Test Change Audit Report

Displaying Changes Effective: 04/01/2025 - 04/30/2025

SCLD70	Scleroderma (Scl-70) (ENA) Antibody IgG
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Test		Created				willisl	4/25/2025 5:19:51 AM	New test to directory
Name	Scleroderma (scl-70) (ENA) Antibody, IgG	Scleroderma (Scl-70) (ENA) Antibody, IgG				willisl	4/25/2025 5:20:37 AM	corrected typo
Name	Scleroderma (Scl-70) (ENA) Antibody, IgG	Scleroderma (Scl-70) (ENA) Antibody IgG				willisl	4/25/2025 5:21:15 AM	Edited test name

CARNA	Genetics Misc DNA RNA
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Performed	Molecular Genetics; Lab open Mon - Fri 7:30 AM - 4:00 PM. Specimens accepted daily, 24 hours.	Ambry				willisl	4/21/2025 9:21:39 AM	changed collection information
Collect	DO NOT DRAW ON FRIDAY. Must be received by referral lab within 3 days of collection. RNA Kit (manufactured by referral lab); patient should have or some are stocked by draw locations Draw EDTA tube first then PAXg tube Send specimens and kit to Genetics Lab at main campus.	DO NOT DRAW ON FRIDAY AFTER NOON (12:00PM) OR SATURDAY FRIDAY BEFORE NOON (12:00PM), COLLECT AT MAIN CAMPUS ONLY RNA Kit (manufactured by referral lab); patient should have or some are stocked by draw locations Draw EDTA tube first then PAXg tube Send specimens and kit to Genetics Lab at main campus.				willisl	4/21/2025 9:21:39 AM	changed collection information

DNAIB	DNA Isolation Only
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Number	DNAI	DNAIB				willisl	4/14/2025 5:40:53 AM	changed DNAI to DNAIB

MENENP	Meningitis/Encephalitis Panel PCR
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Ordering Recommendations	To detect an array of bacteria, viruses, and fungus in patients with signs and or symptoms of CNS infection.	To detect an array of bacteria, viruses, and fungus in patients with signs and or symptoms of CNS infection. If ordering the Meningitis/Encephalitis Panel PCR, a routine CSF bacterial culture must also be ordered.	4/16/2025 5:56:38 AM	JenkinsS1@childrensdayton.org	4/16/2025 5:59:32 AM	JenkinsS1@childrensdayton.org	4/16/2025 5:59:32 AM
Reported	Results the same day when received inVirology by 12:00 P.M. (noon). If specimen received after 12:00 P.M., test will be resulted the following day.	Results the same day when received in Virology by 12:00 P.M. (noon). If specimen received after 12:00 P.M., test will be resulted the following day.				willisl	4/16/2025 7:16:02 AM	added to Virology
Test Search Categories		Virology				willisl	4/16/2025 7:16:02 AM	added to Virology

GIDP	Gastrointestinal Disease Panel PCR
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Stability (from collection to initiation)		The specimen is stable for up to 4 days when stored at 2-8°C.				JenkinsS1@childrensdayton.org	4/21/2025 11:25:30 AM	UPDATED
Additional Test Information		ASSAY INCLUDES TARGETS FOR THE FOLLOWING: -Campylobacter (C. jejuni/C. coli/C. upsaliensis) -Plesiomonas shigelloides -Salmonella -Vibrio (V. parahaemolyticus/V. vulnificus/ V. cholerae), including specific identification of Vibrio cholerae -Yersinia enterocolitica -Enterotoxigenic Escherichia coli (ETEC) lt/st -Shiga-like toxin-producing Escherichia coli (STEC) stx1/stx2 (including specific identification of the E. coli O157 serogroup within STEC) -Shigella/ Enteroinvasive Escherichia coli (EIEC) -Cryptosporidium -Cyclospora cayetanensis -Entamoeba histolytica -Giardia lamblia (also known as G. intestinalis and G. duodenalis) -Adenovirus F 40/41 -Astrovirus -Norovirus GI/GII -Rotavirus A				Brandonm@childrensdayton.org	4/29/2025 12:42:53 PM	Added the targets

PCRCD	Clostridium difficle by PCR
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Stability (from collection to initiation)		The specimen is stable for up to 5 days when stored at 2-8°C.				JenkinsS1@childrensdayton.org	4/21/2025 11:13:45 AM	updated

TYAS	Type and Screen
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Patients <4 months of age Lav/3ml Patients >4 months of age Lav/5ml				crumleyd	4/6/2025 10:17:38 AM	Updated volumes

THLD	Transfusion Hold
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Patients <4 months of age Lav/3ml Patients >4 months of age Lav/5ml				crumleyd	4/6/2025 10:17:05 AM	Updated volumes

XM	Crossmatch
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Patients <4 months of age Lav/3ml Patients >4 months of age Lav/5ml				crumleyd	4/6/2025 10:16:28 AM	Updated volumes

F256R	Walnut, Specific IgE with reflex
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Butterscotch/3.0ml				crumleyd	4/6/2025 10:13:25 AM	Updated volumes

FAP	Food Allergy Profile
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Butterscotch/15ml				crumleyd	4/6/2025 10:06:48 AM	Updated volumes

RAPFAP	Respiratory/Food Allergy Panel
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Butterscotch/20ml				crumleyd	4/6/2025 10:12:02 AM	Updated volumes

LE9	Peanut, Specific IgE reflex
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Butterscotch/5.0ml				crumleyd	4/6/2025 10:11:13 AM	Updated volumes

NUT1P	Nut Allergen Panel 1
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Butterscotch/10ml				crumleyd	4/6/2025 10:10:30 AM	Updated volumes

F17R	Hazelnut, Specific IgE with reflex
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Butterscotch/5.0ml				crumleyd	4/6/2025 10:08:55 AM	Updated volumes

GIDS	GI Distress
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Butterscotch/15ml				crumleyd	4/6/2025 10:07:26 AM	Updated volumes

DA10	Egg White, Specific IgE with Reflex
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Butterscotch/2.0ml				crumleyd	4/6/2025 10:06:02 AM	Updated volumes

DA15	Cow's Milk, Specific IgE reflex
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Butterscotch/2.0ml				crumleyd	4/6/2025 10:05:11 AM	Updated volumes

CHAP	Childhood Allergy Profile
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Butterscotch/15ml				crumleyd	4/6/2025 10:04:16 AM	Updated Volume

F202R	Cashew Nut, Specific IgE with reflex
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Butterscotch/2.0ml				crumleyd	4/6/2025 9:57:29 AM	Volumes updated

FD76	Alpha-Lactalbumin, Specific IgE
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Butterscotch/1.0ml				crumleyd	4/6/2025 9:54:56 AM	Updated volumes

FD20	Almond Nut, Specific IgE
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Preferred Volume		Butterscotch/1.0ml				crumleyd	4/6/2025 9:53:43 AM	Updated volumes

WNDC	Wound or Excudate Culture Including Gram Stain
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Name	Wound Culture Including Gram Stain	Wound or Excudate Culture Including Gram Stain				Brandonm@childrensdayton.org	4/24/2025 10:34:23 AM	added some rejection criteria
Unacceptable Conditions	Not received at proper temperature Not received within specified time frame	Specimen received on expired swab transport device. Frozen specimen.				Brandonm@childrensdayton.org	4/24/2025 10:34:23 AM	added some rejection criteria
Storage/Transport Temperature	Room temperature, transport to lab within 24 hours.	Room temperature, transport to lab as soon as possible				Brandonm@childrensdayton.org	4/24/2025 10:34:23 AM	added some rejection criteria
Minimum Volume	Specific specimen site is required for proper specimen handling./Culturette or sterile container	Specific specimen site is required for proper specimen handling. Culturette eSwab or sterile container				Brandonm@childrensdayton.org	4/24/2025 10:34:23 AM	added some rejection criteria

UCCC	Urine Culture, Clean Catch
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Stability (from collection to initiation)		Urine: Room temperature 2 hour(s) Urine: Refrigerated 24 hour(s)				Brandonm@childrensdayton.org	4/24/2025 9:27:41 AM	added specimen transport crieria
Reference Interval	No growth at 2 days.	No growth at 1 day.				Brandonm@childrensdayton.org	4/24/2025 9:32:40 AM	changed to 1 day
Unacceptable Conditions	Submitted in non-sterile container Frozen specimen	Submitted in non-sterile container. Collected in diaper or cotton balls, Contaminated with stool, Not received within specified time frame, Urine submitted on a swab, Frozen specimen, Not received at proper temperature, Specimen container with needle attached				Brandonm@childrensdayton.org	4/24/2025 10:06:15 AM	added some rejection criteria
Storage/Transport Temperature	Room temperature, transport to lab within 30 minutes. Refrigerate if delay in transport.	Room temperature, transport to lab within 1 hour. Refrigerate if delay in transport.				Brandonm@childrensdayton.org	4/24/2025 10:06:15 AM	added some rejection criteria
Reported	Preliminary report at 1 day. Negative cultures are finalized at 2 days, positives as identified.	Negative cultures are finalized at 18-24 hours (1 day), positives may take 2-3 days for identification and susceptibility testing.				Brandonm@childrensdayton.org	4/29/2025 12:26:10 PM	Negative cultures are finalized at 18-24 hours (1 day), positives may take 2-3 days for identification and susceptibility testing.

UCCA	Urine Culture, Catheter
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Stability (from collection to initiation)		Urine: Room temperature 2 hour(s) Urine: Refrigerated 24 hour(s)				Brandonm@childrensdayton.org	4/24/2025 9:27:41 AM	added specimen transport crieria
Unacceptable Conditions	Submitted in a non-sterile container. Frozen specimen	Submitted in non-sterile container. Collected in diaper or cotton balls, Contaminated with stool, Not received within specified time frame, Urine submitted on a swab, Frozen specimen, Not received at proper temperature, Specimen container with needle attached				Brandonm@childrensdayton.org	4/24/2025 10:07:47 AM	addedd some rejection criteria
Storage/Transport Temperature	Room temperature, transport within 30 minutes. Refrigerate if delay in transport.	Room temperature, transport within 1hour. Refrigerate if delay in transport.				Brandonm@childrensdayton.org	4/24/2025 10:07:47 AM	addedd some rejection criteria
Reported	Negative cultures are finalized at 18-24 hours (1 day), positives as identified.	Negative cultures are finalized at 18-24 hours (1 day), positives may take 2-3 days for identification and susceptibility testing.				Brandonm@childrensdayton.org	4/29/2025 12:25:06 PM	Negative cultures are finalized at 18-24 hours (1 day), positives may take 2-3 days for identification and susceptibility testing.

URCR	Urine Culture Routine
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Stability (from collection to initiation)		Urine: Room temperature 2 hour(s) Urine: Refrigerated 24 hour(s)				Brandonm@childrensdayton.org	4/24/2025 9:27:41 AM	added specimen transport crieria
Unacceptable Conditions	Submitted in non-sterile container Frozen specimen	Submitted in non-sterile container. Collected in diaper or cotton balls, Contaminated with stool, Not received within specified time frame, Urine submitted on a swab, Frozen specimen, Not received at proper temperature, Specimen container with needle attached				Brandonm@childrensdayton.org	4/24/2025 10:03:10 AM	added soome rejection criteria
Reported	Negative cultures are finalized at 18-24 hours (1 day), positives as identified.	Negative cultures are finalized at 18-24 hours (1 day), positives may take 2-3 days for identification and susceptibility testing.				Brandonm@childrensdayton.org	4/29/2025 12:22:23 PM	Negative cultures are finalized at 18-24 hours (1 day), positives may take 2-3 days for identification and susceptibility testing.

URGS	Urine Culture Including Gram Stain
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Stability (from collection to initiation)		Urine: Room temperature 2 hour(s) Urine: Refrigerated 24 hour(s)				Brandonm@childrensdayton.org	4/24/2025 9:27:41 AM	added specimen transport crieria
Reference Interval	No growth at 2 days. No organisms seen on smear.	No growth at 1 days. No organisms seen on smear.				Brandonm@childrensdayton.org	4/24/2025 9:32:40 AM	changed to 1 day
Unacceptable Conditions	Submitted in non-sterile container Frozen specimen	Submitted in non-sterile container. Collected in diaper or cotton balls, Contaminated with stool, Not received within specified time frame, Urine submitted on a swab, Frozen specimen, Not received at proper temperature, Specimen container with needle attached				Brandonm@childrensdayton.org	4/24/2025 10:04:47 AM	added some erjection criteria
Storage/Transport Temperature	Room temperature, transport to lab within 30 minutes. Refrigerate if delay in transport.	Room temperature, transport to lab within 1 hour. Refrigerate if delay in transport.				Brandonm@childrensdayton.org	4/24/2025 10:04:47 AM	added some erjection criteria
Reported	Gram stain and preliminary culture report at 1 day. Negative cultures are finalized at 2 days, positives as identified.	Gram stain and culture reported in 1 day. Positives may take 2-3 days for identification and Susceptibility testing.				Brandonm@childrensdayton.org	4/29/2025 12:20:50 PM	added positive culture may take 2-3 days
Reported	Gram stain and culture reported in 1 day. Positives may take 2-3 days for identification and Susceptibility testing.	Gram stain reported in 1 day. Negative cultures are finalized at 18-24 hours (1 day), positives may take 2-3 days for identification and susceptibility testing.				Brandonm@childrensdayton.org	4/29/2025 12:23:44 PM	Negative cultures are finalized at 18-24 hours (1 day), positives may take 2-3 days for identification and susceptibility testing.

THRC	Throat Culture (Beta Strep Only)
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Ordering Recommendations	For identification of Streptococcus pyogenes (Group A Streptococcus), beta-hemolytic Streptococcus (not Group A), and Arcanobacterium.	For identification of Streptococcus pyogenes (Group AStreptococcus), beta-hemolytic Streptococcus (not Group A), and Arcanobacterium. If Neisseria gonorhoeae is suspected order test Throat Culture for G.C. If microoganisms other than Beta Strep are suspected, please order a Wound Culture.				Brandonm@childrensdayton.org	4/24/2025 10:42:09 AM	added eSwab and what to order of other bacteria are suspected
Minimum Volume	Throat/Culturette	Throat/Culturette or eSwab. Transport at room temperature.				Brandonm@childrensdayton.org	4/24/2025 10:42:09 AM	added eSwab and what to order of other bacteria are suspected

OP	Stool Ova and Parasite
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Remarks	One negative result does not rule out the possibility of parasite infestation. Multiple specimens for Ova and Parasite exam should be collected at least 24 hours apart. Generally, no more than 3 specimens are required to identify parasitic infections. Ova and Parasite exams should not be performed on patients that have been in the hospital for more than 3 days and the admitting diagnosis is not gastroenteritis. Fresh specimens are required for amoebae and trophozoites must be schedule with theMicrobiology Lab (641-3902).	One negative result does not rule out the possibility of parasite infestation. Multiple specimens for Ova and Parasite exam should be collected at least 24 hours apart. Generally, no more than 3 specimens are required to identify parasitic infections. Ova and Parasite exams should not be performed on patients that have been in the hospital for more than 3 days and the admitting diagnosis is not gastroenteritis. Fresh specimens are required for amoebae and trophozoites must be schedule with the Microbiology Lab (937-641-3902).				Brandonm@childrensdayton.org	4/29/2025 12:46:27 PM	added concentration and trichrome stain
Methodology	Microscopic stained	Concentration and Trichrome stain				Brandonm@childrensdayton.org	4/29/2025 12:46:27 PM	added concentration and trichrome stain

SSCUL	Staph Screen Culture
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Reference Interval	No growth or normal flora.	No Staph. aureus isolated.				Brandonm@childrensdayton.org	4/29/2025 12:56:54 PM	Cultures are finalized at 2- 3 days. includes susceptibility testing
Reported	Preliminary report at 1 day. No growth or normal flora cultures are finalized at 2 days, positives as identified.	Preliminary report at 1 day. Cultures are finalized at 2- 3 days, positives as identified.				Brandonm@childrensdayton.org	4/29/2025 12:56:54 PM	Cultures are finalized at 2- 3 days. includes susceptibility testing
Interpretive Data		Staph. aureus susceptibility testing included				Brandonm@childrensdayton.org	4/29/2025 12:56:54 PM	Cultures are finalized at 2- 3 days. includes susceptibility testing

STOR	Stool Culture Routine (Salmonella, Shigella, E. coli, Campylobacter)
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Name	Routine Stool Culture (Salmonella, Shigella, E. coli, Campylobacter)	Stool Culture Routine (Salmonella, Shigella, E. coli, Campylobacter)				Brandonm@childrensdayton.org	4/29/2025 12:38:15 PM	Culturette- Transport as soon as possible or 24 Hr at Room Temperature C&S (Cary Blair)- 24 hours at Room Temperature, 72 hours in Refrigerator
Reported	Preliminary report at 1 day. No growth and normal flora cultures are finalized at 2 to 3 days, positives as identified.	Preliminary report at 1 day. No growth and normal flora cultures are finalized at 3 days, positives as identified.				Brandonm@childrensdayton.org	4/29/2025 12:38:15 PM	Culturette- Transport as soon as possible or 24 Hr at Room Temperature C&S (Cary Blair)- 24 hours at Room Temperature, 72 hours in Refrigerator
Storage/Transport Temperature	Fresh stool - Transport as soon as possible or 24 Hr at Room Temperature Carey-Blair media - 24 hours at Room Temperature, 72 hours in Refrigerator Culturette - 24 hours at Room Temperature, 24 hours in Refrigerator	Culturette- Transport as soon as possible or 24 Hr at Room Temperature C&S (Cary Blair)- 24 hours at Room Temperature, 72 hours in Refrigerator				Brandonm@childrensdayton.org	4/29/2025 12:38:15 PM	Culturette- Transport as soon as possible or 24 Hr at Room Temperature C&S (Cary Blair)- 24 hours at Room Temperature, 72 hours in Refrigerator

CSFR	CSF Routine Culture Including Gram Stain
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Name	Routine CSF Culture Including Gram Stain	CSF Routine Culture Including Gram Stain				Brandonm@childrensdayton.org	4/24/2025 9:02:23 AM	Added ASAP do not ref
Stability (from collection to initiation)		Send to Laboratory As Soon As Possible. Do not freeze or refrigerate.				Brandonm@childrensdayton.org	4/24/2025 9:02:23 AM	Added ASAP do not ref

CSFANA	CSF Anaerobic Culture including Gram Stain
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Stability (from collection to initiation)		Transport to Laboratory as soon as possible.				Brandonm@childrensdayton.org	4/29/2025 12:16:18 PM	added minimum volume
Minimum Volume	Cerebrospinal Fluid (CSF)	Cerebrospinal Fluid (CSF) 0.5 mL				Brandonm@childrensdayton.org	4/29/2025 12:16:18 PM	added minimum volume

ANCU	Anaerobic Culture including Gram Stain
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Unacceptable Conditions	Specimen not received in anaerobic transport tube or uncapped syringe with needle. Refrigerated sample is not acceptable.	Specimen not received in anaerobic transport tube or uncapped syringe with needle. Refrigerated sample is not acceptable. Specimens from sites which have anaerobic bacteria as indigenous flora will not routinely be cultured anaerobically (e.g., throat, feces, colostomy stoma, rectal swabs, cervical-vaginal mucosal swabs, sputa, skin and superficial wounds, voided or catheterized urine, ulcer surfaces, drainages onto contaminated surfaces).				morrisa3@childrensdayton.org	4/14/2025 11:41:12 AM	updated unacceptable specimen info
Reference Interval	No growth or normal flora	No growth or No anaerobes isolated				Brandonm@childrensdayton.org	4/29/2025 12:08:13 PM	added gram staiin is included and syringe with needle attached is not acceptable
Unacceptable Conditions	Specimen not received in anaerobic transport tube or uncapped syringe with needle. Refrigerated sample is not acceptable. Specimens from sites which have anaerobic bacteria as indigenous flora will not routinely be cultured anaerobically (e.g., throat, feces, colostomy stoma, rectal swabs, cervical-vaginal mucosal swabs, sputa, skin and superficial wounds, voided or catheterized urine, ulcer surfaces, drainages onto contaminated surfaces).	Specimen not received in anaerobic transport tube or syringe with needle. Refrigerated or Frozen sample is not acceptable. Specimens from sites which have anaerobic bacteria as indigenous flora will not routinely be cultured anaerobically (e.g., throat, feces, colostomy stoma, rectal swabs, cervical-vaginal mucosal swabs, sputa, skin and superficial wounds, voided or catheterized urine, ulcer surfaces, drainages onto contaminated surfaces).				Brandonm@childrensdayton.org	4/29/2025 12:08:13 PM	added gram staiin is included and syringe with needle attached is not acceptable
Additional Test Information		Gram stain is included				Brandonm@childrensdayton.org	4/29/2025 12:08:13 PM	added gram staiin is included and syringe with needle attached is not acceptable

LITHIM	Lithium, Plasma
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Number	LI	LITHIM				willisl	4/21/2025 11:17:58 AM	Updated test code
Specimen Preparation	Allow specimen to clot completely at room temperature. Separate from cells ASAP or within 2 hours of collection. Lithium is stable for at least 24 hours at room temperature, 7 days if refrigerated at 4° C. For longer storage, samples may be frozen at -18° C for at least 6 months.	Allow specimen collected in red top tube to clot completely at room temperature. Separate serum/plasma from cells within 2 hours of collection. Once separated, stable for at least 24 hours at room temperature, 7 days if refrigerated at 4° C. For longer storage, samples may be frozen at -18° C for at least 6 months.				willisl	4/21/2025 11:17:58 AM	Updated test code
ARUPTestNumber	0020038					willisl	4/21/2025 11:19:26 AM	removed ARUP info
DisplayConsultLink	True	False				willisl	4/21/2025 11:19:26 AM	removed ARUP info

LA	Lactic Acid
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Specimen Preparation	Separate plasma from cells within 15 minutes of collection and assay immediately. Do not store them.	Tubes should be filled completely, mixed gently by inversion and placed on ice IMMEDIATELY. Separate plasma from cells within 15 minutes of collection and assay immediately. Do not store.				willisl	4/30/2025 8:44:38 AM	place on ice added

FT4	Free Thyroxine
Item Changed	Initial Value	New Value	Submitted Date	Submitted By	Published Date	Published By	Effective Date	Reason/Comment
Synonyms		free free T4				willisl	4/9/2025 8:44:56 AM	added synonyms "free" and "Free T4"
Synonyms	free free T4	free free T4 T4 free				willisl	4/9/2025 8:47:23 AM	added "T4 free" synonym