POWERCHART NAME

SALICYLATE LEVEL

MERCY TEST NAME

SALICYLATES         

MERCY LAB CODE

SLY

POWERCHART NAME

CULTURE SALMONELLA AND SHIGELLA SCREEN

MERCY TEST NAME

SALM/SHIG SCRN    

MERCY LAB CODE

SSCR

Specimen:

5 gm feces.  Deliver to the Lab within 1 hour of collection.

 Cause for
rejection:

• Specimens collected w/in 7 days of barium or bismuth enema
• Specimens conatminated with toilet water or urine. 

Comments:

• Screens only for isolates of Salmonella and Shigella.
• Recommended for screening in cases of known Salmonella or Shigella outbreaks, or for retesting patients previously positive for Salmonella or Shigella.

RL Client Comments:

1. Write SALMONELLA/SHIGELLA SCREEN on the order form.
2. Deliver to the lab within 1 hour of collection. If unable to deliver within 1 hour after collection, use a Para-Pak C&S vial for specimen transport. Transfer enough specimen to bring liquid up to the fill line indicated on the Para-Pak vial. DO NOT overfill. Mix thoroughly. Break up formed specimens in the preservative.
3. Specimen in preservative must be tested within 5 days of collection.
4. Send specimen at room temperature.    

Performed:

Final report:  3 days

Reference value:    

No Salmonella or Shigella isolated.

Method:

Standard culture techniques.

CPT Code:    

87045

POWERCHART NAME

SED RATE - ERYTHROCYTE

MERCY TEST NAME

SED RATE

MERCY LAB CODE

ESR

TEST NAME

SEMEN ANALYSIS FERTILITY

POWERCHART NAME

SEMEN ANALYSIS

MERCY TEST NAME

SEMEN ANALYSIS

MERCY LAB CODE

SMEN

Specimen accepted Monday-Thursday only, not the day before a holiday, until 8 PM nightly.
 Mayo courier picks up specimens at Mercy after 8PM.  Specimen should be collected as close to shipping time as possible. If ONLY a sperm count is ordered, see SPERM COUNT.

Semen specimen collected in Semen Collection Kit provided by Mayo. Patient is to deliver the specimen, packed in the collection kit, to Mercy Lab within 1 hour of collection. For accurate results, the patient should have 2-7 days of sexual abstinence prior to specimen collection. It is critical to keep specimen at room temperature.

Ph: 7.2 - 8.0
Volume: > 2.0ml
Motility, Count, Morphology: See Mayo report

Includes color, volume, viscosity, pH, % motility, concentration, grade of motility, viability, morphology, and presence of cellular elements.    

89310   Motility and count
89240   Miscellaneous Pathology
99001   Processing (For specimens processed at Mercy only)

TEST NAME

SEROLOGY

See:  SYPHL

TEST NAME

SEROTONIN

See:  HIAA5 (Serotonin) 24 hour Urine*

TEST NAME

SEX CHROMATIN

See: Cytology Section  Barr Body Smear

TEST NAME

SEXUAL ASSAULT

This is a list of the more commonly ordered tests in a sexual assault case.  ALWAYS check the physician's orders, as they will vary.

Cytology Manual Requisition MH 321.9
ABO Group/Rh Type
Chlamydia Trachomatis Screen: CMIS
GC Screen: GC
Pregnancy Test
RPR (Test for syphilis)

Please refer to the Sexual Assault Procedure and the Test Index for proper collection.

TEST NAME

SGOT

See:  AST

TEST NAME

SGPT

See:  ALT

TEST NAME

SHAKE TEST

See: Lamellar Body Count
Phosphatidylglycerol Screen Amniotic Fluid

TEST NAME

SICKLE CELL

See:  Hemoglobin S Screen*

TEST NAME

SINEQUAN

See:  Doxepin*

POWERCHART NAME

SIROLIMUS (RAPAMYCIN) LEVEL

MERCY TEST NAME

SIROLIMUS*

MERCY LAB CODE

SIRO

Send specimen in original collection tube. Send Refrigerated to Mayo. Mayo code - SIRO

Daily

Liquid Chromotography / Tandem mass spectrometry

80195

TEST NAME

SMEAR BLOOD

See:  Differential Manual  (for Technical staff review of smear)
         Cell Morphology  (For Pathologist review of smear)

TEST NAME

SMEAR WET MOUNT

See:  Smear Wet Mount Trichomonas

TEST NAME

SMOOTH MUSCLE ANTIBODY*

See: Anti Smooth Muscle AB

POWERCHART NAME

SODIUM LEVEL

MERCY TEST NAME

SODIUM

MERCY LAB CODE

NA

0-2 days:               133-146 mmol/L
3 days-11 months: 139 - 146 mmol/L
1-12 years:            138 - 145 mmol/L
>12 years:             135 - 145 mmol/L

POWERCHART NAME

SODIUM 24 HOUR URINE

MERCY TEST NAME

SODIUM 24 HOUR URINE

MERCY LAB CODE

VNA

40-220 mmol/24 hours

TEST NAME

SODIUM URINE

See:  Sodium/Potassium 24 Hour Urine
        Sodium/Potassium Random Urine  
Sodium 24 Hour Urine

POWERCHART NAME

SODIUM AND POTASSIUM LEVELS

MERCY TEST NAME

SOD POT

MERCY LAB CODE

NAK

Sodium
0-2 days:               133-146 mmol/L
3 days-11 months: 139-146 mmol/L
1-12 years:            138-145 mmol/L
>12 years:             135-46 mmol/L

Potassium
0-2 days:           3.7-5.9 mmol/L
3 days-11 mths: 4.1-5.3 mmol/L
1-12 years:        3.4-4.7 mmol/L
>2 years:           3.5-5.5 mmol/L

84295  Sodium
84132  Potassium

TEST NAME

SODIUM/POTASSIUM SPOT CHECK

See:  Sodium/Potassium Random Urine

POWERCHART NAME

SODIUM AND POTASSIUM 24 HOUR URINE

MERCY TEST NAME

SOD POT 24UR

MERCY LAB CODE

VLYT

Sodium: 40 - 220 mmol/24 HR
Potassium: 25 - 125 mmol/24 HR

84300 Sod Urine +
84133 Pot Urine +

POWERCHART NAME

SODIUM AND POTASSIUM BODY FLUID

MERCY TEST NAME

SOD POT BF

MERCY LAB CODE

FLYT

POWERCHART NAME

SODIUM  AND POTASSIUM RANDOM URINE

MERCY TEST NAME

SOD POT R UR

MERCY LAB CODE

ULYT

84300 Sod Urine+
84133 Pot Urine+

POWERCHART NAME

SODIUM  RANDOM URINE

MERCY TEST NAME

SODIUM R UR

MERCY LAB CODE

UNA

84300 Sod Urine+

TEST NAME

SOMATOMEDIN-C PLASMA*

See: Insulin-Like Growth Factor I*

TEST NAME

SOTALOL  (BETAPACE)

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

Send refrigerated to Mayo.  Mayo # 91123.  Indicate if specimen is serum, plasma or urine.
Indicate test name in comment field.

Serum Sotalol concentrations producing beta-blockade: 500 - 4000 ng/ml
Toxic range has not been established.

TEST NAME

SPECIFIC GRAVITY

See:  Specific Gravity Body Fluid
        Specific Gravity Random Urine

POWERCHART NAME

SPECIFIC GRAVITY BODY FLUID

MERCY TEST NAME

SPEC GRAV BF

MERCY LAB CODE

SPBF

POWERCHART NAME

SPECIFIC GRAVITY URINE

MERCY TEST NAME

SPEC GRAV UR

MERCY LAB CODE

USG

POWERCHART NAME

SPERM ANTIBODY, SERUM

MERCY TEST NAME

SPERM ATBDY*

MERCY LAB CODE

SPMA

2 ml serum from plain red top tube from the individual suspected of having sperm antibodies.  Indicate serum on request form.

MERCY TEST NAME

SPERM ANTIBODY,DIRECT, SEMEN

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

Viable semen specimen, specimen must be sent using kit (Supply T356) supplied by Mayo. 
Cautions:  Sperm antibody testing is not recommended for routine infertility testing.  In cases where specimen production presents difficulties, a serum specimen can be tested (see #9502 "Sperm Antibody, Serum)

MERCY TEST NAME

SPERM ANTIBODY, INDIRECT

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

TEST NAME

SPERM CHECK AFTER VASOVASOSTOMY

See: Sperm Count Under comment: enter Vasovasostomy and source.  Obtain specimen on a slide and place in the surgery pass through.  Notify the Lab that a specimen is there.

POWERCHART NAME

SPERM COUNT

MERCY TEST NAME

SPERM COUNT

MERCY LAB CODE

SPC

Semen specimen collected in a clean plastic container.  Deliver to the Lab within 12 hours of collection. The specimen should not be collected or delivered in a condom. For accurate results, the male should not ejaculate semen for a minimum of two days prior to specimen collection.

TEST NAME

SPERM MORPHOLOGY

Included in Semen Analysis

TEST NAME

SPINAL FLUID CYTOLOGY

See: Cytology Section Cerebrospinal Fluid

TEST NAME

SPLIT PRODUCTS

See: D-Dimer Test
FDP Serum
FDP Urine

TEST NAME

SPOT CHECK URINE

See:  Amylase Random Urine
Creatinine Random Urine
Microalbumin Random Urine
Sodium/Potassium Random Urine

TEST NAME

SPUTUM CULTURE

See:  Respiratory (Upper) Culture/Gram Stain

TEST NAME

SPUTUM CYTOLOGY

See: Cytology Section Sputum

TEST NAME

 STEROID ABUSE SCREEN

See: Anabolic Steroid Screen

TEST NAME

STONE ANALYSIS

POWERCHART NAME

CULTURE STOOL

MERCY TEST NAME

STOOL CLT

MERCY LAB CODE

STLC

Specimen:

5 gm feces.  Deliver to the lab within 1 hour of collection.

Routine stool cultures should not be ordered on inpatients whose length of stay is more than three days, and whose admitting diagnosis was not gastroenteritis.  Clostridium difficile testing should be considered.

No more than 2 specimens collected on consecutive days should be submitted for testing without prior consultation, with the Microbiology Department, due to the limited yield provided by additional specimens.

 Cause for rejection

• Specimens collected within 7 days of barium or bismuth enema
• Specimens contaminated with toilet water or urine

Comments:

• Screens for isolates of Salmonella, Shigella, Campylobacter, Yersinia, and Enterohemorrhagic E. Coli (EHEC), which include E. coli 0157:H7.  A predominance of Pseudomonas aeruginosa, and an Aeromonas species wil be reported, if isolated.
• Shigella species will have a susceptibility (MIC) reported, if requested by the provider.
• Vibrio screening is available upon special request. Contact the Microbiology Laboratory at 7494.
• The stool culture will have two methods for detecting E. coli 0157:H7; routine culture media and the Shiga Toxin kit.  The Shiga Toxin kit will also detect other EHECs that are not 0157:H7.  The Shiga Toxin kit will automatically be performed on EVERY stool culture. If the Shiga Toxin kit cannot be performed, due to decreased bacterial flora, the results of the stool culture will reflect that and the patient will be credited for that portion of the stool culture charge.
• If the Shiga Toxin screen is positive but the culture is not growing E. coli 0157:H7, Mercy Lab will send the specimen to UHL in Iowa City for further testing, at an additional charge.  This will determine what other highly pathogenic serovar is present in the sample (E. coli 026, 0103, 0111, 0145 and others).

 RL Client Comments:

• Deliver to Mercy Lab within 1 hour of collection. If collection will exceed 1 hour, use a Para-Pak C&S vial for specimen transport. Transfer enough specimen to bring liquid level up to the fill line indicated on Para-Pak vial. DO NOT overfill. Mix thoroughly. Break up formed specimen in the preservative.
• Specimens in preservative must be tested within 5 days of collection.
• Send specimen at room temperature.

Reference value:

Negative for Salmonella, Shigella, Campylobacter, Yerisina, and EHEC.

Performed:

Daily.  Final report:  3 days (typically)

Method:

Standard culture techniques
Immunochromatographic lateral flow rapid test (Shiga Toxin and Campy)

CPT Code:

87045  Salmonella/Shigella
87899  Stool Campylobacter
87046  Stool E. Coli 0157
87046  Stool Yersinia
87899  Shiga-like Toxin (Misc. organism Immuno Optical)

POWERCHART NAME

Strep Group B Antigen CSF Neonatal order (<1 week of age)

MERCY TEST NAME

Grp B Strep Ag CSF

MERCY LAB CODE

GBSAG

Specimen:

Minimum of 0.3 ml CSF in sterile screw-cap container. Send to the lab at room temperature. Testing is available STAT.

Comments:

• Recommended for infants less than 1 week of age.
• Antigens tested: Streptococcus agalactiae (Group B)
• Positive bacterial antigen results are called to the Provider, Nursing unit or ordering location.
   
• Antigens are not intended to replace bacterial culture.  Please order a Fluid Culture also.  

RL Client Comments:

• Write GROUP B BACTERIAL ANTIGEN CSF NEONATE on the order form.
• Send the specimen at room temperature to Mercy lab.

Performed:

Within 8 hours of receipt

Reference value: 

Negative

Method:

Latex agglutination

CPT Code: 

86403  

POWERCHART NAME

STREP SCREEN THROAT RAPID

MERCY TEST NAME

STREP SCRN THRT

MERCY LAB CODE

GAS

Specimen:

Collect the specimen from the tonsils and pharynx using 2 swabs.  Submit in a double Culturette.

Comments:

• A throat culture will be ordered and charged by lab personnel on all negative Rapid Strep Screens in order to detect very low numbers of beta strep Group A and other significant beta streptococci.
• This test is very specimen dependent.  False negative results may be reported if the specimen is inadequate or poorly collected.

RL Client Comments:

• Write GROUP A STREP SCREEN on the order form.
• Send culturette at room temperature.

Performed:

Within 8 hours of receipt.

Reference value:

Negative for Group A streptococcus

Method:

EIA

CPT Code:

87880

TEST NAME

STREPTOZYME

  ASO

POWERCHART NAME

STRIATIONAL ANTIBODIES

MERCY TEST NAME

STRIAT ATBDY*

MERCY LAB CODE

STMAB

TEST NAME

SUDAN STAIN, FECES

See:  Fat Feces, Qual

TEST NAME

SUGAR CLINITEST, FECES

See:  Reducing Substances Feces

TEST NAME

SURFACTANT ALBUMIN RATIO AMNIOTIC FLUID

See: Fetal Lung Profile AF*

TEST NAME

SURGICAL SPECIMEN

See:  Tissue Exam Gross & Microscopic

POWERCHART NAME

CULTURE SURVEILLANCE EXTERNAL VRE (VANCOMYCIN RESISTANT ENTEROCOCCUS)

MERCY TEST NAME

VRE SRV CLT / NON-MERCY

MERCY LAB CODE

VREN

Specimen: 

Rectal swab.  Submit on routine culturette.

Comment:  

• This order screens for colonization of Vancomycin Resistant Enterococcus only.
• Contact the microbiology lab if other sites are being submitted to look for VRE.
• Send specimen at room temperature.
• Write VRE Screen or VRE Surveillance on the order form.

Performed:

Preliminary report: 2 days.
Final report: 3 days.

Reference value:

No Vancomycin Resistant Enterococcus isolated.

Method:

Standard Culture Techniques.

CPT Code:  

87081

POWERCHART NAME

CULTURE SURVEILLANCE MERCY VRE (VANCOMYCIN RESISTANT ENTEROCOCCUS)

MERCY TEST NAME

VRE SRV CLT / MERCY

MERCY LAB CODE

VRES

Specimen: 

Rectal swab.  Submit on routine culturette.

Comment:  

• This order screens for colonization of Vancomycin Resistant Enterococcus only.
• Contact the microbiology lab if other sites are being submitted to look for VRE.

Performed:

Preliminary report: 2 days.

Final report: 3 days.

Reference value:

No Vancomycin Resistant Enterococcus isolated.

Method:

Standard Culture Techniques.

CPT Code:  

87081

TEST NAME

CULTURE SURVEILLANCE (MRSA NASAL)

See:  MRSA Screen PCR (Nasal Only) (MRSA Nasal Surveilance)

TEST NAME

CULTURE SURVEILLANCE (MRSA WOUND)

See:  MRSA PCR(MRSA Wound Surveillance)

TEST NAME

SWEAT CHLORIDE

See:  Sweat

POWERCHART NAME

SWEAT CONDUCTIVITY

TEST NAME

SWEAT

MERCY LAB CODE

SWEAT

INPATIENTS:       Monday-Friday 0700-1400 only
OUTPATIENTS:   Monday-Friday 0900-1500 
                              Saturday 1300 - 1500
TEST PERFORMED IN MAIN LAB ONLY Saturday 1300-1500

Age<7 months:
0-29 mmol/l Cl Normal
30-59 mmol/l Cl Borderline
>59 mmol/l Cl Abnormal
Age > 6 months:
0-39 mmol/l Cl Normal
40-59 mmol/l  Cl Borderline
>59 mmol/l Cl Abnormal

Conductivity Method
NOTE:  Result reported is derived from a calculation converting MMOL/L Conductivitiy to MMOL/L CL (Chloride).

TEST NAME

SYNOVIAL FLUID CYTOLOGY

See: Cytology Section Synovial Fluid

POWERCHART NAME

SYPHILIS IgG ANTIBODY

MERCY TEST NAME

SYPHILIS IgG ANTIBODY

MERCY LAB CODE

SYPHL

Negative
Any positive IgG result will be referred to Mayo for repeat testing, If Mayo's syphilis IgG is positive, the RPR will be performed, at an additional charge. If the RPR is negative, the TP-PA will be performed at an additional charge.

86592 Syphilis Ab, IgG
86592 RPR (If appropriate)  86780 TP-PA (If appropriate)