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Section T (Tr-Tz)

TEST NAME

TPPA or TP-PA

See:  SYPHL

 

POWERCHART NAME

TRANSFERRIN

MERCY TEST NAME

TRANSFERRIN        

MERCY LAB CODE

TRNS

Specimen: 
  • Seum from a fasting patient is recommended.
  • 0.5 ml lithium heparin plasma from a PST tube and Sodium heparin plasma are also accepted.
  • Stable 48 hours refrigerated.
Performed: Within 8 hours of receipt.
Reference value: 200 - 360 mg/dl
Method: Immunoturbidimetric
CPT Code:  84466

 

TEST NAME

TRANSFERRIN SATURATION = IRON SATURATION

See: IRON BINDING CAPACITY PROFILE

 

TEST NAME

TRANSFUSION REACTION WORK-UP

Comment:

MMC-NI Nursing Services should notify the physician and Lab immediately and follow Nursing Policy #602 Blood Transfusion Reaction Investigation which can be found on the Mercy Intranet Home page, Policies, Procedures and By-Laws, Nursing.  In this policy under the procedure portion, A.5. follow the helpful link to Documentation Guidelines:  Blood Transfusion Reaction.  Nursing will fill out "Post Transfusion" documentation form in Powerchart selecting "YES" in the Transfusion Reaction box and any other required fields.  Once "YES" is selected the "Transfusion Reaction Workup" will be automatically ordered and generated to the Laboratory.

Nursing should continue with the Transfusion Reaction by delivering the Lab copy of the Blood/Blood Component Transfusion Form and the blood/component bag with all attached tubings and IV solutions to the Lab immediately.  Continue to monitor patient.  There is no charge to the patient.

Specimen: 6 ml pink top tube.
Performed:  Immediately on receipt.
Reference value:  A Transfusion Reaction Investigation report which includes a written interpretation by a pathologist will be completed.
Method: Serological
CPT Code: NA

 

POWERCHART NAME

TRAUMA PANEL

MERCY TEST NAME

TRAUMA PANEL

MERCY LAB CODE

TPNL

Comment:  For use by Emergency Center ONLY and only in a trauma situation. 
Includes: Alcohol, blood                     Amylase                        CBC with Diff                                
Metabolic Panel                   Protime                         PTT   
Specimen: 

Draw 1 SST tube, 2 green top tubes, 1 blue top tube filled appropriately with amount of blood listed on label, 1 purple top tube, 1 pink top tube and 1 gray top tube on ice for a possible lactic acid. 

Performed: Within 8 hours of receipt.  Available stat. 
Reference value: See individual test entry.
Method: See individual test entry.
CPT Code:

85025 CBC
85610 Protime
85730 PTT
80048 Basic Metabolic Pnl
82150 Amylase
82055 Alcohol Ethy Bld

 

TEST NAME

TRAVEL CHARGE

MERCY TEST NAME

TRAVEL CHG

MERCY LAB CODE

TRVL

Comment: To be ordered by Lab on any specimen collected by Lab personnel outside the Laboratory facility.
CPT Code:  P9604

 

POWERCHART NAME

SMEAR WET MOUNT TRICHOMONAS FOR SQ

MERCY TEST NAME

TRICHOMONAS PREP

MERCY LAB CODE

TV

Specimen:

Vaginal discharge. Collect on a routine Culturette. Deliver to the laboratory immediately after collection.

Comment:

This test detects motile trichomonads only.

RL Client Comments:

  • Write TRICHOMONAS PREP on the order form.
  • Send culturette at room temperature.

Performed:

Within 8 hours of receipt.

Reference value:

No motile trichomonads seen.

Method:

Direct microscopy

CPT Code:

87210

 

POWERCHART NAME

TRIGLYCERIDES

MERCY TEST NAME

TRIGLYCERIDE

MERCY LAB CODE

TRIG

Specimen: 0.5 ml lithium heparin plasma from a PST tube. Sodium Heparin and EDTA plasma tubes and serum tubes are also accepted.  Stable 48 hours refrigerated.  MUST BE FASTING
Performed: Within 8 hours of receipt.
Reference value:

The Adult Treatment Panel of the CDC recommends triglyceride values for cardiovascular risk to be:

                                      Male and Female Ranges
Normal: --------------------------- 35 -150 mg/dl
Borderline High: ---------------150 - 199 mg/dl            
High: -----------------------------200 mg/dl                     
Very High------------------------≥ 500 mg/dl                    
Method:  Enzymatic, End Point
CPT Code: 84478

 

POWERCHART NAME

TRIGLYCERIDE BODY FLUID

MERCY TEST NAME

TRIGLYCERIDE BF   

MERCY LAB CODE

FTRG

Specimen:  1 ml body fluid placed in a red top tube.  Refrigerate.
Comment: Indicate body fluid source in comment.
Performed:  Within 8 hours of receipt.
Reference value:  Not available.
Method: Enzymatic, End Point
CPT Code:  84478

 

TEST NAME

TROPONIN

See:  Troponin I

 

POWERCHART NAME

TROPONIN I

MERCY TEST NAME

TROPONIN I

MERCY LAB CODE

TRPI

Comment:

Troponin I is NOT included in Cardiac Enzyme Profile.  It is however included in the Cardiac Marker Panel. It can also be ordered as a separate test.

Specimen:

1 ml serum from an SST tube.  DO NOT collect in a glass tube. 
If collected in a glass tube, transfer to an appropriate container within 8 hours of collection.

Stability:

 2 hours room temp, 24 hours refrigerated, freeze if >24 hours

Cause for rejection:

Fibrin and particulate matter must be avoided.

Processing: 

Centrifuge.

Reference Lab Clients:  Store and send refrigerated.

Performed: Run within 8 hours of receipt.  Available stat.
Reference value: 

0.00 - 0.04 ng/ml

0.05 - 0.49 ng/ml  Elevated but not diagnostic of acute myocardial injury and rarely may occur in non-cardiac conditions

0.50 ng/ml and greater  Myocardial Infarction

Method:  Sandwich Immunoassay, Chemiluminescent
CPT Code: 84484

 

POWERCHART NAME

TRYPTASE

MERCY TEST NAME

TRYPTASE*

MERCY LAB CODE

TRYPT

Specimen:

0.5 mL Serum from Red top Tube / SST is acceptable

Processing::

Aliquot specimen, send FROZEN to Mayo. Mayo order code TRYPT.

Performed::

1-5 days. Monday - Friday 9 am to 1 pm

Reference Value:: 

Included in report

Method:  Fluorescence Enzyme Immunoassay (FEIA)
CPT Code: 83520

 

TEST NAME

TSH

See:  TSH Sensitive

 

POWERCHART NAME

TSH (THYROID STIMULATING HORMONE)

MERCY TEST NAME

TSH SENSITIVE

MERCY LAB CODE

TSH

Specimen:
  • 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 a PST tube.
Comment:  Included in Thyroid Hypo Panel or can be ordered separately.
Processing:

Stable 8 hours at room temperature.  Stable 48 hours refrigerated.  Freeze if testing is not completed within 48 hours of collection.

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

Performed:   Within 8 hours of receipt.
Reference value:

6 years old to Adult:       0.30 - 5.00 mIU/L
1 year old to 5 year old:  0.30 - 6.00 mIU/L
> 1 year old:                 0.30 - 6.30 mIU/L

Method: Sandwich Immunoassay Chemiluminescent
CPT Code:   84443

 

TEST NAME

TYPE & CROSS

See:  Crossmatch

 

POWERCHART NAME

TYPE AND SCREEN

MERCY TEST NAME

TYPE AND SCRN     

MERCY LAB CODE

TYSC

Includes:

ABO Group/RH Type and Antibody Screen.
Please note:  NO units will be crossmatched.

Type and Screen is included in:  Crossmatch.

Specimen:

One 6 ml pink top tube. 

All patients drawn for possible blood product transfusion MUST be correctly identified and MUST BE WEARING an armband with their FULL NAME and MEDICAL RECORD NUMBER before the patient is drawn.

A (check mark) must be put by the Medical Record number on the tubes drawn for a Type and Screen by the person drawing the specimen indicating the phlebotomist has matched the medical record number on the Specimen with the medical record number on the Patient Armband and it is identical along with the name and other pertinent information. 

Date, time, and initials of the individual collecting the specimen must be on the tube.

FOR OUTPATIENT AND PRE-SURGICAL PATIENTS:
All the above guidelines must be followed.  The PATIENT is also to be informed to leave the armband on and if the armband is removed they will need to be redrawn and testing repeated. **Qualified staff may remove the armband and replace it with another armband after careful matching.

If a type and screen specimen is subsequently used for a crossmatch order, the crossmatch expiration is 3 days following the day the type and screen specimen was collected.

Performed: Within 8 hours of receipt.  Available stat.
Method: Serological
CPT Code:

86900 ABO+
86901 RH+
86850 Antibdy Sc

 

TEST NAME

TZANCK SMEAR

See: Cytology Section Tzanck Smear

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