The Laboratory Manual is divided into eight sections and a set of appendices.
Each of the sections is available as a PDF file as well as each of the appendices. There is also the complete
Laboratory Manual and complete Appendices in three parts Part 1, Part 2 and Part 3 available in
PDF format.
Section I
General Laboratory
Information |
- Scope of Service 2
- HIPAA 2
- License & Regulatory Entities 2
- Laboratory Licenses 2
- Pathologist Information 3
- Ordering and Reporting Lab Tests 3
- Add-on Requests 5
- Telephone Orders 5
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- Inpatient Printed Reports 5
- Telephone Reports 5
- Laboratory Tests on Minors 5
- Specimens without orders 6
- Outpatient Laboratories 6
- Reference Lab Testing 7
- Reference Labs 7
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Section II
Testing Specifications |
- STAT Testing, Menu 2
- Critical Values, Policy 3
- Critical Values, Chemistry 3
- Critical Values, Hematology 3
- Critical Values, Therapeutic Drugs 3
- Critical Values, Urinalysis 4
- Critical Values, Blood Bank 4
- Critical Values, Pre-op 4
- Critical Values, POCT 4
- Critical Values, Microbiology 4
- Critical Values, Reference Test Results 4
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- Reference Ranges 5
- Method Specifications 5
- In-house Analyte Testing Schedule 5
- Microbiology Turn-Around-Times 9
- Reflex Testing, Policy 10
- Reflex Testing, Blood Bank 10
- Reflex Testing, Microbiology 10
- Reflex Testing, Chemistry 11
- Reflex Testing, Hematology 11
- Reflex Testing, Urinalysis 11
- Reflex Testing, Reference Lab 12
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Section III
Specimen Procurement |
- Universal Precautions 3
- Laboratory response to a request to draw blood 3
- Patient Identification 3
- “John/Jane Doe” bands 3
- Specimen Labeling 4
- Unlabeled specimen(s) or Incorrectly labeled
- specimen(s) 4
- Specimen Priority 5
- Morning Rounds 5
- In-patient Daily Activities Sheet 5
- Refused Draws 5
- Specimen Transport 5
- Patient Instructions, Fasting 6
- Patient Instruction, Fist Pumping 6
- Patient Instruction, Fainting 6
- Tube Order of Draw 7
- Arterial Punctures, MGH only 7
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- Venipunctures in Patients with IVs Running 8
- Specimens from patients receiving IV Heparin 8
- Blood Culture, Procedure 9
- Blood Culture, specimen volume 10
- Blood Culture, number and timing 11
- Specimen Collection, Abscesses 11
- Specimen Collection, Anaerobic Cultures 12
- Specimen Collection, Anal 12
- Specimen Collection, Blood drawn from lines 12
- Specimen Collection, Blood for Gases and
- CBC or Components 12
- Specimen Collection, Catheter tips 12
- Specimen Collection, Cervix 12
- Specimen Collection, Decubiti (pressure sores) 13
- Specimen Collection, Fetal Fibronectin 13
- Specimen Collection, Ear 13
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Section IV – Transfusion Services Policies |
- Introduction 2
- Pre-transfusion Consents 2
- Specimen For Type & Cross 2
- Blood and Blood Component Compatibility 2
- Procedure for Signing Out Units for Transfusion 3
- Procedure for Units for Cardiac Surgery at MGH 4
- Whole Blood 5
- Leukocyte-Poor Packed Cells 5
- Washed Packed Cells 6
- Autologous Blood 6
- Designated Donor Blood 6
- Fresh Frozen Plasma 7
- Cryoprecipitate 7
- Platelets 7
- Platelet Transfusions Therapy 8
- Fibrin Adhesive (Glue) 9
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- Albumin Solution 9
- Zoster Immune Globulin 9
- Administration of Blood and Blood Components 10
- Administration, Additions to Blood 10
- Administration, Blood Warmer 10
- Administration, Filters 11
- Irradiation 11
- Completion of Transfusion 11
- Transfusion Reactions 12
- IgA Deficiency 12
- TRALI 12
- Special Blood Bank Policies 13
- Component Costs 13
- Transfusion Services at Facilities other than MGH
14
- Satellite Dialysis 14
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Section V
Cytology Information and
Procedures |
- Request Forms 2
- Outpatient Facilities 2
- Supplies - Hospital 2
- Supplies – Outpatient Facilities 3
- Procedure, ThinPrep 3
- Procedure, Pap Smear 3
- Procedure, Button (Cell Block) 3
- Procedure, Breast Smear 4
- Procedure, Bronchoscopy Specimens from O.R. 4
- Procedure, Cerebrospinal Fluid (CSF) 4
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- Procedure, Fluids 4
- Procedure, Endoscopic Brushings 5
- Procedure, Oral Lesion Smears 5
- Procedure, Sputum 5
- Procedure, Fine Needle Aspiration 5
- Procedure, Urine 6
- Procedure, Rectal/Anal Specimen 6
- Procedure, Cervical, Vaginal, Endocervical 6
- Procedure, Estrogen Estimation 7
- Procedure, Not Listed Above 7
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Section
VI
Tissue Specimens (Surgical
Pathology) |
- What Goes to Pathology 2
- Routine Service Schedule 2
- Special Service Requests 2
- Operating Room Consultations 2
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- Containers 2
- Labels 3
- Permission for Disposal and Release of Specimens
3
- Tissue Specimen Instructions 3
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Section VII
Death and Autopsy |
- Background 2
- Coroner’s Autopsies 2
- Hospital Autopsies 3
- Alzheimer’s Autopsies 5
- Curator of the Dead for Northern California 5
- Marin County Public Administrator 5
- Radiation Deaths 5
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- Fetal and Newborn Deaths 6
- Disposal of Fetuses 6
- Death Due to Communicable Diseases 6
- Reporting of Autopsies 6
- Permission and Refusal Forms Applicable to
Pathology 7
- Attachments 7
- Reference 7
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Section VIII
Departmental Agreements |
- Preoperative Laboratory Examinations 2
- Point-of-Care Testing 3
- Emergency Department Policies 3
- MGH Lab Response to Code Blue 10
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- EMD Blood Recipient Identification Bands for John/Jane Doe Patients 12
- MGH In-patient Psychiatric Services and Crisis Services 13
- MGH Pathology / Laboratory and Surgery 14
- Oncology 15
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| Alphabetical List of Tests |
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