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med fusion Test Directory

Ordering Instructions

Manual Requisition Process

  1. Verify all tubes, specimen containers, and slides are labeled with patient’s full name, date of birth, and date of collection
  2. Verify ordering physician, patient medical record ID, and source of collection are documented on the necessary requisition
  3. Obtain most recent pathology report on the specimen to be analyzed
  4. Complete manual med fusion Solid Tumor requisition (download using buttons to the right)
  5. Specify pathology institution where specimen is located
  6. Collect the insurance and demographic information for the patient
  7. Choose the testing service that you would like to be performed
  8. Fax to 972.966.7661 or 844.364.0860

EMR or LIS System Requisition Process

  1. Provide all requested information required at time of order entry indicated by your EMR
  2. Choose the testing service that you would like to be performed by utilizing the order code indicated on the requisition (view using buttons to the right)
  3. Fold and place the requisition with the accompanying specimen in a med fusion zip lock bag and mark the temperature environment on the zip lock bag
  4. If needed, contact Client Services to arrange for a specimen pick-up
  5. Store at the appropriate temperature until a courier arrives (click here for the DOS for specimen requirements)

Manual Requisition Process

  1. Verify all tubes, specimen containers, and slides are labeled with patient’s full name, date of birth, and date of collection
  2. Verify ordering physician, patient medical record ID, and source of collection are documented on the necessary requisition
  3. Complete the med fusion Hematopathology requisition (download using buttons to the right)
  4. Consult the Hematopathology bone marrow or peripheral blood kits for collection and testing information
  5. Record accurate inventory of what you are sending to us
  6. Provide CBC results, clinical history, and previous pathology reports
  7. Fold and place the completed Hematopathology requisition and any other documentation inside the med fusion bone marrow or peripheral blood kit, outside the zip lock bag
  8. Complete Blood/Bone marrow information form (to be completed by ordering physician). Fold and place inside the kit, outside the zip lock bag
  9. Close the med fusion Hematopathology bone marrow or peripheral blood kit using the lock tab
  10. If needed, contact Client Services to arrange for specimen pick-up
  11. Store at the appropriate temperature until a courier arrives (see med fusion Hematopathology bone marrow or peripheral blood kit for instructions)

EMR or LIS System Requisition Process

  1. Provide all requested information required at time of order entry indicated by your EMR
  2. Choose the testing service that you would like to be performed by utilizing the order code indicated on the requisition (view using buttons to the right)
  3. Consult the DOS or Hematopathology bone marrow or peripheral blood kit for collection and testing information
  4. Record the accurate inventory of what you are sending to us
  5. Provide CBC results, clinical history, and previous pathology reports
  6. Fold and place the completed Hematopathology Requisition and any other documents inside the med fusion Hematopathology bone Marrow or peripheral blood kit, outside the zip lock bag
  7. Complete Blood/Bone Marrow information form (to be completed by ordering physician). Fold and place inside the kit, outside the zip lock bag
  8. Close the med fusion Hematopathology bone marrow or peripheral blood kit using the lock tab
  9. If needed, contact Client Services to arrange for specimen pick-up
  10. Store at the appropriate temperature  until a courier arrives (see med fusion Hematopathology bone marrow or Peripheral blood kit for instructions)

Manual Requisition Process

  1. Verify all tubes, specimen containers, and slides are labeled with patient’s full name, date of birth, and date of collection
  2. Verify ordering physician, patient medical record ID, and source of collection are documented on the necessary requisition
  3. Obtain most recent pathology report on the specimen to be analyzed
  4. Complete manual med fusion Women’s Health requisition (download using buttons to the right)
  5. Specify pathology institution where specimen is located
  6. Collect the insurance and demographic information for the patient
  7. Choose the testing service that you would like to be performed
  8. Fax to 972.966.7661 or 844.364.0860

EMR or LIS System Requisition Process

  1. Provide all requested information required at time of order entry indicated by your EMR
  2. Choose the testing service that you would like to be performed by utilizing the order code indicated on the requisition (view using buttons to the right)
  3. Fold and place the requisition with the accompanying specimen in a med fusion zip lock bag and mark the temperature environment on the zip lock bag
  4. If needed, contact Client Services to arrange for a specimen pick-up
  5. Store at the appropriate temperature  until a courier arrives (click here for the DOS for specimen requirements)

Manual Requisition Process

  1. Verify all tubes, specimen containers, and slides are labeled with patient’s full name, date of birth, and date of collection
  2. Verify ordering physician, patient medical record ID, and source of collection are documented on the necessary requisition
  3. Obtain most recent pathology report on the specimen to be analyzed
  4. Complete manual med fusion General Health requisition (download using buttons to the right)
  5. Specify pathology institution where specimen is located
  6. Collect the insurance and demographic information for the patient
  7. Choose the testing service that you would like to be performed
  8. Fax to 972.966.7661 or 844.364.0860

EMR or LIS System Requisition Process

  1. Provide all requested information required at time of order entry indicated by your EMR
  2. Choose the testing service that you would like to be performed by utilizing the order code indicated on the requisition (view using buttons to the right)
  3. Fold and place the requisition with the accompanying specimen in a med fusion zip lock bag and mark the temperature environment on the zip lock bag
  4. If needed, contact Client Services to arrange for a specimen pick-up
  5. Store at the appropriate temperature until a courier arrives (click here for the DOS for specimen requirements)

Manual Requisition Process

  1. Verify all tubes, specimen containers, and slides are labeled with patient’s full name, date of birth, and date of collection
  2. Verify ordering physician, patient medical record ID, and source of collection are documented on the necessary requisition
  3. Obtain most recent pathology report on the specimen to be analyzed
  4. Complete manual med fusion General Health requisition (download using buttons to the right)
  5. Specify pathology institution where specimen is located
  6. Collect the insurance and demographic information for the patient
  7. Choose the testing service that you would like to be performed
  8. Fax to 972.966.7661 or 844.364.0860

EMR or LIS System Requisition Process

  1. Provide all requested information required at time of order entry indicated by your EMR
  2. Choose the testing service that you would like to be performed by utilizing the order code indicated on the requisition (view using buttons to the right)
  3. Fold and place the requisition with the accompanying specimen in a med fusion zip lock bag and mark the temperature environment on the zip lock bag
  4. If needed, contact Client Services to arrange for a specimen pick-up
  5. Store at the appropriate temperature  until a courier arrives (click here for the DOS for specimen requirements)

Shipping Instructions

The shipper is required to comply with the rules and guidelines for the transportation of medical specimens as set forth by International Air Transportation Association (IATA). Failure to follow instructions for packaging and shipping specimens can result in the delay, loss, or destruction of patient specimens. med fusion will not be held responsible for any liability attributable to the shipper’s improper actions or failure to comply with regulations.

A. Shipper must properly identify, classify, package, mark, label, and document contents of the shipment in accordance with the laws and regulations of IATA, including determining if the sample is Category A. See IATA Guidance Document Infectious Substances.

B. Shipper must use FedEx Billable Stamp service to ship samples to med fusion to the Suite 1220 address in order to ensure prompt delivery and testing of sample.

C. Saturday delivery requires the use of the FedEx Expanded Billable Stamp provided by med fusion plus the addition of “Saturday Delivery” labels affixed to the package and Saturday delivery must be checked. FedEx does not deliver on Sundays or holidays.

D. Category A samples are considered Dangerous Goods and must be shipped to med fusion using a Shipper’s Declaration and appropriate UN Certified Packaging. Contact Client Services for additional requirements for Category A samples.

01Shipping

Federal Express requires specimen packaging to include the following:

  • Leak proof primary receptacle.
  • Leak proof secondary packaging with biohazard labeling.
  • Either the primary or secondary package must be capable of withstanding, without leakage, an internal pressure differential of not less than 95 kPa.
  • Absorbent material (desiccant) placed between the primary receptacle and the secondary packaging.
  • Sturdy outside packaging. Category A requires a UN certified box, additional labels, and a dangerous goods shipper’s declaration.
  • All samples shipped to med fusion are Category B unless they are Category A.
  • All shipping containers provided by med fusion are compliant with regulations and contain the appropriate transport box, single or double cooler, labels, packing material and instructions. If you have prepared the specimens according to the instructions in this section, your specimens are ready for transport.

If you will be shipping your specimens directly to med fusion using FedEx or other air carrier, we recommend the following:

  • Separate the specimens by temperature
  • Pack frozen specimens in blue bags, refrigerated specimens in green bags, ambient specimens in red bags and Microbiology specimens in yellow bags. Be sure the specimen bags contain absorbent. Consult the med fusion Directory of Service for more information on shipping Microbiology specimens.

02Shipping

  • The Styrofoam transportation coolers (“Shippers”) provided by med fusion contain 1 or 2 Styrofoam coolers in combination with the external packing boxes and contain appropriate labeling for dry ice and bio hazards.

03Shipping

  • Place a cold cool-pack brick in the bottom of a Styrofoam cooler, place 3-4 paper towels (for insulation) over the brick and insert the green specimen bags.
 10Shipping11Shipping12Shipping
  • Place additional packing material on top of the specimen bag and place lid on top of Styrofoam cooler and tape up cardboard box. Cover up dry ice label with brown label. DO NOT cover up UN3373 label or “Up arrows”.

13Shipping14Shipping15Shipping

  • Package is ready to ship. Complete the appropriate shipping documents if required.
  • Place the specimen bag in the bottom of the Styrofoam cooler.

16Shipping

  • Place additional packing material on top of specimen bag and place lid on top of Styrofoam cooler and tape up cardboard box. Cover up dry ice label with brown label. DO NOT cover up UN3373 label or “Up arrows”.

13Shipping14Shipping15Shipping

  • Package is ready to ship. Complete the appropriate shipping documents, if required.
  • Place a layer of pellet dry ice (or block dry ice broken into small pieces) in the bottom of the Styrofoam cooler.

04Shipping

  • Place 3-4 paper towels on top of the dry ice and insert the blue specimen bags. Under normal conditions, five pounds, or 2.2 kilograms maximum of dry ice will keep the specimens frozen until they arrive at our laboratory.

11Shipping06Shipping07Shipping

  • Tape up the cardboard box and mark how much dry ice is inside the box on the dry ice label on the outside.

09Shipping

  • Package is ready to ship. Complete the appropriate shipping documents if required.
Specific collection instructions for individual test appear in the alphabetical test index of the Directory of Services under “Specimen required” and in our online test directory. Please refer to this information to ensure that the appropriate specimen has been collected and test ordered.

Labeling Specimens

All specimens submitted to med fusion/Quest Diagnostics for testing must be appropriately labeled. This requirement assures positive identification and optimum integrity of patient specimens from the time of collection until testing is completed and results reported. Clients will be notified of inappropriately labeled specimens, which will be returned to the client upon request.

 

The College of American Pathologists (CAP) Laboratory General Checklist requires that all specimens must be labeled at the time of collection to provide unique identification. Ideally, a name-number system is desirable so that there are at least two separate identifying items on each sample.

Specimen Packaging

OSHA requires that all shipments containing clinical specimens be marked with a “Biohazard Label.” Bags and labels for shipments send to med fusion/Quest Diagnostics will be provided.

Ambient Temperature (Room Temperature)

Our standard transport bags are designed to transport blood, urine, and other specimens that do not require special temperatures for handling. If you have any concerns regarding the effect of extreme weather conditions on routine or refrigerated specimens, please contact Client Services.

Exposure to Light

It is important to avoid exposing blood specimens for photosensitive analytes to artificial or sunlight for any length of time. The test index will identify those tests adversely affected by light exposure. These specimens are to be protected with specimens are to be protected with an aluminum wrap or equivalent.

Refrigerated Specimens

Place specimen in the refrigerator for storage before pick up by the courier.

Frozen Specimens

  • Label each tube with the patient’s full name, date of birth, date and time collected, and type of specimen (urine, EDTA plasma, serum, etc.), and a with a collector’s name or ID number.
  • When submitting frozen specimens, it is critical to leave and air space at the top of the tube to allow for expansion and to prevent leakage.
  • Contact Client Services for special transport arrangements of critical specimens.

Specimen Collection Devices

ClearPoint Collection Guide 7.26.2012

Click to enlarge.

In an effort to maintain a high standard of specimen integrity, the following criteria have been developed with the intention of ensuring accurate, meaningful patient results.

Unsatisfactory Information

  • All specimens must be properly identified with patient’s full name, date of birth, collection date, as well as the time and initials of the collector.

  • All specimens must be accompanied by a requisition which includes full name, birth date, sex, date and time of collection, and full name of requesting physician.

  • The source of the specimen should be noted when appropriate.

  • Specimens not labeled properly will be rejected.

  • Unlabeled specimens drawn by client will be rejected and returned upon receipt.

Inadequate Specimen Due to Collection and Transportation Problems

  • Contamination of the specimen (e.g., bacterial contamination, hemolysis, IV solution, etc.).

  • Insufficient specimen for test requested, such as quantities less than those stated in this Directory of Services Manual.

  • Collection in improper container (e.g., incorrect tube additive, non-sterile container for cultures, improper preservative, or holding medium).

  • Failure to follow special instructions (e.g., drug levels and place in ice, protect from light, separate plasma immediately).

  • Prolonged delay in transportation.

Inadequate Specimen Due to Patient Preparation

  • Non-fasting patient for test that requires fasting state.

  • Incorrect preparation of patient for test.

  • Specimen drawn at incorrect time (e.g., drug levels which should be drawn at peak or trough concentrations).

If a compromised specimen is accepted, a note will be made on the final report as to the nature of the problem and caution should be used when interpreting the results. If a specimen is rejected, the client/physician will be contacted to decide disposition. Specimens rejected due to collection problems are held in proper storage for 7 days.

 

All specimens are examined upon receipt by the laboratory to ensure suitability for analysis. If the specimen volume is insufficient or if the specimen has been improperly handled, the reliability of test results could be compromised and the specimen will not be processed. The client will be contacted.

 

Laboratory test results are dependent on the quality of the specimen submitted. It is important that all specimens and requisitions be labeled with full name of the patient, date of birth, collection date and time, initials of the collector, and the origin (source) of the sample, when applicable.

 

If there is any doubt or question regarding the type of specimen that should be collected, please contact our Client Services Department at 972.966.7300, to clarify the order and sample requirements.

Please allow 3-4 business days for delivery of your supply orders

 Order Tests using our

Physician’s Portal

Client Services

Phone: 1.972.966.7300 or 1.855.500.8535
Email: clientservices@medfusionsvs.com
Client Services Hours: 24/7/365

Billing Customer Service

Phone: 1.972.966.7080 or 1.888.385.2154
Fax: 1.972.966.7227
Email: billing@medfusionsvs.com
Hours of operation: Monday – Friday, 8:00 AM – 5:00 PM (CT)

Clinical Trials

Phone: 1.972.966.7600 or 1.844.361.9641

Email: Clinical-Trials@medfusionsvs.com

Solid Tumor Hotline

The US Oncology Network and Texas Oncology Dedicated Hotline

Phone: 1.972.966.7050 or 1.844.966.7050

Hematopathology Hotline

Phone: 1.877.384.9893

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