TEST NAME

PAB

See:  Prealbumin

TEST NAME

PACKED RED CELLS

See:  Crossmatch

TEST NAME

PAMILAR

See: Amitriptyline/Nortriptyline*

TEST NAME

PAP TEST

See: Cytology Section Pap Smear Ordering

TEST NAME

PAP SMEAR

See: Cytology Section Pap Smear Ordering

TEST NAME

PAP SMEAR – THIN PREP

See: Cytology Section Pap Smear Ordering

TEST NAME

PARATHORMONE

See: PTHINT

POWERCHART NAME

PARATHYROID HORMONE INTACT

MERCY TEST NAME

MERCY LAB CODE

PTHINT

1 ml plasma from a green top tube preferred.  Serum or EDTA are also acceptable.

Plasma:  (heparin or EDTA) are stable 48 hours refrigerated.  Freeze for longer storage.

Serum:  Stable 8 hours refrigerated.  Freeze for longer storage.

POWERCHART NAME

MERCY TEST NAME

PTH INTRAOPERATIVE

MERCY LAB CODE

PTHIO

To be ordered only on patients undergoing surgery for primary hyperparathyriodism and for patients under going minimally invasive or directed procedures.  Baseline sample should be drawn at pre-operation/exploration and pre-exision.  Samples should be drawn at 5 and 10 minutes post-resection.  Additional samples may be needed if additional resection is performed.

1 ml plasma from a green top tube preferred.  Serum or EDTA are also acceptable.

Plasma:  (heparin or EDTA) are stable 48 hours refrigerated.  Freeze for longer storage.

Serum:  Stable 8 hours refrigerated.  Freeze for longer storage.

POWERCHART NAME

PARATHYROID HORMONE WITH MINERALS

MERCY TEST NAME

PTH WITH MINERALS*

MERCY LAB CODE

discontinued

No longer offered with minerals. Mason City offers the following now:

PTH INTACT                                                                              Mercy Lab Code    PTHINT

        -most often ordered test                                                  

PTH INTRAOPERATIVE                                                                Mercy Lab Code    PTHIO

        -only to be ordered during surgery

*Neither order includes calcium, creatinine or phosphorus determinations.

TEST NAME

PARATHYROID HORMONE C TERMINAL

See:  PTHINT

TEST NAME

PARATHYROID HORMONE ICMA

See: PTHINT

TEST NAME

PARATHYROID HORMONE N TERMINAL

See:  PTHINT

TEST NAME

PAROXYSMAL NOCTURNAL HEMOGLOBINURIA

See:  Acetylcholinesterase Erythrocytes*

TEST NAME

PARTIAL THROMBOPLASTIN TIME

See:  PTT

POWERCHART NAME

PARVOVIRUS B19 IgG IgM ANTIBODIES

MERCY TEST NAME

PARVOVIRUS B19*

MERCY LAB CODE

HPB 

0.5 ml serum from a SST or plain red top tube.  Maintain sterility of specimen.
Send to Mayo refrigerated.  Maintain sterility of specimen.   Mayo #84325.

IgG: < 0.9
IgM: < 0.9

TEST NAME

PATERNITY TESTING

MERCY TEST NAME

PATERNITY TESTING

MERCY LAB CODE

PTEST

Private attorney/physician cases: 

Contact DNA Diagnostic Center at 1 800 613 5768 to schedule an appointment for specimen collection. Specimen collection is at the East campus outpatient drawing station. Results will be sent directly to attorney/physician within 4-8 weeks.

Child support recovery unit (DHS: Department of Human Services): 

Contact East Campus Laboratory, Outpatient Drawing Station phone ext. # 1824 to schedule an appointment for specimen collection. Specimen collection is at the East Campus outpatient drawing station. Results will be sent directly to DHS within 4-8 weeks.

Paternity tests are scheduled Monday thru Friday, 8:00 am to 12:30 pm. Paternity tests are not scheduled on holidays.

TEST NAME

PATHOLOGIST REVIEW OF SLIDE

See:  Cell Morphology

TEST NAME

PERICARDIAL FLUID CYTOLOGY

See: Cytology Section Pericardial Fluid

POWERCHART NAME

PERICARDIAL  H & H (HEMOGLOBIN & HEMATOCRIT)

MERCY TEST NAME

PERICARDIAL H & H   

MERCY LAB CODE

PHH

1 - 2 ml pericardial fluid immediately placed in a purple or green top tube by Nursing Service.
Note on the tube if the specimen is placed in a plain top tube with heparin added.  Invert the tube several times to mix. 

85014  Hematocrit
85018  Hemoglobin

TEST NAME

PERIPHERAL BLOOD SMEAR

TEST NAME

PERITONEAL EQUIVALENCY TEST

See:  PET
        PET Fast

TEST NAME

PERITONEAL FLUID CYTOLOGY

See: Cytology Section Peritoneal Fluid

POWERCHART NAME

PERITONEAL FUNCTION

MERCY TEST NAME

PERITONEAL FUNCTION

MERCY LAB CODE

PFT

For use by DIALYSIS unit only. One order is needed for each specimen.

10 ml peritoneal fluid placed in a plain red top tube.  Refrigerate. Sample number must be written on the tube.

84540  Urea Nitrogen Body Fluid
82570  Creat AF
82947  Glucose
84157  Prot TTL BF

TEST NAME

PERTUSSIS PCR

See: Microbiology Section
In Pt Micro  / Regional Pt Micro

POWERCHART NAME

Peritoneal Equivalency Test

MERCY TEST NAME

PERI EQUIV TEST

MERCY LAB CODE

PET

Peritoneal fluid Glucose, urea nitrogen and Creatinine at 0 hours,2 hours, 4 hours; and urea nitrogen and ceatinine overnight.  Serum: Glucose, Bun and Creatinine at 2 hours only.

Peritoneal fluid:  No normal ranges available.
Serum:  See individual test entry.

82947 x4  Glucose x4
84520   BUN Serum x1
82570 x3  Creat AF x3
82565  Creat
84540 x3 BUN Body Fluid x3

POWERCHART NAME

Peritoneal Equivalency Test FAST

MERCY TEST NAME

PERI EQUIV TEST FAST

MERCY LAB CODE

FPET

Collect at 4 hours: 10 ml peritoneal fluid in a red top tube PLUS 2 ml serum from an SST tube.
Refrigerate specimens.

Peritoneal fluid:  No normal ranges available.
Serum:  See individual test entry.

82947 x2 Glucose
84520  BUN Serum
82570 Creat AF
82565 Creat
84540 BUN Body Fluid

POWERCHART NAME

pH BLOOD VENOUS

MERCY TEST NAME

pH VENOUS

MERCY LAB CODE

PHV

0.5 ml whole blood from green top tube.  Keep the tube capped until analysis. For single pH Venous orders, completely fill a separate tube. Place on ice and deliver to the Lab immediately.

POWERCHART NAME

PH BODY FLUID

MERCY TEST NAME

PH BF             

MERCY LAB CODE

FLPH

Completely fill a separate tube or aspirate anaerobically into the syringe and transport to the laboratory immersed in ice.

Regional Lab Clients: Completely fill a separate green top tube and mix by gentle inversion.  Do not open the tube.  Send on ice.  (Small green top tubes are available upon request.)

TEST NAME

pH FECES

See:  Reducing Substances Feces

POWERCHART NAME

pH NASOGASTRIC

MERCY TEST NAME

PH NASOGASTRIC    

MERCY LAB CODE

NGPH

POWERCHART NAME

pH URINE

MERCY TEST NAME

PH URINE          

MERCY LAB CODE

URPH

POWERCHART NAME

PHENOBARBITAL LEVEL

MERCY TEST NAME

PHENOBRB          

MERCY LAB CODE

PHNB

TEST NAME

PHENYLALANINE

See:  Neonatal Metabolic Screen*
          Neonatal Metabolic Screen Repeat*

TEST NAME

PHENYTOIN (DILANTIN)

See: Phenytoin Total & Free

POWERCHART NAME

PHENYTOIN (DILANTIN) TOTAL AND FREE

MERCY TEST NAME

PHENYTOIN TTL&FREE

MERCY LAB CODE

PHYF

3.0 ml lithium heparin plasma from a PST tube. Sodium Heparin and EDTA plasma tubes are also acceptable.  Stable 48 hours refrigerated. Refrigerate. Specimen collection time is not critical. 

Phenytoin Total: 10 - 20 mcg/ml
Phenytoin Free:  1.0 - 2.0 mcg/ml

Phenytoin Free – Protein Free Filtrate Analyzed by Immunoturbidimetric Method
Phenytoin Total – Immunoturbidmetric

80186 Phenytoin Free*
80185 Phentoin Total*

TEST NAME

PHENYTOIN TOTAL

See:  Phenytoin Total & Free

POWERCHART NAME

PHLEBOTOMY THERAPEUTIC

MERCY TEST NAME

PHLEBOTOMY        

MERCY LAB CODE

PHLB

Test available ONLY Monday-Friday 0800-1530 by appointment only.  Appointments can be set up by calling the cancer center scheduling desk at 641 422 6321.  Not available stat except with special arrangements between laboratory and staff physician.  A written order by the physician is necessary.  Lab will order a hemoglobin on any patient, not followed with ferritin values, who has not had a hemoglobin performed at MMC-NI within the past 30 days if the    patient present without any pre-phlebotomy orders. If the following criteria are not met, pathologist authorization must be given to proceed with the phlebotomy.

ALL NEW PHLEBOTOMY PATIENTS:
Hemoglobin:  Female >12.5 gm/dl           Male >13.5 gm/dl
OR above the target set by physician;
OR if ferritin levels are monitored, the previous ferritin obtained within 2 months must be >30 ng/ml or above the target set by physician.
No more than 450 ml whole blood every 24 hours may be collected from the patient.

TEST NAME

PHOSPHATASE ACID

See: Prostatic Acid Phosphatase*

TEST NAME

PHOSPHATASE ALKALINE

See:   Alkaline Phosphatase

TEST NAME

PHOSPHATIDYLGLYCEROL SCREEN AMNIOTIC FLUID

See: Lamellar Body Count

TEST NAME

PHOSPHOLIPID ANTIBODIES

See:  Cardiolipin Antibodies*

POWERCHART NAME

PHOSPHORUS LEVEL

MERCY TEST NAME

PHOSPHORUS         

MERCY LAB CODE

PHOS

0 - 7 days: 4.3 - 8.2 mg/dl
8 days- 3 years: 3.8 - 6.5 mg/dl
4 - 11 years: 3.7 - 5.6 mg/dl
12 - 15 years: 3.3 - 5.4 mg/dl
> 15 years: 2.5 - 4.5 mg/dl

POWERCHART NAME

PHOSPHORUS 24 HOUR URINE

MERCY TEST NAME

PHOSPHORUS 24UR    

MERCY LAB CODE

VPHS

Aliquot 10 ml of 24 hour specimen.  Indicate total volume.  Send refrigerated. Special processing will be done at Mercy Lab. 

TEST NAME

PINWORM PREPARATION

See:  Microbiology Section
In Pt Micro / Regional Pt Micro

TEST NAME

PKU

See:  Neonatal Metabolic Screen*
        Neonatal Metabolic Screen Repeat*

POWERCHART NAME

PLASMA CELL LABELING INDEX

MERCY TEST NAME

PLASMA CELL L INDEX*

MERCY LAB CODE

PCLIN

3.0 ml processed bone marrow.  Special kit and instructions provided  by Mayo, stored in Hematology and at the Cancer Center Lab.  Bone marrow must be placed in processing tube immediately after collection.

If the labeling index is > or =0.4%, a Mayo pathologist will review these; this will be an additional charge to the patient.  A statement of who reviewed this test will be added to the report.

Samples MUST arrive within 72 hours of collection.  Mayo does this testing Monday through Friday only. Send specimens Monday - Thursday only!  Include patient history.  Send refrigerated to Mayo. Mayo # 84376.

Six - Color Flow Cytometry

88184 Flow Cytometry First Marker
88185 (x5) Flow Cytometry, Each Additional Marker
88346 Immunoflorescent study (if appropriate)
88187 Flow interpretation: 2 to 8 markers
85097 (if appropriate) PCLI consultant

POWERCHART NAME

PLASMA HEMOGLOBIN

MERCY TEST NAME

PLASMA HELPGLOBIN

MERCY LAB CODE

HGBP

Centrifuge and separate immediately.  Send refrigerated to Mayo. Mayo # 9096.

POWERCHART NAME

PLATELET ANTIBODY

MERCY TEST NAME

PLATELET ATBDY*

MERCY LAB CODE

PLTA

Indicate diagnosis and reason for test (ITP, refractory to platelet transfusions, any related thrombocytopenia, etc.)  on Mayo Additional Information sheet.  Send at refrigerated to Mayo.  Mayo # 8538.

Negative.
When the patient=s serum is positive, the specific glycoprotein will be identified as well as the probable specificity.

TEST NAME

PLATELET AUTOANTIBODY

See:  Platelet Antibody*

POWERCHART NAME

PLATELET COUNT

MERCY TEST NAME

PLATELET COUNT

MERCY LAB CODE

PLTX

POWERCHART NAME

PLATELET INHIBITION ASPIRIN

MERCY TEST NAME

PLT INHIB ASPIRIN

MERCY LAB CODE

PLTASR

4 ml whole blood in BD blue top 2.7 ml fill tubes. Flag top of tubes for indication not to spin. Always draw 1 waste tube (blue or red top) before collecting the specimen. Use 21 gauge or larger needle to draw.  If drawing with a syringe, use first syringe to draw waste or other tests, change syringe and use 2^nd syringe for this test.  GENTLY invert tube 5 times to mix. DO NOT shake or send in pneumatic tube system.  DO NOT refrigerate or centrifuge. Always draw blue top tubes before purple top tubes.

Results are reported in ARU (Aspirin Reaction Units).
        >550  ARU  Non-responder.  Platelet inhibition consistent with aspirin not detected.
        <550 ARU   Responder.  Platelet inhibition consistent with aspirin detected.

This assay is not for use in patients with underlying congenital platelet abnormalities, patients with non-aspirin induced acquired platelet abnormalities or in patients receiving non-aspirin anti-platelet agents. 
(May be used in patients treated with selective COX-2 inhibitors, e.g. celecoxib (Celebrex).

Interference Studies:

The following medications may cause a change in platelet function.

1. Anti-platelet agents:  These agents can all inhibit platelet function and may result in a decreased ARU value independent of the effects of aspirin.  The duration of inhibitory effects varies among drugs. 

   Average duration times are listed for each drug.

   Plavix – 5 days
   Ticlid – 5 days
   Aggrenox – 10 days
   Persantine - 12 hours
   Pletal/Cilostazol – 12 hours

2. NSAID’s:  Like ASA, NSAID’s have been documented to inhibit platelet function. 
   Unlike ASA, NSAID;s do not irreversibly inhibit platelet function. 
   This may lead to less platelet inhibition by ASA if the NSAID and ASA are taken at the same time, resulting in higher ARU values than with ASA taken alone. 

   Average duration times for these inhibitory effects are given for each drug.

          Ibuprofen (Motrin, Advil) – 8 hours

          Naproxen (Aleve, Anaprox, Naprelan, Naprosyn) –24 hrs
          Diclofenac (Voltaren, Cataflam) – 24 hours
          Indocin – 24 hours
          Feldene – 50 hours

3. GP Iib/IIIa Inhibitors:  Patients who have been administered Aggrastat or Intergrilin with two days, or ReoPro within two weeks should not be tested.
   
4. The thrombolytic agent streptokinase showed a measurable inhibition of platelet function.
   
5. Other classes of commonly used drugs were tested with no significant effect on assay performance: antioxidants, ACE inhibitor, antiarrhythmics, anticoagulants, antidepressants, insulin, allopurinol, alcohol, beta blockers, bronchodilators, calcium channel blockers, gastrointestinal medications, betamethasone, lovastatin, and the thryroid hormone L-thyroxine

POWERCHART NAME

PLATELET INHIBITION PLAVIX

MERCY TEST NAME

PLT INHIB PLAVIX

MERCY LAB CODE

PLTIHB

4 ml whole blood in  Greiner blue top 2ml partial fill tubes (preferred). 2 BD  full draw blue top tubes may also be used. Always draw 1 waste tube (blue or red top) before collecting the specimen. Use 21 gauge or larger needle to draw.  If drawing with a syringe, use first syringe to draw waste or other tests, change syringe and use 2^nd syringe for this test. GENTLY invert tube 5 times to mix.  DO NOT shake or send in pneumatic tube system. DO NOT refrigerate or centrifuge.  Always draw blue top tubes before purple top tubes.

PLT Inhibition Plavix: 194-418 PRU (P2Y12 Reaction Units) for person not taking Plavix.
% Inhibition

Patients with inherited platelet disorders such as vonWillebrand Factor Deficiency, Glanzmann Thrombasthenia and Bernard-Soulier syndrome have not been studied with this assay.  Therefore this assay is not intended for use with these types of platelet disorders.

Interfering Substances:

1. Glycoprotein IIb/IIIa inhibitor (abciximab, eptifabtide, and tirofiban) and antiplatelet agents (cilastazol) inhibit platelet function.  Some degree of platelet inhibition by these drugs was detected.
   
2. Drugs that affect platelet function may be detected up to 14 days after ingestion.
   
3. Other classes of commonly used drugs were tested with no significant effect on assay performance: antioxidants, ACE inhibitor, antiarrhythmics, anticoagulants, aspirin, antidepressants, insulin, allopurinol, alcohol, beta blockers, bronchodilators, calcium channel blockers, gastrointestinal medications, betamethasone, lovastatin, NSAIDs (including COX-1 and COX-2 enzyme inhibitors), and the thyroid hormone L-thyroxine. 
   The thrombolytic agent streptokinase showed no significant inhibition of platelet function.
   
4. Results may not be available for patients with a platelet count <50,000.

POWERCHART NAME

TRANSFUSION ORDER SET PLATELET PRODUCT FOR INFUSION

MERCY TEST NAME

PLATLTS FOR INFUS  

MERCY LAB CODE

TPLT

A Platelet Count must also be ordered if one has not been performed at Mercy Medical Center-North Iowa within one week prior to platelet infusion.  Pheresis platelets and Acrodose platelets are stocked depending upon our blood supplier's availability.  Both are prestorage leukoreduced and equivalent in dosage to 6-8 random platelets.  An order for pheresis platelets may be filled with either product. If irradiation is need, indicate so in the comment field for EACH order placed.  It is not sufficient to send a message to cover all orders.  Call the Lab when irradiated platelets are ordered.  Orders for irradiated platelets must be entered into the computer and called to the Lab no later than 1515, Monday through Friday.  Special arrangements must be made if irradiated products are requested after 1515 or on weekends or holidays.

PHERESIS PLATELETS:
Order PLATELETS FOR INFUSION (TPLT)
Units ordered: The default is 1 unit.  Any additional instructions, such as IRRAD (irradiation needed), can be entered also at this time. All pheresis platelets are leuko depleted and therefore a leukocyte (WBC) removal filter is not needed.

TEST NAME

PLEURAL EFFUSION CYTOLOGY

See: Cytology Section Pleural Fluid

TEST NAME

PLEURAL FLUID CYTOLOGY

See: Cytology Section Pleural Fluid

TEST NAME

PNP

See:   Prenatal Profile

TEST NAME

PORPHOBILINOGEN

See:  Porphyrin Quantitative 24-Hour Urine*
Porphyrin Screen Random Urine

POWERCHART NAME

PORPHYRIN QUANTITATIVE FRACTION 24 HOUR URINE

MERCY TEST NAME

PORPHY QNT 24UR*  

MERCY LAB CODE

 PRPQ

Uroporphyrins, heptacarboxylporphyrins, hexacarboxylporphyrins, tricarboxyl, pentacarboxylporphyrins, coproporphyrins and porphobilinogen.

24-hour urine specimen.  Add 5 gram sodium carbonate as a preservative BEFORE starting the collection. Refrigerate during collection.  Protect from light.  pH of specimen must be >7.0.

POWERCHART NAME

PORPHYRIN QUANTITATIVE FRACTION RANDOM URINE

MERCY TEST NAME

PORPHY QNT RNDM UR*

MERCY LAB CODE

 PORPHR

2 mL random urine collected with 5 grams of sodium carbonate, protected from light.

POWERCHART NAME

PORPHYRINS SCREEN URINE

Test No Longer Available 5/7/2007

See: Porphyrins Quant Fraction Random Urine

POWERCHART NAME

POTASSIUM  LEVEL

MERCY TEST NAME

POTASSIUM  

MERCY LAB CODE

K

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

TEST NAME

POTASSIUM URINE

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

POWERCHART NAME

PREALBUMIN

MERCY TEST NAME

PREALBUMIN          

MERCY LAB CODE

PAB

POWERCHART NAME

PRE-ECLAMPTIC PANEL

MERCY TEST NAME

PRE-ECLAMPTIC PNL

MERCY LAB CODE

PEPN

CBC               ALT                 AST            
LD                 Urin Acid          Creatinine

CBC is stable 24 hours refrigerated or at room temperature. Refrigerate serum.

85025 CBC
84460 ALT                    
84550 Uric Acid
84450 AST                           
82565 Creat
83615 LD

POWERCHART NAME

PREGNANCY TEST QUALITATIVE SERUM

MERCY TEST NAME

PREG TEST SERUM    

MERCY LAB CODE

HCGS

1 ml serum from a SST tube. Hemolysis and icterus do not interfere with testing.

Negative: Non-pregnant females and healthy males
Positive: HCG present is equal to or greater than 25 MIU/ML

POWERCHART NAME

PREGNANCY TEST URINE

MERCY TEST NAME

PREG TEST UR QAL  

MERCY LAB CODE

HCGU

Negative: Non-pregnant females and healthy males
Positive: HCG present is equal to or greater than 20 MIU/ML

TEST NAME

PRENATAL PROFILES:

See: PNP with HIV test
PNP without HIV test

There are 2 Prenatal Profiles offered: PNP with HIV test OR PNP without HIV test

Reference Lab Clients:
Prenatal Profile 1 =  PNP with HIV testing.
Prenatal Profile 2 =  PNP without HIV testing.
The office or Reference Lab Client must specify on the form if a PNP without HIV is needed.
If nothing is specified, a PRENATAL PROFILE WITH HIV will be ordered.

POWERCHART NAME

PRENATAL PANEL  WITH HIV

MERCY TEST NAME

PRENATAL PROFILE (WITH HIV)

MERCY LAB CODE

PTYS & PNP

Patient must sign an HIV informed consent form before collection of specimen. 
No verbal report release will be allowed.  Forms are to stay with the patient chart.

Syphilis, IgG                        Rubella                             HIV
CBC                       ABO Group/RH Type           Hepatitis B Surface Antigen(HBsAg)
Antibody ID (when antibody screen is positive)      Antibody screen

- Antibody titer is not included.  If desired it must be ordered separately by the physician.

- When antibody screen is positive, the antibody ID will be done and charged.

- When the HIV test is positive, a HIV evaluation will be done and charged.

- When the HBS antigen test is positive, neutralization testing will be done and charged.

- When the syphilis test is positive, RPR testing will be done and charged.

Two SST tubes, One Pink top tube, and one Purple top tube
  Specimen Minimums:
    Pink tube: 2 ml minimum for ABO/RH & Antibody Screen 
    Purple tube: 1 ml minimum for the CBC.  May also use a capillary tube minimum of 300 mcl.
    SST tube: 3.3 ml Serum minimum:
Break down of the SST requirements:
    Syphilis and Rubella: 1 ml serum, freeze > 48 hours
    HIV and HBsAg: 2.0 ml serum
    And 300 mcl for specimen loss due to pipetting.

CBC is stable 36 hours at either room temperature or refrigerated.  Aliquot serum as follows:

Reference Lab Clients: Send tubes, we will aliquot.
HBsAg and HIV: 2 ml serum labeled with both tests.
Syphilis and Rubella: 1 ml serum, freeze > 48 hours labeled with both tests
Type & Screen:  One pink top tube, centrifuged, do not aliquot.

Type & Screen:  Daily
HIV and HBsAg: Monday & Thursday 0800 cutoff
Syphilis and Rubella: Tuesday and Friday 0800
CBC:  Within 8 hours of receipt.

80055 Prenatal Prof (No HIV)
86703 HIV+

POWERCHART NAME

PRENATAL PANEL (NO HIV)

MERCY TEST NAME

PRENATAL PROF (NO HIV)

MERCY LAB CODE

PNPO & PTYS

ABO Group/RH Type                      Hepatitis B Surface Antigen(HBsAg)
Antibody screen                            Antibody ID (when antibody screen is positive)
CBC                            Rubella                    Syphilis, IgG

- Antifody titer is not included and if desired, it must be ordered separately by the physician.

- When antibody screen is positive the antibody ID will be done and chared.

- When the HBS antigen test is positive the neutralization testing will be done and charged.

- When the syphilis test is positive, RPR testing will be done and charged.

Reference Lab Clients:  Please specify on order form PNP/NO HIV.  If nothing is specified, a Prenatal Profile with HIV will be done.

Two SST tubes, one Pink top tube, and one Purple top tube.
Specimen Minimums:
  Pink tube: 2 ml minimum for ABO/RH & Antibody Screen.
  Purple tube: 1 ml minimum for the CBC. May also use a capillary tube minimum of 300 mcl.
  SST tube:  ml SERUM minimum
Break down of the SST requirements:
  Rubella and Syphilis:  1 ml serum Freeze > 48 hours
  HBsAg: 2.0 ml serum
  And 300 mcl for specimen loss due to pipetting.

CBC is stable 36 hours at either room temperature or refrigerated.

Aliquot serum as follows: 
Reference Lab Clients: Send tubes, we will aliquot.
HBsAg: 1.5 ml serum
Rubella and Syphilis: 1 ml serum Freeze > 48 hours   labeled with both tests
Type & Screen: One Pink top tube, centrifuged, do not aliquot.

Type & Screen: Daily
HBsAg: Monday & Thursday 0800 cutoff
Rubella and Syphilis: Tuesday and Friday 0800
CBC: Within 8 hours of receipt.

POWERCHART NAME

PRIMIDONE (MYSOLINE) WITH PHENOBARBITAL LEVEL

MERCY TEST NAME

PRIMIDON PHENOBRB*

MERCY LAB CODE

PRIM

DO NOT order an additional Phenobarbitol. Indicate time last dose in the comment field.

Primidone:….Adult therapeutic range:  9.0 – 12.5 mcg/ml
                 < 5 years therapeutic range:  7.0 – 10.0 mcg/ml               

Phenobarbital:..Infants & children therapeutic range: 15 - ‑30 mcg/ml
                     Adult therapeutic range:  20 – 40 mcg/ml

80188 Prim+
80184 Phenobarb+

POWERCHART NAME

PROCAINAMIDE WITH N-ACETYLPROCAINMIDE LEVEL

MERCY TEST NAME

PROCAINAMIDE NAPA*

MERCY LAB CODE

PRCN

1 ml plasma from a purple (EDTA) tube.  Collection time is not critical.  Send ambient to Mayo. Mayo # 8683.

Procainamide:  Therapeutic range: 4‑8 mcg/ml
NAPA therapeutic range: < 30 mcg/ml
Procainamide + NAPA therapeutic range: < 30 mcg/ml

POWERCHART NAME

PROCESSING COLLECTION KIT

MERCY TEST NAME

PROCESSING CHG

MERCY LAB CODE

PRCS

POWERCHART NAME

PROGESTERONE LEVEL

MERCY TEST NAME

PROGESTERONE      

MERCY LAB CODE

PROG

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 24 hours of collection.

Adult male:  0.1 - 2.1 ng/ml.
Female, 10-18 years:  Values increase through puberty and adolescence.
Non-pregnant female:  mid-follicular phase:  0.1 - 1.5 ng/ml.
                                Luteal phase:          3.3 - 25.6 ng/ml
                                mid-luteal phase:     4.4 - 28.0 ng/ml.
Post menopausal, (not on hormone replacement therapy): 0.1 - 0.7 ng/ml.
Pregnant female:    first trimester: 11.2 - 90.0 ng/ml.
                            second trimester: 25.6 - 89.4 ng/ml.
                           Third trimester:   48.4 - 422.5 ng/ml.

TEST NAME

PROGESTERONE RECEPTOR

See:  Estrogen/Progesterone Receptor Assay Quantitative (Paraffin Block)*

TEST NAME

PROGESTERONE SALIVA

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

Centrifuge to remove artifacts.  Send 1 ml frozen to Mayo.  Order Wild 30 and type in Progesterone in Saliva to Interscience.

POWERCHART NAME

PROLACTIN LEVEL

MERCY TEST NAME

PROLACTIN           

MERCY LAB CODE

PRL

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 24 hours of collection.

Male:………2.1 - 17.7 ng/ml
Female:……Nonpregnant: 2.8 - 29.2 ng/ml
                Pregnant: 9.7 - 208.5 ng/lml
                Post Menopausal: 1.8 - 20.3 ng/ml

TEST NAME

PROSTATE SPECIFIC ANTIGEN SERUM

See:  PSA

POWERCHART NAME

PROSTATIC ACID PHOSPHATASE

MERCY TEST NAME

PROSTATIC ACID PHOS*

MERCY LAB CODE

ACPH

POWERCHART NAME

PROTEINASE 3 AUTOANTIBODY

MERCY TEST NAME

PROTEINASE 3 AB*

MERCY LAB CODE

PRT3AB

If Cytoplasmic Neutrophil ABS is ordered and p-ANCA is positive, Proteinase 3 Autoantibodies will be done and charged per Mercy Medical Center - North Iowa Lab policy. 
Test is also included in Cytoplasmic Neutrophil Antibodies Vasculitis Panel.

Reference ranges included with results.

TEST NAME

PROTEIN BENCE JONES

See:  Monoclonal Protein Study, Urine*

TEST NAME

PROTEIN C

See: Included in Hypercoagulability Consult
May be ordered separately as CMIS

POWERCHART NAME

MERCY TEST NAME

PROTEIN/CREATININE RATIO URINE

MERCY LAB CODE

UPCRTO

5 ml random urine specimen

Stable 48 hours refrigerated .

Protein Random Urine: 0-13.5 mg/dl

Creatinine Random Urine: not available

Protein/Creatinine Ratio Urine: <0.2 is normal

                                           >3.5 is in the nephrotic range.

Protein Urine:  Pyrogallol Red

Creatinine Urine:  Alkaline Picrate-Kinetic

82570 Creatinine Urine

84156 Protein Total Urine

POWERCHART NAME

PROTEIN ELECTROPHORESIS 24 HOUR URINE

MERCY TEST NAME

PROT ELEC 24UR*

MERCY LAB CODE

VELC

50 mL from a 24-hour urine collection (no preservative).  Refrigerate during collection, no preservative. A 24-hour collection is preferred, however, a random specimen is acceptable.

Aliquot specimen among one plastic, 60 mL urine bottle and one plastic, 13mL urine tube. Send refrigerated to Mayo.  Mayo # 82441.

TEST NAME

PROTEIN ELECTROPHORESIS CSF

See:  IgG Index CSF*

POWERCHART NAME

PROTEIN ELECTROPHORESIS

MERCY TEST NAME

PROTEIN ELEC - EFFECTIVE 10/3/07

- MERCY LAB CODE

 PEL

If multiple myeloma is suspected, please indicate

Includeded with report. an interpretive comment is also provided with the report

Total protein:  Biuret

Protein Elecrophoresis:  Agarose Gel Electrophoresis

Immunofixation:  Immunofixation and/or immunodiffusion

84165 Protein Electrophoresis
86334 Immunofixation (If appropriate)                                                                                                                                 84155 1 Protein, total

TEST NAME

PROTEIN S

See:  Included in Hypercoagulability Consult
May be ordered separately as CMIS

POWERCHART NAME

PROTEIN

MERCY TEST NAME

PROT TTL

MERCY LAB CODE

TP

< 1 month: 4.4 - 7.6 g/dl
1 -3 months: 4.2 - 7.4 g/dl
4 - 11 months: 5.6 - 7.2 g/dl
> 11 months: 6.3 - 8.2 g/dl

POWERCHART NAME

PROTEIN BODY FLUID

MERCY TEST NAME

PROT TTL BF

MERCY LAB CODE

FPRT

POWERCHART NAME

PROTEIN CSF

MERCY TEST NAME

PROT TTL CSF

MERCY LAB CODE

CPRT

Specimen should be collected prior to the intrathecal administration of contrast media. 
Examples of contrast media:  lopamidol (isorue -m), lohexol (Omnipaque) and Metrazimide (amipaque). Specimen must be transported in a screw top container.

Centrifuge every CSF specimen and analyze the supernatant.  Refrigerate samples if not analyzed within 4 hours. Freeze specimens if not analyzed within 48 hours. 

0 - 2 months: 20 - 100 mg/dl
> 2 months: 12 - 60 mg/dl

POWERCHART NAME

PROTEIN 24 HOUR URINE

MERCY TEST NAME

PROT TTL 24UR

MERCY LAB CODE

VPRT

POWERCHART NAME

PROTEIN RANDOM URINE

MERCY TEST NAME

PROT TTL R UR

MERCY LAB CODE

UPRT

TEST NAME

PROTEIN URINE DIPSTICK

Alternative test: Urine Dipstick.

POWERCHART NAME

PROTIME

MERCY TEST NAME

PROTIME INR

MERCY LAB CODE

PTR 

Store at room temperature or refrigerate.  Unopened, unspun tubes are stable 24 hours from time of collection. Freeze plasma if testing not done within 24 hours of collection.  Label frozen vial "CITRATED PLASMA". NOTE: Specimens for PTT MUST be removed from cells and tested within 4 hours of collection or frozen.

Protime INR Normal range (for patient not receiving anticoagulant):  0.8 - 1.2

Protime INR range:              
2.0 - 3.0    

POWERCHART NAME

PSA DIAGNOSTIC

MERCY TEST NAME

PSA

MERCY LAB CODE

PSA

0.5 ml serum from SST. NOTE:  Obtain Specimen before prostate manipulation procedures. 
Alternatively, obtain specimen within one hour of rectal exam or delay collection for 24 hours.

Minimum waiting periods before PSA sampling.

Acute bacterial prostatitis------------------------------ 6 weeks
Acute urinary retention----------------------------------6 weeks
Prostate massage------------------------------------------6 weeks
Recent ejaculation----------------------------------------24 – 48 hours
Exercise (bicycle ergometry)---------------------------several days
TURP (transurethral resection of the prostate)------6 weeks

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 24 hours of collection.

MALE  
        <40:  0 - 2.5 ng/ml
     40 - 49: 0 - 2.5 ng/ml
     50 - 59: 0 - 3.5 ng/ml
     60 - 69: 0 - 4.5 ng/ml
        > 69: 0 - 6.5 ng/ml

POWERCHART NAME

PSA SCREENING

MERCY TEST NAME

PSAS

MERCY LAB CODE

PSAS

0.5 ml serum from a SST tube. Avoid Hemolysis. NOTE: Obtain Specimen before prostate manipulation procedures.  Alternatively, obtain specimen within one hour of rectal exam or delay collection for 24 hours. Minimum waiting periods before PSA sampling:

Acute bacterial prostatitis------------------------------ 6 weeks
Acute urinary retention----------------------------------6 weeks
Prostate massage------------------------------------------6 weeks
Recent ejaculation----------------------------------------24 – 48 hours
Exercise (bicycle ergometry)---------------------------several days
TURP (transurethral resection of the prostate)------6 weeks

The screening prostate specific antigen PSAS test should be ordered only of all of the following conditions are true:

1. Patient has Medicare Insurance Benefits 
2. Patient is 50 years of age or older
3. Test is being ordered for screening (no medically necessay signs, symptoms or diagnosis  on the Local Medical Review Policy).
4. At least 11 months have passed following the month in which the last Medicare-covered  PSAS was preformed.

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 24 hours of collection.

MALE
         40 - 49:  0 - 2.5 ng/ml
         50 - 59:  0 - 3.5 ng/ml
         60 - 69:  0 - 4.5 ng/ml
            > 69:  0 - 6.5 ng/ml

POWERCHART NAME

PSA FREE AND TOTAL

MERCY TEST NAME

PSA, TOTAL/FREE*

MERCY LAB CODE

FPSA