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Test Code USCRM - ELM Urinalysis, with Reflex to Culture

Specimen Collection Requirements

Dept: Hematology
SPECIMEN COLLECTION REQUIREMENTS
Collection Container:

Sterile Container or Urine Preservative Kit (Speckled & Gray Top Tubes)

Specimen: Random Urine
Collection Notes: NOTE: OUT OF AREA CLIENTS - BD Kits are available to increase test stabilty up to 72 hours. Collect urine in a sterile container. Transfer sample to the Speckled Top & Gray Top urine preservative tubes.
Transport Temperature: Room Temperature
Specimen Volume: Preferred Volume: 10 mL; Minimum Volume: 2 mL
TECHNICAL SPECIFICATIONS
Performed: Monday - Saturday
Reported: Same Day
Methodology: Automated reagent strip reader; Microscopic examination
LOINC: See Individual Components:
Stability: Room Temperature: Up to 3 Days if Preserved; Refrigerated: 24 Hours Unpreserved, up to 3 Days if Preserved; Frozen: Unacceptable
Reference Range:

See Report

Notes: Samples that are not preserved will be canceled if received after 24 hours of collection. Contact the lab if urine preservative tubes are needed. Additional tests may be performed based on primary test results. An additional fee may be charged.

 

Urine screen will reflex to microscopic if any of the following results are obtained:

  • Clarity is not clear
  • Hgb(blood) is > trace
  • Protein is > 30
  • Nitrite is positive
  • Leukocyte esterase is> trace

Urine screen will reflex to culture if:

  • The biochemical screen reflexes to a microscopic based on the USCR above criteria  AND
  • WBCs= greater than or equal to10/hpf  or are clumped
  • Bacteria are present

Children from birth – 12 years have additional rules to reflex to culture based on the macroscopic findings

  • BLD: Trace, Small, Moderate, Large
  • LEU: Trace, Small, Moderate, Large
  • NIT: POS