Portions 2023 Mayo Foundation for Medical Education and Research. At the time of specimen pickup, inform your professional service representative that you have a frozen specimen to be picked up. allowed for additional confirmatory or additional reflex tests. To avoid delays in turnaround time when requesting multiple tests on frozen samples, please submit separate frozen specimens for each test requested. 12. Unstable (stability provided by manufacturer or literature reference), 90 days (stability provided by manufacturer or literature reference), Non-EDTA plasma specimen; EDTA plasma collected in glass, Support a diagnosis of congestive heart failure (CHF). 3. 1. The CMS web site is available to assist you with this verification. With some needle assemblies, you may slide the collection tube into the holder, carefully pushing the tubes forward until the needle touches the stopper. Dempfle CE. Blood cultures should be collected directly into the blood culture bottles provided by LabCorp. DVT clinical diagnosis should not be based on the result of Innovance D-dimer alone. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for All microscopic slides, as well as paraffin blocks, should be clearly labeled using two patient identifiers. 0000003453 00000 n They found that a BNP value >80 pg/mL could be used to identify patients with CHF from this population with a sensitivity of 97%, specificity of 98%, positive predictive value of 92%, and a negative predictive value of 98%.6. What does it mean to cut a deck of tarot cards? Question 2. Maisel A. B-type natriuretic peptide levels: A potential novel white count for congestive heart failure. 5. These containers can keep frozen specimens frozen, but they will not be able to freeze specimens at room temperature or refrigerated specimens. In some cases, additional time should be 0000463973 00000 n Draw whole blood in an amount 2 times the required volume of serum so that a sufficient amount of serum can be obtained. Please confirm proper preparation and most Both the BNP and NT-proBNP tests show similar information, although the absolute values of NT-proBNP are about five to 10 times higher than BNP. Ask your provider about the specific measurements of your BNP test or NT-proBNP test. For after-hours pickup, follow the steps under Frozen Serum above. Collection Separate serum or plasma from cells within 45 minutes of collection. Label the tube carefully and clearly with all pertinent information or bar code. This finding is frequent in hemolyzed specimens. D-dimer: Simple test, tough problems. How can the LabCorp patient mobile app help you? (Water-soluble markers may wash off with freezing and transport.) WebA B-type natriuretic peptide (BNP) test is a blood test. (See Figure 15.). Analytical and clinical evaluation of the Bayer ADVIA Centaur Automated B-type natriuretic peptide assay in patients with heart failure: A multisite study. Do not use oxalate, EDTA, or citrate plasma. Once centrifuged, the plasma in the BD PPT can be transported to the lab without transferring to another tube. Place the tube(s) in a designated freezer. The needle may pinch or sting. Providing a Specimen. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. As late as possible before the lockbox is to be put out, place the frozen transport tube in the Frozen Specimen Keeper between the silver frozen gel packs. The thin portion should be about 1 inch long, and the entire film should cover approximately half of the area of the entire slide. 0000459642 00000 n 8. Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Diseases & Conditions Toggle Diseases & Conditions, OnDemand Testing Toggle OnDemand Testing, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Therapeutic Indications Toggle Therapeutic Indications, Development Phase Toggle Development Phase, Compounds & Molecules Toggle Compounds & Molecules, Hematocrit; hemoglobin; mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); mean corpuscular hemoglobin concentration (MCHC); red cell distribution width (RDW); percentage and absolute differential counts; platelet count (RBC); red cell count; white blood cell count (WBC). For more information, you may also see our Notice of Privacy Practices. Remove the tube carefully without disturbing the contents. Predicting the risk of recurrence of venous thromboembolism. If youre taking these drugs to treat heart failure, your BNP or NT-proBNP test results may be lower than if youre not taking them. The comprehensive metabolic panel (CMP) usually includes 14 tests the 8 from the BMP as well as 2 protein tests ( albumin and total protein) and 4 liver tests ( ALP, ALT, AST, and bilirubin ). 7. Hemolysis can be caused by rough handling of a blood specimen, leaving the tourniquet on too long (causing blood stasis) or squeezing the tip of the finger too hard during capillary collection, dilution, exposure to contaminants, extremes in temperature, or pathologic conditions. Do not use gel-barrier tubes to submit specimens for therapeutic drug monitoring. Use: ACD whole blood. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event. 0000691221 00000 n Anchor the vein. Print the patient's name and date on the frosted ends of both slides. Separate serum or plasma from cells within 45 minutes of collection. Also, a clot tube (eg, red-top tube or gel-barrier) that does not clot should be brought to the attention of the physician. As part of your circulatory system, your heart and blood vessels pump oxygen-rich blood to your muscles, organs and other tissues. Well-prepared films can be used in performing the differential white cell count, for examining the morphology (size, structure, and shape) of red and white cells to determine the presence of abnormal cells, and also for the examination of the size and number of platelets. Use: Serum, may be used for assays requiring serum unless otherwise stated. For some tests, such as chemistry procedures, fasting samples are often the specimen of choice. Turn the centrifuge off, if not automatic turn off, and allow it to come to a complete stop. 0 Automated enumeration of immature granulocytes. The most common reason for delay in receiving results is inaccurate or out-of-date personal information on record with your health care providers or in your Labcorp Patient portal personal profile. In response to the coagulation process the fibrinolytic system is activated resulting in the conversion of plasminogen into plasmin, which cleaves fibrin (and fibrinogen) into the fragments D and E. Due to cross-linkage between D-domains in the fibrin clot, the action of plasmin releases fibrin degradation products with cross-linked D-domains. Please login to Labcorp Link topay your bill. 2. Permit the vacuum tube to fill completely. The BD PPT should be at room temperature and properly labeled for patient identification. Dispose of the used needle and holder in a sharps container according to the provisions in your exposure control plan. The accession designation used in the pathology report should include the case type, year, and a unique accession number. 0000183244 00000 n What is the purpose of the BNP test? Label tubes in front of the patient immediately after collection, confirming all necessary information with the patient. Dao Q, Krishnaswamy P, Kazanegra R, et al. Draw the spreader slide steadily back toward the drop of blood. (See Figure 14.). That means youll probably get your results right away, usually in under 15 minutes. 2. The BD Vacutainer Plasma Preparation Tube (PPT) is a plastic evacuated tube used for the collection of venous blood in order to prepare undiluted plasma for use in molecular diagnostic testing. It provides important information about your bodys chemical balance and metabolism. Any delay will result in abnormal distribution of the white cells, with many of the larger white cells accumulating at the thin edge of the smear. Since BNP is cleared by your kidneys, it may also mean that your kidneys are not functioning properly. Our online resources are here to support healthcare providers as well as patients. 0000581467 00000 n (https://www.aafp.org/afp/2006/1201/p1893.html), (https://www.ncbi.nlm.nih.gov/books/NBK556136/), Heart, Vascular & Thoracic Institute (Miller Family), Urinating (peeing) more than usual at night (. Blood Tube Color Chart for specimens submitted to University of Colorado Hospital Laboratory GOLD or RED W/GELSERUM SEPARATOR (SST) GREEN WITH The latest information about heart & vascular disorders, treatments, tests and prevention from the No. Even though your heart makes this protein, providers sometimes call it brain natriuretic peptide because it was first discovered in brain tissue. After the test, your body naturally replenishes your blood supply. ( Note: This volume does not allow for repeat testing.) hb``pg``a``{ The smallest unit is D-dimer. McNairy M, Gardetto N, Clopton P, et al. 0000876850 00000 n A Labcorp lab processes your test and the results are sent to your ordering doctor. Follow the steps in. 0000387970 00000 n Refer to the. 0000042165 00000 n BNP levels increase with age and can be transiently increased by vigorous exercise.1,2 BNP levels correlate with end-diastolic pressure and tend to be increased in patients with diminished left ventricular ejection fraction.1,3 BNP levels have been shown to be useful in the diagnosis of patients with symptoms that are consistent with CHF. WebRed-top tube, gel-barrier tube, or green-top (lithium heparin) tube. 0000808209 00000 n After mixing, store the BD PPT upright at room temperature until centrifugation. 0000015671 00000 n Mottled red/gray-top, gold-top, or cherry red-top (gel-barrier) tube: Contains clot activator and gel for separating serum from cells, but not anticoagulant. 9. Every person has their own range of BNP or NT-proBNP level range. Please refer to the specimen requirements for the test(s) of interest available in the Directory of Services. You dont need to do anything to prepare for a BNP test or NT-proBNP test. IG (immature granulocytes) includes metamyelocytes and myelocytes. 0000731797 00000 n D-dimer should not be used as an aid for exclusion of venous thrombosis or pulmonary embolism in pediatric patients in any circumstance and adult patients with6-8: Therapeutic dose anticoagulant administered for >24 hours before D-dimer is measured, Fibrinolytic therapy within previous seven days. 0000000016 00000 n Lab results are delivered to your Labcorp Patient portal account. We do not endorse non-Cleveland Clinic products or services. When using a bench-top centrifuge, employ a balance tube of the same type containing an equivalent volume of water. B-type natriuretic peptide (BNP) testing is a blood test that shows the level of the hormone BNP. Your provider removes some of your blood through a vein. Utility of B-type natriuretic peptide in the diagnosis of congestive heart failure in an urgent-care setting. At some patient service centers, Labcorp provides biometric screening, which includes height, weight, blood pressure, waist circumference, body mass index (BMI), and blood draw for wellness screening. WebBlood should be collected in a blue-top tube containing 3.2% buffered sodium citrate. Blood should be collected in a blue-top tube containing 3.2% buffered sodium citrate.1 Evacuated collection tubes must be filled to completion to ensure a proper blood to anticoagulant ratio.2,3 The sample should be mixed immediately by gentle inversion at least six times to ensure adequate mixing of the anticoagulant with the blood. Gel-barrier (mottled red/gray, gold, or cherry red-top) tubes contain clot activator and gel for separating serum from cells but include no anticoagulant. The basic metabolic panel (BMP) may be used to check the health of your kidneys, the status of your electrolyte and acid/base balance, as well as your blood glucose level all of which are related to your bodys metabolism. Pull the safety shield on the needle back over the holder before removing the needle shield. To ensure adequate mixing, gently invert the BD PPT eight to ten times using a gentle wrist rotation motion. explore the world through the prism of knowledge. Greasy or dirty slides, or use of a spreader slide with a chipped or unpolished end. How Much Does a BNP Test Cost? 1. Assessment of brain natriuretic peptide in patients with suspected heart failure: Comparison with radionuclide ventriculography data. 0000008247 00000 n IGs are associated with infections, a variety of inflammatory disorders, cytokine therapy, neoplasia, hemolysis, tissue damage, seizures, metabolic abnormalities, myeloproliferative neoplasms, and with the use of certain medications such as steroids.3, Pregnancy-associated leukocytosis may also show increased immature granulocytes without clinical significance. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. Patient samples may contain heterophilic antibodies (eg, human antimouse antibodies [HAMA] and rheumatoid factors) that could react in immunoassays to yield falsely elevated results. 4. Plasma Preparation Using a Plasma Preparation Tube (PPT). A BMP may be ordered when you have a routine health exam. Results of this test should always be interpreted in conjunction with the patient's medical history, clinical presentation, and other findings. This step embeds the full point of the needle in the stopper without puncturing it, preventing blood leakage on venipuncture and the premature loss of vacuum. Your provider will let you know when the results are ready. (Minimum clotting time is 30 minutes for patients with an intact clotting process. 6. When using a bench-top centrifuge, employ a balance tube of the same type containing an equivalent volume of water. Log in or register online. Age-adjusted D-dimer cutoff levels to rule out pulmonary embolism: The ADJUST-PE study. The original Transpak containers can be used for these lock boxes. 11. Excessive bleeding (longer than five minutes) should be brought to the attention of the physician. Do not spin more than 10 minutes unless otherwise specified. To avoid delays in turnaround time when requesting multiple tests on frozen samples, please submit separate frozen specimens for each test requested. Additional information regarding LOINC codes can be found at LOINC.org, including the LOINC Manual, which can be downloaded at LOINC.org/downloads/files/LOINCManual.pdf. Note: Please examine specimen collection and transportation supplies to be sure they do not include expired containers. Break the paper seal on the needle cap in the presence of that patient, and remove the needle cap. 0000945248 00000 n Olson JD, Cunningham MT, Higgins RA, Eby CS, Brandt JT. 2023 Laboratory Corporation of America Holdings. Use: EDTA whole blood or plasma. (Press Enter or Space to Go to Landing Page or Press Down to expand Menu), Blood Specimens: Chemistry and Hematology, Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement, Except when a blood alcohol is ordered, swab the site with a sterile alcohol sponge (70% alcohol) in a circular motion, inside to outside, to push contaminants away from the puncture site. Processing and Results. Refer to Coagulation Collection Procedures for directions. allowed for additional confirmatory or additional reflex tests. You can also go the test description for Blood Culture, Routine [008300] in LabCorp's online directory and refer to the Microbiology Specimen Collection and Transport Guide attached in the Related Documents field for additional information on blood culture specimen collection. hb``Pd``*e```a@@,78^+bo)3lke!L~6S88&Lv``8j Do not pour off; use transfer pipette. 0000005011 00000 n To avoid clotting, mix the blood with the anticoagulant or preservative immediately after drawing each sample. Labs & Appointments Toggle Labs & Appointments, Billing & Insurance Toggle Billing & Insurance, Diseases & Conditions Toggle Diseases & Conditions, OnDemand Testing Toggle OnDemand Testing, Testing by Disease & Condition Toggle Testing by Disease & Condition, Testing & Services For Toggle Testing & Services For, Hospitals & Physician Systems Toggle Hospitals & Physician Systems, Managed Care Health Plans Toggle Managed Care Health Plans, Lab Data Integrations & Tools Toggle Lab Data Integrations & Tools, Employee Wellness & Testing Toggle Employee Wellness & Testing, Government & Education Toggle Government & Education, Therapeutic Indications Toggle Therapeutic Indications, Development Phase Toggle Development Phase, Compounds & Molecules Toggle Compounds & Molecules. Frozen Serum. Wells PS. If you continue to use this site we will assume that you are happy with it. 1 Evacuated collection tubes must be filled to completion to ensure a proper blood to anticoagulant ratio. Blood tests are very common and safe. Your provider will clean your arm and insert a needle. Your provider only needs a small amount of blood for this test. Douma RA, le Gal G, Shne M, et al. The distribution of the cells, as well as their morphology, can be altered by poor slide preparation. Always use the proper vacuum tube for tests requiring a special anticoagulant (eg, EDTA, heparin, sodium citrate, etc) or preservative. 0000269936 00000 n 0000878985 00000 n A syringe is usually used with patients who are difficult to collect by routine venipuncture procedure, including techniques using a safety-winged blood collection set (butterfly). 1-ranked heart program in the United States. Collect blood into the BD PPT following standard procedure for venipuncture and sample collection. endstream endobj startxref WebB-Type Natriuretic Peptide (BNP) Test code: 37386 Question 1. During venipuncture, do not have the patient clench and unclench the fist repeatedly (pumping). Providers use a BNP or an NT-proBNP test to diagnose heart failure. 10. Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. Blood films may be prepared from venous blood (venipuncture) or capillary puncture blood. Freeze plasma within four hours of blood collection and maintain frozen until tested. Push the spreader slide rapidly over the entire length of the slide, pulling a thin smear of blood behind it. Lowe GD. When drawing blood, please follow all venipuncture procedures recommended for use by recognized organizations and/or in accordance with applicable state regulations involving phlebotomy practices. Labcorp patient service centers with this designation offer employee wellness testing with body measurement. 0000001776 00000 n Diagnose pancreatitis, more specific for pancreatitis than is serum amylase; diagnose peritonitis, strangulated or infarcted bowel, pancreatic cyst. This can cause discomfort to the patient and may also cause hemolysis. These physiologic effects serve to reduce intraventricular pressure and improve the symptoms of congestive heart failure (CHF). A tiny rubber sleeve automatically closes when the vacuum tube is removed from the holder, preventing leakage and loss of blood when the tubes are being changed. Your levels can also be lower if you have obesity or kidney failure. 19. Maisel and coworkers4 found that a BNP cutoff of 75 pg/mL could be used to predict systolic and/or diastolic abnormalities accurately in symptomatic patients referred to echocardiology for left ventricular function studies. Any tube containing an alternate anticoagulant should be collected after the blue-top tube. 17. Also, because hemolysis interferes with many procedures, please submit samples that are as free from hemolysis as possible. 6. Potential of an age adjusted D-dimer cutoff value to improve the exclusion of pulmonary embolism in older patients: A retrospective analysis of three large cohorts. (See Figure 6.) Put the Frozen Specimen Keeper containing the specimens in your lockbox according to the pictorial instructions provided (see link above). Turn the centrifuge off, if not an automatic turn off, and allow it to come to a complete stop. Air drying techniques are usually not satisfactory. Activate the needle's safety feature and dispose of the needle in a sharps container. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. Send plasma in a plastic transport tube labeled Plasma, Sodium Citrate. Send whole blood in a blue-top tube. Gumaste VV, Dave PB, Weissman D, Messer J. Lipase:amylase ratio. Some laboratories offer a similar test called aminoterminal pro B-type natriuretic peptide (or NT-proBNP). Transfer the serum from the pipette into the transport tube. Patients should be cautioned to stop biotin consumption at least 72 hours prior to the collection of a sample. Place a piece of dry gauze over the needle and withdraw the needle carefully. 0000006424 00000 n It is recommended to ask all patients who may be indicated for this test about biotin supplementation. 0000585798 00000 n Place the collection tube in the upright position in the rack, and allow the blood to clot at room temperature for 30 to 60 minutes. 2021 Laboratory Corporation of America Holdings and Lexi-Comp Inc. All Rights Reserved. 0000002176 00000 n Send plasma in a plastic transport tube labeled Plasma, EDTA. Send whole blood in a lavender-top tube. Hold the spreader by the frosted end between the right thumb and the index finger. (Special note for light blue [sodium citrate] tubes used for coagulation studies: Always fully seat and hold the tube securely on the Vacutainer hub while filling.). Royal blue-top tube: Contains sodium EDTA for trace metal studies. 8. This process is known as venipuncture. 0000383639 00000 n Do not apply fixative. Remove the stopper and carefully aspirate all serum from cells, using a separate disposable pipette for each tube. 23. If it has burrs or discoloration, do not use that needle; use another sterile needle. 0000020643 00000 n Collect in a plastic lavender-top (EDTA) tube. NT-proBNP levels of <300 pg/mL are associated with a negative predictive value of 98% for excluding heart failure. In: Thomas L, ed. Do not collect in glass. 2. All Rights Reserved. D-dimer levels may be falsely negative if the elapsed time between thrombosis onset and D-dimer measurement is sufficient such that D-dimer has been cleared from the circulation. NT-proBNP levels may be lower in obese individuals. McGlasson DL, More L, Best HA, Norris WL, Doe RH, Ray H. Drawing specimens for coagulation testing: Is a second tube necessary? You will likely need to fast for at least eight hours before your basic metabolic panel blood test. When multiple specimens are required, remove the first collection tube from the holder as soon as blood flow ceases, invert the first tube to prevent clotting, and gently insert the second tube into the holder. National Committee for Clinical Laboratory Standardization. In some cases, additional time should be Send whole blood in a royal blue-top tube. 0000010201 00000 n Common causes of a poor blood film. ), After allowing the clot to form, insert the tube in the centrifuge, stopper end up. (Press Enter or Space to Go to Landing Page or Press Down to expand Menu), Federally Qualified Health Centers (FQHCs), Combatting Modern Slavery and Human Trafficking Statement. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for Fasting for this blood panel means not eating or drinking anything other than water. Inspect the serum for signs of hemolysis and turbidity by holding it up to the light. 0000025902 00000 n (See Figure 2.) Let go. Testing schedules may vary. The gel barrier prevents the remixing of the plasma with the cellular elements of the blood. Please print and use the Volume Guide for Coagulation Testing to ensure proper draw volume. Use: Serum or clotted whole blood. Do not reuse needles. These are easily identified by the yellow diagonal stripes on the label. The role of qualitative D-dimer assays, clinical probability, and noninvasive imaging tests for the diagnosis of deep vein thrombosis and pulmonary embolism. Plasma Preparation. Anticoagulants and Preservatives. 0000016761 00000 n A machine then measures levels of BNP or another heart hormone, called N-terminal-pro BNP (NT-pro-BNP), in the blood sample. 9. The Clinical Laboratory Standards Institute (CLSI) is an excellent resource for additional information. Presence of one or more of the following may be indication for further investigation: hemoglobin <10 g/dL, hemoglobin >18 g/dL, MCV >100 fL, MCV <80 fL, MCHC >37%, WBC >20,000/mm3, WBC <2000/mm3, presence of sickle cells, spherocytes, Pappenheimer bodies, basophilic stippling, stomatocytes, schistocytes (fragmented RBCs), target cells, oval macrocytes, teardrop red blood cells, abnormal cell populations, nucleated red blood cells in other than the newborn, blood parasites (malarial or Babesia organisms or the possibility of parasitic organisms), hypersegmented neutrophils, agranular neutrophils, hyposegmented neutrophils (Pelger-Hut anomaly or pseudo-Pelger-Hut [pelgeroid] cells), mononuclear cells in which apparent nucleoli are prominent (blast-like cells), presence of metamyelocytes, myelocytes, promyelocytes, neutropenia, presence of plasma cells, peculiar atypical lymphocytes, significant increase or decrease in platelets or bizarre platelets. Why are my labcorp results taking so long? Note: When multiple specimens are drawn from a single venipuncture, the following order is recommended: (1) sterile blood culture tubes, (2) nonadditive clotting tubes (red), (3) coagulation tubes and tubes containing citrate (blue), (4) gel-barrier tubes and tubes with additives (red), (5) tubes containing heparin (green), (6) tubes containing EDTA (lavender, royal blue), (7) tubes containing acid citrate dextrose (yellow), and (8) tubes containing sodium fluoride and potassium oxalate (gray). Wu AH, Packer M, Smith A et al. Do not stop it by hand or brake. hbbd```b``:"#dd]"Ax "@#a@QSl h"-+ y;&`7`S`40,&fj'30V I@ F Permission is granted in perpetuity, without payment of license fees or royalties, to use, copy, or distribute the LOINC codes for any commercial or non-commercial purpose, subject to the terms under the license agreement found at https://loinc.org/license/. A BNP test is done by drawing blood from a vein in your arm using a hypodermic needle. It can help your provider diagnose or evaluate heart failure and other heart problems. This can lead to changes in concentration of certain analytes. The major blood cells are classified as red cells (erythrocytes), white cells (leukocytes), and platelets (thrombocytes). Download the Labcorp Patient mobile app to your phone or tablet to access lab results and more. Apply direct pressure to the puncture site. Use: Sodium citrate plasma. In most cases, lab test results delivery times should not exceed two weeks. Gently tap tubes containing additives to dislodge any material that may be adhering to the stopper. Blood cells are suspended in the plasma, which is made up of water and dissolved materials, including hormones, antibodies, and enzymes that are being carried to the tissues, and cellular waste products that are being carried to the lungs and kidneys. Please follow the instructions that come with the kit and call your LabCorp representative if you have any questions. 3. A B-type natriuretic peptide (BNP) test gives your provider information about how your heart is working. Prepare the second film in the same manner. To ensure specimen integrity during warm weather, follow theseInstructions for Useof frozen gel packs and specimen lockboxes. 5. Frozen Gel Packs. 1. When plasma is required, follow these steps. 0000013255 00000 n 2023 Laboratory Corporation of America Holdings. 2. Standard order of draw: BLOOD CULTURES, royal blue, red, light blue, SST , green, tan, yellow, pink, pearl, lavender.
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