POWERCHART NAME

UREA BREATH TEST 

MERCY TEST NAME

UREA BREATH TEST

MERCY LAB CODE

HPUBT

POWERCHART NAME

UREA NITROGEN 24 HOUR URINE

MERCY TEST NAME

UREA NITROGEN 24UR

MERCY LAB CODE

VUN 

POWERCHART NAME

UREA CLEARANCE 24 HOUR URINE

MERCY TEST NAME

UREA CL 24 UR

MERCY LAB CODE

VUCL

1. A single 24-hour urine collection may be used for Creatinine Clearance and Urea Nitrogen
   Clearance and Total Protein.
2. Outpatients and Inpatients, Mercy Laboratory will order the appropriate serum BUN (BUNM) if a serum BUN has not been completed within 48 hours.  This will be done at no additional charge.  The patient needs to have blood drawn when the container is picked up or delivered.  In order to avoid possible duplication, the serum BUN is not to be ordered by the physician office, the hospital floor or admitting.
3. Regional Lab Clients send 0.5ml serum for the BUN at the same time that the urine specimen is sent.  This enables analysis of both specimens by the same method for accuracy.  Mercy Laboratory will order the serum BUN at no charge.  Do not order a single BUN on the requisition.

TEST NAME

UREAPLASMA SPECIES, MOLECULAR DETECTION,PCR

MERCY TEST NAME

UREAPLASMA SPECIES,MOLECULAR DETECTION,PCR

MERCY LAB CODE

CMIS

Specimen: 

• Cervix, Urethra, Vagina
  • Requires a special M5 transport media. Contact the microbiology lab for further collection and transport instructions.
• Amniotic Fluid, Prostatic Secretion,Reproductive drainage/fluid, Lower respiratory Specimen, or Semen
  • Requires a special M5 transport media. Contact the microbiology lab for further collection and transport instructions.
• Urine (kidney stone)
  • Send specimen refrigerated (frozen acceptable)  in a plastic container with a  tight fitting lid.
  • 2 mL

Comment:

Mayo test #: 60758/ URRP

RL Client Comments:

• Write Ureaplasma species, Molecular Detection, PCR, Mayo #60758/ URRP, on the order form.
• Send M5 transporters to Mercy lab refrigerated.
• Send Urine specimens refrigerated to Mercy lab.

Performed

Monday through Sunday

Reference value:

Included with test results.

CPT Code:

87109

POWERCHART NAME

URIC ACID

MERCY TEST NAME

URIC ACID

MERCY LAB CODE

URIC

• 0.5 ml lithium heparin plasma from a PST tube. 
• Sodium Heparin plasma and serum from an SST is also acceptable. 
• Stable 48 hours refrigerated.

Male: 4.4-7.6 mg/dl
Female: 2.3-6.6 mg/dl

POWERCHART NAME

URIC ACID 24 HOUR URINE

MERCY TEST NAME

URIC ACID 24UR

MERCY LAB CODE

VURI

Aliquot 10 ml and indicate total 24-hour volume.  Send at room temperature . Special processing will be done at Mercy Laboratory.

POWERCHART NAME

URIC ACID BODY FLUID

MERCY TEST NAME

URIC ACID BF

MERCY LAB CODE

FURI

TEST NAME

URIC ACID CRYSTALS

See:  Body Fluid Crystals   

POWERCHART NAME

 UA URINALYSIS ROUTINE

MERCY TEST NAME

URINALYSIS ROUTINE

MERCY LAB CODE

UA

A description of the centrifuged sediment will be included on hazy and cloudy specimens and those specimens having one or more positive results on the dipstick except glucose and Ketone. Clear urines with negative dipsticks will not have the centrifuged microscopic exam performed.

15 ml random urine specimen (2 ml minimum).  Deliver to the Lab within 1 hour of collection. 
All routine urinalysis are to be tested on the first morning specimen.

First morning specimen is preferred for testing, but random collections are acceptable.

Nursing Home and Reference Lab specimens: Deliver to Lab within 8 hours of collection. Keep refrigerated.

1. Indicate time of collection in comment.  Indicate method of collection using the following codes:
   MURN Midstream
   CURN Cath
   SURN Suprapubic
2. A microscopic is performed and charged if any of the following exist:
   Clarity is hazy, cloudy, or turbid.
   All positive chemstrip results except for positive glucose or positive ketones.
3. Providers may specifically request a microscopic be performed by writing “urinalysis with micro” on the requisition.
4. A urine culture is ordered and charged on specimens from Inpatients (except 3W) if the following criteria are met:
   Nitrites Positive OR
   WBC >  5/HPF
   Specimens from patients in ER or ERIH are held and the culture is ordered if the patient is admitted.

Within 2 hours of receipt.  Available stat.

Spec gravity:  1.001 - 1.035  
Ph:  4.6 - 8.0
Protein:  Negative
Glucose:  Negative
Ketones:  Negative

Urine Microscopic: 
WBC: 0 - 5/HPF
RBC: O - Z/HPF
SQ Epithelial: 0 - 5/HPF
CAST: rare Hyaline/LPF
Crystals: none seen/HPF
Bacteria: none seen/HPF
Yeast: none seen/HPF

TEST NAME

URINALYSIS WITH MICROSCOPIC

Order both tests: UCS  and  UCM 

TEST NAME

URINALYSIS with REFLEX MICRO

Order: UA

TEST NAME

URINE CENTRIFUGED MICRO

Order: UCM

POWERCHART NAME

URINE CULTURE

MERCY TEST NAME

URINE CLT

MERCY LAB CODE

URNC

Order:

Specify collection type when ordering.

Specimen:

Midstream, catheterized, suprapubic, or nephrostomy.
0.5 ML urine minimum.
FOLEY CATHETER TIPS WILL NOT BE CULTURED.

Midstream:
Instruct patient of the proper collection technique. Collect in a sterile plastic container with a tight fitting lid. Provide the patient with 3 antiseptic towelettes. Use the following collection procedure:

• The patient should thoroughly wash their hands.
• Remove the lid from the container.Do not touch the inside surfaces.
• Remove all clothing from the waist down.
• Assume the appropriate position:
  Female-Sit on the toilet with legs spread apart.
  Male-Stand facing the toilet, or sit on the toilet with legs spread apart.
• Open the towelettes and cleanse perineal area.
  Female: Separate the labia with the thumb and forefinger. Using downward strokes,cleanse one labium with a towelette and discard. Cleanse the other labium and meatu sin the same fashion, using a separate towelette for each stroke, and discard. Keep the labia separated.
  Male: If uncircumcised, retract the foreskin before proceeding. Cleanse the head of the penis with a towelette, using a circular motion from the urethral opening to the outer diameter of the penis. Discard towelette. Repeat using all the towelettes.
• Hold container by the outside surface. Begin urinating into the toilet.
• Place container under the stream of urine after a good flow has started.
• Fill container half full and void remainder of the urine into the toilet.
• Screw on the sterile cover.Do not touch the inner surface.

In-dwelling catheter:
Obtain the specimen with a needle and syringe. Select a puncture site 1-2 inches distal to the meatus. Clean the area to be punctured with 70% alcohol. Aspirate 10 ml of urine with a sterile needle and syringe.
NOTE: Specimens obtained from the collection bag are NOT clinically useful. FOLEY TIPS WILL NOT BE ACCEPTED.

Comments:

• Results will be quantitated in colony forming units/ml.
• Specimens containing more than 3 organisms will NOT routinely have organism identifications or susceptibility testing reported.This is generally indicative of an improperly collected specimen.A repeat specimen at an additional charge will be requested.
• Foley catheter tips will NOT be cultured.
• Urine culture transport tubes are not acceptable for a urinalysis.
• Susceptibility testing will be routinely performed on all significant isolates.

RL Client Comments:

ALL OUTSIDE CLIENTS (INCLUDING NURSING HOMES)

• If specimen is a Suprapubic or Nephrostomy specimen, write this on the SOURCE line
• Refrigerate urine immediately after collection and during transport.
• Deliver to Mercy Lab within 1 hour of collection. (DO NOT LEAVE URINE AT ROOM TEMPERATURE AFTER COLLECTION).
• If delivery will exceed 1 hour from collect time:  Specimen must be transferred to a urine transport tube. (Available from the Mercy Lab.):
  
      .  Fill the urine transport tube with the urine specimen (approximately 4 ml).
      .  If there is <4 ml of urine, remove the rubber stopper from the tube and fill it to the minimum mark with
         urine.
      .  If the specimen was collected from an in-dwelling catheter using a syringe, inject the needle through
         rubber stopper and allow the vacuum inside of the tube to draw the correct volume into the tube.
      .  Transport at room temperature.  Specimen must be received by Microbiology Lab with 48 hours of
         collection.

Performed:

Final report: 1 - 2 days

Reference value:

No growth (<10,000 CFU/ml)

Method:

Standard culture techniques

CPT Code:

87086
87088 (Presumptive ID per organism, if appropriate)
87186 (MIC per organism, if appropriate)

TEST NAME

URINE CYTOLOGY

See: Cytology Section Urine

POWERCHART NAME

URINE DIPSTICK

MERCY TEST NAME

URINE DIPSTICK

MERCY LAB CODE

UCS

Random urine specimen delivered to the Lab within 1 hour of collection. All routine urinalysis are to be tested on the first morning specimen. 

First morning specimen is preferred, but random collections are acceptable.

1. Indicate time of collection in comment.
2. Indicate method of collection using the following codes:
   MURN  Midstream
   CURN  Cath
   SURN  Suprapubic
3. A urine culture is ordered and charged on specimens from Inpatients (except 3W) if the following criteria are met:
   Nitrites Positive OR
   WBC >  5/HPF
   Specimens from patients in ER or ERIH are held and the culture is ordered if the patient is admitted. 

TEST NAME

URINE ELECTROPHORESIS

See:  Protein Electrophoresis 24 Hour Urine* 

TEST NAME

URINE EOSINOPHIL

See:  Eosinophil, Urine

POWERCHART NAME

URINE MEASUREMENT

MERCY TEST NAME

URINE MEASUREMENT

MERCY LAB CODE

VMSM

POWERCHART NAME

URINE MICROSCOPIC ONLY 

MERCY TEST NAME

URINE MICRO ONLY

MERCY LAB CODE

UCM

Random urine specimen delivered to Lab within 1 hour of collection. All routine urinalysis are to be tested on the first morning specimen.

Urine Microscopic:                                      
WBC: 0-5/HPF
RBC: O-Z/HPF
SQ Epithelial: 0-5/HPF
CAST: rare Hyaline/LPF
Crystals: none seen/HPF
Bacteria: none seen/HPF
Yeast: none seen/HPF

TEST NAME

URINE PH

See:  pH Urine

TEST NAME

URINE PROTEIN DIPSTICK

See:  Urine Dipstick

TEST NAME

URINE SPECIMEN 24-HOUR

Collection containers are available from the Laboratory.  If preservative is needed, contact the Lab and indicate test name so that proper preservative will be added to the container.  See 24-hour Urine Collection Requirements in Special Helps section of Lab Test Index for preservative that may be required.  Orders are to be placed at the completion of the specimen collection period.Refer to the introduction of the Lab Test Index for collection instructions.This is a list of the more commonly ordered 24-hour urine tests done  at Mercy. 

Please refer to the specific test in this test index for ordering instructions and any other information necessary to the collection:

Amylase 24-hour urine
Calcium 24-hour urine
Creatinine 24-hour urine
Creatinine Clearance 24-hour urine
Electrolytes  24-hour urine
Glucose  24-hour urine

Mono Clonal Protein 24-hour urine
Phosphorus 24-hour urine
Protein 24-hour urine
Sodium 24-hour urine
Sodium and Potasium 24-hour urine
Urea Nitrogen 24-hour urine
Uric Acid 24-hour urine

Other 24-hour urine tests are available.  Consult this test index under appropriate test name for information. If test is not listed in this test index, consult with the Lab for collection and ordering information.

Regional Lab Clients:  If a preservative is needed that you cannot provide, contact Mercy Laboratory with the name of the test ordered.  The collection container with perservative will be sent via courier.

TEST NAME

UROPORPHYRINS

See:  Porphyrin Quantitative 24Hour Urine*
        Porphyrins Quantitative Random Urine