| Synonym(s): | 
	Total cholesterol | 
	| Requisition Form | 
	G-1B, G-THSTEPS | 
	| Test Description | 
	The quantitation of cholesterol in human serum is used to determine the risk of coronary heart disease. | 
	| Pre-Approval Needed | 
	N/A | 
	| Supplemental Information Required | 
	N/A | 
	| Supplemental Form(s) | 
	N/A | 
	| Performed on Specimens from (sources) | 
	Human | 
	| Sample/Specimen Type for Testing | 
	
	
	- Preferred: Serum from a red top tube transferred to a transport tube
 
	- Acceptable: Serum from a centrifuged gold top serum separator tube.
 
	 
	 | 
	| Minimum Volume/Size Required | 
	1mL serum. | 
	| Storage/Preservation Prior to Shipping | 
	
	
	- Collect blood in red top or gold top tube.
 
	- Gently invert the tube with the blood specimen five times immediately after collection.
 
	- Allow to clot 30 minutes from collection. 
 
	- Centrifuge gold top tube to separate serum from red blood cells.
 
	- For red top tube: Immediately transfer serum into a transport tube. 
 
	- For gold top tube: Immediately transfer serum into a transport tube if serum will be frozen. *
 
	- Store serum cold if testing will occur within 7 days of collection.
 
	- Store serum frozen if testing will occur after 7 days of collection.
 
	 
	NOTE: * Gold top serum separator tube cannot be frozen. Serum must be transferred to a transport tube prior to freezing.   
	 | 
	| Transport Medium | 
	N/A | 
	| Specimen Labeling | 
	
	
	- Two patient-specific identifiers required (e.g., patient full name, date of birth, medical record number).
 
	- Identifiers on specimen must exactly match submission form.
 
	 
	 | 
	| Shipping and Specimen Handling Requirements | 
	
	
	- Ship all specimens overnight with enough cold packs or dry ice to maintain specimens at proper temperature until arrival at DSHS Laboratory.
 
	- Ship according to Dangerous Good Regulations, IATA, and/or CFR 49.
 
	- Handle as infectious agent using universal precautions.
 
	- Ship triple-contained in accordance with federal shipping regulations for infectious agents.
 
	- Ship Monday-Thursday; avoid Friday and weekend deliveries.
 
	- Ship cold specimens overnight on ice packs if arriving at laboratory within 7 days from collection. 
 
	- Ship frozen specimens overnight on dry ice or on ice packs.
 
	- Specimens must be received cold/frozen by the laboratory.   
 
	- Consider freezing serum transport tubes prior to shipping during high temperature months.
 
	 
	 | 
	| Method | 
	Quantitative enzymatic | 
	| Turn-around Time | 
	4-5 working days after receipt of specimen. | 
	| Interferences/Limitations | 
	Lipemia, turbidity, icterus, hemolysis, metamizole, N-acetyl cysteine. | 
	| Common Causes for Rejection | 
	
	
	- Two patient-specific identifiers not met.
 
	- Specimen received at ambient temperature due to inadequate/no ice packs.
 
	- Specimen unsuitable for testing
 
	- Specimen was received at improper temperature.
 
	- No specimen included with submission form. 
 
	- Submission form not included with specimen. 
 
	- Specimen tube broken/leaked in transit. 
 
	- Demographic information is missing or incorrect. 
 
	- Specimen identification is missing or incorrect.
 
	- Whole blood was received. 
 
	- Specimen is collected in an expired blood collection tube. 
 
	- No test specified.
 
	- Red top tubes have not had serum poured over to a transport tube.
 
	- Frozen gold top tubes.
 
	 
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	| Additional Information  | 
	
	 Reference Range: 
	
	- Children/adolescents (<20 years): <170 mg/dL
 
	- Young adults (20-24 years): <190 mg/dL
 
	- Adults: <200 mg/dL
 
	 
	Contact: 
	
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