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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.

Specimen Collection: Urine

Determine the Specimen Requirements

In the Test Catalog, use the page for each test to identify:

  • Patient preparation instructions
  • Collection instructions
  • Specimen container type
  • Specimen stability (temperature)
  • Transport information for outpatient collection

Collect the Specimen

Some Urine tests require an additive.

Follow the instructions in the test to collect the specimen, paying special attention to the container/tube, volume needed, and temperature requirements.

Secure the container lid, ensuring the specimen is not leaky.

Label the Specimen

Specimens must have two person-specific identifiers on the patient label.

The following are required on a label:

  • Patient’s first and last name (legal name) REQUIRED
  • Date of birth REQUIRED
  • Collection Date and Time REQUIRED

→Label should also include specimen type and source, if needed.

→Do not place labels on the lid or bottom of the container or stick labels to each other.

→Do not cover up patient info or barcodes on the labels.

→Do not cover up “windows” on the tubes and leave the colored edge of vacutainers visible.

Mislabeled Specimens

Specimens are considered mislabeled when there is a mismatch between the person-specific identifiers on the specimen and the information accompanying the specimen.

In addition, if a handwritten name and a label are on the container, the information must match exactly. For example, “Rebecca” does not match “Becky.”

When insufficient or inconsistent identification is submitted, a new specimen may be required.

Package the Specimen in a Biohazard Bag

Place the tube or container in a Corewell Health Laboratory color-coded (temperature specific) bag.

  • Ambient Bags (WHITE)
    • These bags are for specimens that need to maintain room temperature.
  • Refrigerated Bags (GREEN)
    • These bags are for specimens that need to be kept refrigerated.
  • Frozen Bags (Blue)
    • These bags are for specimens that need to be kept frozen.
    • Frozen specimens should not be left in the lockbox for afterhours pickup. These specimens may be better preserved in the freezer until the next day’s courier pickup.
  • STAT Bags (RED)
    • These bags are for specimens that need to be run immediately upon arrival in the laboratory.
    • Use these bags when the patient’s condition requires immediate laboratory results.
  • Priority Bags (PURPLE)
    • These purple bags are for specimens that need to be handled and processed immediately upon receipt in laboratory, or the integrity of the specimen will be compromised.
    • Use these bags when
      • Specimens are sent to the lab unspun or unprocessed
      • Specific test has time sensitive requirements
  • Large Biohazard Bags (CLEAR)
    • Use a large clear biohazard bag if the container is too large for a color-coded bag. Mark the bag temperature as frozen, refrigerated, or ambient.

If you are not using a Corewell Health bag:

  • The bag must be leak-proof.
  • There must be material between the tube or container and the bag that is able to absorb the entire contents of the bag.

 

Specimen Collection: Blood

Determine the Specimen Requirements

In the Test Catalog, use the page for each test to identify:

  • Patient preparation instructions
  • Collection instructions
  • Specimen container type
  • Specimen stability (temperature)
  • Transport information for outpatient collection

Collect the Specimen

Most blood tests are performed on plasma, serum, or whole blood.

Follow the instructions in the test to collect the specimen, paying special attention to the container/tube, volume needed, and temperature requirements.

If Appropriate, Pour the Specimen into an Aliquot Tube

Check the specimen requirements in the Test Catalog to see if your specimen requires any of the following:

  • Aliquotting: Many specimens require aliquotting in an appropriate container to maintain specimen integrity.
  • Light protection: Some specimens require light protection to ensure specimen integrity.

Label the Specimen

Specimens must have two person-specific identifiers on the patient label.

The following are required on a label:

  • Patient’s first and last name (legal name) REQUIRED
  • Date of birth REQUIRED
  • Collection Date and Time REQUIRED

→Label should also include specimen type and source, if needed.

→Do not place labels on the lid or bottom of the container or stick labels to each other.

→Do not cover up patient info or barcodes on the labels.

→Do not cover up “windows” on the tubes and leave the colored edge of vacutainers visible.

Mislabeled Specimens

Specimens are considered mislabeled when there is a mismatch between the person-specific identifiers on the specimen and the information accompanying the specimen.

In addition, if a handwritten name and a label are on the container, the information must match exactly. For example, “Rebecca” does not match “Becky.”

When insufficient or inconsistent identification is submitted, a new specimen may be required.

Package the Specimen in a Biohazard Bag

Place the tube or container in a Corewell Health Laboratory color-coded (temperature specific) bag.

  • Ambient Bags (WHITE)
    • These bags are for specimens that need to maintain room temperature.
  • Refrigerated Bags (GREEN)
    • These bags are for specimens that need to be kept refrigerated.
  • Frozen Bags (Blue)
    • These bags are for specimens that need to be kept frozen.
    • Frozen specimens should not be left in the lockbox for afterhours pickup. These specimens may be better preserved in the freezer until the next day’s courier pickup.
  • STAT Bags (RED)
    • These bags are for specimens that need to be run immediately upon arrival in the laboratory.
    • Use these bags when the patient’s condition requires immediate laboratory results.
  • Priority Bags (PURPLE)
    • These purple bags are for specimens that need to be handled and processed immediately upon receipt in laboratory, or the integrity of the specimen will be compromised.
    • Use these bags when
      • Specimens are sent to the lab unspun or unprocessed
      • Specific test has time sensitive requirements
  • Large Biohazard Bags (CLEAR)
    • Use a large clear biohazard bag if the container is too large for a color-coded bag. Mark the bag temperature as frozen, refrigerated, or ambient.

If you are not using a Corewell Health bag:

  • The bag must be leak-proof.
  • There must be material between the tube or container and the bag that is able to absorb the entire contents of the bag.

 

 

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.

Training and Guides

Welcome to the Corewell 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 – WEST
Urine, Tissue, Swab, Stool, Body Fluids
General Specimen – SOUTH
Urine, Tissue, Swab, Stool, Body Fluids
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

Avoiding Hemolysis and Clotting

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

 

Corewell Health Integrity Hotline