Specimen Requirements

Specimen Type: Blood

Container/Tube: Pink top (EDTA)

Specimen Volume: Full tube

Specimen Minimum Volume: 6 mL

Regular dosage: 300 mg

              or

   Micro dosage: 50 mg - only to be used for pregnant women with gestation 12 weeks or less

Christian Hospital/NW HealthCare

Initial Blood Bank Specimen

Label specimen with:

1. Patient’s first and last name (A printed patient label is acceptable.)
2. Medical Record Number

3. Date and time drawn

4. First initial and last name, or ID number of individual drawing specimen

5. First Initial and last name of healthcare provider witnessing the draw