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Ulcers (skin lesions)
- Test Name: Ulcers (skin lesions)
- Laboratory: Microbiology
- Specimen Type: Swab
- Specimen Container: Amies swab.
- Specimen Volume: N/A
- Specimen Requirements: Refridgerate if delivery to the laboratory is delayed
- Other details:N/A
- Frequency of analysis/ assay: Daily
- Turnaround Time: 2-4 days
- Phone alert limits: Beta Haemolytic Streptococcus Group A isolates, Beta Haemolytic Streptococcus Group B isolates from maternity, post natal and neonatal patients, new MRSA and VRE isolates from inpatients are all phoned to the requesting clinician
- Preanalytical stability at room temp: N/A
Urea - blood
- Test Name: Urea - blood
- Laboratory: Biochemistry
- Specimen Type: Serum, plasma
- Specimen Container: Yellow, green for WRH in house samples only.
- Specimen Volume: 4mls
- Specimen Requirements: N/A
- Other details: N/A
- Frequency of analysis/ assay: Daily
- Turnaround Time: Routine - 2 working day Urgent <3 hours
- Phone alert limits: >30 mmol/L
- Preanalytical stability at room temp:
Urea - urinary
- Test Name: Urea - urinary
- Laboratory: Biochemistry
- Specimen Type: Random urine or 24 hour urine
- Specimen Container: Sarstedt Urine Z bottle (yellow cap) or 24 hour urine container.
- Specimen Volume: 3.2 mls or complete collection
- Specimen Requirements: Urine collection bottle and request form must be clearly labelled with patient details. The date and time of start of collection should be clearly stated
- Other details: Boric acid container (red top) unsuitable.
- Frequency of analysis/ assay: Daily
- Turnaround Time: 2 working days
- Phone alert limits: N/A
- Preanalytical stability at room temp: N/A
Uric acid - blood
- Test Name: Uric acid - blood
- Laboratory: Biochemistry
- Specimen Type: Serum, plasma
- Specimen Container: Yellow, green for WRH in house samples only.
- Specimen Volume: 4 mls
- Specimen Requirements: N/A
- Other details: N/A
- Frequency of analysis/ assay: Daily
- Turnaround Time: Routine - 2 working day Urgent <3 hours
- Phone alert limits: N/A
- Preanalytical stability at room temp:
Uric Acid - urinary
- Test Name: Uric Acid - urinary
- Laboratory: Biochemistry
- Specimen Type: Random urine or 24 hour urine
- Specimen Container: Sarstedt Urine Z bottle (yellow cap) or 24 hour urine container.
- Specimen Volume: 3.2 mls or complete collection
- Specimen Requirements: Urine collection bottle and request form must be clearly labelled with patient details.
- Other details: Boric acid container (red top) unsuitable
- Frequency of analysis/ assay: Daily
- Turnaround Time: 2 working days
- Phone alert limits: N/A
- Preanalytical stability at room temp: N/A
Urinary Antigen Testing (Legionella and Streptococcus
pneumoniae)
- Test Name: Urinary Antigen Testing (Legionella pneumophilia and Streptococcus pneumoniae)
- Laboratory: Microbiology
- Specimen Type: Urine
- Specimen Container: Sterile universal container.
- Specimen Volume: Fill to dotted line if possible on Boric Acid containers. At least 2ml urine if possible.
- Specimen Requirements: Refridgerate if delivery to the laboratory is delayed
- Other details: Legionella urinary antigen requests- all requests from ICU/HDU/Medical 4/haematology/oncology patients, patient labelled with febrile neutropenia or specimen from a patient aged 17 or younger Legionella urinary antigens are automatically performed. Outside of this Legionella urinary antigen will only be performed if appropriate clinical details are provided on request form.
- Frequency of analysis/ assay: Daily
- Turnaround Time: 1 day
- Phone alert limits: Positive Legionella urinary antigen will be phoned to the requesting clinician
- Preanalytical stability at room temp:N/A
Urinalysis (Point of Care) Dipstick or Multistix
- Contact UHWNPT@hse.ie or 8372 for training and access
- POCT: 45 Cliniteks throughout UHW. Governed by Near Patient Testing/Point of Care Department.
- Specimen Type: Urine
- Specimen Container: Universal container(White topped)
- Specimen Volume: 10ml
- Specimen Requirements: Urine must be at room temp. Ensure sample is clearly labelled.
- Other details: Correct patient details to be entered on analyser.
- Frequency of analysis/assay: N/A
- Turnaround Time: ~5 mins
- Phone alert limits: N/A
- Preanalytical stability at room temp: If not analysed immediately, specimen must be refrigerated 2- 8oC. Bring to room temp before analysing
Urinalysis (Point of Care) Urinary Hcg or Urinary pregnancy testing
- Contact UHWNPT@hse.ie or 8372 for training and access
- POCT: 45 Cliniteks throughout UHW. Governed by Near Patient Testing/Point of Care Department.
- Specimen Type: Urine
- Specimen Container: Universal container(White topped)
- Specimen Volume: 10ml
- Specimen Requirements: Urine must be at room temp. Ensure sample is clearly labelled.
- Other details: Correct patient details to be entered on analyser.
- Frequency of analysis/assay: N/A
- Turnaround Time: ~5 mins
- Phone alert limits: N/A
- Confirm all unexpected results with blood hCG sent to Biochemistry.
- Preanalytical stability at room temp: If not analysed immediately, specimen must be refrigerated 2- 8oC. Bring to room temp before analysing
Urinary Toxicology (Point of Care)
- Contact UHWNPT@hse.ie or 8372 for training and access
- POCT: Tox Triage in ED-Resus and DOP. Governed by Near Patient Testing/Point of Care Department.
- Specimen Type: Urine sample
- Specimen Container: Universal container
- Specimen Volume: ~300ul
- Specimen Requirements: Urine must be at room temp. Ensure sample is clearly labelled.
- Other details: Correct patient details to be entered on analyser.
- Frequency of analysis/assay: N/A
- Turnaround Time: ~5 mins
- Phone alert limits: N/A
- Preanalytical stability at room temp: Analyse immediately
Urinary Tract infections
- Test Name: Urinary Tract infections
- Laboratory: Microbiology
- Specimen Type: Mid Stream Urine (MSU), Catheter urine (CSU), Bag specimen, Suprapubic aspirate (SPA).
- Specimen Container: Sterile universal container containing boric acid (red top).
- Specimen Volume: Fill to dotted line if possible on Boric Acid containers. At least 2ml urine if possible.
- Specimen Requirements: Refrigerate if delivery to the laboratory is delayed
- Other details: N/A
- Frequency of analysis/ assay:Daily
- Turnaround Time: Microscopy 1 day, culture 2-4 days
- Phone alert limits: N/A
- Preanalytical stability at room temp: N/A
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