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General Information

Winter Lockbox Tips!

march-winter-lockboxTo maintain optimal specimen integrity, Corewell Health Laboratories West requests that you load your lockbox properly for winter weather temperatures. Please follow the diagram on the right to prevent freezing of specimens.

Frozen specimen should not be left in the lockbox for after-hours pickup. These tests may be better preserved in the office freezer until the next day’s courier pickup.

Request for specimen pickups in the West Michigan area should be made to the Laboratory Call Center at 616.774.7721.

Education & Training, General Information

Summer Lockbox Preparation

Follow these steps for loading your outdoor lockbox during the summer months to prevent overheating of refrigerated and ambient specimens:lockbox summer

1. Place a frozen cool pack in the bottom of the lockbox.

2. Layer 3 – 4 paper towels over the cool pack for insulation.

3. Place refrigerated temperature specimens on top of the paper towels.

4. Layer 3 – 4 paper towels over the refrigerated specimens for insulation.

5. Place ambient temperature specimens on top of the paper towels.

Frozen specimen should not be left in the lockbox for after-hours pickup. These tests may be better preserved in the office freezer until the next day’s courier pickup.

Spectrum Health Laboratory is committed to specimen integrity. The specimen transport integrity guide is available in the online test catalog. If you have further questions please contact Laboratory Services at 616.774.7721.

Compliance & Safety, General Information

Reminder: Winter Lock Box

march-winter-lockboxTo maintain optimal specimen integrity, Spectrum Health Laboratory requests that you load your outdoor lock box properly for winter weather temperatures. Please follow the diagram on the right to prevent freezing of specimens.

Frozen specimen should never be left in the lock box for after-hours pickup. These tests may be better preserved in the office freezer until the next day’s courier pickup.

Request for specimen pickup should be made to the Laboratory Call Center at 616.774.7721.

Laboratory Testing COVID-19 Information

Last updated 12/12/2023, last reviewed 12/12/2023 by Laboratory Services

PATIENTS interested in COVID-19 TESTING, please refer to the Corewell Health COVID-19 Page: https://www.spectrumhealth.org/covid19/screening-and-testing

FACILITIES that would like to receive TESTING for STAFF and/or RESIDENTS, please contact: 616.486.1075 or email covidemployerhotline@spectrumhealth.org.

 

The following information is for OUTPATIENT PROVIDERS, APPS and CLINICIANS that wish to order COVID-19 testing. Corewell Health Inpatient and Emergency Department providers, please refer to InSite.

TEST UTILIZATION

 

Please refer to Healthcare Professionals Resource Page for more info on Covid-19.

 

Nares vs Nasopharyngeal (document)

Symptoms of COVID-19 (CDC guidelines)

 

Corewell Health is not able to provide return-to-work/school or testing for travel purposes.

HOW TO ORDER

1. In Corewell Health Epic, Epic Community Connect or EpicCare Link:

 COVID-19 PCR  [LAB1230607] ~OR~ COVID-19, Influenza A, Influenza B, RSV PCR [LAB1230746]

Please answer all Ask at Order Entry questions. If you are unsure how to place an order for lab testing, please go to the Epic Training page on InSite or contact your Epic trainer.

2. In your EMR:

COVID-19 PCR (Swab) – Order alias: 1230607 ~OR~ COVID-19, Influenza A, Influenza B, RSV PCR – Order alias: 1230746

Please answer all Ask at Order Entry questions. If you have questions, please direct them to your EMR vendor or the Corewell Health eSHare team via helpdesk ticket.

3. If you are unable to order electronically

Please fill out a paper requisition: COVID-19 Requisition

ONCE THE ORDER IS PLACED

 

There must be an order in the system, see how to order above.

 

If you collect the specimen in your office:

Make sure the specimen container and the order match!

Full, legal patient name

Date of birth

Specimen collection date

Specimen collection time

Specimen source (nares or nasopharyngeal)

Make sure the cap is secure. Leaky specimens may cause compromised results and may erase patient data on the tube.

Specimen containers with incorrect patient information may be discarded. Please follow the directions above.

Electronic order (Epic/EMR interface): Make sure to mark the specimen as collected.

Paper order: Send the paper order with the specimen.

Please also review “Supplies for Collection in Office” below

 

If you are not collecting the specimens in the office and need to route your patient to a collection site:

As of June 7, 2023 the outpatient draw sites/laboratories do not collect or observe collections for COVID swabs or any swab testing.

Walk-in COVID-19 testing is not available at any of our sites, including emergency departments, urgent care locations or walk-in clinics. Testing in the emergency department, urgent care location or walk-in clinic only is available to registered patients who are seeking medical treatment.

More information available: Corewell Health COVID-19 screening and testing

 

SUPPLIES FOR COLLECTION IN OFFICE

 

If you are a Corewell Health location (CH/CHMG), please order supplies via Workday.

Please refer to the test catalog for specimen collection information: COVID-19 

If you are a non-Corewell Health entity and are a Corewell Health Client and have a routine Corewell Health Laboratory courier

Please fill out a supply form: COVID Supply form or write in “COVID Swabs” on your supply form.

Please allow 3 – 5 business days for delivery.

Please refer to the test catalog for specimen collection information: COVID-19 

 

There are multiple COVID-19 specimen collection media available for testing. We realize that you may order a particular type of swab or media, however, be aware that we may change your order to a different type swab or media depending on availability. Please be assured that the swab or media you will be receiving can still be used for COVID-19 specimen collection.

As the demand for testing increases, the quantity of supplies delivered may vary from your original order depending on supply availability.

If you do not have a courier route with Corewell Health Laboratories, please use the Lab Request link at the top of the page to begin the client account set-up. This may take 2-4 weeks to complete. 

 

IN OFFICE COLLECTION INSTRUCTIONS

 

PPE Guidelines

Laboratory Specimen Collection: COVID-19 Test Information

Reminders:

Make sure specimen is properly labeled with 2 patient identifiers

Make sure label is placed correctly: Label placement guide

Immediately refrigerate specimen after collection and maintain at this temperature during transport to lab or pickup by courier.

 

TRANSPORTING INSTRUCTIONS FOR OFFICE COLLECTIONS

 

Cold packs/pouches should be used in a Styrofoam, or similar type, cooler to transport priority transport bags containing specimens. It is imperative to keep specimen bags dry.

Courier Pick Up: If you have a routine courier route set up, please wait for your courier to pick up specimens in your office or lockbox. Make sure lockbox is properly packed for refrigerated specimens.

Specimen Drop Off: If you do not have a routine courier route set up, please drop off the specimen at the Corewell Health Medical Center in Grand Rapids, MI (maintain refrigerated transport temp)

Instructions for specimen drop off

 

OBTAINING RESULTS

 

Results will be sent electronically or via fax to the ordering provider based on the information currently in our system, once the test has been completed and verified. This may take up to 3 days or more. As the demand for testing increases, turnaround time may be impacted.

Your patient will also receive their results immediately in MyChart, Corewell Health’s patient portal.

Further patient care, notifications and return to work orders should be completed by your practice.

 

OTHER RESOURCES:

 

Health Care Professional Resources (including PPE and Disinfection)

Lab Test Directory and Specimen Collection Guides

Ordering and Collection Information

COVID-19 Testing Platforms with Fact Sheet for Providers and Patients

COVID 19 PCR testing has been issued an emergency use authorization by the FDA. For more information about the test and its authorized use, please see FDA Emergency Use Authorizations.

 

If you have further questions or inquiries, please use the “contact us” link above.

Note: this email is monitored Monday – Thursday from 8am – 4pm, Friday from 8 am – 12 pm, excluding holidays. You will be contacted in 2-5 business days.

Training

Welcome to the Spectrum Health Laboratory Client Training Page!

Questions? Click on “Contact Us” above.

Specimen Collection Devices – Visual Guides

Click on the guides below to download a copy to your device. If you would like hard copies of any of the below please use the “Contact Us” link above.

ITEM – Click on the image to download GUIDE
Click on the image to download
ATL Specimen Quick Guide (April 2022)
Cytogenetics, Flow Cytometry, Molecular Diagnostics
General Specimen
Urine, Tissue, Swab, Stool, Body Fluids
Swab Specimens for STI
Swabs, Pap, Fluid
Labeling Guides
Where does the label go on the tube or cup?  Zero-Tolerance Labeling Policy
Microbiology Specimen Quick Guide (April 2022)
Order of  Blood Draw (May 2022)
Royal Blue Tubes 
Which Royal Blue Tube Should I Use?
Specimen Bags and Lockbox Packaging Guide

Drop off or Delivery Information

 

Reference Guides

Click on the link to download guide

 

Fasting Tests – Recommended and Required
Label Special Instructions Shorthand Instructions Key
Outpatient Common Blood Test Tubes
Referral/Send Outs Guide
Urine Preservative Guide
Urine Collection Guide for Laboratory Staff

 

How to Collect

 

Specimen Collection Type – Click on the image to download GUIDE
Click on the image to download
Blood  Capillary Finger Collection
Capillary Heel Collection
Centrifuge and Aliquot
Lead Screen Filter Paper Instructions

Dried Blood Filter Paper Spot Check

Cytology Pap Collection Instructions (April 2022)
Fine Needle Aspirate (FNA) (April 2022)
Microbiology Nasal/Nasopharyngeal (NP) Collection
Throat Swab Collection
Urine  Urine Vacutainer
Urine Preservative
Self Collect Self-Swab for STI Testing

 

Additional Resources

Tutorial – How do I use the Lab Specimen Collection Catalog?

Tutorial – How to create a live feed of this blog in Internet Explorer or Outlook

Phlebotomy Refresher Training for Nurses and MA’s Password required -please speak with your account manager for access. CHMG/Corewell Health employees please use this form