Screw cap plastic container (sterile)

1. After urine is collected, complete the required documentation with baby’s initials, collector’s signature, baby’s MRN and date
2. Affix the signed integrity seal over the top, and down the sides, of the collection vial
3. Place the sealed specimen in a specimen bag with the chain of custody form in the outside pocket
4. Deliver specimen to the laboratory

Sterile urine container with security seal in place

HCMC Maternal Urine Chain of Custody requested on Allina Health specimens may be sent without, but document that the form was not obtained.

• Patient name, DOB and MRN
• Date and time of specimen collection
• Name of collector
• Name of person who sealed the container

NOTE: Sample is considered Chain of Custody if it is sealed with a signed security seal across the top of the specimen.

Ambient (preferred) - 72 hours

Refrigerated – 7 days

Frozen – 1 year

Gas Chromatography with Mass Spectrometry (GC/MS)

Negative

Medical necessity