POWERCHART NAME

FACTOR V LEIDEN LEVEL

MERCY TEST NAME

FACTOR V  R 506Q LEDN*

MERCY LAB CODE

FACTV

FCTV (Factor V R506Q Leiden)
FCTVC (Factor V Comment)

• Draw a FULL yellow-top (ACD) tube.  Mix well.  Send in original tube.
• Minimum 1 ml blood in a 3 ml ACD tube. (EDTA is acceptable)
• Specimen sent to Mayo ambient.  Refrigerated or frozen acceptable.  Mayo F5DNA. 
• Send a Coagulation Request Form with the specimen.

81241

POWERCHART NAME

FACTOR VIII LEVEL

MERCY TEST NAME

FACTOR VIII ASSAY

MERCY LAB CODE

F8

• Draw 2 large blue top tubes filled appropriately with the amount of blood listed on the label. 
• Avoid gross hemolysis.

• Centrifuge and remove plasma immediately, analyze within 4 hours. 
• Double spin and freeze patient plasma if not tested within 4 hours of collection. 
• Label vial "CITRATED PLASMA".

Double spin coagulation specimens to ensure that all platelets are removed:     1.  Centrifuge specimen.  Aliquot plasma (leaving some above the cells) to a plastic centrifuge tube.   2.  Centrifuge the aliquot tube.  Pipette plasma (leaving some above the bottom of the tube) to another plastic aliquot tube.   3.  Store plasma as required for the test ordered.

TEST NAME

FACTOR IX ASSAY

Order CMIS.  Type Factor IX in comment. 
Performed at Mayo Laboratories.

POWERCHART NAME

FACTOR X A  INHIBITION

MERCY TEST NAME

FACTOR X A

MERCY LAB CODE

FTENA

Used to monitor dose of Low Molecular Weight Heparin.  To monitor unfractionated Heparin dose, order HEPARIN UNFRAC.

• Centrifuge within 30 minutes and analyze within 4 hours. 
• Double spin and freeze plasma if testing not done within 4 hours of collection. 
• Label vial “citrated plasma”.

Double spin coagulation specimens to ensure that all platelets are removed:     1.  Centrifuge specimen.  Aliquot plasma (leaving some above the cells) to a plastic centrifuge tube.   2.  Centrifuge the aliquot tube.  Pipette plasma (leaving some above the bottom of the tube) to another plastic aliquot tube.   3.  Store plasma as required for the test ordered.

Peak levels (4 hours post dose) are recognized as the best measures of safety and efficacy.
Desired levels are as follows:

1. For prevention of venous thromboembolism (VTE) (DVT & PE) a peak Factor X A drawn 4 hours post SQ injection range is 0.1 - 0.2 U/ml. 
2. Treatment levels recommended are 0.4 - 1.1 U/ml for twice daily dosing or 1.0 - 2.0 U/ml for once daily dosing.
   NOTE:  Levels >0.8 - 1.0 U/ml may be associated with increased risk of bleeding.

POWERCHART NAME

FARMERS LUNG SEROLOGY

MERCY TEST NAME

FARMERS LUNG SERO*

MERCY LAB CODE

FLUN 

Included in report.

TEST NAME

FAST HB

See:   Hemoglobin A1C

POWERCHART NAME

FAT QUALITATIVE FECES

MERCY TEST NAME

FAT FECES QUALITATIVE

MERCY LAB CODE

FFQ

• 2 gm random stool specimen. 
• Submit in a clean container with a tight fitting lid. 
• Deliver to Lab within 6 hours of collection.

Refrigerate.

Reference Lab Clients: Refrigerate. Specimen must be delivered to lab within 72 hours of collection.

Negative. Descriptive report if positive for fat

Method: 

POWERCHART NAME

FAT QUANTITATIVE FECES

MERCY TEST NAME

FAT FECES QNT*

MERCY LAB CODE

FTFC

• 48 or 72 hour stool specimen collected in a special container obtained from the Lab. 
• 48 or 72 hour specimen preferred, but a 24 hour or random specimen will be accepted.
• Refrigerate the specimen during and after collection (portable refrigerator available from the Lab for inpatients). 
• 5 grams of stool specimen is required for testing.  Continue collection until 5 grams collected.

• Must indicate length of collection period in comment. 
• Barium in the stool will interfere with the test.
• It is essential that laxatives (particularly mineral oil and castor oil) are NOT used during the collection period.
• Synthetic fat substitutes such as Olestra interfere with test procedure. 
• Wait a minimum of 48 hours following a barium procedure before beginning specimen collection.

A separate order and collection should take place if calcium, chloride, magnesium, osmolality, potassium, sodium, testing is desired.           

• Send entire specimen in container that is no more than three-fourths full.
• Indicate length of collection period.
• Send frozen to Mayo.  Mayo #8310.

TEST NAME

FAT URINE

• Must submit entire random urine collection. 
• Collect in a fat-free, non-waxed container. 
• It is very important that the bladder is completely emptied and the entire specimen be sent to the Lab. 
• Refrigerate.

POWERCHART NAME

FAX LAB RESULTS ORDER

MERCY TEST NAME

FAXED

MERCY LAB CODE

FAX

• To be ordered on MISYS when a test result is to be faxed or called to a location in addition to the normal reporting location. 
• Include the fax telephone number, mailing address, to whom the report should be directed, and for which tests.       

TEST NAME

FBS

See:   Glucose Blood

POWERCHART NAME

FDP (FbDP/FSP AGGLUTINATION SEMIQUANTITATIVE)

MERCY TEST NAME

FDP SERUM

MERCY LAB CODE

FSP

• 2 ml whole blood collected in an FDP tube. 
• Tubes are available from the Lab. 
• Tube will fill less than half full and specimen will clot immediately.

• Allow tube to sit undisturbed for 15-30 minutes. 
• Centrifuge and remove the serum.
• Test immediately.    
• Do not freeze. 

POWERCHART NAME

FIBRIN DEGRADATION PRODUCTS URINE

MERCY TEST NAME

FDP URINE

MERCY LAB CODE

FSPU

• Transfer urine to an FDP tube.  
• Allow tube to sit undisturbed for 15-30 minutes.
• Centrifuge and remove urine. Test immediately. 
• Refrigerate if transporting specimen from outside location.

TEST NAME

FE

See:  Iron & IBC

POWERCHART NAME

FEBRILE AGGLUTININ

MERCY TEST NAME

FEBRIL AGGLUTS*

MERCY LAB CODE

MISM

POWERCHART NAME

FECAL LEUKOCYTES (WBC FECES) SMEAR

MERCY TEST NAME

FECAL Lactoferrin

MERCY LAB CODE

FL

• Fresh specimen only. Collect fecal specimens in a clean, screw-topped container with no preservatives
• Specimens should be submitted to Mercy lab REFRIGERATED (Frozen stool samples are also acceptable)
• Specimens should be submitted within 2 weeks of collection

• Due to Lactoferrin being present in breast milk, fecal samples from breast fed infants should not be used with this assay
• Call Mercy Micro Lab (ext. 8-7494) for further directions if testing on a breast-fed baby is needed.

• Mark FECAL LEUKOCYTE on the order form
• Send the specimen refrigerated (frozen also acceptable but not necessary) to Mercy Lab.
• Send within 2 weeks of collection

Daily. Test is available STAT.

TEST NAME

FELBAMATE  (FELBATOL)

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

• 1 ml serum from  a SST tube or a plain red top tube. Minimum 0.2 ml.
• Draw 1 hour prior to next dose.

• Therapeutic range and toxic level have not been established.
• Daily doses in the range of 1200-3600 mg/day normally produce serum concentration of 25-100 mcg/ml. 
• Automatic call-back: >200 mcg/ml.

POWERCHART NAME

FERRITIN LEVEL

• Preferred in house: 0.5 ml serum from a SST tube. 
• Preferred reference lab: 0.5 ml serum from a SST tube. 
• Also acceptable: serum from a plain red top tube or heparin plasma from PST tube. 
• Avoid hemolysis. 

Regional Lab Clients:  Freeze if not received at Mercy Medical Center - North Iowa Laboratory within 48 hours of collection.

 0-1 month: 25-200 ng/ml
1-2 months: 200-600 ng/ml
2-5 months: 50-200 ng/ml
6 months- 14 years: 10-140 ng/ml
Adult male: 24-336 ng/ml
Adult female: 11- 307 ng/ml                       

POWERCHART NAME

SEMEN ANALYSIS FERTILITY

MERCY TEST NAME

FERTILITY TEST SEMEN

MERCY LAB CODE

SMNFER

• Semen – Total Ejaculate. 
• Patient should have 2-7 days of sexual abstinence at the time of semen collection for accurate results.
• Mayo kit (supply T178) must be obtained prior to collection from Mercy Laboratory

Specimen will be rejected if:  not the total ejaculate, specimen not sent in preservative, or if specimen is received at Mayo >24 hours from collection

• Send at ambient temperature to Mayo # 9206. 
• Specimen must arrive within 24 hours of collection. 
• Send specimen Monday through Thursday ONLY, and NOT the day before a holiday. 
• Specimen should be collected and packaged as close to shipping time as possible. 
• Measure and observe semen volume, viscosity, pH, appearance (color), and number of days of sexual abstinence and document on
• Place specimen in preservative (preservative is stored refrigerated until specimen is added)

Monday through Friday; 3 p.m.
1 analytic day.

89310  Motility and count
89240  Misc. pathology test

POWERCHART NAME

FETAL FIBRONECTIN 

MERCY TEST NAME

MERCY LAB CODE

Specimen Collection Kit may be obtained from the Lab.  This kit is the only acceptable collection system available.

Specimen Collection Precautions and Warnings:

1. Specimens for Fetal Fibroncetin should be collected prior to culture specimens. 
   Collection of vaginal specimens for culture requires aggressive collection techniques which may abrade the cervical or vaginal mucosa. 
   Cellular debris may potentially interfere with sample preparation.
2. Specimens should be obtained prior to digital cervical examination or vaginal probe ultrasound exam as manipulation of the cervix may cause the release of fetal fibronectin.
3. Patient specimens should not be tested if the patient has had sexual intercourse within 24 hours prior to the sampling time because semen and/or sperm may increase the possibility of the test giving a false positive result.
4. Care must be taken not to contaminate the swab or cervicovaginal secretions with lubricants, soaps, or disinfectants. 
5. Patient using Terazal, a vaginal cream used for yeast infection, should wait 24 hours before collecting a specimen.
6. Rupture of membranes should be ruled out prior to specimen collection since fetal fibronectin is found in both amniotic fluid and the fetal membranes.
7. Specimens should not be obtained from patients with suspected or known placental abruption or placenta previa.
8. Not intended for use in patients with cancers of the reproductive tract.
9. Not intended for use in patients with moderate or gross bleeding

Specimen Collection Instructions are included in the collection kit.

TEST NAME

FETAL LUNG MATURITY

See: Lamaller Body Count
Fetal Lung Profile

POWERCHART NAME

FETAL LUNG  PROFILE

MERCY TEST NAME

MERCY LAB CODE

PAF

Test will no longer be ordered by lab when the Phosphatidylglycerol screening test is negative. Testing must be requested by physician.

• Centrifuge for 10 minutes at 1000 rpms. 
• Separate the supernatant and send both supernatant and sediment frozen in separate plastic vials to Mayo.  Mayo #8929. 
• Label specimens appropriately as sediment and supernatant. 
• Do not send specimens contaminated with blood. 
• Include estimate of duration of pregnancy in weeks.

1 day.  Test set up Monday through Sunday.  Available 1st shift only. 
Specimen must be received at Mayo by noon for same day reporting.

POWERCHART NAME

FETAL MATERNAL ERYTHROCYTES

MERCY TEST NAME

MERCY LAB CODE

1. May be ordered before delivery to determine if fetal bleed has occurred. 
2. Ordered by Lab when Fetal/Maternal Screen is positive.

POWERCHART NAME

MERCY TEST NAME

MERCY LAB CODE

• Test will be ordered by Lab when RHIG workup tests indicate that the patient is eligible to receive Rh immune globulin.
• The Lab will order a Fetal/Maternal Ratio when the Fetal Screen is positive.
• Test may also be ordered by outside clients.           

NOTE:  Test can be done only when maternal blood type is known to be Rh negative and fetal blood type is  Rh positive.  If Rh type of fetus is unknown, order Fetal/Maternal Erythrocyte Ratio.

TEST NAME

FETALDEX

See:   Fetal/Maternal Screen

TEST NAME

FFP

See:  Fresh Frozen Plasma For Infusion

TEST NAME

FIBRIN GLUE

See:  Cryoprecipitate Not For Infusion

TEST NAME

FIBRIN SPLIT PRODUCTS

See:  D-Dimer Test
FDP Serum
FDP Urine

POWERCHART NAME

MERCY TEST NAME

MERCY LAB CODE

FIBR

• Draw 1 blue top tube filled  appropriately with amount of blood listed on label. 
• 1 ml plasma needed. 
• Avoid hemolysis.

• Centrifuge and separate plasma within 2 hours. 
• Store in refrigerator up to 4 hours. 
• Double spin and freeze plasma if storage will be longer than 4 hours.
• Label vial "CITRATED PLASMA".

Double spin coagulation specimens to ensure that all platelets are removed:     1.  Centrifuge specimen.  Aliquot plasma (leaving some above the cells) to a plastic centrifuge tube.   2.  Centrifuge the aliquot tube.  Pipette plasma (leaving some above the bottom of the tube) to another plastic aliquot tube.   3.  Store plasma as required for the test ordered.

TEST NAME

FIBRINOGEN DEGRADATION PRODUCTS

See:         FDP Serum
                FDP Urine

TEST NAME

FLOW CYTOMETRY

See: Leukemia/Lymphoma Immunophenotyping by Flow Cytometry.

POWERCHART NAME

FOLATE SERUM

MERCY TEST NAME

FOLATE

MERCY LAB CODE

FOL

• Preferred in house: 0.5 ml serum from a SST tube.   
• Preferred reference lab: 0.5 ml serum from a SST tube. 
• Also acceptable: serum from a plain red top tube or heparin plasma from PST tube. 
• Aliquot specimen.

• Hemolyzed specimen not acceptable.
• Folate should not be ordered for patients who have recently received a radioisotope, methotrexate, or other folic acid antagonist.

• Folate reference range based on populations with folic acid fortification of foods. 
• Deficient folate concentrations are considered to be less than 4ng/ml.

• Avoid exposure to sunlight.
• Refrigerate as soon as possible. 

POWERCHART NAME

FOLIC ACID RBC

MERCY TEST NAME

FOLATE RBC*

MERCY LAB CODE

FORBC

• Draw from a fasting patient, 5 ml whole blood in EDTA lavendar or a pink top tube. Protect from light during collection, storage, and shipment per Mayo requirements. 
• Within 4 hours of collection, transfer 1 ml EDTA blood to an amber vial to protect from light during storage, and shipment. Freeze immediately. 
• Minimum: 1 ml.
• Requires Hematocrit (HCT) value drawn within 24 hours of Folate RBC
• Separate samples must be submitted when multiple tests are ordered.

• Send frozen to Mayo.  Mayo FFRBC.
• Hematocrit value required, must be drawn within 24 hours of Folate RBC.

Included in report..

TEST NAME

FOLLICLE STIMULATING HORMONE (FSH)

See:   FSH

TEST NAME

FORENSIC DRUG SCREEN* Tests - No longer available -DISCONTINUED

See: Aegis Forensic Drug Testing*