Dlo Blood Specimen Collection Chart
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1DLO Blood Specimen Collection Chart
At DLO, we are proud to offer to Oklahoma physicians and patients a comprehensive test menu featuring thousands of blood tests. With the volume of
available tests, we understand that it can sometimes seem overwhelming having to determine how to collect and process samples for certain tests. That’s
why we created this Specimen Collection Chart. It lists our commonly-ordered blood tests and blood testing panels that are found on the standard DLO
1.800.891.2917 •
lab requisition form, 10 types of common tube-tops with additives, and separation instructions.
.
This chart shows the various tube tops used during
Please properly fill and separate
Please properly fill and separate
This chart lists the test code, test name and collection container of the commonly-ordered tests found on the standard DLO lab
the collection of DLO lab specimens, including the
all specimens. For questions,
all specimens. For questions,
requistition form. Please note that some tests have special instructions. If you are collecting for one of the thousands of tests not
additive, number of inversions and order of draw¹.
please call 1.800.891.2917.
please call 1.800.891.2917.
listed, please refer to the DLO Directory of Services.
TEST CODE
TEST NAME
CONTAINER
TEST CODE
TEST NAME
CONTAINER
STOPPER
ADDITIVE
INVERSIONS
ORGAN / DISEASE PANELS
OTHER TESTS (cont.)
8293.........................DIRECT
/ Black
LDL.............................................................................................Red
34392....................ELECTROLYTE
/ Black
See bottle label
PANEL.............................................................................Red
8-10
457............................FERRITIN..................................................................................................Red
/ Black
(Na, K, Cl, CO2)
466............................FOLIC
ACID.............................................................................................Red
/ Black
Culture Bottles
10256....................HEPATIC FUNCTION
PANEL..................................................................Red
/ Black
470............................FSH............................................................................................................Red
/ Black
(Alb, TBili, DBili, AP, AST, ALT, TP)
482............................GGT............................................................................................................Red
/ Black
8477.........................GLUCOSE, GEST,
SCR.........................................................................................Gray
10165*..................BASIC METABOLIC PANEL
w/eGFR*..................................................Red
/ Black
484............................GLUCOSE
PLASMA............................................................................................Gray
(Na, K, Ca, Cl, CO2, Glu, BUN, Cr)
Citrate²
3-4
483............................GLUCOSE, SERUM
(Glu)......................................................................Red
/ Black
10231*..................COMP METABOLIC PANEL
/ Black
w/eGFR*.................................................Red
8435.........................HCG, SERUM,
QUAL..............................................................................Red
/ Black
(Na, K, Cl, CO2, Glu, BUN, Cr, Ca, TP, Alb
Light Blue
8396.........................HCG, SERUM,
QUANT...........................................................................Red
/ Black
Tbili, AP, AST, ALT)
608............................HDL...........................................................................................................Red
/ Black
496............................HEMOGLOBIN
A1C..................................................................................Lavender
Clot
7600......................LIPID PANEL (Fasting
Specimen).......................................................Red
/ Black
512............................HEP A AB,
IGM.......................................................................................Red
/ Black
Let tube stand
(TChol, Trig, HDL, calc, LDL)
Gel, serum
4848.........................HEP B CORE AB,
IGM............................................................................Red
/ Black
5
for clot to
14852....................LIPID PANEL W/REFLEX
DLDL.............................................................Red
/ Black
499............................HEP B SURFACE AB
QUAL..................................................................Red
/ Black
form at room
(TChol, Trig, HDL, calc, LDL or DLDL
Red / Black
498............................HEP B SURFACE AG W/REFLEX
CONFIRM.....................................Red
/ Black
temperature for
when Trig>400)
8472.........................HEP C VIRUS
AB.....................................................................................Red
/ Black
30-60 minutes
19728.......................HIV-1/HIV-2 SCR
W/REFLEXES..........................................................Red
/ Black
20210....................OBSTETRIC PANEL
W/REFLEX.................................Red
/ Black &
2 Lavender
7573.........................IRON (TOT), IBC %
SAT.........................................................................Red
/ Black
(ABO/rh, Antibody Scr RBC w/reflex,
571............................IRON,
TOTAL...........................................................................................Red
/ Black
CBC, RPR (DX) w/reflex confirm,
No gel, serum
5
593............................LDH...........................................................................................................Red
/ Black
HbsAg w/reflex confirm, Rubella IgG Ab)
599............................LEAD
(B)...............................................................................................Green
or
Tan
Red
615............................LH...............................................................................................................Red
/ Black
10306....................HEPATITIS PANEL, ACUTE
W/REFLEX................................................Red
/ Black
(HBsAg w/reflex confirm, HC Ab, HA Ab IgM, HBcAb IgM)
613............................LITHIUM..................................................................................................................Red
Spin
622............................MAGNESIUM..........................................................................................Red
/ Black
10-15 minutes
713............................PHENYTOIN...........................................................................................................Red
HEMATOLOGY
718............................PHYOSPHORUS.....................................................................................Red
/ Black
Heparin
8-10
510..........................HEMOGLOBIN.............................................................................................Lavender
733............................POTASSIUM
(K+)...................................................................................Red
/ Black
509..........................HEMATOCRIT...............................................................................................Lavender
745............................PROGESTERONE...................................................................................Red
/ Black
Green or Tan
1759.......................CBC (H/H, RBC, Indices, WBC,
PLT).......................................................Lavender
746............................PROLACTIN.............................................................................................Red
/ Black
6399.......................CBC w/DIFF (H/H, RBC, Indices, WBC, PLT,
DIFF).............................Lavender
754............................PROTEIN, TOTAL
(TP)...........................................................................Red
/ Black
8847.......................PT WITH
INR................................................................................................Light Blue
5363.........................PSA,
TOTAL..............................................................................................Red
/ Black
763..........................PTT,
ACTIVATED........................................................................................Light Blue
4418.........................RHEUMATOID
FACTOR........................................................................Red
/ Black
EDTA
8-10
799............................RPR (MONITORING) W/REFLEX
TITER............................................Red
/ Black
36126.......................RPR (DX) W/REFLEX CONFIRM
FTA.................................................Red
/ Black
OTHER TESTS
Lavender or Tan
802............................RUBELLA IGG
AB...................................................................................Red
/ Black
809............................SED RATE BY MOD
WEST.......................................................................Lavender
Pour into
7788.......................ABO GROUP & RH
TYPE............................................................................Lavender
836............................SODIUM
(Na)..........................................................................................Red
/ Black
Transport Vial
223.........................ALBUMIN
(Alb).........................................................................................Red
/ Black
873............................TESTOSTERONE TOTAL
MALE.........................................................................Red
Label with
234.........................ALKALINE PHOSPHATASE
/ Black
(AP)...........................................................Red
15983.......................TESTOSTERONE TOTAL WOMEN /
EDTA
8-10
PEDIATRICS.........................................Red
Specimen Type
823.........................ALT
(SGPT).................................................................................................Red
/ Black
896............................TRIGLYCERIDES
(Trig)..........................................................................Red
/ Black
and two patient
243.........................AMYLASE....................................................................................................Red
/ Black
899............................TSH............................................................................................................Red
/ Black
identifiers
Royal Blue
38318....................ANA W/REFLEX
TITER.............................................................................Red
/ Black
36127.......................TSH W/REFLEX T-4,
FREE....................................................................Red
/ Black
795.........................ANTIBODY SCR, RBC W/REFLEX
ID........................................................Lavender
859............................T-3,
TOTAL...............................................................................................Red
/ Black
822.........................AST
/ Black
(SGOT)................................................................................................Red
861............................T-3
/ Black
UPTAKE.............................................................................................Red
285.........................BILIRUBIN, DIRECT
(DBili).....................................................................Red
/ Black
867............................T-4 (THYROXINE),
TOTAL....................................................................Red
/ Black
287.........................BILIRUBIN, TOTAL
(TBili)........................................................................Red
/ Black
Sodium Flouride
8-10
866............................T-4 (THYROXINE),
FREE.......................................................................Red
/ Black
(Glucose)
4420.......................C-REACTIVE
PROTEIN............................................................................Red
/ Black
294............................UREA NITROGEN
(BUN)......................................................................Red
/ Black
29256*..................CA
125.........................................................................................................Red
/ Black
Gray
905............................URIC
ACID...............................................................................................Red
/ Black
303.........................CALCIUM
(Ca)...........................................................................................Red
/ Black
916............................VALPROIC
ACID....................................................................................................Red
310.........................CARBON DIOXIDE
(CO2).......................................................................Red
/ Black
7065*.......................VITAMIN B12/FOLIC
ACID..................................................................Red
/ Black
TUBES WITH OTHER ADDITIVES
10124....................CARDIO
CRP...............................................................................................Red
/ Black
927*..........................VITAMIN
B12..........................................................................................Red
/ Black
978*.......................CEA...............................................................................................................Red
/ Black
*Refrigerated Specimen
330.........................CHLORIDE
(Cl)...........................................................................................Red
/ Black
1: “Order of Draw” and “Number of Inversions” are for specimens drawn in plastic tubes only.
334.........................CHOLESTEROL, TOTAL
(TChol)............................................................Red
/ Black
The test codes and tests found in this chart are for informational purposes only.
2: When using a winged blood collection set for venipuncture and a coagulation (citrate) tube is the first
375.........................CREATININE (Cr)
w/eGFR......................................................................Red
/ Black
Citrate ACD
8-10
For more detailed information regarding DLO tests and test collection
specimen to be drawn, a discard tube should be drawn first. The discard tube must be used to fill the blood
418.........................DIGOXIN....................................................................................................................Red
information, please refer to the DLO Directory of Services.
collection set tubing’s “dead space” with blood but the discard tube does not need to be completely filled.
Yellow
This important step will ensure maintenance of the proper blood-to-additive ratio of the blood specimen. The
discard tube should be a nonadditive or coagulation tube.
Information on this sheet is valid as of January 1, 2012 and is subject to change without notice.
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