SUMMARY GUIDELINE FOR HAEMATOLOGY TEST
- SUMMARY
- 1. Routine Haematology
- 2. Routine Coagulation
- 3. Specialised Haematology
- 4. Specialised Coagulation
- 5. BONE MARROW ASPIRATION
- 6. FLOWCYTOMETRY
- 7. MOLECULAR
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TYPE OF TESTS
REQUEST TYPE
REQUEST HOUR
TYPE OF SPECIMEN
CONTAINER USE
VOLUME OF SPECIMEN
PREPARATION AND COLLECTION SPECIMEN
FULL BLOOD COUNT (FBC)
WITH LIS + Without request form
24 hours
Routine Test + STAT + Without Appointment
K2 EDTA
- 3ml Adult
- 2ml Pediatric
- 0.5ml Neonate
- Biohazard Plastic
- WITHOUT ICE
DIFFERENTIAL COUNT (DC)
FULL BLOOD PICTURE (FBP)
ERYTHROCYTE SEDIMENTATION RATE (ESR)
3ml Adult
BLEEDING TIME (BT)
WITH LIS + With request form
Office Hour Only
Special Test + With Appointment
Ear Prick (Duke’s Method)
Ear Prick (Duke’s Method)
-
- PT /INR
- APTT
- D-DIMER
- FIBRINOGEN LEVEL
WITH LIS + Without request form
24 hours
Routine Test + STAT + Without Appointment
3.2%, 0.109M Trisodium Citrate
- 2.7ml Adult
- 1.8ml Pediatric
- 1.0ml Neonate
- Biohazard Plastic
- With Ice if the collection time from ward/clinic more than 30minutes to sent to the lab and/or the temperature exceed room temperature (19®C- 25®C)
DIC SCREENING
- PT /INR
- APTT
- D-DIMER
- FIBRINOGEN LEVEL
- FIBRIN MONOMER
WITH LIS + Without request form
Routine Test + STAT + Without Appointment
FACTOR II ASSAY
WITH LIS + With request form
Office Hour Only
Special Test + With Appointment
- 2.7ml Adult (1Tube)
- 1.8ml Pediatric/Neonate (1 Tube)
FACTOR V ASSAY
FACTOR VII ASSAY
FACTOR VIII ASSAY
FACTOR IX ASSAY
FACTOR X ASSAY
FACTOR XI ASSAY
FACTOR XII ASSAY
FACTOR XIII SCREENING
LUPUS ANTICOAGULANT
3.2%, 0.109M Trisodium Citrate
- 2.7ml Adult (2 Tube)
- 1.8ml Pediatric/Neonate
(3 Tube)
MIXING TEST
2.7ml Adult/ Pediatric
(2 Tube)
INHIBITOR ASSAY
THROMBOPHILIA
2.7ml Adult/Pediatric
(4 Tube)
VON WILLEBRAND
WITH LIS + With request form
Special Test + With Appointment
2.7ml Adult/Pediatric
(3 Tube)
PLATELET AGGREGATION
Office Hour Only
2.7ml Adult/Pediatric
- 8 Tube – PRP
- 4 Tube – Whole Blood
- Biohazard Plastic
- WITHOUT ICE
- SENT IMMEDIATELY
ANTI XA ACTIVITY
2.7ml Adult/Pediatric
(1 Tube)
GLUCOSE-6-PHOSPHATE
DEHYDROGENASE (G6PD)
WITH LIS + Without request form
24 hours
Routine Test + STAT + With Appointment
Dried blood
Filter paper
- Biohazard Plastic
- WITHOUT ICE
OSMOTIC FRAGILITY TEST (OFT)
WITH LIS + With request form
Office Hour Only
Special Test + With Appointment
Heparin
3ml Adult
KLEIHAUER TEST
Special Test + With Appointment
K2 EDTA (mother)
3ml Adult
HB ELECTROPHORESIS (HB ANALYSIS)
WITH LIS + Without request form
Special Test + Without Appointment
K2 EDTA
- 3ml Adult
- 2ml Pediatric
- 0.5ml Neonate
HB H INCLUSIONS
WITH LIS + With request form
Special Test + Without Appointment
SICKLING TEST
Special Test + Without Appointment
HPLC
WITH LIS + Without request form
Special Test + Without Appointment
K2 EDTA
- 3ml Adult
- 2ml Pediatric
- 0.5ml Neonate
- Biohazard Plastic
- WITHOUT ICE
ASPIRAT SUM-SUM TULANG (MGG)
WITH LIS + With request form
Special Test + With Appointment
Bone Marrow
Direct Smear
PERIODIC ACID SCHIFF REACTION
Special Test + With Appointment
- Bone Marrow /Blood
- K2 EDTA
- 3ml Adult
- 2ml Pediatric
- 0.5ml Neonate
PEROXIDASE STAIN
Special Test + With Appointment
- Bone Marrow /Blood
- K2 EDTA
- 3ml Adult
- 2ml Pediatric
- 0.5ml Neonate
- Biohazard Plastic
- WITHOUT ICE
ACID PHOSPHATASE
Special Test + With Appointment
DUAL ESTERASE
Special Test + With Appointment
NEUTROPHIL ALKALINE PHOSPHATE SCORE
Special Test + With Appointment
- Blood
- K2 EDTA
SERUM FERRITIN
WITH LIS + Without request form
Special Test + Without Appointment
Plain Tube
(Red Stopper)
- 3ml Adult
- 2ml Pediatric
- 0.5ml Neonate
PAROXYSMAL NOCTURNAL HEMOGLOBINURIA (PNH)
WITH LIS + With request form
Special Test + With Appointment
- Blood
- K2 EDTA
- 3ml Adult
- 2ml Pediatric
- 0.5ml Neonate
(SENT IMMEDIATELY)
LEUKEMIA LYMPHOMA
MYELOMA
WITH LIS + With request form
- Bone Marrow /Blood
- K2 EDTA
- Body Fluid/Tisu
- K2 EDTA
Sterile Container
GEN BCR-ABL QUALITATIVE
WITH LIS + With request form
Office Hour Only
Special Test + Without Appointment
- Blood/Bone Marrow
- K2 EDTA
3ml Adult (1 Tube)
- Biohazard Plastic
- WITH ICE if specimen from outside hospital
GEN JAK2
Special Test + Without Appointment
GEN AML TRANSLOCATION
(AML/ETO, PML/RARΑ/CBFΒ/MYH11)
Special Test + Without Appointment
- Blood
- K2 EDTA
ALPHA THALASSEMIA
Office Hour Only
Special Test + Without Appointment
- Blood
- K2 EDTA
3ml Adult (1 Tube)
- Biohazard Plastic
- WITH ICE if specimen from outside hospital
FACTOR V LEIDEN
Office Hour Only
Special Test + Without Appointment
- Blood
- K2 EDTA
3ml Adult (1 Tube)
-
TESTS TYPE OF SPECIMEN COLLECTION TUBE NOTE FBC
(Full Blood Count)
Blood K2EDTA
3mL adult, 2mL child, 1.5mL baby
1 Hour 30 min
Turn around time
DC
(Differential Count)
Blood K2EDTA
3mL adult, 2mL child, 1.5mL baby
- FBP
(Full Blood Picture)
Blood K2EDTA
3mL adult, 2mL child, 1.5mL baby
Refer request indication
Office Hour ONLY, before 4.30pm
BT
(Bleeding Time)
Blood K2EDTA
3mL adult, 2mL child, 1.5mL baby
Make appointment at the lab
Office Hour ONLY, before 4.30pm
Note; FBP request made after Office Hour must to be informed to the lab by call before sending the request, except for neonate sample
-
TESTS TYPE OF SPECIMEN COLLECTION TUBE NOTE PT
(Prothrombin Time)
Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.0mL baby
Send without ice within
4 hours of blood collection
INR
(International Normalized Ratio)
Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.0mL baby
Send without ice within
4 hours of blood collection
APTT
(Activated Partial Thromboplastin Time)
Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.0mL baby
Send without ice within
4 hours of blood collection
D-DIMER Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.0mL baby
Send without ice within
4 hours of blood collection
DIC SCREENING:
- PT/INR/APTT
- Fibrinogen Level
- D-dimer
- Fibrin monomer
Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.0mL baby
Send without ice within
4 hours of blood collection
TT
(Thrombine Time)
Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.0mL baby
Send without ice within 4 hours of blood collection
-
HEMOLISIS
TESTS TYPE OF SPECIMEN COLLECTION TUBE NOTE G6PD Filter paper dried blood FIlter paper Fully dry blood on filter paper and place it in biohazard plastic bag OFT Blood Heparin tube Make appointment KLEIHAUER TEST Mother's blood K2EDTA
3mL adult, 2mL child, 1.5mL baby
Make appointment HAEMOGLOBIN ANALYSIS
TESTS TYPE OF SPECIMEN COLLECTION TUBE NOTE HB Electrophoresis Blood K2EDTA
3mL adult, 2mL child, 1.5mL baby
- HB H Inclusion Blood K2EDTA
3mL adult, 2mL child, 1.5mL baby
- SICKLING TEST Blood K2EDTA
3mL adult, 2mL child, 1.5mL baby
- HPLC analysis
(High Performance Liquid Chromatography)
Blood K2EDTA
3mL adult, 2mL child, 1.5mL baby
- NUTRITIONAL ANAEMIA (THIS TEST IS OFFERD IN CDL, HOSPITAL USM)
TESTS TYPE OF SPECIMEN COLLECTION TUBE NOTE SERUM FERRITIN Blood Plain tube (red cap)
3mL adult, 2mL child, 0.5mL baby
- RBC FOLATE
SERUM FOLATE
VITAMIN B12
This test was not done since 22 Jan 2011
Request for this test must be to an outside lab
NA - -
TESTS TYPE OF SPECIMEN COLLECTION TUBE NOTE INHIBITOR ASSAY Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL ONLY
2 tubes THROMBOPHILIA Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL ONLY
4 tubes Von WILLEBRAND Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL ONLY
3 tubes PLATELET AGGREGATION Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL ONLY
4 tubes - whole blood
8 tubes - platelet rich plasma
ANTI XA ACTIVITY Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL ONLY
1 tube, refer lab for sample collection MIXING TEST Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL ONLY
2 tubes FACTOR II ASSAY Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.8mL baby
2 tubes of 2.7mL
3 tubes of 1.8mL
FACTOR V ASSAY Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.8mL baby
2 tubes of 2.7mL
3 tubes of 1.8mL
FACTOR VII ASSAY Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.8mL baby
2 tubes of 2.7mL
3 tubes of 1.8mL
FACTOR VIII ASSAY Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.8mL baby
2 tubes of 2.7mL
3 tubes of 1.8mL
FACTOR IX ASSAY Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.8mL baby
2 tubes of 2.7mL
3 tubes of 1.8mL
FACTOR X ASSAY Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.8mL baby
2 tubes of 2.7mL
3 tubes of 1.8mL
FACTOR XI ASSAY Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.8mL baby
2 tubes of 2.7mL
3 tubes of 1.8mL
FACTOR XII ASSAY Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.8mL baby
2 tubes of 2.7mL
3 tubes of 1.8mL
FACTOR XIII SCREENING Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.8mL baby
2 tubes of 2.7mL
3 tubes of 1.8mL
LUPUS ANTICOAGULANT Blood (plasma) 3.2% 0.109M Trisodium Citrate
2.7mL adult, 1.8mL child, 1.8mL baby
2 tubes of 2.7mL
3 tubes of 1.8mL
All specialised coagulation tests cannot use blood sample in 1.0mL 3.2% 0.109M Trisdium Citrate tubes.
All samples must reach lab before 4 hours of blood collection sent without ice
All specialised coagulation tests must be made via appointment, please call lab (ext: 4020)
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TBA
-
TESTS TYPE OF SPECIMEN COLLECTION TUBE NOTE PNH
(Paroxymal Nocturnal Hemoglobinuria)
Blood K2EDTA
3mL adult, 2mL child, 1.5mL baby
Please make an appointment Leukaemia Phenotyping Blood / Bone Marrow K2EDTA
3mL adult, 2mL child, 1.5mL baby
Appointment is not required,
Send the sample immediately
Lymphoma Blood /
Body Fluid /
Tissue
K2EDTA
3mL adult, 2mL child, 1.5mL baby
Please make an appointment
Send the sample immediately
Use sterile container for body fluid sample
Myeloma Blood /
Body Fluid /
Tissue
K2EDTA
3mL adult, 2mL child, 1.5mL baby
Please make an appointment
Send the sample immediately
Use sterile container for body fluid sample
-
TEST TYPE OF SPECIMEN COLLECTION TUBE NOTE BCR-ABL
Qualitative Gene
Blood / Bone Marrow K2EDTA, 3mL only without ice (request from HUSM patient)
with ice (request from patient outside of HUSM)
JAK 2 Gene Blood K2EDTA, 3mL only without ice (request from HUSM patient)
with ice (request from patient outside of HUSM)
AML Translocation Gene
AML / ETO / PML / RARα
Blood K2EDTA, 3mL only without ice (request from HUSM patient)
with ice (request from patient outside of HUSM)
SEA α-Thalassemia Blood K2EDTA, 3mL only without ice (request from HUSM patient)
with ice (request from patient outside of HUSM)
Factor V Leiden Blood K2EDTA, 3mL only without ice (request from HUSM patient)
with ice (request from patient outside of HUSM)