Test Code PKU NEWBORN SCREEN, EXTENDED
Additional Codes
NB SCREEN.PKU
NBSCREEN
Methodology
Screening
Specimen Requirements
Capillary Blood
Container: PKU Form Filter Paper
Specimen Collection: Five Fully Saturated Circles (minimum 4 circles)
- Perform on infants > 24 hours old.
- Check that nurse has fillled out PKU form, especially birth and present weights.
- Perform heelstick procedure on infant.
- Allow large droplet of blood to form.
- Touch filter paper to blood and allow to soak through completely in each circle. Total saturation should be evident when paper is viewed on both sides. DO NOT apply blood to both sides.
- Fill in date and time of collection on PKU form.
- Allow blood spots to dry for 3 hours at room temperature. Keep away from direct sunlight and heat.
- Cover with end-flap.
- Place in supplied envelope and mail within 24 hours.
Specimen Transport/Stability
Ambient
Specimen Rejection
1. Fewer than 4 circles completely filled.
2. Blood layered by application on both sides or by multiple spotting.
3. Filter paper scuffed or torn.
4. Contaminated specimen.
5. Improperly dried.
6. Information incomplete.
Maximum Laboratory Time
5 days
Reference Ranges
Available on Request
Day(s) Test Set Up
Monday - Friday
Test Classification and CPT Coding
Available Upon Request
Performing Laboratory
Montana Public Health Laboratory