HEMATOLOGY PROCEDURES, SPECIMEN CONTAINERS,
NORMAL RANGES, AND AVAILABILITY

PROCEDURE
(TEST CODE)		 CONTAINER/SPECIMEN NORMAL RANGE AVAILABILITY
TURNAROUND
TIME
Bilirubin (urine)
 (UBIL)		 Urine container, 8 ml Negative 7 days/week
Rout: 2-4 hr
STAT: 1 hr
Blood Smear Preparation
(PS)
 		 Lavender Top, 3 mL
Call Hematology Lab to request.  Order PS in e-Chart and indicate why smear is to be examined.		 Interpretative Report 24 hrs/7 days
 
Body Fluid Cell
Count / Differential

Cerebrospinal (BFS)
Pleural (BFS)
Peritoneal lavage (BFS)
Pericardial/Peritoneal (BFS)

Synovial (JNT)
 		  

Collect in sterile containers:
CSF - 1 mL (tube #3)
Pleural - 2 mL
Peritoneal lavage - 10 mL
Pericardial/Peritoneal - 1 mL

Synovial - 1 GRN (Na heparin)

 Interpretative Report

NOTE: Cell counts cannot be performed on clotted specimens

 24 hrs/7 days
Rout: 2 hr.
STAT: 1 hr.
Bone Marrow Aspirate & Biopsy Procedure Call Bone Marrow Clinic
686-7027 to schedule. 
In-patients must be ordered in e-Chart.
Out-patients must be scheduled through BONC clinic (296-1503, ext 1369)		 Pathologist's Interpretation Mon-Fri 8am-2pm
Weekends and holidays need to be approved by pathologist.
Result: 10am Next Week Day
CBC
 (CBCB - Adults)
(PCBC - Peds)
Includes:
WBC
RBC
HGB
HCT
MCV
MCH
MCHC
PLATE
RDW
5 part differential		 1 Lavender Top, 3 mL Male                          Female
WBC 3-12 K/µl           3-12 K
RBC 4.5-6.0 m/µl        3.8-5.2
Hgb 13.5-17.5 g/dL    11.5-16.0
Hct 40-52%              34-47%
MCV 79-96 fl             79-102 fl
MCH 27-36pg             27-36pg
MCHC 30-36 gm/dL     30-36
Plat 150-500 K/µl       150-500
Retic 0.5 - 1.5%         0.5 - 1.5
IRF 0.08-0.36            0.04 - 0.20

 Adult Critical Values:
WBC <1.5 and > 30.0
RBC  < 2.0 and > 7.0
Hgb  < 7 and > 18
Hct < 21 and > 55%
Plat  < 20 and > 1,000

Pediatric Normal Ranges

24 hrs/7 days
Rout: 2 hr.
STAT: 1 hr
Crystal Exam by
Polarizing Microscopy,
Body fluid (Synovial)
Urine		   Interpretation report if abnormal 24 hrs/7 days
Rout: 2 hrs
STAT: 1 hr
D-Dimer
 (D-DIQ)		 Blue Top 0-0.50 µg/mL FEU 24 hrs/7 days
Rout: 2 hrs
STAT: 1 hr
DIC Profile
 (DIC2)

Includes CBC and automated diff, PT, PTT, FBG, and D-DIQ

 1 3.0 mL Lavender Top plus 1 Blue Top
Contact CP Resident(688-2820) for clinical, peripheral smear and laboratory evaluation.
 		 Interpretative report 24 hrs/7 days
Rout: 2 hrs
STAT: 1 hr
Differential, WBC
 (DIFF)		 Lavender Top, 3.0 mL ADULT
Granulocytes:  40-75%
Eosinophils:  0-4%
Basophils:  0-3%
Lymphocytes:  10-60%
Monocytes:  0-12%		 24 hrs/7 days
Automated:
Rout: 2 hrs
STAT: 1 hr
Manual:
Rout: 2 hr
STAT: 1 hr
Eosinophil Count
Blood (BLEO)
Urine (UEOS)		 Lavender Top, 3 mL or
8 ml urine, fresh void or random specimen .		 Blood: 0-450 eos/cu mm
 Urine: No eos seen		 Blood: 24 hrs/7 days
   Results:  2 hours
   STAT: 1 hr
Urine: 8 am - 10 pm
   Rout: 2 hrs
   STAT: 1 hour
Erythrocyte Sedimentation Rate, Westergren
 (WESR)		 1 Lavender Top M: 0-10 mm/hr
F:  0-20 mm/hr		 Daily: 24 hrs/7 days
Results: 2-4 hrs
STAT: 2 hrs
Fibrinogen
 (FBG)		 Blue Top 197-447 mg/dL

Critical value:  <100

 24 hrs/7 days
Results:  2 hours
STAT: 1 hour
G6PD Screen, Qualitative
 (G6PD)		 Yellow Top (ACD) Normal activity Daily 8am - 10pm
 
Hematocrit, Manual
 (HCTG)		 Lavender Top, 3.0 mL
 		 M: 40-52%
F: 34-47%		  24 hrs/7 days
Rout:  2 hrs
STAT:  1 hr
Hemoglobin (blood)
 (HGBG)		 Lavender Top, 3.0 mL M: 13.5-17.5 gm/dL
F: 11.5-16.0 gm/dL		 Rout: 2 hrs
STAT: 1 hr
Hemosiderin (urine)
 (UHEMO)		 8 ml urine (fresh) Negative 7 days/week
7am - 2pm
Rout: 2-4 hrs
Kleihauer-Betke Stain
(for cells of fetal origin in mother)
 (KLST)		 1 Lavender Top Pathologist's Interpretation 24 hrs/7 days
Subject to pathologist availability
Mixing Study Screen
(50-50 mix)
 (MIXSC)		 3.5 mL blood, 1 Blue top
Specimen amount is critical to maintain proper ratio of blood to anticoagulant		   Daily: 7 am-11 pm
 
Myoglobin (urine)
 (UMYO)		 8 ml fresh urine Negative Daily, 24 hrs
Results: 2 hrs
Partial Thromboplastin Time, Activated
 (APTT)		 3.5 mL blood, 1 Blue top
Specimen amount is critical to maintain proper ratio of blood to anticoagulant		 23.0-36.9 secs
 The most common cause of inappropriately prolonged PTT is heparin contamination

CRITICAL VALUES

 Daily, 24 hrs
Rout: 2 hrs
STAT: 1 hr
pH, Body Fluids See Cell Count and Differential, Body Fluids Variable 24 hrs/7 days
Results:  2 hrs
STAT:  1 hr
Platelet Count
(PLATG)		 1 Lavender Top 150,000-500,000/µl
 (150-500 K/µl)

CRITICAL VALUES

 Daily, 24 hrs
Results: 2 hrs
STAT: 1 hr
Prothrombin Time
(PT)		 3.5 mL blood, 1 Blue top
Specimen amount is critical to maintain proper ratio of blood to anticoagulant		 11.5 - 14.7 secs

CRITICAL VALUES

 Daily, 24 hrs
Results: 2 hrs
STAT: 1 hr
Red Cell Count
 (RBCG)		 Lavender Top, 3 mL M: 4.5-6 million/µl
F: 3.8-5.2 million/µl

CRITICAL VALUES

 Daily, 24hr
Results: 2 hrs
STAT: 1 hr
Reticulocyte Count
 (RETCD - Adults)
(PRET - Peds)		 Lavender Top, 3 mL Adults:  0.5-2.0 %
IRF 0.08 - 0.36		 Daily, 24 hrs
Rout: 1-2 hrs
STAT: 1 hr
Specific Gravity, Body Fluid See Body Fluid Cell Count    
Tzanck Smear
 (TZANK)		 Body Fluid Smear
(i.e. skin lesion).  Patient's physician must collect material, smear on a slide and bring to the Cytology lab		 Pathologist's Interpretative Received and stained:
Daily, 24 hrs
Subject to pathologist availability
Urinalysis
 (UA)		 Fresh urine, 8 ml See Alphabetical List Daily, 24 hrs
Results: 2 hrs
STAT: 1 hr
Urine Pregnancy
 (UPREG)		 Fresh Urine, 8 ml Normal = Negative Daily, 24 hrs
Results: 2 hrs
STAT: 1 hr

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