Complete the Laboratory Requisition. Ensure in the URINE TESTS section on the requisition, mark the appropriate box.
  6. Label container with patient full name, DOB and MHN/HIN/PHN, test name.
  7. Provide patient with mid-stream (C&S) urine specimen collection instructions.
  8. Ensure Phlebotomist's initials and date and time of collection are also noted on the requisition.
  9. Provide written clinical information for the following requests:
  10. Macroscopic > Microscopic sent out to referral lab if dipstick positive
  11. Macroscopic > Urine Culture sent out to referral lab if pyuria or nitrate present
  12. Macroscopic (dipstick) AND Microscopic is marked. Microscopic will be sent to referral lab for testing.

Turnaround Time (TAT):

Macroscopic only available on a STAT basis. No daily/weekly schedule

Collection Container:

Sterile Urine Container

Sample Type:

Urine

Minimum Volume:

Collection and Shipping:

Refrigerate. If sent out to referral lab, send on ice pack.

Method:

Siemens Multistix (Dipstick)

Measurement Uncertainty:

Available upon request, call 1-604-416-0903 ext 127

Add-on Stability:

This policy outlines the process used to identify a specimen as unsuitable for testing.