Effective September 21, 2022, the resulting options for the following Hepatitis lab result components will be updated from “Positive”/”Negative” to “Reactive”/”Nonreactive”. Any additional current resulting options, such as “Equivocal” or “See Comment”, will remain available. This will only affect applicable tests that have not yet been resulted.
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Laboratory Services
Effective September 14, 2022, between 7am-9am, Urinalysis (UA) integration updates will go live for Spectrum Health West Michigan. The units and reference ranges on multiple UA result components have been updated for accuracy and clarity. These updates will not affect UA testing that has been resulted.
Advanced Technology Laboratory, General Information, Main lab, Referral/Sendouts
Specimen Collection and Test Updates – August 2022
The following information was updated in the Lab Catalog.
From collection to transport, Spectrum Health Laboratories must have quality specimens to produce accurate results you can trust. A quality specimen is one that has been collected and transported, keeping specimen integrity and patient identification intact. It is important to remind patients to carefully follow all collection and transportation instructions to ensure the sample usable and not tainted.
Please help remind patients:
♦ Submit all specimens as soon as collection is completed. Many tests are time sensitive.
♦ After collection, make sure lid is secured and fastened evenly, as leaky specimens will be rejected.
♦ Keep the container upright at all times.
♦ If a second container is needed, the patient should obtain a second container from the laboratory or draw site. Do not use home containers (i.e. butter container) or bags, as these may contaminate the specimen.
♦ Specimen is labeled clearly with
◊ Patient’s full legal name
◊ Date of birth
◊ Date and time of collection
Warning: Some kits contain preservatives. Please let patients know to not drink, ingest or inhale fumes. If disposal is needed please contact the laboratory. In case of skin or eye contact, irritation, or swallowing call poison control as soon as possible: 800.222.1222.
For more information, please review “Laboratory Specimen Home Collection Document” or the Lab Catalog for more information.
At the beginning of the COVID-19 pandemic Spectrum Health Laboratory implemented a protocol to call providers and patients to notify of positive COVID-19 PCR testing. The pandemic has shifted to an endemic phase and a positive COVID-19 test is no longer considered a critical value. Effective Friday, August 26, 2022, Spectrum Health Laboratory will no longer call positive COVID-19 PCR testing, for inpatient or outpatient specimens.
Results for COVID-19 PCR will still file to the patient’s chart in Epic and reported to the ordering provider through usual means of receiving results (fax or electronic) and to the Michigan Department of Health and Human Services (MDHHS). Patient’s will still be notified via their MyChart as well.
If you have any questions or concerns, please use the “contact us” link above.
Cell Count w/ Differential if indicated, Cerebrospinal Fluid [LAB2111025] and Cell Count with Differential, Cerebrospinal Fluid (Pediatric Oncology) [LAB212] currently result nucleated cell counts as a White Blood Cell (WBC) count.
Effective Tuesday, August 16, 2022, the WBC component will be removed and instead reported as a Total Nucleated Cell (TNC) Count for CSF.
After consultation with our clinical partners, Spectrum Health West Michigan Laboratory will be adjusting the pediatric reference ranges for our new ALT and AST reagents in an effort to better serve our population. Numerous academic studies were reviewed, and the values listed below were adopted on August 3, 2022: