Reference Manual - Solaris Diagnostics

This document is proprietary and confidential. Its contents are the exclusive property of Solaris Diagnostics. This document may not be reproduced in any

format without prior written permission from Solaris Diagnostics.

Solaris Diagnostics Reference Manual

110 Dewey Drive, STE A

Nicholasville, KY 40356

CLIA Number: 18D2142802

Office Phone: 844-550-0308

Fax: 859-305-6105

Email: [email protected]

OUR MISSION

At Solaris, we look forward to assisting in the care of your patients by providing both

contemporary laboratory testing and cutting-edge molecular diagnostics. Our scientists are

trained in a variety of essential disciplines, including molecular genetics, microbiology,

biochemistry, and pharmacology.

Our mission is to deliver industry-leading laboratory services, backed by ongoing research,

and resulting in improved patient care and outcomes.

Solaris Diagnostics is committed to remaining on the cutting edge of diagnostic medicine.

We are continually advancing our testing capabilities by introducing the most advanced and

comprehensive techniques to benefit the clinicians who use our services and the patients

who rely on us both for accurate diagnoses and the most effective treatments.

Our facilities are accredited under the Clinical Laboratory Improvement Amendments (CLIA).

DEPARTMENTS

Support: 844-550-0308, option 1

Billing: 844-550-0308, option 2

Supplies: [email protected]

OPERATIONS

Office Hours: Monday through Friday from 8:00 am to 6:00 pm EST, Saturday hours vary.

Samples are received Monday through Saturday.

Closed: New Year's Day, Independence Day, Memorial Day, Labor Day, Thanksgiving Day, and Christmas Day.

Solaris Diagnostics

ABOUT SOLARIS DIAGNOSTICS

Proper Collection Devices Guide ............................................................................................ Page 1

Types of Collection Devices ..................................................................................................... Page 2

Molecular Requisition Requirements ...................................................................................... Page 3

Clinical Requisition Requirements ........................................................................................... Page 4

Shipping Options and Procedures .......................................................................................... Page 5

Using the Online Portal (LIMS) ................................................................................................. Page 6

Sample Report ............................................................................................................................ Page 7

Self-Pay Patient Pricing .............................................................................................................. Page 8

Collection Guides

35th Week Strep B .......................................................................................................... Page 9

Blood............................................................................................................................. Page 10

Gastrointestinal and H. Pylori ..................................................................................... Page 12

HVV(s) Swab ................................................................................................................. Page 13

Male Urethra ................................................................................................................ Page 14

Nail Fungal ................................................................................................................... Page 15

Respiratory Panel ......................................................................................................... Page 16

STD Swab ..................................................................................................................... Page 17

STD Urine ..................................................................................................................... Page 18

Strep Differentiation .................................................................................................... Page 19

Strep .............................................................................................................................. Page 20

UTI and Urinalysis ........................................................................................................ Page 21

VZV (Shingles) .............................................................................................................. Page 22

Women’s Health .......................................................................................................... Page 23

Wound Swab ................................................................................................................ Page 24

Solaris Diagnostics

TABLE OF CONTENTS

SWAB (STANDARD OR MINI)

• Women’s Health Panel

• 35th Week Strep B

• Respiratory Panel

• Strep A

• MRSA

• Wound Panel

CERVICAL BRUSH

• Women’s Health Panel

• HPV

FECAL SWAB

• Gastrointestinal Panel

• H Pylori

STERILE URINE CUP

• Urinalysis / STI Panel

2.0ML TUBE OR SMALL

SPECIMEN BAG

• Nail Fungal

EDTA TUBES (LAVENDER TOP)

• CBC with Differential / Platlets

• CBC without Differential / Platlets

• Hematocrit

• Hemoglobin

• Hemoglobin A1C

• Platelet Count

• Sed. Rate

• WBC

GREY OR YELLOW TOP C&S

TUBE

• UTI ID / STI Panel

• Urine Culture and Sensitivity

SODIUM CITRATE (LIGHT BLUE

TOP)

• Protime/ INR

• PTT

SODIUM HEPARIN (ROYAL BLUE

TOP)

• Iodine

• Lead

SST TUBE (YELLOW TOP)

• Basic Metabolic Panel (Na, K, Cl, CO2, Gluc, BUN, Creat, Ca)

• APO A

• APO B

• C- Peptide

• Complete Metabolic Panel (Na, K, Cl, CO2, Gluc, BUN, Creat, Ca, Alb, Tbili, Aphos, TP, ALT, AST)

• C-Reactive Protein (CRP)

• Creatinine

• Creatinine Kinase (CK) Total

• Electrolyte Panel (Na, K, Cl, CO2)

• Ferritin

• Folate

• Gamma Glutamyltransferase (GGT)

• Glucose

• HDL Cholesterol

• Hep. B Surface Ab (Immunity)

• Hep. B Surface Ag

• Hepatic Function Panel (Alb, Tbili, Dbili, Aphos, TP, ALT, AST)

• HIV Combo

• Homocysteine

• Insulin

• Iron

• Lactate

• Lactate Dehydrogenase

• LDL, Direct

• Lipase

• Lipid Panel (Chol, Trig, HDL, Cal. LDL)

• Lipoprotein A

• Lithium

• Luteinizing Hormone (LH)

• Luteinizing Hormone (LH)

• Magnesium

• Mono Test

• Parathyroid Intact Hormone (PTH)

• Phosphorus

• Potassium

• Pregnenolone

• Progesterone

• Prolactin

• Prostate Specific Antigen (PSA)

• Renal Function Panel (Na, K, Cl, CO2, Gluc, BUN, Creat, Ca,Alb, P04)

• Sex Hormone Binding Glob (SHBG)

• T3, Free

• T3, Total

• T3, Uptake

• T4, Free

• T4, Total

• Testosterone, Free (Calculated)

• Testosterone, Total

• Total Iron Bindin Capacity (TIBC)

• Tranferrin

• TSH • Vitamin B12

Solaris Diagnostics

PROPER COLLECTION DEVICES GUIDE

1

UA / STI TUBE

SERUM SEPARATOR

REGULAR E-SWAB

CITRATE TUBE

MINI E-SWAB

EDTA TUBE

FECAL SWAB

UTI / STI TUBE

CERVICAL SWAB 2ML TUBE URINE CUP SPECIMEN BAG

Solaris Diagnostics

TYPES OF COLLECTION DEVICES

2

Yellow indicates a required field.

Green shows the information that should be on the patient’s demographic sheet. When a

demographic sheet is attached, the information is not required on the requisition.

Check the boxes next to the desired testing to be performed.

Solaris Diagnostics

MOLECULAR REQUISITION REQUIREMENTS

3

Yellow indicates a required field.

Green shows the information that should be on the patient’s demographic sheet. When a

demographic sheet is attached, the information is not required on the requisition.

Check the boxes next to the desired testing to be performed.

Solaris Diagnostics

CLINICAL REQUISITION REQUIREMENTS

4

COURIERS

Kentucky based offices are provided with a labeled courier box. Use proper storing methods

for the specimen. Call your designated Solaris sales representative or call Solaris Diagnostics

directly to request a pick-up. Place samples in the courier box at the end of the day. A courier

will pick up the samples in the evening and deliver them to the lab after hours.

SHIPPING UPS AND FEDEX

Offices that ship samples will use UPS or FedEx. Solaris will supply your office with pre-paid

return shipping labels and laboratory paks. Multiple samples can be placed in one pak but

must be individually packaged. Use one supplied pre-paid label per pak and seal it.

If you are on office that ships blood samples, you will be provided insulated mailers and ice

packs. Place the samples and the ice pack in the insulated mailer to keep the blood cold. The

mailer goes inside of the UPS/FedEx pak. Use one supplied pre-paid label per pak and seal it.

After the sample is ready to ship, call your designated Solaris sales representative or call

Solaris Diagnostics directly to request a pick-up. A Solaris employee will schedule a

UPS/FedEx pickup for a timeframe that suits your office hours.

Solaris Diagnostics

SHIPPING OPTIONS AND PROCEDURES

5

ACQUIRING A PORTAL

1. Call Solaris Diagnostics at 844-550-0308.

2. Provide your name, the clinic you are calling from, and an email address.

3. A link will be sent to the email provided. Clicking on it will direct you to the portal.

4. Enter the username provided and the temporary password: Welcome1!

5. Follow the prompt to reset the password. The new password must contain a capitol

letter, a number, and special character (Exp. Solaris1$).

6. Once you confirm the password, click the save button in the top-right corner.

USING THE PORTAL

1. Go to https://solaridx.limsabc.com.

2. Enter your login information.

3. Select the Accessioning Tab from the blue sidebar.

(A in the image below.)

4. You can filter the types of reports using the tabs at the top of the screen.

(B in the image below.)

5. To view a patient report, click on the printer icon in the requisition column.

(C in the image below.)

6. After viewing a patient report from the New Report tab, it will move the patient row to

the All Tab.

Solaris Diagnostics

USING THE ONLINE PORTAL (LIMS)

A

C

B

6

Solaris Diagnostics

SAMPLE REPORT

7

Solaris Diagnostics

SELF-PAY PATIENT PRICING

Respiratory Price Therapeutic Drugs Price Thyroid Testing Price

Comprehensive Respiratory Panel 250 Carbamazepine 16.18 T3 Uptake 7.18

Respiratory Viral Panel 125 Digoxin 14.75 FT3 18.82

Influenza Panel 90 Lithium 7.53 FT4 10.02

Respiratory Bacterial Panel 125 Phenobarbital 15.3 TT3 15.75

Pneumonia Panel 75 TT4 7.63

Whooping Cough 25 Diabetes Price TSH 18.67

MRSA 25 C-peptide 23.13 Thyroid Peroxidase 15

Strep A 25 Glucose 4.37 Anti-Thyroglobulin Ab 15

Hemoglobin A1c 10.79 Thyroxine-Binding Globulin (TBG) 30

Gastrointestinal Price Insulin 12.7 Anti-TPO Ab 15

Comprehensive Gastro Panel 250

Bacterial Gastroenteritis Panel 125 Anemia Price Miscellaneous Blood Price

Viral Gastroenteritis Panel 125 TIBC 16.9 Albumin 5.5

Stool Parasites 75 Ferritin 14.18 Alk. Phos. 5.75

C. Diff 25 Folate 16.34 ALT (SGPT) 5.89

H. Pylori 25 Iron 7.19 Ammonia, Plasma 16.19

Occult Blood 10 Vit B12 16.75 Amylase 7.2

Transferrin 14.18 ANA 12.0

Women's Health Price Anti-CCP 15.0

Women's Health 250 Hematology/Coagulation Price AST (SGOT) 5.75

BV/AV/Candida 200 CBC with Diff 8.63 Bilirubin, Direct 5.57

Bacterial Vaginosis 150 CBC w/o Diff 7.18 Bilirubin, Total 5.57

Aerobic Vaginitis 90 Hemoglobin 2.63 BUN 4.39

STD 90 Hematocrit 2.63 CEA (CARCINOEMBRYONIC ANTIGEN) 15.0

Genital Ulcer 75 Platelet Count 4.97 Celiac Antibodies 31.0

Candida 60 PT-INR 4.37 Cholesterol 4.84

Strep B 25 PPT 6.67 CK Total 7.23

HPV 25 Sed Rate 3 Creatinine 5.69

CRP, HS 14.39

Urine Price Serology Price Factor II 15.0

UA 2.49 Hep. B Surface Ag 11.48 Factor V 15.0

UTI ID Panel by PCR 250 Hep. B Surface Ab (Immunity) 11.93 Fatty Acid Profile 25.0

Urine Culture & Sensitivity 24 HIV Screen 26.75 Fibrogen 10.0

STD 90 H. Pylori 38.88 Folate RBC 18.0

Leukorrhea 60 Mono Test 10 GGT 8

Drug Screen 79 Rapid Strep Screen 12 HDL Cholesterol 9.1

Microalbumin 12.17 RPR Screen 4.75 IGA (IMMUNOGLOBULIN) 15

Rubella IGG 15.99 IGE (IMMUNOGLOBULIN) 15

Miscellaneous PCR Price IGF 15

Wound 250 Hormones Price IGG (IMMUNOGLOBULIN) 15

Nail Fungal 200 B-HCG 8.36 IGM (IMMUNOGLOBULIN) 15

Cortisol, Total 18.11 Lactate 6.71

CMS Panels Price DHEA-s 24.71 LDL Direct 10.6

Basic Metabolic Panel 9.4 Estradiol 31.04 Lipase 7.65

Comprehensive Metabolic Panel 11.74 Follicle-Stimulating Hormone 20.65 Lipoprotein Count 25.0

Electrolyte Panel 7.79 Human Growth Hormone 18.52 Magnesium 7.44

Acute Hepatitis Panel 52.93 Luteinizing Hormone 20.57 Occult Blood 4.38

Lipid Panel 14.88 Pregnenolone 22.97 Phosphorus 5.27

Renal Panel 9.65 Progesterone 23.18 Potassium 5.11

Liver Function Panel 9.08 Prolactin 21.53 Protein + CreatU 9.82

Prostate Specific Antigen 20.44 Protein, Total 4.07

Cardiovascular Price Parathyroid Hormone Intact 45.86 RF 6.3

APO A 21.09 Sex Hormone Binding Glob 24.15 Sterols 20.0

APO B 21.09 Testosterone, Free (Calculated) 0 Triglycerides 9.1

Homocysteine 18.74 Testosterone, Total 28.68 Uric Acid 5.02

Lactate Dehydrogenase 6.71 Estriol Unconjugated 26.87 Vitamin D 32.89

Lipoprotein A 14.39 Estrone 27.73 ZINC, SERUM OR PLASMA 25

8

CONTENTS OF KIT

1. Collection Guide (This Document)

2. Infectious Diseases Test Requisition Form and Patients’ Demographics page

3. Specimen Collection Device (1 Women’s Health Swab)

4. Biohazard Bag

COLLECTION INSTRUCTIONS

1. Using laboratory gloves, remove the swab from its plastic packaging. Avoid

touching the swab below the pink molded breakpoint. This could lead to

contamination and inaccurate test results.

2. Carefully insert swab into the opening of vagina, about two inches. Gently rotate

the swab for 10 to 30 seconds. Make sure swab touches the walls of the vagina to

ensure adequate moisture is absorbed.

3. Insert the same swab into the anus (about 1 cm).

4. Withdraw the swab without touching skin.

5. Once completed, insert the swab into its media vial, swab end first.

6. Holding the swab shaft close to the rim of the tube, and keeping the tube away

from your face, break the applicator shaft at the pink breakpoint line.

7. Screw the cap on tightly to prevent leakage.

STORAGE INSTRUCTIONS

1. Place the sample container in the biohazard bag.

2. Complete the Infectious Disease Requisition and print out patients’ demographics

page.

3. Confirm that the information on the requisition (patients’ name and date of birth)

matches the patients’ identifiers on the sample container.

4. Place the requisition, patients’ demographics page and sample in the biohazard

bag.

5. Store at 2 to 4 °C until your office is ready to ship all samples collected that day.

Solaris Diagnostics

35TH WEEK STREP B COLLECTION

9

CONTENTS OF KIT (Single Blood Draw)

1. Serum Sep Clot Activator Tube

2. K2EDTA Tube

3. 23 G Butterfly Needles (If vein is small, or has little to no pressure behind it)

4. Standard Tube Holder

5. 21 G Needle

6. Requisition Form

7. Adhesive Bandage

8. Alcohol Swab

9. Specimen Bag

10. Gauze Sponge

11. 1” x 18” Tourniquet

PATIENT PREPARATION

*YOU WILL NEED TOURNIQUET, GLOVES, AND ALCOHOL SWAB IN HANDS REACH OF WORKING AREA*

1. Properly Identify patient (ID, Name, and DOB)

2. Complete the clinical requisition form with physician and patient’s signature, for consent to draw.

3. Print out Patients demographics page.

4. Observe antecubital Region (Front of the Elbow) for a preferred venipuncture site. (The best sites for venipuncture are usually the superficial veins in the upper arms. Specifically, these veins are the median cubital vein, the cephalic vein, and the basilic vein)

5. Apply Tourniquet 3-4 inches above venipuncture site and feel for pressure behind the vein for good blood flow. (If the vein feels bouncy when pushed on, you have found a good site for venipuncture)

6. If the vein doesn’t bounce very well, or patient has little veins with little to no pressure when pushed on, its best to use a 23 G butterfly needle to keep from causing bruising or damaging the vein.

7. If the vein is bouncy and big you are safe to use a standard straight 21 G needle.

8. Apply Gloves

9. Disinfect the site with an alcohol swab. *Continues on the next page*

Solaris Diagnostics

BLOOD COLLECTION

10

ORDER OF DRAW

Determine the test ordered on the requisition form and determine which tubes are needed for the ordered test.

Use this order of draw as a guide for the test tubes being used for your patient.

1. The first tube slid into the tube holder should be your Yellow/ Tiger Top- Serum Separator

Tube. (Fill this tube)

2. The second tube, if needed, to be slid into the tube holder should be the Light Blue. This

tube contains sodium citrate and is used for coagulation assays. (Fill this tube)

3. The last tube to be slid into the tube holder is the Lavender tube - Whole Blood with EDTA

anticoagulant. (Fill this tube)

*All tubes should be inverted 5-8 times after samples are collected. *


Have the needle with tube holder, tubes needed, gauze, and adhesive bandages in arms-reach of

working area.

1. Screw tube holder on the preferred needle that will be used.

2. Place your finger below venipuncture site to anchor the vein, ask patient to make a fist.

3. Puncture the vein at a 30-degree angle or less.

4. Use correct order of draw while switching tubes to collect specimen.

5. Release tourniquet before removing needle.

6. Withdraw needle and apply pressure on site with gauze.

7. Discard used sharps in a sharp’s container.

8. Ensure bleeding is controlled and apply adhesive bandage.

9. Label tubes correctly in front of patient, then verify information is correct with patient.

10. Spin SST (Red top/Yellow top) tubes in centrifuge to prepare for shipping at 3500 RPM for

15 minutes.

*The SST tubes in the centrifuge should be correctly balanced in order to make the machine spin the blood

evenly. If you have an uneven amount of tubes, you may place an unused/empty tube in one of the spaces to

ensure you get an even spin. Tubes should be centrifuged within 30 min after collection.

STORAGE INSTRUCTIONS 1. Place samples in safe biohazard bag for transportation and store with Ice-Paks to keep

specimens cool.

2. Place requisition form and patients’ demographics page inside the bag with sample(s).

3. Store at 39-degree Fahrenheit until your office is ready to ship samples collected that day.

4. When samples are ready to ship, store them in insulated mailers with ice packs.

5. Your samples are ready to ship.

Solaris Diagnostics

BLOOD COLLECTION CONTINUED

11

CONTENTS OF KIT


2. Infectious Diseases Test Requisition Form, Patients Demographics page

3. Specimen Collection Device (1 Fecal Swab)

4. Specimen Commode Pan (Potty Hat, if requested by client.)

5. Biohazard Bag


1. Remove the swab from its plastic packaging. Avoid touching the fecal swab below

the pink molded breakpoint. This could lead to contamination and inaccurate test

results.

2. Pass stool into a clean, dry pan (Potty hat).

3. Collect a small amount of stool by inserting the entire swab tip into stool sample

and rotate it.

4. Remove and examine the swab to make sure fecal material is visible.

5. Once completed, insert the swab back into its media vial, brush end first.



7. Screw the cap on tightly to prevent leakage. Store the swab at 2 to 8 °C until it is

ready to ship.



2. Complete the Infectious Disease Requisition, and print patients’ demographics

page.

3. Confirm that the information on the requisition (patients name and date of birth)

matches the identifiers on the sample container.

4. Place the requisition and demographics page in the biohazard bag.


Solaris Diagnostics

GASTROINTESTINAL AND H. PYLORI COLLECTION

12

CONTENTS OF KIT


2. Infectious Diseases Test Requisition Form, Patients Demographics Page

3. Specimen Collections Device (1 Swab)

4. Biohazard Bag


1. Consult with your physician to determine site location. Wash the site with saline

and wipe lightly.


touching the swab applicator below the pink molded breakpoint as this could lead

to contamination and inaccurate test results.

3. Consult with your physician about collection method. Generally, roll the swab on

the site by applying appropriate pressure. Try to get enough material on swab for

accurate test results.

4. Once completed, insert the swab back into its media vial, swab end first.




ready to ship.



2. Complete the Infectious Disease Requisition, along with printing patients’

demographics page.


matches the identifiers on the sample container.

4. Place the requisition and demographics page in the biohazard bag.


Solaris Diagnostics

HERPES HHV(S) COLLECTION

13

CONTENTS OF KIT


2. Infectious Diseases Test Requisition Form, Patients Demographics page


4. Biohazard Bag



touching the swab applicator below the pink molded breakpoint. This could lead


2. The patient shouldn’t have urinated for at least one hour prior to specimen

collection.

3. Insert the specimen collection swab 2 to 3 cm. into the urethra.

4. Gently rotate the swab clockwise for 2 to 3 seconds in the urethra to ensure

adequate sampling.

5. Withdraw the swab carefully.





ready to ship.




page.

3. Confirm that the information on the requisition (patient name and date of birth)

matches the identifiers on sample container.

4. Place the requisition and patients’ demographics page in the biohazard bag.


Solaris Diagnostics

MALE URETHRA COLLECTION

14

CONTENTS OF KIT


2. Infectious Diseases Test Requisition Form and patients’ demographics page

3. Specimen Collections Device (Sterile Cup, Nail Clip Tube, Biopsy Bag)

4. Biohazard Bag


1. Clean the nail with alcohol wipe.

2. Appropriate samples are infected nail clipping, infected whole nail, infected dried

skin, or a scraping of the infected area.

3. Place the sample in a sterile cup, nail clip tube, or small biopsy bag.




page.





Solaris Diagnostics

NAIL FUNGAL COLLECTION

15

CONTENTS OF KIT


2. Infectious Diseases Test Requisition Form and patients’ demographics page

3. Specimen Collection Device (1 Swab)

4. Biohazard Bag


1. Request the patient to clear the nasal sputum.




3. Ask the patient to tilt his/her head back. Insert the swab approximately 1-2 cm into

the nostril.

4. Rotate the swab against the inside of nostril for 3 seconds. Apply slight pressure

with a finger on the outside of the nose to help assure good contact between the

swab and the inside of the nose.





ready to ship.




page.





Solaris Diagnostics

RESPIRATORY PANEL COLLECTION

16

CONTENTS OF KIT


2. Infectious Diseases Test Requisition Form and Patients’ Demographics Page


4. Biohazard Bag





2. Carefully insert swab into the opening of vagina, about two inches Gently rotate

the swab for 10 to 30 seconds. Make sure the swab touches the walls of the

vagina so that adequate moisture is absorbed by the swab.


4. Once completed, insert the swab back into its media vial, brush/swab end first.




ready to ship.




page.





Solaris Diagnostics

SEXUALLY TRANSMITTED DISEASE (STD) SWAB

17

CONTENTS OF KIT


2. Infectious Diseases Test Requisition Form and Patients Demographics Page

3. Specimen Collections Device (1 Sterile Cup and 1 Yellow Top C&S Tube)

4. Biohazard Bag


1. Wash hands with soap and warm water.

2. Females: Spread the labia (folds of skin) apart with one hand and wipe with a

towelette. Wipe from front to back. Repeat this process a second time with a fresh

towelette. Continue holding the labia apart.

Male: Wipe the end of penis with a towelette. If uncircumcised, retract the foreskin

first.

3. Do not touch the inside of collection cup. Allow a small amount of urine to fall in

toilet bowl.

4. Collect the urine stream into sterile collection cup.

5. Peel off white sticker on lid of sterile urine cup exposing black needle. Take C&S

tube inserting top of Tube onto exposed black needle. Urine should then begin to

transfer from sterile cup to yellow top C&S tube. C&S tube should have a

minimum of 2ml of urine for testing.

6. Discard left over urine in sterile cup, sterile cup is not needed for testing. Only

yellow top C&S tube is needed for STD testing.




page.





Solaris Diagnostics

SEXUALLY TRANSMITTED DISEASE (STD) URINE COLLECTION

18

CONTENTS OF KIT


2. Infectious Diseases Test Requisition Form and Patients’ demographics page


4. Biohazard Bag



touching the swab applicator below the pink molded breakpoint as this could lead


2. Have the patient tilt their head backwards, open their mouth, and stick out their

tongue.

3. Rub the swab against the back of the throat and tonsils.





ready to ship.




page.





Solaris Diagnostics

STREP DIFFERENTIATION PANEL COLLECTION

19

CONTENTS OF KIT




4. Biohazard Bag





2. Have the patient tilt their head backwards, open their mouth, and stick out their

tongue.

3. Rub the swab against the back of the throat and tonsils.





ready to ship.




page.





Solaris Diagnostics

STREP PANEL COLLECTION

20

CONTENTS OF KIT

1. Instructions Sheet (this document)

2. Infectious Diseases Test Requisition Form

3. Specimen Collections Device (1 Sterile Urine Cup and 1 Yellow Top C&S Tube)

4. Biohazard Bag


1. Wash hands with soap and warm water.

2. Females: Spread the labia (folds of skin) apart with one hand and wipe with a

towelette. Wipe from front to back. Repeat this process a second time with a fresh

towelette. Continue holding the labia apart.

Male: Wipe the end of penis with a towelette. If uncircumcised, retract the foreskin

first.

3. Do not touch the inside of collection cup. Allow a small amount of urine to fall in

toilet bowl.

4. Collect the urine stream into sterile urine collection cup.

4. Transfer the urine from urine cup into C&S vacutainer tube using the transfer

needle on the cup. Peel sticker on top of cup exposing the needle, push top of

C&S tube on the needle, urine will then begin to draw from cup into C&S tube. If a

urinalysis is ordered as well, the urine cup is also required for testing.

5. Make sure tops are secured on both devices. Store the containers at 2 to 8 °C until

they ready to ship.



2. Complete the Infectious Disease Requisition, print out patients’ demographics

page to include with requisition.

3. Confirm that the information on the requisition (name, date of birth) matches the

sample container.

4. Place the requisition, demographics page and sample in the biohazard bag.


Solaris Diagnostics

UTI AND URINALYSIS COLLECTION

21

CONTENTS OF KIT

4. Instructions Sheet (this document)


6. Specimen Collections Device (1 Dry Swab)

7. Biohazard Bag


4. Using laboratory gloves, a sterile needle should be used to unroof the top of the

vesicle.

5. A sterile swab is then used to vigorously swab the base of the lesion— applying

enough pressure to collect epithelial cells without causing bleeding—and collect

vesicular fluid. It is important to collect infected epithelial cells from the base of

the lesion because they contain a significant amount of the infection.

6. Swabs must be placed individually into separate, empty tubes to avoid

contamination. Place swabs directly into tubes. Do not place transport medium

into the tube; the specimen MUST be kept dry. Tubes must be individually labeled

and must be resistant to breakage.

7. Screw the cap on tightly to prevent leakage and place the swab at 2 to 8 °C till it is

ready to ship.




page.





Solaris Diagnostics

VZV (SHINGLES) COLLECTION

22

CONTENTS OF KIT




4. Biohazard Bag





2. Carefully insert swab into the opening of vagina, about two inches, and gently

rotate the swab for 10 to 30 seconds. Make sure swab touches the walls of the

vagina ensure adequate moisture is absorbed.


4. Once completed, insert the swab back into its media vial, brush/swab end first.




ready to ship.



2. Complete the Infectious Disease Requisition and print patients’ demographics.





Solaris Diagnostics

WOMEN’S HEALTH COLLECTION

23

CONTENTS OF KIT

1. Collection Guide



4. Biohazard Bag


1. Wash the site with saline and wipe lightly.




3. Consult with physician about site collection. Generally, roll the swab on the site by

applying appropriate pressure. Try to get enough material on swab for adequate

testing.





ready to ship.



2. Complete the Infectious Disease Requisition and print patients’ demographics

page.





Solaris Diagnostics

WOUND SWAB COLLECTION

24

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