H = histology Tie off the tubing, or seal mucus trap with cap found on bottom of the trap. Indicate the patient's special conditions (e.g., immunocompromised, transplant, cystic fibrosis, etc. Links. Straight catheter urine is collected using catheter collection kits. Learn More. Repeat procedure on other nostril, collecting fluid into the same container. The UCSF Fresno Medical Education Program is a branch of the School of Medicine, extending critical physician training and medical care to the San Joaquin Valley. 2. The system is continuously adjusted in response to new information and current needs. However, not all the bacteria unequivocally represent clinically significant infections (e.g., S. epidermidis). Events; People; Molecular Electron Microscopy at UCSF. See how UCSF is finding new ways to teach the next generation. NOTE: depth of insertion necessary to reach posterior pharynx is equivalent to distance between external nostril and external opening of the ear. UCSF Lab Manual » SFGH Lab Manual » BCHO Lab Manual » Login; Search; Contact Us; MAKE A GIFT; About Us About Us. UCSF Clinical Labs Sharepoint Site (VPN required if outside of UCSF Network), UCSF Clinical Labs Sharepoint Site (READ ONLY), Sharepoint Site for 7.3 Upgrade (READ ONLY), Lab Medicine Resident On-call Schedule (Q-genda), Service Now Website (to submit a request for LIS staff assistance), Service Now for Clinical Engineering (to submit a request for Clinical Engineering assistance), Access to Clin Labs DFS Tree from Home (via VPN), Apex Remote Access (for access outside of UCSF), Apex Training for View Only Access (select "Apex" and then "Apex - View Only Access"), Barracuda Spam and Virus Firewall (to modify your SPAM filters), ViewPoint (web-based temperature monitoring system), ©2021 The Regents of the University of California. Extensive menu of clinical tests and services at UCSF Clinical Laboratories. to gain basic understanding of the Wiki. Use thumb control to apply suction when withdrawing the catheter from the nasopharynx. UCSF Lab Services at Mission Bay performs diagnostic and other laboratory tests for patients receiving care in our hospital and clinics and for our scientific researchers.Your doctor may order specific tests to better understand your condition. Serology for E. histolytica is quite useful, particularly in diagnosing amebic liver abscess. UCSF has selected iLab solutions as the enterprise-wide core facility management system to replace MyCores. Criteria for performing susceptibilities on isolates from stool: Ampicillin (suppressed on CSF), if intermediate or resistant report: Ceftriaxone (suppressed on stool, except if Salmonella typhi, S. paratyphi A, S. choleraesuis, Enterobacteriaceae, other than Salmonella, Shigella, Plesiomonas and Edwardsiella tarda, Glucose nonfermenters, not S. maltophilia, Acinetobacter spp., and B. cepacia. Current information regarding the cumulative percentage of commonly isolated bacterial species which are susceptible to a given level of antimicrobial and the number of strains in the UCSF data base can be found at http://clinicalpharmacy.ucsf.edu/idmp/antibiogram_home.htm. Pathology Staff; Licenses and Accreditations; Department of Laboratory Medicine. LHAT (certify lab hazards and get free PPE). Consult the laboratory prior to collecting the specimen. Turn on suction and adjust vacuum pressure to 40-60 mmHg. Gartner Lab Wiki. Are you Space Administrator who needs a refresher on how to give permissions to individuals or groups? UCSF laboratories perform more than 4.2 million tests every year. Release the pressure on the bulb to aspirate the specimen back into the bulb. Lab Safety. We are proud to offer an extensive menu of clinical tests and services through our four CLIA-certified, CAP-accredited laboratories at Moffitt-Long Hospital, Mission Bay Hospitals, Mt. The UCSF Office of Environment, Health and Safety (EH&S) provides expertise and resources to help the UCSF community maintain a safe workplace, ensure … Adding a Printer to Clin Lab PCs. Laboratory Medicine Staff; Affiliated Hospitals. Main Office: 415-476-1300. Metagenomic next-generation … Drug panels have been devised for staphylococci, streptococci, enterococci , enterobacteriaceae, Pseudomonas aeruginosa, and other organisms, and take into account whether the isolates are from urine or from other sites. PDF File: Lab Manual Ucsf - LMUPDF-53 2/2 Lab Manual Ucsf Read Lab Manual Ucsf PDF on our digital library. Attach other end to wall suction. General Cell Biology 24-well Plate Spin Infection: Culturing Immortalized Dicer Floxed MEFs: DNA Isolation from ES Cells -96 well plate: Electroporation of targeting construct: Freezing 96-well master plates: Freezing ES cells : Growing/splitting E14 ES cells: Lac Z staining mouse embryos: The tables on the following pages give the drugs reported for specific organism types. bDNA = branched DNA If organisms are resistant to these primary drugs, additional results will be reported for more expensive, potentially more toxic drugs of second choice. The data include isolates from both community-acquired and nosocomial infections which have met the laboratory criteria for potential clinical importance (e.g., urine >=100,000/mL, isolates from normally sterile sites such as blood, predominant organisms from a wound, etc.). Thus it is possible to obtain susceptibilities after the report is received. Welcome to the UCSF Clinical Laboratories Test Menu...where every sample is precious! If possible, have the patient retain the saline for a few seconds. It is not necessary to fill the cup, half full is enough. Fill bulb syringe with 1-3 ml of sterile saline, depending on size of the patient, and instill saline into one nostril, while the head is tilted back. Species known to be frequently pathogenic may be reported from normally nonsterile areas; however, when present in scant numbers, they are not necessarily clinically significant. Metagenomic next-generation sequencing (mNGS) can potentially diagnose all infectious agents — viruses, bacteria, fungi, and parasites — in a single test. CMV culture can be positive due to asymptomatic carriage. The ALBA Language Neurobiology laboratory in the UCSF Memory and Aging Center is directed by Dr. Maria Luisa Gorno Tempini. UCSF laboratories perform more than 4.2 million tests every year. Refer to your lab director to ensure your institution has an established account. Susceptibility testing for other drugs  is not performed  without consultation by Infectious Diseases Service or  Infectious Diseases Pharmacy. Instruct patient to return sample to a specified location. Quantitative PCR on blood for monitoring or diagnosis. Continue spreading the labia and start to urinate directly into the toilet. Gartner Lab, UCSF. Minimum volume 1 mL (preferred 2 mL) 2. Our services include tests related to chemistry, hematology, immunology, genomics, metabolism, microbiology, molecular diagnostics, toxicology and transfusion medicine. Lesion biopsy specimens should be examined by routine histopathology. Tilt the head forward and allow the fluid to flow into the specimen container. The MIC, the lowest concentration of a drug that inhibits the growth of the organism in vitro, is reported in mg/L (µg/mL). Gently thread the tube through the external nostril, into the nasopharnyx. various gram-negative bacteria other than, non-dextrose-fermenting gram-negative rods enterococci, alpha-hemolytic and nonhemolytic streptococci. Requisition forms are available with your lab director once you have an account. UCSF is committed to protecting its workforce and the environment, as we advance health worldwide. The interpretations of the susceptibility test results are definedas follows: S- Susceptible: The organism is inhibited by the antimicrobial at a concentration readily achieved in blood and urine with the usual dosing. We especially wish to highlight our respect for individuals of all cultural backgrounds as well as our continued Infant and Younger Child: Sit child on parent’s lap facing forward, with the child’s back against the parent’s chest. Consult with your lab director to send your patient sample. ++++ = likelihood of positivity, ©2021 The Regents of the University of California, Conditional Reporting of Antimicrobial Sucsceptibility, Microbiology Specimen Collection Guide for UCSF Operating Rooms, CT/NG DNA Specimen Collection Instructions, CT/NG RNA and Trichomonas vaginalis Specimen Collection Instructions, Conditional Reporting of Antimicrobial Susceptibility, http://clinicalpharmacy.ucsf.edu/idmp/antibiogram_home.htm, Appropriate Specimens for Identifying Most Common Viral Etiologies, Order whenever histoplasmosis, coccidioidomycosis or other mycelial fungi are suspected; examine histology and culture biopsy specimen in parallel. UCSF Lab Services at Parnassus performs diagnostic and other laboratory tests for patients receiving care in our hospital and clinics and for our scientific researchers.Your doctor may order specific tests to better understand your condition. Contact Us; C = culture UCSF physicians should place all clinical laboratory test orders via APeX. Susceptibility results will be reported for a panel of primary drugs consisting of standard, less expensive (often generic), and less toxic agents. Urine is placed in screw-capped cup. mNGS in a Nutshell What is mNGS? Zuckerberg San Francisco General Hospital Laboratory Test Database. ), Piperacillin-tazobactam (suppressed on CSF and, Aztreonam (suppressed if ceftazidime I or R), Piperacillin-tazobactam (suppressed on CSF), Piperacillin-tazobactam (suppressed on CSF), Tobramycin (only reported if M. chelonae). iLab Solutions is the leader in providing web-based management services to academic research institutions with customers that include leading NIH-funded universities, research hospitals, and independent institutes. RIO (chemical and biological use protocols, chemical inventory, view training certificates. Gartner Lab Resource Schedule. Stay tuned for more details as we implement t… Laboratory Medicine Staff; Affiliated Hospitals. Appropriate Specimens for Indentifying Most Common Viral Etiologies. UCSF Chimera is a program for the interactive visualization and analysis of molecular structures and related data, including density maps, trajectories, and sequence alignments. The UCSF Department of Laboratory Medicine oversees the Clinical Laboratories, which offer advanced testing methods to institutional clients. The normal flora are listed in the following table, Oronasal (oral, nasal, and pharyngeal) Cultures. Susceptibility tests will routinely be set up on any organism judged potentially significant by the laboratory, if the test has not been performed on the same organism within 7 days (4 days for Nafcillin-resistant Staphylococcus aureus, Pseudomonas aeruginosa, Citrobacter, Enterobacter, and Serratia spp.). Aspirate or scrapings from suspicious colonic lesions can be submitted in SAF fixative with 1 part sample to 3 parts of SAF. Our radiologists are known around the world for their expertise and work closely with care teams within and outside of UCSF to deliver the best possible care for patients. Offer the patient tissues as appropriate. Do not touch the container to the genital area. Histology on a biopsy specimen can be useful in assessing disease. For Giardia, stool antigen detection by EIA is more sensitive and specific than microscopic examination. Start to urinate directly into the toilet, During mid-steam, position the container, then begin urinating into the container. Your message will be returned within . UCSF Benioff Children's Hospital Oakland Lab Test Directory. McManus Lab Protocols. Follow this link for an updated graph of viral isolates. Clindamycin (supressed on urine and CSF; suppressed on, Erythromycin (supressed on urine and CSF), Penicillin (If not reported but being considered for therapy, contact Microbiology. Please send CSF in a sterile tube: 1. Varying batteries of drugs are employed. one business day. Integrin interactions. Zion, and China Basin. Proctoscopic exam for E. histolytica is seldom performed. Department of Pathology. The parent should wrap one arm around the child in a manner that will restrain the child’s body and arms. Footer. Transfer the specimen into specimen container. Susceptibility testing is performed by the microtiter broth dilution technique, and   in special situations by the disk diffusion [Bauer-Kirby] method. Pharmacy students stepped up to the COVID-19 response by administering UCSF's first vaccines to frontline workers.. Three UCSF researchers have received New Innovator Awards from the National Institutes of Health to help fund their "moon shots.". ), Tetracycline (suppressed on CSF and blood), Trimethoprim-sulfamethoxazole (suppressed on blood), Gentamicin, high level (suppressed on urine). Clean-voided urine for culture is collected in a clean, dry plastic cup with a non-leaking lid (non-sterile containers are OK): Holding the labia apart, wash the entire area with the sterile cleansing towelette provided; wiping from front to back. ... ACR Manual on Contrast Media Version 10.3, 2017: 6-15, 24-30. Here are the steps to order a test: 1. UCSF Fresno. In conjunction with the Pharmacy and Therapeutics Committee and the Infectious Disease Service, the Microbiology section of the Clinical Laboratories has developed a heirarchical scheme of reporting antimicrobial susceptibility test results. Lesser amounts of the following when accompanied by the above. This information helps in the proper processing of the specimen and in the interpretation of the culture. ), and any antimicrobial therapy. 50 Medical Center Way, San Francisco CA 94143. Additional charges are incurred for identification and susceptibility testing. See our These panels and the conditionally reported secondary drugs are described below: Group B Streptococcus (done on OB patients if penicillin allergic). Hold specimen trap upright to prevent secretions from going into the suction tubing. By modulating biological processes, these new molecules, known as chemical probes, teach us how cells function and how As per our directory, this eBook is listed as LMUPDF-53, actually introduced on 15 Jan, 2021 and Our lab seeks to address some of the most challenging problems in chemical biology and early-stage drug discovery. A series of at least 3 routine stool examinations for parasites should be performed on each patient before sigmoidoscopy examination is done. A century of experience has continuously refined our mission to care, heal, teach and discover. Alternatively, the urine can be collected using a needle and syringe, and transferred to a red stopper vacutainer tube (pop the top of the vacutainer tube; there is no need to go through the rubber diaphragm with a needle). Yes, testing of UCSF patients requires approval by Microbiology in consultation with Infectious Disease or Neurology. Your doctor may prescribe certain tests to better understand your medical condition. Pathology Staff; Licenses and Accreditations; Department of Laboratory Medicine. Preliminary results on stat gram stains from normally sterile sites and malarial smears are issued by the hospital-based Hematology sections. UCSF outpatient testing requires insurance preauthorization. ZSFG Lab Manual. Pathology Staff; Licenses and Accreditations; Department of Laboratory Medicine. UCSF Lab Manual » SFGH Lab Manual » BCHO Lab Manual » Login; Search; Contact Us; MAKE A GIFT; About Us About Us. The first collection immediately after insertion of a catheter is considered a "straight cath urine." Lab Members; News. Repeat procedure on other nostril, transferring second specimen into the same specimen container. Department of Pathology. Adult and Older Child: Position patient comfortably in sitting position, neck slightly hyper-extended. All organisms present in normally sterile materials are reported whether or not they are likely to be contaminants. Do not refrigerate blood cultures, swabs in charcoal transport medium, cerebrospinal, joint and other normally sterile body fluids, tissue, or specimens already inoculated to plates or broth. FA = fluorescent antibody DO NOT employ mouth suction. PCR = polymerase chain reaction Laboratory Medicine Staff; Affiliated Hospitals. For superficial mycoses (e.g., Candida, Epidermophyton, Trichophyton, or Microsporum spp.) There are many people named Jen at UCSF, so to find the one you're looking for, you might try including a last initial or a department name. In the event that computer physician order entry systems are unavailable, the UCSF Clinical Laboratories will accept paper orders, provided they contain all necessary … How It's Done. S = serology NEWS ZSFG CEO Report ZSFG CEO Note **Please click here or the link on the menu for more information on COVID-19** For adults, children, and infants, proceed as follows: Attach one end of the suction catheter to the mucus trap (both available from Materials Services). Our tools are small molecules. Consult the laboratory. Foley catheter tip cultures are unsuitable for the diagnosis of urinary infection and are not accepted for processing. Please visit and explore Wiki Help (bookmark it!) UCSF Laboratory Medicine performs diagnostic tests for patients in our hospitals and clinics. One test to rule them all. Leave your name, date of birth, phone number, and a brief message. NOTE: catheter should remain in nasopharynx no longer than 10 seconds. ... COVID-19 Lab Safety Town Hall LIS Contact Information. Using a sterile syringe, introduce 3 ml of sterile saline into one nostril. It is best to not draw blood cultures within hours to days after administering antibiotics and if possible to avoid collecting the sample(s) from indwelling intravascular catheters or shunts, which are often externally contaminated, especially at 3-way stopcocks which are difficult to disinfect. To avoid dilution of the specimen by the infused fluids, draw specimens distal to existing intravenous lines. UCSF Lab Manual. Aliquot (if necessary… Fax: 415-476-0581. We encourage Chimera users to try ChimeraX for much better performance with large structures, as well … If needed, draw material into the specimen trap using sterile saline. Research led by Michelle Arkin, PhD, focuses on developing new molecules that interact with proteins. Primary drugs are always reported; secondary drugs are reported only if resistance is found to the specific primary drug. SUPPORT INFORMATION Do you need a new wiki space? Completely wash the glans penis (“head” of penis) using a sterile cleansing towelette provided. For some very general searches, especially for large departments, this directory may not even display all of the results. Home > UCSF Clinical Laboratory Quick Links. Box # 0942 Disconnect and turn off suction device. Parasites: For Giardia, Strongyloides, and other intestinal parasites, deliver specimen to laboratory within 30 minutes of collection on Monday-Friday. The plates from significant cultures are held in the lab for 7 days after the final report isissued. Do you need access to a specific wiki page or wiki space? Safe in-person classes are a challenge during the pandemic. Most specimens submitted for culture should be kept at room temperature until brought by messenger to the laboratory, however, refrigerate urine and non-invasively collected respiratory specimens. R- Resistant: The organism is not inhibited by the antimicrobial, even at concentrations achievable in serum or in urine using high doses. Please follow this link for an insurance preauthorization template (Microsoft Word format). The UCSF Department of Radiology routinely screens patients undergoing CT examinations to identify those individuals with chronic kidney disease and thus at potential risk of acute kidney injury and recommends volume expansion therapy to mitigate the risk in this subgroup. Requests from outside UCSF require an institutional account prior to sample submission. The intent of conditional reporting is to reduce the use of the more costly or toxic antimicrobials in instances where they are not needed, and thus decrease the enormous costs of antimicrobial usage at UCSF. UC Safety (print chemical waste tags, view training history, find MSDS). During midstream, position the container, and then begin urinating into the container. Learn More. Welcome to the UCSF Clinical Labs online laboratory manual. Repeat procedure until adequate sample (2ml) is obtained. Such cultures should be brought to the main Clinical Laboratories for prompt handling. Place specimen container directly under the nose with slight pressure on the upper lip. This procedure follows the general principles set forth by the Clinical and Laboratory Standards Institute, and has been recommended by the UCSF Antibiotic Advisory Subcommittee of the Pharmacy and Therapeutics Committee. The UCSF Department of Radiology and Biomedical Imaging has been an international leader in imaging for over 100 years. Ceftriaxone, if intermediate or resistant report: Ampicillin-sulbactam (suppressed on CSF and, Ampicillin-sulbactam (suppressed on CSF and Enterobacter spp. The Arkin Lab stands in solidarity with UCSF and its commitment to equity and inclusivity in these difficult times. If a suitable primary or secondary drug is unavailable, testing against appropriate additional antimicrobial agents can be undertaken on request. Hours: Cultures are set up and Gram stain smears are read 24 hrs, 7 days a week. Laboratory Medicine Staff; Affiliated Hospitals. Department of Pathology. Liver Transplant Phone Number (548-3789) 1 (800) LIVER TX. C-Reactive Protein CRP GOLD Protein, Total TP LT GRN Fungal Culture P256 SEE LAB MAN* Calcium, Ionized CAI LT GRN Prostate Specific Ag PRSA GOLD or RED MRSA Screen P114 SWAB Calcium, total CA LT GRN RPR RPR GOLD Respiratory Culture P063 SEE LAB MAN* Carbon Dioxide, Total CO2AN LT GRN Sodium NA LT GRN TB Culture P285 SEE LAB MAN* For questions about this online lab manual, please contact Mary Eugenio-Allen, MBA, MLS(ASCP), CLS at [email protected]. Indwelling catheter urine is collected by aspirating the urine through the catheter port using a sterile vacutainer tube with a red stopper ("plain, sterile"). Our lab uses small molecules and engineered proteins to address some of the most challenging problems in chemical biology and early-stage drug discovery. Ag = antigen detection Non-UCSF physicians are encouraged to sign up for MD Link access which will allow them to place orders and receive results electronically. Commercial users, please see Chimera commercial licensing. Susceptibility results are interpreted using CLSI guidelines based on MIC values or Kirby-Bauer zone sizes. With patient’s head slightly hyper-extended, instill 1 to 2 ml of sterile saline into the patient’s nostril. Department of Pathology. Submit requests for culture identifying the type of specimen, the procedure(s) requested, and the collection time. Do not send urine obtained from the long drainage tube or a collection bag. I- Intermediate (or indeterminate): Higher doses of the antimicrobial than usual may be required to achieve an inhibitory serum concentration. Hepcidin-bound ferroportin ©2021 The … Apply suction and using a rotating movement, aspirate material as the tube is withdrawn, at a pressure of 40-60 mmHg. Testing is currently available on cerebrospinal fluid (CSF). Do not touch the container to the genital area. The following when mixed and not predominant: alpha-hemolytic and non-hemolytic streptococci, anaerobes (too many species to list; varying amounts of. Please use the search box in the upper right hand corner to find a test or to browse an alphabetical listing of our menu. Susceptibility testing and reporting formats provide both numerical and interpretive reports of the minimum inhibitory concentration (MIC) of each drug tested. Lab Safety Manual (CHP, IIPP, BUA, etc.). Learn More. Established in 1975, it’s the largest physician-training program between Sacramento and Los Angeles, with more than 300 medical residents and fellows and more than 300 visiting medical students each year. Over the next 18 months we will be working with core managers, vendors, and UCSF IT to make this transition as seamless as possible. Prior to the procedure, have the patient blow their nose. See Set Up Account. Snf2h-bound nucleosomes. BCHO Lab Manual. Parnassus Office. Sites and Timing of Collection and Blood Volume Needed. Pathology Staff; Licenses and Accreditations; Department of Laboratory Medicine. It is available free of charge for noncommercial use. See the Q4 2020 Wiki News issue! UCSF Lab Manual » SFGH Lab Manual » BCHO Lab Manual » Login; Search; Contact Us; MAKE A GIFT; About Us About Us. UCSF Lab Manual » SFGH Lab Manual » BCHO Lab Manual » Login; Search; Contact Us; MAKE A GIFT; About Us About Us. The Alba lab is made up of talented doctors and researchers from all over the world, including the US, Italy, China, Serbia, Taiwan, and Australia. You can read Lab Manual Ucsf PDF direct on your mobile phones or PC. An interpretation of I for anti-pseudomonal penicillins suggests only that the drug should not be used as a single agent, but should be employed in combination with an aminoglycoside.