Hospital visiting guidelines updated 20 July 2022: Hospital visitors must wear a surgical/medical paper mask. Fabric face coverings are no longer acceptable. See our COVID-19 pages for detailed information about hospital visiting guidelines, COVID-19 tests and care in the community advice. See www.vaccinatecanterburywestcoast.nz for information about vaccinations.
We are at ORANGE according to the NZ COVID-19 Protection Framework
Last updated:
9th April 2022
Kia whakahaumaru te whānau, me ngā iwi katoa – this is to keep everybody safe:
By sticking to the rules above, you help keep our patients, staff, other visitors and yourself safe. We thank you in advance for your patience and understanding as our staff work hard to protect and care for some of the most vulnerable in our community.
Exceptions to the ‘one visitor’ policy
Visiting patients with COVID-19
You must NOT visit the hospital if you
Exceptions for people with disabilities
An exception will be made for people with disabilities who are in hospital or have to attend an outpatient appointment – where they need a support person to access health services. For example, a sign language interpreter, support person for someone with a learning disability, or someone to assist with mobility. The support person is in addition to the one permitted visitor.
Everyone visiting our facilities must wear a mask, no exceptions
While we appreciate that some people have legitimate reasons for being exempt from wearing a mask and may even have an official card to confirm this, people who cannot or will not wear a mask cannot visit someone in hospital or attend hospital, other than to access healthcare. This is another measure to minimise the risk to vulnerable patients.
Patients and visitors should also read the additional more detailed visiting guidelines for each specific hospital.
More COVID-19 information
Bilirubin is a waste product produced from the breakdown of haem. Accumulation of bilirubin in the body presents with jaundice and can occur due to many different causes (see interpretation section for more information).
Bilirubin is included as part of the liver function tests panel.
Core Biochemistry
BIL
Total bilirubin
3 hours
3525
4.5
1
Paediatric Specimen - Heparin microtainer tube 600 µL
0.1
Chilled (2 - 8 degrees Celsius)
If overnight - Frozen
The causes of hyperbilirubinaemia can be split into pre-hepatic, hepatic and post-hepatic categories. The cause is often obvious from the clinical setting and the pattern of LFT derangement, although measurement of total bilirubin and conjugated bilirubin may help to differentiate between these categories.
– In pre-hepatic jaundice (e.g. haemolysis), the conjugated bilirubin is unlikely to be significantly elevated.
– In hepatic jaundice (e.g. hepatitis), there may be a mixed picture with elevations of both unconjugated and conjugated fractions. Results vary according to the specific underlying cause.
– In post-hepatic jaundice (e.g. cholestasis), the conjugated bilirubin is likely to be predominantly elevated, with a smaller elevation in unconjugated bilirubin also possible.
Age | Reference interval |
Neonatal | Interpret according to nomogram (see https://www.chl.co.nz/test/bilirubin-paediatric-plasma/) |
>6 weeks | 2-20μmol/L |
This method suitable for babies >14 days old
Photometric colour test for the quantitative determination of total bilirubin performed on Beckman Coulter AU5822 analysers using Beckman Coulter reagents.
$2.91 (Exclusive of GST)
3525
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