|
|
|
Section-B
|
|
|
POWERCHART NAME
|
BACTERIAL ANTIGEN CSF
|
Test no longer available. |
|
POWERCHART NAME
|
BACTERIAL ANTIGENS CSF NEONATAL (< 1 week of age)
|
SEE: GBSAG |
|
POWERCHART NAME
|
BACTERIAL ANTIGENS CSF PEDIATRIC (1 week to 17 years)
|
Test no longer available. |
|
POWERCHART NAME
|
BACTERIAL ANTIGENS CSF ADULT (18 years and older)
|
Test no longer available. |
|
POWERCHART NAME
|
BACTERIAL ANTIGENS URINE NEONATAL (< 1 week of age)
|
Test no longer available. |
|
POWERCHART NAME
|
BACTERIAL ANTIGENS URINE PEDIATRIC (1 week to 17 years)
|
Test no longer available. |
|
POWERCHART NAME
|
BACTERIAL ANTIGENS URINE ADULT (18 years and older)
|
Test no longer available. |
|
TEST NAME
|
BACTERIAL CULTURE
|
See: Cultures are listed according to collection site. Order according to the source of the specimen. If there is no culture for the specific source, then order according to the type of culture, i.e.: body fluid, wound, etc.
|
|
TEST NAME
|
BACTERIAL MENINGITIS ANTIGENS (CSF AND URINE):
|
See: Bacterial Antigens based on common agents of meningitis for certain age groups and the site of the specimen.
|
|
POWERCHART NAME
|
CULTURE IDENTIFICATION BACTERIAL
|
|
MERCY TEST NAME
|
BACTERIAL ID RL
|
MERCY LAB CODE
|
MCID
|
|
Specimen:
|
Submit each organism to be identified on a separate plate. Colonies should be well isolated.
|
|
Comment:
|
- 1 organism should be submitted PER request.
- Write MCID on the order form. Indicate the specimen source.
- A Reference Bacterial Examination form should be submitted with each order. Send this form with the order form.
- On the Reference Bacterial Examination form, indicate if susceptibility testing is needed. Susceptibilities will be performed at an additional charge.
- A copy of the Reference Bacteria Form is located in the HELP section.
|
|
Processing:
|
Seal the culture plate and send at room temperature to Mercy lab.
|
|
Method:
|
Standard culture techniques
|
|
CPT Code:
|
87077
|
|
POWERCHART NAME
|
(BMP) BASIC METABOLIC PANEL
|
| |
BASIC METABOLIC PNL
|
MERCY LAB CODE
|
METB
|
| Includes: |
Anion Gap, BUN, BUN/Creatinine Ratio, Calcium, Chloride, CO2, Creatinine, Potassium, Sodium, Glucose
|
| Specimen: |
- Preferred in house: 0.5 ml lithium heparin plasma from a PST tube.
- Preferred reference lab: 0.5 ml serum from a SST tube.
- Also acceptable: serum from a plain red top tube.
|
| Stability: |
8 hours room temp, 48 hours refrigerated, freeze if >48 hours |
| Performed: |
Within 8 hours of receipt. Available stat. |
| Reference value: |
See individual test entry. |
| Method: |
See individual test entry. |
| CPT Code: |
80048 |
|
POWERCHART NAME
|
BETA-2 MICROGLOBULIN
|
|
MERCY TEST NAME
|
BETA 2 MICROGLBN*
|
MERCY LAB CODE
|
B2MG
|
| Specimen: |
1.0 ml serum from a SST tube or a plain red top tube. Minimum 0.5 ml. |
| Processing: |
Send refrigerated to Mayo, ambient or frozen <14 days acceptable. Mayo # 9234 |
| Performed: |
Daily. |
| Reference value: |
0.7 – 1.8 MCG/ML |
| Method: |
Nephelometry |
| CPT Code: |
82232 |
|
POWERCHART NAME
|
BETA-2 TRANSFERRIN: Detection of Spinal Fluid in Other Body Fluid
|
|
MERCY TEST NAME
|
General Miscellaneous
|
MERCY LAB CODE
|
CMIS
|
| Specimen: |
Order General Miscellaneous Lab, specify in comment: Mayo #80351 Beta-2 Transferrin, and source of specimen.
0.5 ml body fluid such as ear or nasal fluid, or other fluid. Indicate specimen type.
NOTE: Although results may be obtainable on smaller specimens (perhaps as little as 0.05ml, depending on the protein concentrations and percentage of spinal fluid in the specimen), Reliable results are best obtained with an adequate specimen volume..
|
|
| Comment: |
If direct collection is not feasible, specimen may be collected using a cotton swab. Place cotton swab in as small a container as possible (for example, a tightly stoppered test tube.) Do NOT add any additional fluid to swab. Tightly seal container. |
|
| Processing: |
Send frozen to Mayo, ambient or refrigerated acceptable. Mayo # 80351 |
|
| Performed: |
Monday through Saturday, 1PM. |
|
| Reference value: |
Negative |
|
| Method: |
Electrophoresis/Immunofixation-Peroxidase Antisera/Dimethylformamide Visualization. |
|
| CPT Code: |
86335 |
|
|
POWERCHART NAME
|
Beta Hydroxybutyrate Level
|
|
MERCY TEST NAME
|
Beta Hydroxybutyrate Level
|
MERCY LAB CODE
|
BHOB
|
| Specimen: |
0.5 ml serum or plasma from lithium heparin tube. Plasma from EDTA and sodium fluoride tubes also acceptable. Stable refrigerated 7 days. |
| Performed: |
Within 8 hours of receipt. |
| Reference value: |
Negative |
| Method: |
Enzymatic quantitation of B-hydroxybutyrate by B-hydroxybutyrate dehydrogenase. |
| CPT Code: |
82010 |
| |
BILIRUBIN FRACTIONATED
|
See:Bilirubin Panel This test is NOT reported in Comp. Met. Panel
|
|
POWERCHART NAME
|
BILI DIRECT |
|
MERCY TEST NAME
|
BILI DIRECT
|
MERCY LAB CODE
|
BID
|
| Includes: |
Direct Bilirubin |
| Included in: |
HFPL Hepatic Function Panel, BILI Bilirubin Panel |
| Specimen: |
- Preferred in house: 0.5 ml plasma from a Lithium Heparin PST tube.
- Preferred reference lab: 0.5 ml serum from a SST tube.
- Also acceptable: Sodium heperin, amm heparin, or serum from a plain red top tube.
|
| Stability: |
8 hours room temp, 48 hours refrigerated, freeze if >48 hours. |
| Performed: |
Within 8 hours of receipt. Available stat. |
| Reference value: |
0-15 days: 0-0.6 mg/dl >15 days: 0-0.3 mg/dl
|
| Method: |
Azobilirubin Colorimetric |
| CPT Code: |
82248 Bili Direct
|
|
POWERCHART NAME
|
BILIRUBIN NEONATAL TOTAL AND DIRECT
|
|
MERCY TEST NAME
|
BILI NEONATE
|
MERCY LAB CODE
|
BILI
|
| |
No longer available. Order Bilirubin Total and Direct |
|
POWERCHART NAME
|
BILIRUBIN TOTAL AND DIRECT
|
|
MERCY TEST NAME
|
BILI PNL
|
MERCY LAB CODE
|
BILI
|
| Includes: |
Total, Direct and Indirect bilirubin. |
| Included in: |
HFPL Hepatic Function Panel, BILI Bilirubin Panel |
| Specimen: |
- Preferred in house: 0.5 ml lithium heparin plasma from a PST tube.
- Preferred reference lab: 0.5 ml serum from SST tube.
- Also acceptable: Sodium heparin, amm heparin, or serum from a plain red top tube.
|
|
Stability:
|
8 hours room temp, 48 hours refrigerated, freeze if >48 hours. |
| Performed: |
Within 8 hours of receipt. Available stat. |
| Reference value: |
Total: 0-1 days: 2.0-6.0 mg/dl 2-6 days: 6.0-10.0 mg/dl 6-30 days: 4.0-8.0 mg/dl >30 days: 0.3-1.0 mg/dl Direct: 0-15 days: 0-0.6 mg/dl >15 days: 0-0.3 mg/dl Indirect: 0-1 days: 1.4-6.0 mg/dl 2-5 days: 5.4-10.0 mg/dl 6-14 days: 3.4-8.0 mg/dl 15-30 days: 3.7-8.0 mg/dl >30 days: 0.0-1.2
|
| Method: |
Azobilirubin Colorimetric |
| CPT Code: |
82247 Bili, Total 82248 Bili, Direct
|
|
POWERCHART NAME
|
BILIRUBIN TOTAL
|
|
MERCY TEST NAME
|
BILI TOTAL |
MERCY LAB CODE
|
BIT
|
| Includes: |
Total Bilirubin. |
| Included in: |
CMPL Comprehensive Metabolic Panel, HFPL Hepatic Funciton Panel, BILI Bilirubin Panel |
| Specimen: |
- Preferred in house: 0.5 ml lithium heparin plasma from a PST tube.
- Preferred reference lab: 0.5 ml serum from SST tube.
- Also acceptable: Sodium heparin, amm heparin, or serum from a plain red top tube.
|
| Stability: |
8 hours room temp, 48 hours refrigerated, freeze if >48 hours. |
| Performed: |
Within 8 hours of receipt. Available stat. |
| Reference value: |
Total: 0-1 days: 2.0-6.0 mg/dl 2-6 days: 6.0-10.0 mg/dl 6-30 days: 4.0-8.0 mg/dl >30 days: 0.3-1.0 mg/dl
|
| Method: |
Azobilirubin Colorimetric |
| CPT Code: |
82247 Bili, Total
|
|
POWERCHART NAME
|
BILIRUBIN SCAN AMNIOTIC FLUID
|
|
MERCY TEST NAME
|
BILI SCAN AF*
|
MERCY LAB CODE
|
SCN
|
| Specimen: |
3.5 ml amniotic fluid in sterile opaque container. Minimum 1.7 ml. |
| Comment: |
Indicate duration of pregnancy in comment field. |
| Processing: |
- Centrifuge and separate supernatant.
- Send both sediment and supernatant in separate amber vials.
- Label vials appropriately (sediment or supernatant).
- Protect from light.
- Indicate duration of pregnancy on Mayo order system.
- Send frozen to Mayo. Mayo AFBIL.
|
| Performed: |
1 day. Test set up Monday through Saturday. |
| Reference value: |
Included with test results. Reference values are dependent on duration of pregnancy. |
| Method: |
Spectrophotometric Scan |
| CPT Code: |
82247 |
|
POWERCHART NAME
|
BK VIRUS QUANTITATIVE PCR
|
|
MERCY TEST NAME
|
BK VIRUS PCR QUANT
|
MERCY LAB CODE
|
QBK
|
| Specimen: |
1 mL plasma from lavendar (EDTA) tube. |
| Stability: |
7 days refrigerated, 7 days frozen
|
| Processing: |
Send refrigerated to Mayo. Mayo QBK
|
| Performed: |
1 day. Monday through Saturday. |
| Reference value: |
Included in reports. |
| Method: |
Real-Time Polymerase Chain Reaction (PCR) / DNA Probe Hybridiztion |
| CPT Code: |
87799 |
|
POWERCHART NAME
|
BLEEDING TIME IVY
|
|
MERCY TEST NAME
|
BLEEDING TIME
|
MERCY LAB CODE
|
BTS
|
| Specimen: |
- Bleeding time measured from small incision on forearm.
- If an acceptable forearm site is not available, test may be performed on calf area of leg.
- Pathologist approval of testing site on children ages 1 - 8 may be requested by the technical staff.
|
| Comment: |
Performed at Mercy Laboratory only. Indicate in comment if patient is taking aspirin. Test will not be done on patients less than 1 year old, unless approved by a pathologist.
|
| Performed: |
Within 8 hours of receipt. Available stat. |
| Reference value: |
1 - 8 Minutes |
| Method: |
Surgicutt |
| CPT Code: |
85002 |
|
POWERCHART NAME
|
BLOOD CULTURE
|
|
MERCY TEST NAME
|
BLOOD CLT
|
MERCY LAB CODE
|
BLC
|
|
Order:
|
If yeast or fungus is suspected, see Blood Culture/Fungus. If Mycobacteremia (AFB/TB) is suspected, see Blood Culture/Acid Fast Organisms.
|
|
Specimen:
|
Specimens must be collected using sterile techniques.
- Cleanse site with 70% isopropyl alcohol, followed by a 2 minute scrub with 2% tinctures of iodine solution.
- Remove & discard the plastic cover(s) from the culture bottle.
- Disinfect the rubber septum of each bottle with a 70% alcohol pad or iodine.
- Do not touch venipuncture site. Use a syringe or BacTALERT Blood Collection Adapter set to obtain the blood cultures. Draw 1-4 ml for pediatric patients <5 yrs old. Draw 20 ml for all others.
- For syringe draws only: Place a new needle on the syringe. Put blood into blood culture bottles, using the following procedure:
Pediatric (<5yrs): Inject 1-4 ml whole blood into the BacTALERT Pediatric PF bottle (yellow) Avoid injecting air into the bottle. Invert to mix. Patients > 5 yrs old: Draw 20 ml blood. Inject 10 ml blood into the aerobic bottle (green) and 10 ml of whole blood into the anaerobic bottle (purple) Avoid injecting air into the bottles. Invert to mix.
- If the BacTALERT Blood Collection Adapter set is used, collect 4ml of blood into the Pediatric PF bottle (yellow) OR 10ml of blood into each of the aerobic (green) and anaerobic (purple) bottles.
|
|
Comments:
|
- A minimum of two sets of blood cultures within a 24 hour period is recommended.
- Culture is tested daily by continuous monitoring technology.
- Culture detects both aerobic and anaerobic bacteria.
- The aerobic and pediatric bottles contain activated charcoal which will aid in the recovery of organisms if antimicrobial therapy was initiated before the culture was obtained.
- ALL POSITIVE BLOOD CULTURE RESULTS WILL BE PHONED TO THE PHYSICIAN, NURSING PERSONNEL OR ORDERING LOCATION RESPONSIBLE FOR THE PATIENT.
- Susceptibility testing will routinely be performed on ALL aerobic isolates. (EXCEPT diphtheroids, Bacillus species, Viridans Streptococcus and Micrococcus species).
|
|
RL Client Comments:
|
- Mark BLOOD CULTURE on the order form. Indicate the specific draw site on the form (Line draw, Rt arm, etc).
- Blood cultures drawn using Mercy lab’s bottles (BacTALERT) should be left at room temperature until the Mercy courier picks up the samples. DO NOT PLACE THE BOTTLES IN ANY INCUBATOR AT YOUR LAB.
- Send the blood culture bottles at room temperature to Mercy lab.
|
|
Performed:
|
Preliminary report: Daily Final report: 5 days
|
|
Reference value:
|
No growth
|
|
Method:
|
Automated Continuous Monitoring Technology
|
|
CPT Code:
|
87040
|
|
POWERCHART NAME
|
BLOOD CULTURE/ACID FAST ORGANISMS*
|
|
MERCY TEST NAME
|
MISC MICROBIOLOGY
|
MERCY LAB CODE
|
MISM
|
|
Order:
|
Order Miscellaneous microbiology. Specify MYCOBACTERIAL CULTURE, BLOOD in comment.
|
|
Specimen:
|
Draw 20 ml heparinized (green top tubes) whole blood using aseptic technique. Invert tubes to mix.
|
|
Processing:
|
Specimens need to be processed immediately upon being drawn. SPECIMENS MUST ARRIVE AT MAYO LAB WITHIN 48 HOURS OF BEING DRAWN
|
|
RL Client Comments:
|
- Write MYCOBACTERIAL CULTURE, BLOOD (Mayo# 82443) on order form.
- Send the specimen to Mercy lab immediately after drawing. The specimen needs to arrive at Mayo Lab within 48 hours of drawing the specimen.
- Send the heparinized green top vacutainer tubes to Mercy lab at room temperature or refrigerated.
|
|
Performed:
|
Monday through Sunday; Continuously
|
|
Mayo Order Number:
|
82443
|
|
Reference value:
|
Negative. If positive, Mycobacterium will be identified.
|
|
Method:
|
Continuously Monitored Automated Broth Culture Instrument with Conventional Methods for Identification of Mycobacteria
|
|
CPT Code:
|
87116 (Additional CPT codes may be added if the culture is positive)
|
|
POWERCHART NAME
|
BLOOD CULTURE FUNGUS
|
|
MERCY TEST NAME
|
BLOOD CLT/FUNGUS
|
MERCY LAB CODE
|
BLF
|
|
Comment:
|
See beginning of section for ordering help and codes.
|
|
Specimen:
|
Patients 6 yrs of age and older: 10 ml whole blood drawn into Isolator 10 tube. Short samples decrease the already low number of organisms.
Patients 5 years of age and under: 1.5 ml whole blood drawn into pediatric Isolator tube.
Specimens are to be collected using the following instructions:
- Disinfect the stopper of Isolator tube with 10% PVP iodine.
- Cleanse and disinfect the venipuncture site, and maintain aseptic technique.
- Collect blood sample with the patient's arm in a downward position. (1.5 ml for patient 5 yrs and under) (10 ml for patients over 5 years.)
- Gently invert the tube 8 to 10 times immediately after collection. Incomplete mixing causes small clots to form. Clotted samples are unacceptable and must be redrawn.
- Transport promptly to the lab.
|
|
RL Client Comments:
|
- Write in Blood Culture/Fungus on RL order form. Indicate source on order form.
- Send at room temperature.
|
|
Performed:
|
Preliminary report: 5 days Final report: 4 weeks
|
|
Reference value:
|
No fungus isolated. Positives will have fungus identified.
|
|
Method
|
Lysis centrifugation and standard culture techniques.
|
|
CPT Code:
|
87103
|
| |
BLOOD GAS ANALYSIS
|
Arterial Blood Gases are collected and performed by Cardio-Vascular & Pulmonary. Capillary Blood Gases see: COLLECTION CAPILLARY CHARGE BLOOD GASES
Venous Blood Gases : PowerChart user selects Blood Gas Venous (MC) from the PowerChart order dictionary. "Venous Blood" is defaulted in for the user as the "additional instructions/comments."
The PowerChart paper order sheet prints to the printer in Cardiovascular Pulmonary (CVP). The Venous Blood comment is visible for them.
The Sunquest Collection Manager Label automatically prints to the label printer in CVP. The order comment contains "Venous blood," but is not visible on the label due to the length of the comment.
CVP staff should call lab and make arrangements with lab for collection of specimen in a green no gel tube and handing the specimen off to CVP for testing.
Outpatient Draw Station- Order ABGCVP with comment venous (VENO). Label will print at designated printer for ordering location. Page CVP RTech at #791 and make arrangements to hand specimen off to CVP for testing.
|
|
POWERCHART NAME
|
BLOOD PARASITES (MALARIA SMEAR)
|
|
MERCY TEST NAME
|
BLOOD PARASITES (MALARIA SMEAR)
|
MERCY LAB CODE
|
MAL
|
| Specimen: |
Non-anticoagulated venous blood or peripheral blood from finger or earlobe preferred. Prepare 3 thick and 3 thin smears on separate slides. EDTA blood can be used if slides are prepared within 1 hour of collection.
Prepare slides as follows: THIN SMEARS: Prepare at least 3 thin blood smears in the same manner as for a differential.
THICK SMEARS: Place a drop of blood on a slide. Using the corner of a clean slide or applicator stick, spread the blood in a circle about the size of a dime. If proper thickness is achieved, ordinary print should barely be visible through the wet center.
Allow both thick and thin films to air dry without heating. The thick smear must dry 8-10 hours before staining.
|
| Comment: |
Collection available stat. Collection time is determined by the fever pattern. Consult the Hematology Department. |
| Performed: |
Within 24-72 hours of receipt. |
| Reference value: |
No malaria or blood parasites seen. |
| Method: |
Microscopy, Giemsa/Wright stained smears. |
| CPT Code: |
87207 |
|
POWERCHART NAME
|
BLOOD PATCH COLLECTION
|
|
MERCY TEST NAME
|
BLOOD PATCH COLL
|
MERCY LAB CODE
|
PTCH
|
| Specimen: |
Specimen is collected for use in conjunction with anesthesia procedure. |
| Comment: |
Call the Lab as soon as anesthesiologist has arrived to do procedure. |
| Performed: |
Available stat |
| Method: |
Venipuncture |
| CPT Code: |
G0001 |
|
POWERCHART NAME
|
BNP (B-TYPE NATRIUREIC PEPTIDE)
|
|
MERCY TEST NAME
|
BNP
|
MERCY LAB CODE
|
BNP
|
| Specimen: |
- Preferred in house: 1 mL EDTA plasma from a pink top tube. Plasma must be separated from cells with 7 hours and refrigerated.
- Preferred reference lab: 1 ml EDTA plasma from a pink top tube. Freeze aliquot within 24 hours of collection. Plasma must be separated from cells within 7 hours and refrigerated.
- Also acceptable; a seperate purple top tube, or 2 full purple capillary tubes. Plasma must be separated from cells within 7 hours and refrigerated.
- Use only plastic transfer pipets and plastic aliquot tubes, as BNP is unstable in glass containers.
- Avoid severe hemolysis.
|
| Stability: |
- Whole blood samples may be stored at room temperature or refrigerated for up to 7 hours proir to testing.
- Plasma sambles may be stored at 8 hours at room temperature or up to 24 hours refrigerated prior to testing.
- Freeze if > 24 hours.
|
| Cause for Rejection: |
Clotting |
| Performed: |
Same shift. Available stat. |
| Reference Value: |
0-100 pg/mL Interpretation: 101-199 pg/mL:likely compensated CHF 200-400 pg/mL: likely moderate CHF >400 pg/mL: likely moderate to severe CHF
|
| Method: |
Fluorescence Immunoassay |
| CPT Code: |
83880 |
|
POWERCHART NAME
|
BODY FLUID FOR CRYSTALS
|
|
MERCY TEST NAME
|
BODY FL CRYSTALS
|
MERCY LAB CODE
|
BCRY
|
| Specimen: |
Put 1 ml body fluid in a plain red top tube. Refrigerate. |
| Cause for rejection: |
EDTA (purple top tube) is not acceptable. |
| Comment: |
Indicate specimen source in comment. |
| Performed: |
Within 8 hours of receipt. |
| Reference value: |
Negative |
| Method: |
Microscopic examination using polarized filter. |
| CPT Code: |
89060 |
|
POWERCHART NAME
|
BODY FLUID CULTURE +SUSECEPTIBILITY + SMEAR DIRECT
|
|
MERCY TEST NAME
|
BODY FLD CLT/GS
|
MERCY LAB CODE
|
FLDC
|
|
Order:
|
Specify site when ordering.
|
|
Specimen:
|
Collect aseptically by needle aspiration or surgical procedure. Submit all specimens in a sterile syringe with the needle discarded or sterile screw top container or tube. Deliver to the lab as soon as possible.
- Bone marrow: 1.5 ml placed in a Wampole Isolator tube (available from lab)
- CSF fluid: 1 ml minimum, placed in sterile screw capped tube. Do not refrigerate.
- Joint: 1 ml aspirate
- Pericardial: 1 ml aspirate
- Peritoneal: 1-2 ml aspirate
- Pleural: 5-10 ml aspirate
- Thoracic: 5-10 ml aspirate
|
|
Cause for rejection:
|
Fluid injected into a CULTURETTTE is unacceptable. A SWAB SPECIMEN IS NOT ADEQUATE.
|
|
Comments:
|
- Recovery of microorganisms from these sites is dependent on the volume of specimen received.
- ALL POSITIVE GRAM STAINS, on the above listed sterile body sites, will be phoned to the Provider, Nursing personnel or ordering location responsible for the patient.
- Positive CSF Cultures will be phoned to the Provider, Nursing personnel or ordering location responsible for the patient.
- Susceptibility testing will be performed on significant isolates.
|
|
RL Comments:
|
- Write BODY FLUID CULTURE on order form. Include source on the form.
- Send ALL specimens at Room Temp. CSF specimens MUST NOT be refrigerated.
Gram Stain will be performed next day by 1st shift UNLESS ordered to be called STAT with a specific phone number indicated.
|
|
Performed:
|
Gram stain: Within 8 hours of receipt, unless ordered STAT Preliminary reports: Days 1 and 2 Final report: 3 days
|
|
Reference value:
|
No growth (applies to normally sterile sites).
|
|
Method:
|
Standard culture techniques
|
|
CPT Code:
|
87205 Gram stain 87070 Body Fld Clt
|
|
POWERCHART NAME
|
BODY FLUID DIFF
|
|
MERCY TEST NAME
|
BODY FLUID DIFF
|
MERCY LAB CODE
|
BFCC
|
| Comment: |
- Body Fluid Differential is included in Cell Count Body Fluid.
- To be ordered by Regional Hospitals when they are doing the cell counts at their facility and want to refer the differential to Mercy.
|
| Specimens: |
Send 2 cytocentrifuge prepared slides, unstained or 1.0 ml of body fluid may be sent refrigerated and Mercy will prepare the slides. |
| Performed: |
Within 8 hours of receipt. Available stat. |
| Method: |
Microscopic exam of Wright's stained smear. |
| CPT Code: |
NA |
|
POWERCHART NAME
|
BONE MARROW COLLECTION
|
|
MERCY TEST NAME
|
BONE MARROW CL AS
|
MERCY LAB CODE
|
BM
|
| Comment: |
Not available stat. Nursing service must also fill out a yellow Surgical Specimen Slip and a white bone marrow history form to include patient history and clinical diagnosis.Available Monday through Friday, 0700-1500. If a bone marrow examination is needed outside these hours, special arrangements may be made by contacting the Laboratory. Send Lab a message of all bone marrows scheduled (include date and time). Nursing Service is to schedule with:
- Cancer Center for patients seen by the Cancer Center physicians.
- ER for all other patients.
Reference Lab Clients:
- Please completely fill out the pink Pathology Specimen Form, include patient history and clinical diagnosis.
- Send a copy of your CBC results and 2 peripheral smear slides. Order Diff Manual and a Cell Morphology.
- Send 2 unstained slides. Fix 1 by dipping in Methanol for 10 seconds. CBC results must be included. OR Send a purple top tube. Order a CBC with Manual Diff and a Cell Morphology. Mercy Lab will do a CBC and prepare the slides.
- Send 8 unstained bone marrow slides.
- MERCY LAB: Do not order BM in Misys.
|
| Specimen: |
Procedure will include collection of the following: 6 smears for Wright's Stain, smear for Iron Stain, CBC and Cell Morphology, 2 peripheral smears, Bone Marrow Clot and Biopsy. Lab will order the CBC if one has not been done within the previous 24 hours.
|
| Performed: |
2--4 days |
| Reference value: |
Descriptive report will be sent. |
| Method: |
Microscopic examination of Wright stained and Iron stained smears. Clot and core biopsy also examined microscopically. |
| CPT Code: |
85097 |
|
TEST NAME
|
BRAIN NATRIURETIC PEPTIDE
|
See: BNP
|
|
POWERCHART NAME
|
BREATH ALCOHOL
|
|
MERCY TEST NAME
|
BREATH ALCOHOL TESTING
|
MERCY LAB CODE
|
BATHW
|
| Comment: |
- Patient must have identification and should be accompanied by designated person.
- Post accident should be performed within 2 hour.
|
| Performed: |
Monday - Friday 1630-0800. Performed by Healthworks from 0800-1630. Saturday and Sunday, available 24 hours.
|
| Method: |
Fuel cell sensor. |
|
TEST NAME
|
BRONCHIAL BRUSH/WASH CYTOLOGY
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See: Cytology Section Bronchial
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POWERCHART NAME
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BRONCHIAL QUALITATIVE + SMEAR DIRECT OTHER |
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MERCY TEST NAME
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BRONCH QAL CLT/GS |
MERCY LAB CODE
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BQAL |
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Order:
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Specify from which bronchus the specimen is collected when ordering.
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Specimen:
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Minimum of 5 ml of bronchus washings collected through the inner chamber of the bronchoscope. Submit in a sterile plastic container with a tight-fitting lid.
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Comments:
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- Only significant respiratory isolates will be reported.
- Susceptibility testing will be performed on significant isolates.
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RL Comments:
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- Write QUALITATIVE BRONCHUS CULTURE on the order form. Indicate the specimen source on form.
- Send at room temperature.
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Performed:
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Gram stain: 1st shift RL: Next day, 1st shift Preliminary report: 1 day Final report: 2 days
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Reference value:
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Normal flora of the upper respiratory tract.
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Method:
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Standard culture techniques
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CPT Code:
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87205 Gram Stain 87070 Bronch Clt
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POWERCHART NAME
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BRONCHIAL QUANTITATIVE + SMEAR DIRECT OTHER |
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MERCY TEST NAME
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BRONCH QNT CLT/GS |
MERCY LAB CODE
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BQNT |
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Order:
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Specify from which bronchus the specimen is collected from.
To be ordered ONLY on Protected Brush Bronch Specimens (PSB). (other Bronch sources should be ordered as a QUAL culture).
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Specimen:
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1 ml protected specimen brushings (PSB) placed in 1 ml normal saline. Submit in a sterile plastic container with a tight-fitting lid. Quantity of saline added is critical for accurate quantitation.
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Comments:
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- Includes quantitation in colony forming units (CFU/ml).
- Susceptibility testing will be performed on significant isolates.
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RL Client Comments:
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- Write QUANTITATIVE BRONCHUS CULTURE on order form. Indicate source on the form.
- To be ordered ONLY on Protected Brush Bronch Specimens
- Send specimen(s) at room temperature to Mercy lab.
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Performed:
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Gram stain: 1st shift RL: Next day, 1st shift Preliminary report: 1 day Final report: 2 days
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Reference value:
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No growth or Scant Normal flora of the upper respiratory tract.
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Method:
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Standard culture techniques.
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CPT Code:
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87205 Gram Stain+ 87070 Bronch Clt+
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POWERCHART NAME
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BUN
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MERCY TEST NAME
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BUN
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MERCY LAB CODE
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BUN
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| Specimen: |
- Preferred in house: 0.5 ml lithium heparin plasma from a PST tube.
- Preferred reference lab: 0.5 ml serum from a SST tube.
- Also acceptable: Sodium Heparin, EDTA plasma or serum from a plain red top tube.
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| Stability: |
8 hours room temp, 48 hours refrigerated, freeze if >48 hours. |
| Performed: |
Within 8 hours of receipt. Available stat. |
| Reference value: |
0-2 years: 4-15 mg/dl 3-16 years: 9-18 mg/dl 17-64 years: 8-22 mg/dl >64 years: 10-28 mg/dl
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| Method: |
Urease, Enzymatic |
| CPT Code: |
84520 |
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TEST NAME
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BUN/CREATININE RATIO
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| Comment: |
Bun/Creatinine Ratio is a calculation and not orderable by itself.
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| Included in: |
METB, CMPL, GHP, RPNL, NUTP, OPNL, DPNL, ATPN, TPNL. |
| Reference value: |
10 - 20 |
| Method: |
Urease, UV |
| CPT Code: |
NA |
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POWERCHART NAME
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BUN Post Dialysis |
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MERCY TEST NAME
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BUN POST DIALYSIS
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MERCY LAB CODE
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BUNP
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| Specimen: |
- Preferred in house: 0.5 ml lithium heparin plasma from a PST tube.
- Preferred reference lab: 0.5 ml serum from a SST tube.
- Also acceptable: Sodium Heparin, EDTA plasma or serum from a plain red top tube.
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| Stability: |
8 hours room temp, 48 hours refrigerated, freeze if >48 hours. |
| Comment: |
To be ordered by Dialysis only.
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| Performed: |
Within 8 hours of receipt. Available stat. |
| Reference value: |
0-2 years: 4-15 mg/dl 3-16 years: 9-18 mg/dl 17-64 years: 8-22 mg/dl >64 years: 10-28 mg/dl
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| Method: |
Urease, Enzymatic |
| CPT Code: |
84520 |
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POWERCHART NAME
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BUPRENORPHINE Screening Test Discontinued at Mercy 10-1-12 Send to Mayo.
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MERCY TEST NAME
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BUPRENORPHINE
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MERCY LAB CODE
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CMIS
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| Comment: |
Order Miscellaneous General Lab and specify: Mayo #500038/ BUPM Buprenorphine and Norbuprenorphine Urine in comment.
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| Reference value: |
None detected
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| CPT Code: |
83925 |
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