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Referral/Sendouts

Advanced Technology Laboratory, Cytogenetics, General Information, Referral/Sendouts

Test Update: Chromosome Analysis Breakage Study

Effective immediately, due to low test utilization and the high cost of maintaining proficiency, the Chromosome Analysis Breakage Study will no longer be offered by the Spectrum Health Cytogenetics Department.

If need arises for this test, please place an order for a Reference Miscellaneous (EPIC# LAB848) and enter “Test 140 DEB Breakage Study to Integrated Genetics” in the comments.  The testing will be sent out through Spectrum Health Referrals Department to Integrated Genetics. Continue Reading

Advanced Technology Laboratory, Education & Training, General Information, Referral/Sendouts

Covid-19 Information

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Updated 5/28/20

Providers: COVID-19 testing criteria:

Symptoms of COVID-19 link to CDC guidelines

Testing criteria link to CDC guidelines

Providers: If you have a patient that you suspect to have the Coronavirus (COVID-19) please follow these instructions:

Spectrum Health and SHMG providers, please check InSite for any information specific to Spectrum Health.

If you cannot collect specimens in your office, please direct your patient to the screening hotline: 833.559.0659. Screening is required before COVID collection and testing can occur. If patients are having severe or life-threatening symptoms, please call 911.

Specimens may be collected in your office and sent to Spectrum Health Laboratory. For more information please refer to this document:

Outpatient Provider Office Collection Information

Outpatient Draw Site Hours:

Outpatient draw site hours and availability may have changed. Please refer to Find-A-Doc for more information.

• Link: Find-A-Doc Location

Specimen Drop Off for Referring Laboratories and Referring Sites

Please review this document: Link: COVID-19 Specimen Drop Off

You must be an approved COVID collection lab. For approval please contact the Lab Call Center. All other sites and offices must direct patients to the SH Now COVID-19 Free Screening Hotline at 833-599-0659.

Preferred Collection:

Nasopharyngeal (NP) swabs are the preferred specimen type.

Link: Nasopharyngeal Collection

If NP swabs cannot be collected, anterior nasal swabs may be collected as an alternative with slightly reduced sensitivity.

 

New Test: COVID-19 IgG Antibody – Serology test

Continue Reading

General Information, Referral/Sendouts, Test Spotlight

Eastern Equine Encephalitis Testing Options

Eastern Equine Encephalitis (EEE) testing is available to be ordered individually on serum or CSF. A panel for multiple Arboviruses is also available on both serum and CSF. Both tests are sent to Mayo Clinical Laboratories.  Please order “Reference Lab Send Out for Miscellaneous Tests” for each test ordered and indicate test name in the required order field. Continue Reading

Chemistry, Compliance & Safety, Education & Training, General Information, Referral/Sendouts

Preservative For 24 Hour Urine Collections

In both the inpatient and outpatient settings, the laboratory has supplied 24 hour urine containers with preservative such as acetic acid, sodium hydroxide, and boric acid.  Upon review of specimen stability requirements, it has been determined that a preservative is not needed prior to collection of most 24 hour urine tests as long as the 24 hour container is kept refrigerated or on ice during the collection period. Continue Reading

Hematology, Referral/Sendouts

Hemoglobin A1c Testing Update

For Hemoglobin A1c testing, Mayo Clinic Laboratory has switched to an Ion-Exchange High-Performance Liquid Chromatography (HPLC) method (Bio-RAD D100) which is the same method of A1c testing used at Spectrum Health Regional Laboratory.  They no longer offer the alternative method, boronate affinity chromatography, for A1c testing.

When A1c cannot be determined due to  interferences that affect the Bio-RAD 100 method, measurement of serum fructosamine is recommended (Mayo test FRUCT). Continue Reading

Chemistry, General Information, Referral/Sendouts

Test Discontinuation: Red Cell Magnesium

Effective January 1, 2019, Spectrum Health Regional Laboratory will no longer offer Magnesium, Red Blood Cell [LAB104] as an option for send out testing.  This testing will no longer be available through Spectrum Health’s primary reference laboratory, Mayo Clinic Laboratories.  This test will become obsolete on January 7, 2019, due to limited clinical utility. Continue Reading

Compliance & Safety, Education & Training, General Information, Referral/Sendouts

Chlamydia and Gonococcus Testing on Pediatric Patients

Spectrum Health Regional Laboratory is not validated to perform Chlamydia and Gonococcus testing on pediatric patients under the age of 14 years old. Testing for these patients must be sent to a reference laboratory. Please order a Reference Miscellaneous Test (#LAB848) and indicate complete test name when ordering. Continue Reading