Client Resource Guide
Client Resource Index
Scope of Practice
Primary Diagnostics Laboratory committed to providing quality services to our patients and clients. The Lab complies with all laws and regulations regarding laboratory testing and operations.
In an effort to help our clients with our laboratory services, we have established a Client Resource Manual. This manual includes guidelines for sending Lab testing to Reliance Laboratory and helpful information related to lab services. It also reviews some of the important policies as well as patient instructions for specimen collection.
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Client Services Contact information Mail to: 115 South 17th Ave, Hollywood, FL 33020 |
Mission Statement
Was established in Southern Florida as the answer to health care providers requests for quality and quick laboratory test results. Primary Diagnosis Laboratory was designed to assist and facilitate health care providers to make effective, accurate and quick patient diagnostics in turn health care providers will provide effective treatments and patient care in a timely fashion. Our laboratory will guarantee your office and your patients the highest level of confidence, the most responsive source of quality information and knowledge, and the most rapid results in order to assist and facilitate health care providers in diagnosing accurately and treating their patients effectively in a timely fashion in our community.
Toxicology and Urine Chemistry Test Menu
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All samples are random urine collections |
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| Test/Analyte | Normal Patient Reference | Cut-off ng/mL |
Collection, Storage, stability and transport | |
| Amphetamine | * | 500 | *Normal Reference Range Patient that are not taking prescribed medication would expect a negative test result Patient’s that have been prescribed medication would expect a positive test result for the prescribed medication Collection · Lab requires urine samples collected in clean collection cup. · Tops must be securely fastened to prevent leakage · Samples must be properly labeled Storage · Samples can be stored at room temperature until transport · If samples cannot be transported with 24 hours, the sample should be refrigerated from 2 – 8◦ C · Samples may be frozen for longer storage Transport · Samples shall be transported in a cooler with ice packs · Samples are delivered immediately to the lab for processing |
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| Barbituate | * | 200 | ||
| Benzodiazepine | * | 100 | ||
| Buprenorphine | * | 5 | ||
| Cannabinoids | * | 50 | ||
| Carisoprodol | * | 100 | ||
| Cocaine | * | 100 | ||
| Cotinine | * | 500 | ||
| Ethanol | * | 100 | ||
| Ethyl Glucuronide | * | 500 | ||
| Fentanyl | * | 2 | ||
| Meperidine | * | 200 | ||
| Methadone | * | 300 | ||
| Methamphetamine/MDMA | * | 500 | ||
| Opiates | * | 100 | ||
| Oxycodone | * | 100 | ||
| Phencyclidine | * | 25 | ||
| Tapentadol | * | 200 | ||
| Tricyclics | * | 300 | ||
| Tramadol | * | 200 | ||
| Zolpidem | * | 20 | ||
| Urine Creatinine | Validity testing | |||
Test Menu and Test Panels
| ROUTINE CHEMISTRY | Test Panels |
| Albumin | |
| AlkPhos | |
| ALT/SGPT | |
| AST/SGOT | |
| BUN (Urea Nitrogen) | Comprehensive Metabolic Panel (CMP)
Glucose, BUN, Creatinine, Na, K, Cl, CO2, Calcium, Total Protein, Albumin, AST, ALT, Tot. Bili |
| Bilirubin, Direct | |
| Bilirubin, Total | |
| Calcium, Total | Liver Function tests (LFTs)
Total Protein, Albumin, AST, ALT, AlkPhos, Tot. Bili, D. Bili |
| Chloride | |
| Cholesterol | |
| CO2 | Lipid Panel
Cholesterol, Triglyceride, HDL, LDL-Calc |
| Creatinine | |
| Glucose | |
| HDL | Hepatic Panel
Glucose, BUN, creatinine, Calcium, Na, K, Cl, CO2, Albumin and Phosphorus |
| Potassium | |
| Protein, Total | |
| Sodium | |
| Triglycerides | |
| Other Misc. General Chemistry | |
| Total T4 | |
| TSH | |
| Urinalysis | |
| Toxicology | |
| Urine Drug Screening | Amphetamine, Barbiturate, Benzodiazepine, Buprenorhphine, Carisoprodol, Cocaine, ETG, Fentanyl, Opiate, Oxycodone, Methamphetamine, Methadone, Meperidine, PCP, Tapentadol, Tramadol, THC, Zolpidem |
| Hematology | |
| CBC-5 part Diff | WBC, Neutrophil, Lymphocyte, Monocyte, Eosinophil, Basophil
RBC, HGB, HCT, MCV, MCHC, Platelet |
| PT-INR | |
| APTT | |
| Miscellaneous Tests | |
| Strep A Mono
Influenza A&B RPR H. Pylori ABO/RH hCG Urine |
Supplies and Requisitions
Test requisitions and sample cups are provided to clients.
Contact client services at (954) 505-7301 for supplies.
Courier Service and Specimen Pickup
Courier services are provided by PDL Transportation, UPS, Fedex.
Contact client services at (954) 505-7301 for specimen pickup.
Guidelines for Sending Lab Testing to Primary Diagnostics Laboratory
a. Patient Test Management
The laboratory will provide written documentation which traces and verifies the integrity of patient’s results from specimen collection to the reported results. The following handling protocol should be followed:
b. Lab Test Orders
1. Requests for lab work are ordered on a Laboratory Test.
requisition or with a written physicians’ prescription/order.
2. The lab requisition will contain the following information and should be completely filled in.(see Lab Request Form).
· Full Name.
· Patient identification number (date of birth or SS#).
· Physicians name and address or client unique code.
· Tests ordered.
· Time, date of collection and initials of collector.
· Other clinical information-age, gender, specimen source, fasting status,
prescribed medications.
· Diagnosis and/or ICD-10 codes.
· Patient address or include demographics.
· Insurance or billing information.
3. If using physician prescription advise patient they will be required to provide insurance information or copy of insurance card on date of collection to the laboratory prior to specimen collection.
c. Collection and processing
1. Established policies and procedures will be followed for patient and specimen identification, processing, storage and rejection.
2. Guidelines for collection, processing and rejection of specimens are available to all Physicians and clients. Processors will review the requisition for completeness. The following form is used to assist the processing department in providing quality lab services and continual follow-up:
Laboratory Follow-Up Request Form (attached).
d. Patient Identification:
1. The patient’s identity should be verified using two separate identifiers. The patient’s full name and either Social Security number or date of birth will be verified. The collector should ask the patient to state their full name, correct spelling and SS# or date of birth.
2. The collector should also verify the correct information on the physician order.
· Name of ordering physician.
· Address of ordering physician.
· Name of patient and second identification.
· Tests to be completed.
· Diagnosis code.
· Other clinical information necessary to process the test request.
e. Specimen labeling:
1. The samples will be labeled with the patient’s full name and one other identifier to include either Social Security number or date of birth.
2. Time/date and initials of collector will also be noted on the requisition.
3. All specimens are labeled immediately label upon collection. Urine samples should be labeled before they are collected.
f. Receipt of Specimens into the laboratory
1. The samples will be entered into the laboratory information system upon receipt into the laboratory. The lab requisition is reviewed for complete and accurate information. Any errors or incomplete work will be documented in the LIS and reviewed daily for follow-up.
2. The date and time of receipt into the lab is verified to ensure proper storage and transport guidelines have been followed.
3. If there is any question as to integrity of the specimens, testing to be ordered, any missing information, etc. the processor will add additional comments to the requisition which will initiate automatic follow-up. (See Specimen Rejection Policy below)
4. A Laboratory Follow-Up Request Form is used to ensure follow-up is complete and that there is no delay in testing. The form is faxed to the physician office or client for completion.
g. Reporting and expected Turn-around-time
1. Results are reported via the Laboratory information system.
2. Expected turn-around-time for lab results is determined by the test method.
3. Urine drug screening results are completed within 24 hours of receipt into the
lab.
Helpful Specimen Collection Information
The laboratory has established guidelines for specimen collection, patient preparation, processing, labeling and storage. Helpful information is defined in the “specimen” Collection, Integrity and Rejection Guidelines. (see below)
a. Specimen collection, Integrity and Rejection guidelines
The laboratory has written protocol for testing done in the Laboratory.
Guidance is provided for each test, collection/processing, sample storage, rejection
and special collection notes.
b. Specimen Rejection
Minor errors that can be corrected upon receipt:
Ø Addition/deletion of one letter to/from the patient name.
Ø Addition/deletion of middle initial.
Ø Addition of date and time collected if missing.
Ø Addition of collector ID.
The following samples will be are unacceptable for testing and will be rejected:
Ø Unlabeled or mislabeled specimens.
Ø Grossly Bloody specimens.
Ø Samples that are noted as Quantity Not Sufficient for testing.
Ø Specimens that have exceeded acceptable time frames for processing and storage.