Laboratory Test Information Guide

Details for Factor IX

Test Name: Factor IX
Alternate Name(s): F9
Laboratory: Hemostasis and Thrombosis Laboratory (Victoria Hospital)
Specimen Type: 2 x 2.7 mL Blue (3.2% Sodium Citrate) top Vacutainer tubes

Pediatric:
0-2 years: 1.8 mL Sodium Citrate Coagulation tube:
Contact HAT lab ext. 52526 for number of tubes required prior to sampling.
Collection Information: Collect blood aseptically in Vacutainer tubes.

All test requests, regardless of whether the patient is an adult or pediatric, must be authorized by a Hematologist (listed in the Comments section below).
Requisition: GENERAL LABORATORY REQUISITION
Test Schedule: As required
Turnaround time from when specimen
is received in testing laboratory:
 
Routine
1 week
Stat
4 hours
 
Reference Range: 0 Minutes - 5 Days: 0.15-0.91 U/mL
5 Days - 1 Month: 0.15-0.91 U/mL
1 Month - 3 Months: 0.21-0.81 U/mL
3 Months - 6 Months: 0.21-1.13 U/mL
6 Months - Adult: 0.50-2.00 U/mL

Uncertainty of Measurement:
0.1 0.01
0.43 0.06
1.31 0.22
Effective Date: 2015-05-07
Revised Date: 2018-12-17
Critical Value:  For newly diagnosed hemophilia patient. Factor IX level less than 0.10 U/mL
Interpretive Comments:  
Special Processing: Blue (Sodium Citrate) top tubes should be centrifuged within 4 hours of collection.

The blood specimen must be double centrifuged to prepare platelet free plasma.

Centrifuge the primary tube or tubes for 10 minutes at 3000 rpm, aliquot and re-spin for an additional 10 minutes at 3000 rpm at room temperature (18 to 20 degrees Celsius). Ensure the temperature does not exceed 20 degrees Celsius.

The double-centrifuged plasma is aliquoted into plastic tubes labelled with the appropriate Cerner generated aliquot label and frozen immediately at -20 degrees Celsius or below.

SRA Processing:

UH/SJH All shifts:
Log in samples and bring INR/PTT sample to the Coag Bench. Process the rest of the samples as per the procedure above. Place samples/aliquot labels with transfer list in the SPEC COAG Bin in the -20C freezer. All samples to be sent to VH SRA the following morning. Upon arrival VH SRA will place the samples in the -20 bin. The HAT staff will pick up the samples.

VH 0700-1500 shift:

Log in samples and bring INR/PTT sample to the Coag. Bench. Place the rest of the samples/aliquot labels in the pneumatic tube and send to the 10th floor HAT Lab at VH. (No transfer list is required). Call HAT Lab at ext. 52526 to let them know a sample is coming.

VH after 1500:

Log in samples and bring INR/PTT sample to the Coag Bench. Process the rest of the samples as per the procedure above. Place samples/aliquot labels in the SPEC COAG Bin in the -20C freezer. All samples will be picked up the following morning by the HAT staff.

VH Referred-In samples:
When a sample is received from an outside healthcare institution, please order SPCOAGRI, put a small accession label on the requisition, then place the frozen samples and labels in the SPEC COAG Bin in the -20 freezer. Please send the requisition with the accession number on it, to the 10th floor. These samples will be held until the next morning and picked up by the HAT Lab staff. If the HAT Lab staff require a sample earlier then the next morning, they will come down and get it. Call the HAT Lab at ext. 52526 to let them know the requisition is arriving.
Comments: Please direct any questions or concerns to:
Michael Keeney
Coordinator-Hematology & Flow Cytometry
519-685-8500 x 52187
Pager: 17716

All test requests, regardless of whether the patient is an adult or pediatric, must be authorized by a Hematologist (names and pagers listed below):

Dr. Michael Kovacs
Pager: 15182

Dr. Alejandro Lazo-Langner
Pager: 18970

Authorization of pediatric testing may be provided by:

Dr. Lawrence Jardine
Pager: 18392

Dr. Elizabeth Cairney
Pager: 15586

Dr. Shayna Zelcer
Pager: 17582
Method of Analysis: Automated clot detection system
Critical Information Required: Bleeding history if available
Storage & Shipment: Blue (Sodium Citrate) top specimens are kept at 18-24 degrees Celsius.

Blue (Sodium Citrate) top specimens should be centrifuged and tested within 4 hours from the time of specimen collection or plasma should be removed from the cells and frozen.

Specimens may be kept for up to two weeks at -20 degrees Celsius or up to six months at -70 degrees Celsius.

Plasma aliquots are stored at -20 degrees Celsius or below and transported to arrive frozen.

Once received by the Sample Receiving Department at Victoria Hospital, samples are to be stored at -70 degrees Celsius within 15 minutes.
System Codes: 
Cerner
F9
 
Referred To:  

Questions? Comments? Contact Laura Gopaul