Medical
Practitioners

Clinical Practice Changes

April 12, 2017
MICROBIOLOGY – Transfer of Urine Cultures for Interlake Eastern Regional Health Authority and Southern Health-Santé Sud (Effective April 3 to June 30, 2017 depending upon location)


April 7, 2017
HEMATOLOGY – Sodium Citrate Tubes for Coagulation Testing – 1.8 ML Pastic Tubes (Effective May 8, 2017)


March 15, 2017
HEMATOLOGY – Automated Erythrocyte Sedimentation Rate (ESR) for Misericordia Health Centre


March 8, 2017
CHEMISTRY – Fecal Occult Blood Testing in Hospitalized Patients


February 28, 2017
HEMATOLOGY – Automated Erythrocyte Sedimentation Rate (ESR) for St. Boniface Hospital


February 7, 2017
HEMATOLOGY – Stool for Leukocytes Test


February 6, 2017
HEMATOLOGY – Revision to Regional Reference Laboratories for 24-Hour INR Testing Process
Click HERE to see the Patient Information Sheet referenced in this Clinical Practice Change.


January 31, 2017
HEMATOLOGY – Automated Erythrocyte Sedimentation Rate (ESR) for Churchill


January 23, 2017
DIAGNOSTIC IMAGING – Commencement of MRI Patient Scheduling for Selkirk Regional Health Centre
See also – MRI Request for Consultation


January 17, 2017
HEMATOLOGY – Collection for ESR Samples (Effective February 13, 2017)


December 2, 2016
BIOCHEMISTRY- Anti-Mullerian Hormone (AMH) Reference Laboratory Change (Effective December 5, 2016)


November 9, 2016
HEMATOLOGY- Collection for CBC Samples


November 8, 2016
HEMATOLOGY- Change in Methodology of Janus Kinase 2 (JAK2)
V617F Mutation Testing


November 7, 2016
MICROBIOLOGY- Rapid Identification of Bacterial Pathogens in Positive Blood Cultures


October 25, 2016
TRANSFUSION MEDICINE – Revision of the Transfusion Reaction Algorithm (Effective December 12, 2016)
See also – Transfusion Reaction Algorithm


October 25, 2016
BIOCHEMISTRY – Change in Limit of Quantification of Methotrexate in Plasma (Effective December 1, 2016)


October 11, 2016
MICROBIOLOGY – Churchill: Appearance of Specimen Collection Swabs Changing


October 11, 2016
BIOCHEMISTRY – Clinical Communication – Awareness of Fentanyl and Fentanyl Analog Testing


October 3, 2016
IMMUNOLOGY – Change to Alpha-1-Antitrypsin Testing (Effective October 24, 2016)


September 26, 2016
HEMATOLOGY – Quantitative Molecular Testing for BCR-ABL1 mRNA Transcripts (Effective October 3, 2016)


September 15, 2016 (Revised September 26, 2016)
HEMATOLOGY – Process Change – Factor II Prothrombin Mutation and Factor V Leiden Mutation test ordering (Effective Immediately)


August 19, 2016
HEMATOLOGY – Collection for RQ BCR ABL1 Samples (Effective Immediately)


July 19, 2016
MICROBIOLOGY- Transfer of Microbiology Testing from Churchill Health Centre to St. Boniface Hospital in Winnipeg, MB (Effective July 19, 2016)


June 28, 2016
BIOCHEMISTRY- Choosing Wisely Manitoba: New Vitamin D (25(OH)D) Ordering Criteria and Requisition – phase III (Effective July 4, 2016)


June 28, 2016
PATHOLOGY – New Breast Excision Requisition for Pathology (Effective June 29, 2016)


June 15, 2016
MICROBIOLOGY – Availability of surveillance/screening cultures (e.g., rectal swabs) to detect Vancomycin-Resistant Enterococcus (VRE) for pre-transplant patients and for patients being transferred to out-of-province hospitals with pre-screening requirement


June 13, 2016
BIOCHEMISTRY- Updated Approach to HFE-Related Hereditary Hemochromatosis (Effective June 15, 2016)


April 22, 2016
BIOCHEMISTRY- Choosing Wisely Manitoba: New Vitamin D (25(OH)D) Ordering Criteria and Requisition – phase II (Effective May 2, 2016)


April 20, 2016
HEMATOLOGY – Change to INR Testing Process (Effective May 2, 2016)
Click HERE to see the Patient Information Sheet referenced in this Clinical Practice Change.


April 19, 2016
BIOCHEMISTRY – Body Fluid Analysis Reporting (Effective April 21, 2016)


March 22, 2016
BIOCHEMISTRY- Ordering of Testing for Toxic Alcohols (Effective March 16, 2016)


February 26, 2016
IMMUNOLOGY – Changes in CD4/CD8 T Lymphocyte Testing (Effective March 14, 2016)


February 24, 2016
IMMUNOLOGY – Requisition Revision – New Immunology Test Code (Effective February 29, 2016)


February 16, 2016
IMMUNOLOGY – Requisition Change for Ordering Anti Neutrophil Cytoplasmic Antibodies


January 21, 2016
BIOCHEMISTRY- Choosing Wisely Manitoba: New Vitamin D (25(OH)D) Ordering Criteria and Requisition (Effective February 1, 2016)


January 19, 2016
MICROBIOLOGY- Discontinuation of routine cultures for filamentous fungi on specimens from prosthetic joints (Effective February 1, 2016)


January 14, 2016
TRANSFUSION MEDICINE- New province-wide changes to transfusion medicine (Effective April 4, 2016). Click HERE to see the additional resource referenced in the memo.


December 7, 2015
IMMUNOLOGY- Specimen Handling Test Transfer from WL to HSC  (Effective January 4, 2016)


December 7, 2015
IMMUNOLOGY – PLANNED TRANSFER of WESTMAN LAB IMMUNOLOGY TESTING to IMMUNOLOGY LABORATORY HSC -Monoclonal Protein Investigation (MPI or PE) and Immunoglobulin Quantitation (IgG, IgA, IgM, Rheumatoid Factor)  (Effective January 4, 2016)


November 16, 2015
PATHOLOGY- NEW PATHOLOGY BREAST CORE BIOPSY REQUISITION FOR RADIOLOGIST AND SURGEONS PERFORMING BREAST CORE NEEDLE BIOPSIES


November 6, 2015
IMMUNOLOGY – PLANNED TRANSFER of WESTMAN LAB IMMUNOLOGY TESTING to IMMUNOLOGY LABORATORY HSC


November 4, 2015
TRANSFUSION MEDICINE – Rapid Release of Blood Products at St. Boniface Hospital


October 13, 2015
MICROBIOLOGY – Mycobacteriology Culture Services Consolidation at the Health Sciences Centre (HSC) Clinical Microbiology Laboratory (Effective October 27, 2015)


October 1, 2015
HEMATOLOGY – Molecular Hematopathology Test Requisition (Effective October 1, 2015)


September 22, 2015
HEMATOLOGY – D Dimer Testing (Effective September 23, 2015)


September 15, 2015
HEMATOLOGY – aPTT Test (Effective October 1, 2015)


September 1, 2015
BIOCHEMISTRY- Change in C-Reactive Peptide Service & Methodology (Effective September 15, 2015)


September 1, 2015
BIOCHEMISTRY- Change to not reporting Corrected Calcium in Pediatric Patients (Effective September 8, 2015)


May 20, 2015
IMMUNOLOGY – Complement Activity, Total (CH50)(Effective May 25, 2015)


May 20, 2015
IMMUNOLOGY – New Immunology Requisition (effective May 25, 2015)


May 5, 2015
HEMATOLOGY – aPTT Testing Availability and Other Coagulation Testing Changes


May 5, 2015
IMMUNOLOGY – Autoimmune Testing Laboratory


April 9, 2015
PATHOLOGY – Requesting Reagents and Supplies from Referral Pathology Laboratories


April 9, 2015
MICROBIOLOGY – Discontinuation of Respiratory Syncytial Virus (RSV) Rapid Antigen Testing


March 30, 2015
HEMATOLOGY – Requests for Molecular Testing


March 30, 2015
IMMUNOLOGY – Immunology Turn-Around Times


Mar 25, 2015
PATHOLOGY – Implementation of Liquid-Based Cytology for Non-Gynecological Specimens (effective Apr. 13, 2015)


Feb 13, 2015
IMMUNOLOGY – Change to C1 Esterase Inhibitor and IgG Subclasses Testing (effective Mar. 2, 2015)


Feb 4, 2015
HEMATOLOGY – Automated Hemoglobin/Hematocrit on Serous Body Fluids at Westman Laboratory (effective Feb. 17, 2015)


Jan 12, 2015
HEMATOLOGY – Peripheral Blood Collection for Coagulation Testing (effective Feb. 2, 2015)


Dec 1, 2014
QUALITY – Clinical Practice Change: Specimen Acceptance Policy


Nov 21, 2014
HEMATOLOGY – CSF Sampling for Investigation of Subarachnoid Hemorrhage


Nov 13, 2014
HEMATOLOGY – Introduction of Factor XIII Antigen Assay


Nov 12, 2014
PATHOLOGY – Update on Liquid-Based Cytology Implementation


Sep 24, 2014
PATHOLOGY – Clinical Practice Change: Liquid-Based Cytology


Sep 24, 2014
PATHOLOGY – Physician Alert: Liquid-Based Cytology


Sep 18, 2014
BIOCHEMISTRY – Clinical Practice Change: Fasting Requirements for Lipid Testing


Sep 5, 2014
PATHOLOGY – Introduction of Liquid-Based Cytology


Aug 22, 2014
HEMATOLOGY – Physician Alert: aPTT Reference Range Change


Jul 28, 2014
HEMATOLOGY – Clinical Practice Change: Change in Blood Collection Tube for Coagulation Tests sending to HSC and SBH


Jul 28, 2014
HEMATOLOGY – Clinical Practice Change: Change in Blood Collection Tube for Coagulation Tests HSC


Jul 18, 2014
MICROBIOLOGY – Physician Alert: Transfer of Selected Microbiology Tests from Bethesda Hospital Laboratory to St. Boniface Hospital Clinical Microbiology Laboratory


July 17, 2014
CHEMISTRY (Westman) – Clinical Practice Change: Sample Recollection Requests Following Unsuccessful Blood Testing


Jul 7, 2014
IMMUNOLOGY – Physician Alert: Change in Analyzer for Serum Free Light Chain Test


Jun 11, 2014
HEMATOLOGY – Physician Alert: Specific Gravity for Body Fluids


Jun 9, 2014
HEMATOLOGY – Physician Alert: Consolidation of Bone Marrow Processing


May 1, 2014
HEMATOLOGY – Physician Alert: Pleural Fluid ph


Apr 28, 2014
MICROBIOLOGY – Physician Alert: Collection of Specimens for Screening for Vancomycin Resistant Enterococcus (VRE) Colonization


Apr 17, 2014
MICROBIOLOGY – Physician Alert: An improved laboratory testing process for detection of Vancomycin-Resistant Enterococcus (VRE) from surveillance/screening cultures (e.g., rectal swabs)


Apr 16, 2014
IMMUNOLOGY – Physician Alert: Flow Cytometry Section Changes in Instrumentation and Reporting


Mar 18, 2014
HEMATOLOGY – Physician Alert: Change in Platelet Function Testing


Mar 17, 2014
MICROBIOLOGY – Physician Alert: Delphic Registration of Diagnostic Microbiology Specimens Intended for Trans-shipping to Cadham Provincial Laboratory (CPL) for Testing to Cease


Mar 12, 2014
MICROBIOLOGY – Physician Alert: Haemophilus ducreyi culture (Chancroid culture)


Mar 5, 2014
MICROBIOLOGY – Physician Alert: 16S rRNA Sequencing for Bacterial Pathogens from Sterile Fluids is now available


Feb 5, 2014
PATHOLOGY – REVISED Physician Alert: New Requirements for Cervical Specimen Labeling (originally issued Jan 15)


Jan 20, 2014
HEMATOLOGY – Clinical Practice Change: Change in Blood Collection Tube for ESR Tests


Jan 20, 2014
HEMATOLOGY – Physician Alert: Introduction of Automated Erythrocyte Sedimentation Rate (ESR)


Jan 20, 2014
HEMATOLOGY – Clinical Practice Change: Introduction of Automated Erythrocyte Sedimentation Rate (ESR)


Dec 23, 2013
MICROBIOLOGY – Physician Alert: Rapid PCR Testing for Mycobacterium tuberculosis in Sputum Specimens


Dec 11, 2013
HEMATOLOGY – Physician Alert: New Clinical Parameters for Hematology Analyzer at Westman Lab


Dec 4, 2013
HEMATOLOGY – Physician Alert: Heinz Body Screen – Change of Service


Oct 30, 2013
MICROBIOLOGY – Physician Alert: Changes to Respiratory specimen collection for diagnosis of patients suspected to have TB and for follow-up of admitted patients on TB therapy


Oct 2, 2013
MICROBIOLOGY – Physician Alert: Transfer of Microbiology testing from Selkirk Hospital to St. Boniface Hospital Microbiology


Oct 2, 2013
HEMATOLOGY – Physician Alert: Summary – Use of aPTT Test


Oct 1, 2013
HEMATOLOGY – Physician Alert: Issues Relating to Anticoagulant Management and Use of APTT Testing


May 9, 2013
MICROBIOLOGY – Physician Alert: New C. difficile Toxin Testing Algorithm


May 6, 2013
HEMATOLOGY – Physician Alert: HIT Test


Apr 22, 2013
IMMUNOLOGY – Physician Alert: Hereditary Spherocytosis


Apr 10, 2013
MICROBIOLOGY – Physician Alert: New Antifungal Susceptibility Clinical Breakpoints for Candida spp.


Apr 8, 2013
MICROBIOLOGY – Physician Alert: Helicobacter pylori Diagnostic Testing for Children ≤16 Years of Age


Apr 8, 2013
MICROBIOLOGY – Physician Alert: Follow-up Testing for Patients Known to have Tuberculosis (TB) who are Smear Positive


Mar 18, 2013
MICROBIOLOGY – DSM/CPL Memo: Discontinuation of Respiratory Syncytial Virus (RSV) Rapid Antigen Testing at HSC/WL/TGH after Mon, Mar 18, 2013


Mar 12, 2013
MICROBIOLOGY – Physician Alert: IMPORTANT CHANGE in specimen submission for Ova & Parasite (O&P) testing


Feb 12, 2013
MICROBIOLOGY – Physician Alert: Rapid PCR Testing for Mycobacterium tuberculosis in Respiratory Specimens


Feb 12, 2013
MICROBIOLOGY – Physician Alert: Changes to Third-Generation Cephalosporin AST Result Reporting for Enterobacteriaceae


Jan 8, 2013
MICROBIOLOGY – Physician Alert: Influenza A and B testing (SBH)


Dec 13, 2012
MICROBIOLOGY – Physician Alert: Helicobacter pylori Diagnostic Testing for Children ≤6 Years of Age


Nov 12, 2012
HEMATOLOGY: aPTT MONITORING FOR UNFRACTIONATED HEPARIN (UHF)


Nov 9, 2012
MICROBIOLOGY – Physician Alert: Discontinuation of Urine Cell Count at HSC Clinical Microbiology Laboratory Effective Dec 1, 2012


Nov 8, 2012
MICROBIOLOGY – Physician Alert: Molecular Resistance Reporting for Tuberculosis


Sep 13, 2012
Hematology Notes – What you Need to Know About D-Dimer


July 5, 2012
Laboratory Communications Method Change for IgE Testing at HSC


July 3, 2012
Bone Marrow Collection Process for Rural Manitoba


May 1, 2012
Appendix A Hemolysis Lipemia Icterus

Physician Alert Hemolysis Lipemia Icterus


Apr 27, 2012
Hematology – New Clinical Parameters for Hematology Analyzers


Dec 1, 2011
BIOCHEM – Manitoba Troponin Guideline (updated from Oct 2010)


Nov 30, 2011
BIOCHEM – Introduction of new hsTNT Assay

Hospital Physician Communication

Clinic Physician Communication


Oct 6, 2010
BIOCHEM – eGFR Memo


Sep 22, 2010
BIOCHEM – Changes to the Acceptance of Gel Barrier Tubes


Jan 21, 2010
BIOCHEM – Change in service for mycophenolic acid analysis


Jun 23, 2009
MICRO – Salmonella Nomenclature and the Reporting of Salmonella Results


Apr 14, 2009
MICRO – Streptococcus pneumoniae changed reporting for Penicillin and Ceftriaxone


Apr 6, 2009
MICRO – Trichomonas Antigen Testing at DSM’s SBGH and HSC Microbiology Labs


Mar 10, 2009
BIOCHEM – Alcohol Glycol Analyses


Feb 12, 2009
BIOCHEM- Changes to plasma/serum β2-Microglobulin Testing


Feb 5, 2009
MICRO – Neisseria gonorrohoeae from genital sites


Jan 19, 2009
MICRO – Changes to Microbiology Taxonomy


Sep 18, 2008
BIOCHEM – Polymer gel in separator tubes causes erroneous drug results


July 2008
BIOCHEM – Service Changes for Vitamin D Testing


Aug 1, 2007
BIOCHEM – Change of (25-Hydroxy) Vitamin D Reference Values