Laboratory Services

Clinical Operation Hours:

The onsite laboratory is available for routine and emergency services 24 hours a day, 7 days a week, and 365 days a year. It is manned by certified Medical Technologists, certified Medical Laboratory Technicians, certified Histotechnician, and certified eligible Histotechnician along with phlebotomists and point of care testing personnel.

Riverview Laboratory Bay Street is located in Suite 402 of the Medical Arts Building at the corner of 3rd and Bay Street and is staffed Monday through Friday from 8:00 AM to 5:00 PM and Friday from 8:00 AM to 2:00 PM.

Extent of Services:

Blood Bank

Patient Pretransfusion Testing
    1.    ABO cell and serum grouping
    2.    Rh slide and tube grouping
    3.    Antiobody Detection
    4.    Incompatibility testing

Processing of blood received from another facility (confirm ABO and Rh type of units from a segment)
Storage of blood and components
Tranfusion service
Rh Immune Globulin Candidacy studies
Antiobody Identification
Therapeutic phlebotomy
Storage of tissue components

Chemistry

The Chemistry section does most routine chemistry analysis and refers other to LabCorp Laboratories.

The following tests are done in the Chemistry section*:

Acetaminphen                                                               
Alanine Aminotransferase (GPT)                                    
Albumin                                                                          
Alcohol, Ethyl (non-legal)                                              
Alkaline Phosphatase                                                   
Amylase                                                                        
Ammonia                                                                       
Aspartate Aminotransferase (GOT)                               
B12, Vitamin                                                                   
Beta HCG                                                                       
Bilirubin - Direct                                                              
Bilirubin - Neonatal                                                         
Bilirubin - Total                                                                
Blood Urea Nitrogen                                                        
G-Type Natriuretic Peptide (BNP)                                     
Calcium                                                                            
Calcium, Ionized                                                              
Carbon Dioxide                                                                
Chloride                                                                            
Cholesterol                                                                                         
Cholesterol - HDL                                                                               
C-Reactive Protein, High Sensitive  
Creatinine kinase (CK) - Total
Creatinine Kinase - MB Fraction
Creatinine
Creatinine Clearance                                
 Digoxin
Drug of Abuse Screens
Ferritin
Folate
Gentamycin
Glomerular Filtrate, estimate
Glucose
Glucose Tolerance
Glutamyl transferase (GT)
Hemoglobin A-1 C
Iron     
Lactic Dehydrogenase (LDH)
Lipase
Magnesium
Methemoglobin
Microalbumin
Myoglobin
Phosphorous (Phosphate)
Phonobarital
Phenytoin (Dilantin)
Potassium
PSA Total
PSA Tree
PTH-Intact
Saliculate
Sodium
T3
T3 Free
T4
T4 Free
Tegretol
Theophyline
TIBC
Tobramycin
Total Protein
Transferrin
Trigyceride
Troponin I
TSH
Uric Acid
Valproic Acid
Vancomycin


Arterial Blood Gases Which Include:  
pH                                                       HCO3              Sat
pCO2                                                   TCO2               Hgb
pO2                                                      ABE                Carboxy Hgb  

*Test ordered on specimens that have not been approved for use as a specimen in the individual procedure will be done with the notation made of the request that “no normal range studies have been conducted for (specimen and test concern) using this methodology”.  

For example: No normal range studies have been conducted for synovial fluid LDH using this methodology.  

Cytology  

Routine non-genital cytology smears  

Hematology  

Anemia Profile
Bleeding Time (IVY)
Body Fluid Analysis – cell count and crystal analysis
Bone Marrow
Complete Blood Count
D-Dimer
Eosinophil Count
Factor Xa Activity (Heparin)
Fibrinogen Partial Thromboplastin Time (PTT)
Platelet Count and Estimate
Platelet Function – Aspirin and Plavix
Pre Operative Coagulopathy Work-Up
Prothrombin Time
Reticulocyte Count
Sed. Rate Westergren
Sickledex
Thrombo-Wellcome Test FDP

Histology

Routine H & E staining.
Special stains except those being referred for consultative services.
IHC stains
Gross pathologic review.
Frozen section review.
Microscopic examination of slides by pathologist.
Serves as a Reference Laboratory for local physician's offices, Gadsden Endoscopy, and Gadsden Surgery Center.  

Microbiology  

Routine Cultures (aerobic and anaerobic)
Campylobacter Cultures
Yersenia Cultures
E. Coli O157 Cultures
Vibrio
GC Cultures
Mycobacteria Cultures
Fungus Cultures
Gram Stains
Acid-Fast Stains
Methylene Blue Stain for Fecal WBCs
Fat Stain
Wet Prep
Eosin Smear - Nasal, Sputum
CloTest - Urease Test for H. pylori
India Ink Prep
KOH Prep
Occult Blood - Gastric, Fecal
Strep Screen- Group A
Clostridium difficile Toxin by PCR

Point of Care Testing  

Whole Blood Glucose
Rapid Strep
Urine HCG
Urine Macroscopic (dipstick)
pH
pO2
pCO2
Na
K
Cl
iCa
TCO2
BUN
Glucose
Creatinine
HCT
ACT
INR (PT)
Rapid Drug Screen
Saliva Ethanol Fecal Occult Blood (physician only)
CK-MB
Troponin
Myoglobin
BNP
D-Dimer
Whole Blood Glucose
Lactic Acid  

Reference Testing  

Laboratory testing not offered in-house will be sent to LabCorp. Orders and Results are transmitted via a HL7 interface between the SoftLab and LabCorp.  

Occasionally, some specialized testing may also be sent to Mayo Laboratories or Quest Laboratories.  

Some specialized Microbiology and Virology testing is sent to the State Health Department such West Nile Virus.  

Gynecology Cytology is also sent to LabCorp.  

Bone Marrow Processing and Examination is performed by Integrated Oncology  as ordered by Physician.  

Pathology referrals are sent to Integrated Oncology  for testing and consultations  

During instrument breakdowns, samples maybe sent to LabCorp or Gadsden Regional Medical Center for testing depending on required turn-around.

Serology  

ANA
ASO
Bacterial Antigens - CSF, Blood, and Urine
Cryptococcal Antigen – CSF
H. pylori
Mono Test
MRSA by PCR
Mycoplasma pneumoniae
Rheumatoid Factor - RA Latex
RPR - qualitative and quantitative
Rubella
Rubeola
Staph aureus by PCR
Varicella Zoster  

Urinalysis  

Macroscopic Examination of urine
1.      Color
2.      Appearance
3.      Specific gravity
4.      pH
5.      Albumin
6.      Glucose
7.      Ketone Bodies
8.      Occult Blood
9.      Urobilinogen
10.  Leukocyte
11.  Nitrite
12.  Reducing Substance: This test is performed by a Clinitest tablet on all pediatric specimens from children up to 10 years of age.    

Microscopic Examination of urine sediment
1.      RBC/hpf
2.      WBC/hpf
3.      Cast/lpf
4.      Epithelial Cells
5.      Mucous Threads
6.      Bacteria
7.      Budding Yeast
8.      Crystals
9.      Amorphous Material
10.  Trichomonas                             

Collection of urine with instructions and directions for 24 hour collections
Fat droplets in urine, examination for
Urine Pregnancy Test
Refractile Bodies in urine, examination of    

Turnaround and Testing Policy  

It is the policy of this laboratory to make every effort to report all test results in a timely manner.

A.                Generally, all in-house testing should be collected according to the following schedule:  

1.                  STATs - within 30 minutes of order being placed in the computer
2.                  ER STATs - within 10 minutes of order being placed in the computer
3.                  Timed - within 30 minutes either side of time needed
4.                  Routine - within 4 hours on order day
5.                  Early AM Routine - 4 am till 6:30 am  

B.                 Generally, all in-house testing should be completed according to the following schedule:  

1.                  STATs - within 1 hour of receipt of specimen in lab
2.                  ER STATs - within 35 minutes of receipt of specimen in lab
3.                  Timed - within 2 hours of receipt of specimen in lab
4.                  Routine - within 4 hours of receipt of specimen in lab
5.                  Early AM Routine - by 7:00 am  

C.                  The following tests are exempt from the schedule and will take longer to process.
                     The laboratory may be contacted for specific details.

1.                  ANA
2.                  Anemia Profile
3.                  ASO
4.                  B12
5.                  Bone Marrows
6.                  Chlamydia
7.                  Clostridium difficile Toxin
8.                  Cortisol
9.                  Ferritin
10.              Folate
11.              Hemoglobin A1C
12.              HIV Suds Test
13.              Iron and TIBC
14.              Microbiology Cultures and Smears
15.              Reference Tests
16.              RF
17.              RPR
18.              Thyroid testing  

D.                Delays: The laboratory will notify the ward/clinic of any unusual delays in reporting of tests. Example: instrument malfunctions, power failures, etc.