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Provider Notifications and Memos

Notifications and Technical Bulletins

 

April 29, 2013

New HIV Testing Algorithm

April 5, 2013

Benzodiazepine ID (Qualitative) - New Test Offered

March 4, 2013

URMC Labs offers Quantiferon TB Gold in-Tube

February 6, 2013

New Formula for Calculating Estimated GFR (eGFR)

February 5, 2013

New Test Available: Respiratory Virus Panel

December 3, 2012

Coagulation Testing: Changes in Reference ("Normal") Ranges

November 26, 2012

Winter Respiratory Virus Season Test Offerings (2012-2013)

October 19, 2012

HSV PCR Available for Genital Lesions

October 17, 2012

Reticulocyte Count Reference Range Change

October 1, 2012

Quantitative Opiates - New Test Offered

September 27, 2012

Reporting Change: Measles, Mumps, Rubella, and Varicella Antibody

 

September 12, 2012

Herpes Simplex Virus / Varicella-Zoster Virus PCR for Skin Lesions

August 31, 2012

P2Y12 Platelet Inhibition Test: Result Reporting Change

July 31, 2012

New Test: Clonazepam & 7-aminoclonazepam

July 17, 2012

New Test: Beta-Hydroxybutyrate (BHB)

July 16, 2012

Changes in Respiratory Virus Testing

July 16, 2012

Procalcitonin - a Marker for Bacterial Sepsis

July 11, 2012

Change in Test Methodology: Immulite

July 3, 2012

Qualitative PCR for Varicella-Zoster Virus In-House

June 12, 2012

Change of Instrumentation & Reporting of Urine Protein Electrophoresis

June 5, 2012

Fasting Glucose Reference Range Change for Adults

May 17, 2012

HIV-1 Viral Load Assay Upgrade

April 20, 2012

Fecal Lactoferrin: New as Alternative to Fecal Leukocytes Smear

April 13, 2012

Change to Buprenorphine

April 5, 2012

Serum Protein Electrophoresis Changes

March 2, 2012

Syphilis Testing Updates

February 28,2012

Changes: Fetal Lung Maturity Profile and Delta OD 450 Bilirubin Assay on Amniotic Fluid

February 10,2012

Serum Ketone Analysis Unavailable

February 3, 2012

Quantitative BK Virus PCR Notice

January 13, 2012

Urine Myoglobin Assay Discontinuation Notice

December 6 , 2011

Revised LDC Appeal Process

November 21, 2011

New Policy Regarding Test Formulary

Surgical Pathology Collection SMH

Surgical Pathology Collection HH

Add Test to Formulary

LDC Restricted Test List

November 7, 2011

TIBC Result Reporting Change

October 31, 2011

Winter Virus 2011 to 2012

October 7, 2011

Urine Pregnancy Testing Result Reporting Change

September 30, 2011

Cumulative Antibiograms for Community Outpatient Infections

September 29, 2011

Microarray CGH Laboratory at URMC Labs

September 16, 2011

Cortisol, salivary Now Performed in-house

Apolipoprotein A-1 and Apolipoprotein B Assays

August 24, 2011

New Methodology for CSF Electrophoresis

July 20, 2011

Hemoglobin Electrophoresis New Methodology & Reference Ranges

June 13, 2011

End of Winter Respiratory Virus Testing

May 18, 2011

Growth Hormone Testing Change - New Standardization Assay

May 13, 2011

Change in Method for Detection of the JAK2 V617F Mutation

April 15, 2011

Anticoagulation Therapy & the Use of Partial Thromboplastin Time (PTT)

March 31, 2011

Insulin Testing

February 28, 2011

Toxicology - Confirmation Test Analyte Limit of Detection

February 2, 2011

Low Fasting Insulin Results

January 26, 2011

CA19-9 & serum Free Light Chain now performed in-house by URMC Labs

Protein assays moving to URMC Labs @ Ridgeland Laboratory Roche platform

January 21, 2011

New Policy Regarding Ordering of Send-Out (Reference Laboratory) Tests

Related Forms:

Certification of Medical Need Form, to order a Restricted test

One-Time Authorization Form, to order a Restricted test

Request for New Test to Be Added to Test Formulary

E-mail: LaboratoryDiagnosticsCommittee@urmc.rochester.edu

December 13, 2010

Breast Cancer Specimen Handling-Hicks,Kushner,McCarthy

November 13, 2010

New Policies Regarding Testing Performed by Non-URMC Reference Laboratories

November 16, 2010

Fecal Occult Blood Test Conversion

 

November 5, 2010

Antimicrobial Susceptibility Testing - Method Change

October 28, 2010

Winter Respiratory Virus Season 2010-2011

October 21, 2010

New Lab Test for Determining Patient Response to Effient

 

October 5, 2010

Protein Test Conversion - Immage Platform

Protein tests conversion ref ranges 10-6

July 26, 2010

New Test: Detection of the Mutations in the EGFR Gene

June 24, 2010

Detection of BRAF V600E Mutation - New Test

June 21, 2010

New eGFR Reporting

Roche Cardiac Markers Announcement

June 17, 2010

HCV Genotype Method Change

June 10, 2010

Detection of Shiga Toxin Notice

Respiratory Virus Testing Notice

 

June 9, 2010

Special Coagulation Profiles Notice

 

May 25, 2010

Change in Special Hematology Testing

 

April 30, 2010

Chlamydia Amplification Collection Swab Update (Outpatient)

Chlamydia Amplification Collection Swab Update (Inpatient/E.D.)

 

April 23, 2010

Urinalysis Macroscopic Reporting Change

 

April 13, 2010

Forensic (Chain-of-Custody) Urine Drug Testing Service Discontinued

 

April 7, 2010

Change in Immunoassay Analyzer Methodology (Notification)

*Associated Current & New Pediatric and Adult Ranges - Clinical

*Associated Current & New Pediatric and Adult Ranges - Research

 

March, 2010

THC Metabolites Assay-New Sensitivity Cutoff

January, 2010

New Test to determining patient response to Plavix or Aspirin

Strong Memorial Hospital Clinical Laboratory began offering two new tests, the VerifyNow P2Y12 Assay and the VerifyNow Aspirin Assay.

November 30, 2009

HBV viral load assay

The Molecular Virology laboratory at Strong Memorial Hospital has added a new FDA approved HBV viral load assay, the Roche COBAS TaqMan HBV Test

November 16, 2009

Laboratory deteciton of C. difficile toxin

To increase sensitivity and predictive value of laboratory testing for Clostridium difficile toxin in diarrheal stool specimens, we will be changing test format and introducing a new test algorithm.

November 2, 2009

Winter Virus Memo

 Starting November 2nd 2009, the SMH Clinical Laboratories will be converting from culture to PCR testing for RSV and Influenza screening.

October 19, 2009

PLT RR Change

On Thursday, October 15, 2009 the SMH and HH Clinical Labs changed the reference range for platelet counts.

September 23, 2009

Transition to New Roche Diagnostics Instrumentation

Strong Memorial Hospital Reference Range Guide

Highland Hospital Reference Range Guide

On Wednesday September 23rd, URMC Labs will begin the first stage of transitioning all chemistry testing to new instrumentation. There are several notable changes involved, one of which is new reference ranges that will be identical between Strong Memorial and Highland Hospital testing sites.

September 22, 2009

Present and Future Troponin Assays

Inquiries stemming from the recent publication in the New England Journal of Medicine of two large multicenter studies regarding troponin assays has prompted URMC Labs to speak to its current status and future offerings.

August 6, 2009

Change in Special Coagulation Reports

As of Monday August 3, 2009, URMC Labs at Strong Memorial Hospital has begun including interpretations on all reports for special coagulation testing.

July 7, 2009

New Hepatitis C Viral Load Assay

As of Monday July 6, 2009, the Molecular Virology Laboratory has transitioned to a new FDA approved version of the HCV viral load assay. Although similar to the former PCR methodology, it is analytically a bit more sensitive and is expected to provide greater standardization across labs.

July 7 , 2009

Expansion of Autoimmune Testing

Effective Friday, July 3, 2009, the Immunology/Serology Laboratory has begun using BioPlex technology to detect antibody to the full spectrum of ANA autoantibody markers.

June 24, 2009

Upcoming Blood Collection Tube Conversion

In the near future, URMC Labs is converting to new laboratory equipment and automation.  As part of this process we are changing blood collection tubes to adhere to required standard sizes.

June 19, 2009

New 25-Hydroxyvitamin D Assay (Abridged Version)

New 25-Hydroxyvitamin D Assay (Technical Version)

Effective Wednesday June 24, 2009, URMC Labs at Strong will be switching to an in-house liquid chromatography-tandem mass spectrometry (LC/MS) assay for 25-hydroxyvitamin D (25-OHD) levels, replacing the current send-out immunoassay.

June 12, 2009

Buprenorphine Testing Change

As of Monday June 8, 2009, the Regional Toxicology Laboratory has discontinued looking for buprenorphine and nonbuprenorphine in urine, but a sendout test is available on request for continued identification.

May 7, 2009

Change in Hematology Analyzer Methodology

Sysmex Reference Range Changes Chart

This Sunday, URMC Labs at Strong Memorial Hospital will begin moving all hematology cell counting tests to new instruments made by Sysmex America; new adult reference ranges will take effect with this change (see accompanying chart for details).

April 30, 2009

Swine Flu Laboratory Update

  • Please call the Monroe County Department of Public Health Disease Surveillance Unit (753-5164 or 753-5905 after hours) if you have a suspect case of swine influenza A. 

April 24, 2009

Change in Hours at Patient Service Centers

After careful consideration and a review of needs, effective Monday May 4, 2009, hours of operation at 200 White Spruce Boulevard (Brighton) & 5995 Big Tree Road (Lakeville) patient service centers are changing.

April 24, 2009

Change in Recommended Range for Vancomycin Serum Trough Concentrations

As of April 24, 2009, the recommended range for vancomycin serum trough concentrations has changed from 5-15 mg/L to 10-20 mg/L. This change is in line with guidelines issued by the Infectious Diseases Society of America and is also recommended by Strong Memorial & Highland Hospitals.

 

April 13, 2009

Change in Hours at Patient Service Centers

After careful consideration and a review of needs, effective Monday April 13, 2009, the new hours at 625 Panorama Trail (Penfield) & 300 Meridian Centre (Brighton) patient service centers are Monday through Friday from 8:30am - 12:30pm.

 

April 13, 2009

Appointments No Longer Necessary for Group Home Residents on Saturdays

URMC Labs no longer requires appointments for group home residents being drawn on Saturdays because any patient service center open during this time is able to accommodate the walk-in traffic.

 

April 10, 2009

Temporary Reporting Discontinuation for Calculated Globulin

Effective Monday April 13, 2009, URMC Labs is temporarily discontinuing the reporting of calculated globulin levels, as the current reference range does not serve as an appropriate guide to the interpretation of this test.

 

March 20, 2009

Reporting Change for Thyroglobulin Testing

The lower limit of detection has changed, resulting in no specific numerical value for reported results less than 0.9.

 

February 2, 2009

Winter Respiratory Virus Season Nursing Home Phlebotomy Coverage

URMC Clinical Labs would like to communicate our current policy regarding response times for phlebotomy service in the event of a potentially positive case within nursing homes and when administering of antiviral medications is involved.

 

December 30, 2008

Changes in Cyclosporine Testing

The Regional Toxicology Laboratory is pleased to announce that, as of Monday, December 22nd, the Laboratory began measuring cyclosporine levels by two new tandem mass spectrometers.  The new assays on these advanced instruments provide improved accuracy to cyclosporine levels.

 

December 4, 2008

Expansion of Autoimmune Disease Testing Using the BioPlex 2200

The URMC Immunology Laboratory is currently performing a small number of autoantibody tests using BioPlex technology, which employs a multiplexed fluorescent microsphere immunoassay. Starting December 8, 2008, the detection of antibody to double-stranded DNA will be completed as well.

December 3, 2008

2008-2009 Winter Respiratory Virus Season

Many viruses are distinctly seasonal.  Each year at this time we provide you with an updated review of laboratory test offerings for the “winter” viruses.  New for this year are specialized collection swabs for respiratory virus specimens.

December 3, 2008

Relocation of the Autologous Blood Donor Room

The Blood Bank and Transfusion Medicine Unit is pleased to announce the relocation of the Autologous Donor Room to the first floor of Strong Memorial Hospital in the vicinity of the information/reception desk.

November 7, 2008

Changes in Tacrolimus & Sirolimus Testing

The Regional Toxicology Laboratory is pleased to announce that, as of Monday, October 13, 2008, the Laboratory began measuring tacrolimus and sirolimus levels by two new tandem mass spectrometers. Benefits include improved accuracy, reliability, & turnaround time.

 

October 24, 2008

Appointments Now Available at Two Patient Service Centers

Both the Brighton-area 300 Meridian Centre and 1815 South Clinton Avenue PSCs are now accepting patient appointments.

 

October 17, 2008

New Fax Number for Lab Supply, Document, & Requisition Orders

On Wednesday, October 15th, URMC Labs switched to a new fax number for lab supply, etc. order requests due to a physical move of personnel to a more central & consolidated location.

 

September 19, 2008

Laboratory Information System Upgrade & Associated Downtime

The weekend of September 20th there will be an approximate 24 hour system downtime as we upgrade our LIS. Your patience and understanding of its management is appreciated.

 

September 19, 2008

Reference Testing Changes

On Saturday, September 20th, we will begin a phased transition of reference testing to Mayo Medical Laboratories. Additionally, the recent consolidation of our virology testing to Viracor will futher assist in standardization and access to results.

 

August 15, 2008

New Urine Toxicology Requisition with Reference Guide

The Regional Toxicology Laboratory is pleased to announce the creation of an improved urine toxicology requisition, featuring a reference guide (drug detection being sought, orderable individual test, orderable panel, and the expected result of confirmation testing).

 

August 13, 2008

New PCR Assay for Enterovirus Detection

The Virology Laboratory now offers a more sensitive alternative for the detection of enteroviruses, which often mimic and need to be distinguished from serious bacterial infections.

 

July 25, 2008

New HIV Viral Load Platform

The Molecular Diagnostics Laboratory is pleased to announce a new HIV-1 viral load platform using real-time PCR, offering an extended viral load range.

June 20, 2008

Stool Collection & Transport Guides for Common Tests

To improve laboratory testing and assist patients by providing instructions for stool collection, three color documents are now available.

June 10, 2008

Urine Free Cortisol Testing

Mayo Medical Laboratories is now performing urine cortisol testing and a container with boric acid is required (orderable via the laboratory supply & document order form). New reference ranges are in effect as well.

May 15, 2008

Standardization & Centralization of Highland Hospital Cytology & Surgical Pathology Reports

Changes will allow us to reduce report delivery time by at least 24 hours, improve Quality Assurance tracking, and assist in problem resolution.

April 25, 2008

Anticoagulation Therapy & the Use of PTT, anti-Xa, PT/INR

Laboratory testing is frequently needed for managing anticoagulant therapy, but some issues have come to our attention based on reviews of current patterns of test use.

April 1, 2008

Adjusted hours at 1820 South Clinton Avenue Patient Service Center (PSC)

The new hours are Monday- Friday 8:30 am – 12:30 pm; a listing of other Brighton area PSCs includes 1815 South Clinton Avenue, 300 Meridian Center, & 125 Lattimore Road.

March 24, 2008

Coagulation specimen transport requirements

All coagulation testing samples are requested to be delivered at room temperature, and in certain instances need to be tested within four hours of collection.

March 12, 2008

Methodology change for analyzing amphetamine and cocaine metabolite confirmations

Toxicology has switched to Liquid Chromatography with tandem mass spectrometer (LC-MS/MS), increasing sensitivity and reducing interference; this change also applies to the Fentanyl assay.

March 12, 2008

New tests performed in-house

On Tuesday, March 18th, the following tests will be run in-house: Free Testosterone, Thyroglobulin, ACTH, Anti-Thyroglobulin (Tg) antibody, Anti-Thyroid Peroxidase antibody (TPO), and Free T3. Please note the corresponding changes in reference ranges.

February 4, 2008

Prostate Biopsy Kits

Prostate biopsy kits have been added to our list of available supplies.

January 31, 2008

Methodology change for analyzing benzodiazepine confirmations

Toxicology has switched to Liquid Chromatography with tandem mass spectrometer (LC-MS/MS), increasing sensitivity and reducing interference.

January 31, 2008

Nasopharyngeal "flocked" transport swab

A new "flocked" transport swab for the collection of nasopharyngeal specimens is now available, which offers improvements for both the patient and sample collector.

January 21, 2008

Chlamydia & GC Amplification Collection Changes (Inpatient)

Chlamydia & GC Amplification Collection Changes (Outpatient)

Collection devices are orderable, the swabs now feature a liquid preservative, and the collection process is reviewed.

January 8, 2008

New phone & fax numbers

Reproductive Genetics & Maternal Serum Screening programs have new phone & fax numbers due to their recent relocation.

December 13, 2007

Cornerstone PSC

New patient service center location (replacing 1860 Buffalo Road PSC)

December 5, 2007

Creatinine method change

The Automated Laboratory is switching to a new creatinine assay.

December 5, 2007

Homocysteine and other new tests

Now being run in house on a Siemens Diagnostics analyzer: Androstenedione, Beta-2 Microglobulin, C-Peptide, DHEA-SO4, Growth Hormone, Homocysteine, IGF-1, Insulin, and Sex Hormone Binding Globulin.

December 5, 2007

Winter Virus Season 2007-2008

Updated review of laboratory test offerings for seasonal viruses.

November 26, 2007

Lead Testing Announcement

Lead testing is now being performed in-house in Strong's Regional Toxicology Lab.

October 29, 2007

Anaerobic specimen collection and transport

Anaerobic bacterial specimen collections guidelines and Port-A-Cult tube ordering instructions. 

June 25, 2007
Changes in 1st Trimester and Quad Screen Reports

1st Trimester Screening reports will now be formatted in a layout similar to our URMC Quad Screen reports. At the same time, our Maternal Screening software will be adjusted to provide all risk calculations in terms of "risk at the time of screening".

May 18, 2007
1st Trimester Screening Update

Since 1st Trimester Screening became available in Rochester in Fall of 2004, its popularity has exploded. Here's some important tips regarding its use and limitations.

May 4, 2007
New Appointment - Dr. Rana Hoda Director of the Cytopathology Laboratory

Dr. Rana Hoda will join our Department in September as Professor of Pathology and Laboratory Medicine and Director of the Cytopathology Laboratory.

March 19, 2007
Maternal Serum AFP Screening for Neural Tube Defects

In our continuing effort to refine our Maternal Serum Screening Program, we are using new analytical software with improved methods to identify women at increased risk for open neural tube defects (NTD's).

January 11, 2007
PSA Testing

Starting on Tuesday, January 16, 2007, the laboratory will complete the Total PSA conversion and offer Bayer test results exclusively.

November 22, 2006
2006-2007 Winter Virus Season

Review of laboratory test offerings for the "winter" viruses.

October 19, 2006
Coagulation Testing (memo, reference ranges)

Switch to new instrumentation for high-volume coagulation tests. Changes in reference ranges for PT, INR, APTT, Fibrinogen, Thromb Time, D-dimer, and Factor Assays.

September 15, 2006
Discontinuation of Troponin T

On Tuesday, September 19, 2006, the laboratory completed conversion to the Bayer Ultra Troponin I assay and discontinued Troponin T.

August 1, 2006
Revised Labeling Requirements in Accordance with National Patient Safety Goals

It is the policy of Strong Memorial Hospital that all Clinical Laboratory specimens submitted to the laboratory for testing require complete and consistent labeling on the specimen and requisition.

June 15, 2006
Changes in Cardiac Markers, Fertility Hormones, Digoxin, intact PTH and HCG (pdf)
Reference Range Changes (pdf)

June 27, 2006 move of immunoassay tests to new instruments made by Bayer Diagnostics, Phase II, with changes in reference ranges and collection tube changes for PTH and BNP (both change from an SST to a LAVENDAR TOP tube).

June 15, 2006
Changes in Thyroid Function Tests, Tumor Markers and Anemia Markers (pdf)
Reference Range Changes (xls)

June 20, 2006 move of immunoassay tests to new instruments made by Bayer Diagnostics, Phase I, with changes in reference ranges.

March 27, 2006
Hepatitis B Surface Antibody Testing (pdf)

Beginning on April 3rd, 2006, the laboratory will begin reporting both the qualitative and quantitative results for anti-HBs...