TEST NAME            

DANTRIUM* (Dantrolene)

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

TEST NAME

DAT

See:   Coombs Direct

TEST NAME

DATE RAPE DRUGS

MERCY TEST NAME

MISC GENERAL LAB

MERCY LAB CODE

CMIS

POWERCHART NAME

D-DIMER

MERCY TEST NAME

D-DIMER TEST

MERCY LAB CODE

DDIMER

Centrifuge immediately.  Refrigerate.  Test within 4 hours of collection.  Freeze plasma if testing delayed longer than 4 hours.   Label frozen vial “CITRATED PLASMA”.          

0.00 – 2.60 mg/L

Negative predictive value: 1.5 mg/L (cut off value) D-dimmer is elevated in DVT, PE, and DIC.  However, it is not specific for DVT and PE and therefore, cannot be used as a sole confirmatory marker. D-dimer may also be elevated in pregnancy, infection, inflammation, carcinoma, and other conditions. The strength of using a D-dimer result lies in its role for exclusion diagnosis. A value of 1.5 or greater cannot be used for the diagnosis of DVT or PE without the use of standard radiological procedures. 

TEST NAME

DEGRADATION PRODUCTS

See:   D-Dimer Test
          FDP Serum
          FDP Urine

TEST NAME

DEPAKEN or DEPAKOTE

See:   Valproic Acid

POWERCHART NAME

DERMATOLOGY CHEMISTRY PANEL

MERCY TEST NAME

DERM PANEL

MERCY LAB CODE

ATPN

Alk Phos                             ALT                              AST                             BUN
BUN/Creat Ratio                  Cholesterol                    Creatinine                      Glucose
Protein,Total                      Triglyceride

84075 Alk Phos+                        82565 Creat+
84460 ALT+                              82947 Glucose+
84450 AST+                              84155 Prot Ttl+
84520 BUN+                              84478 Trig+
82465 CHOL+                            NA   BUN/Creat Ratio

TEST NAME

DESIPRAMINE PLASMA*

MERCY TEST NAME

MISC GENERAL LAB  

MERCY LAB CODE

CMIS

3 ml plasma from an EDTA tube, 2 ml minimum.  Draw 12 hours after the last dose. 
EDTA plasma is preferred specimen, but heparinized plasma will be accepted.

Remove plasma from cells within 2 hours of collection. Send refrigerated to Mayo. 
Mayo # 81854.

TEST NAME

DEXAMETHASONE

See: Cortisol Free 24‑Hour Urine*
Cortisol Random

POWERCHART NAME

DHEA-S (DEHYDROEPIANDROSTERONE SULFATE)

MERCY TEST NAME

DHEA SULFATE*

MERCY LAB CODE

DHES

This test is used for the diagnosis of congenital adrenal hyperplasia and adrenal carcinoma and to determine the cause of hirsutism, virilization, and polycystic ovary disease.

Send refrigerated to Mayo.  Mayo # 8493. Frozen specimen is acceptable.

POWERCHART NAME

DIALYSIS CHEMISTRY PANEL

MERCY TEST NAME

DIALYSIS PANEL

MERCY LAB CODE

DPNL

A/G Ratio            Albumin                       Alkaline Phosphatase  
AST(SGOT)         BUN                            BUN/Creatinine Ratio
Calcium               CO2                            Creatinine
LDH                    Phosphorus                  Potassium
Sodium               Total Protein      

82040  Albumin           84075  Alk Phos              84450  AST               84520  BUN
82310  Calcium            82374  CO2                   82565  Creat              83615  LD
84100  Phosphorus      84132  Potassium            84295  Sodium           84155 Prot TTL

TEST NAME

DIAPHRAGM WASHINGS

See: Cytology Section Peritoneal Fluid

POWERCHART NAME

DIAZEPAM AND NORDIAZEPAM LEVEL  

MERCY TEST NAME

DIAZEP NORDIAZ*   

MERCY LAB CODE

DIAN

Diazepam: 0.2 - 0.8 mcg/ml
Nordiazepam: 0.2 - 1.0 mcg/ml
Total of both: 0.4 - 1.8 mcg/ml
Toxic concentration: Total of both: >5.0 mcg/ml

POWERCHART NAME

DIC PANEL

MERCY TEST NAME

DIC PANEL

MERCY LAB CODE

DICPNL

Fibrinogen                             D-Dimer
Protime/INR                          Thrombin Time
PTT

Centrifuge immediately.  Refrigerate test within 4 hours of collection.
Freeze plasma if testing delayed longer than 4 hours.  Label frozen vial “Citrated Plasma.”

85380 D-Dimer 
85610 PT  
85384 Fibrinogen
85730 PTT
85610 PT

TEST NAME

DIFFERENTIAL

Included in a CBC
If physician specifically orders CBC with manual diff, see CBC with MANUAL DIFF
For technical staff review of smear:  See DIFFERENTIAL MANUAL
For pathologist review of smear:  See CELL MORPHOLOGY  

POWERCHART NAME

DIFFERENTIAL

MERCY TEST NAME

DIFFERENTIAL MANUAL

MERCY LAB CODE

DIFF

Includes differential count of white cells and morphology of red cells. May be performed on a CBC specimen which was ordered and reported within the previous 36 hours. Indicate in comment if previous days specimen is to be used.

POWERCHART NAME

DIGOXIN LEVEL

MERCY TEST NAME

DIGOXIN           

MERCY LAB CODE

DIG

Indicate time last dose in comment. A nursing home patient's morning dose should be held if Lab is to collect a morning specimen.

0.5 ml lithium heparin plasma from a PST tube. Sodium Heparin and EDTA plasma tubes are also acceptable.  Stable 48 hours refrigerated. Collect 8-24 hours following last dose of digoxin (not digitalis or digitoxin), but before next dose.  

TEST NAME

DILANTIN

See:    Phenytoin Total & Free

TEST NAME

DILANTIN FREE

See:   Phenytoin Total & Free

TEST NAME

DIPHENYLHYDANTOIN

See:   Phenytoin Total & Free

TEST NAME

DIRECT ANTIGLOBULIN TEST

See:  Coombs Direct

TEST NAME

DIRECT GRAM STAIN

See: Microbiology Section

In Pt Micro  / Regional Pt Micro

POWERCHART NAME

LDL CHOLESTEROL DIRECT

MERCY TEST NAME

DIRECT LDL CHOL

MERCY LAB CODE

DLDL

The National Cholesterol Education Program of the National Heart, Lung, and Blood Institute has announced the following guidelines:
     Optimal--------------<100mg/dl
     Near Optimal---------100 – 129mg/dl
     Borderline high------130 – 159mg/dl
     High--------------------160 – 189mg/dl
     Very High-------------≥190mg/dl

POWERCHART NAME

DISOPYRAMIDE (NORPACE) LEVEL

MERCY TEST NAME

DISOPYRAMIDE*     

MERCY LAB CODE

DSPY

Therapeutic concentration:  2.0‑ - 4.5 mcg/ml
Toxic concentration: > 8.0 mcg/ml

POWERCHART NAME

DNA ANTIBODY DOUBLE STRANDED

MERCY TEST NAME

dsDNA

MERCY LAB CODE

DSDNA

Included in Autoimmune Profile, which is reflex ordered when ANA screen is positive.
DNA can be ordered separately on patients being followed for treatment of autoimmune disease.

<100 IU/ml Negative
100-120 IU/ml Equivocal
>120 IU/ml Positive

POWERCHART NAME

DOXEPIN (SINEQUAN) LEVEL

MERCY TEST NAME

DOXEPIN NORDOXEPIN*

MERCY LAB CODE

DXPN

Draw 2 purple top tubes and send 3 ml EDTA plasma. Heparinized plasma or serum is also acceptable.

Centrifuge within 2 hours of collection.  Remove 3 ml plasma to aliquot tube.  Send refrigerated to Mayo. Mayo # 9301.

Therapeutic concentration: 100‑275 ng/ml
Toxic concentration: > 500 ng/ml

80166 - Doxepin
80299 - Quantitation of drug

POWERCHART NAME

DRUG ABUSE BLOOD COC

MERCY TEST NAME

DRUG ABUSE BLD COC*  

MERCY LAB CODE

DABC

Amphetamines                   Barbiturates                 Cocaine                          Opiates
Phencyclidine (PCP)            Propoxyphene              THC and THC metabolites.

Specimen collected Monday through Friday, 9AM to 3PM call 641-422-7256, ext. 1824 to set up an appointment.  Chain-of-custody maintained.
NOTE: DHS social worker,  physician/health care provider, attorney, or designee must accompany the patient to provide positive identification. All court ordered tests will be paid at the time of service.

Send whole blood.  Order Medtox Panel #2223.
Send to Medtox Laboratories, St. Paul, Minnesota.

82491 Drug Ab Blood+*
99001 Collect Chg Drug Ab

POWERCHART NAME

DRUG ABUSE HAIR COC

MERCY TEST NAME

DRUG ABUSE HAIR COC*

MERCY LAB CODE

DAHC

Specimen collected Monday through Friday, 9AM to 3PM call 641-422-7256, ext. 1824 to set up an appointment.  Chain-of-custody maintained. 

NOTE: DHS social worker, physician/health care provider, attorney, or designee MUST accompany the patient to provide positive identification.

Order Hair Drug Test (Profile 870)
Send to Quest Diagnostics Inc. Suite 250, 4230 Burnham Ave, Las Vegas, NV  89119.

NOTE: All non-DHS drug abuse hair stat, requests must be ordered by a physician. Call for lab approval on all in house orders.

All court ordered tests will be paid at the time of service

Negative - 48 hours
Positive - 72 hours

Radioimmunioassay (RIA), Enzyme immunoassay (EIA), and gas chromatography/mass spectrometry (GC/MS). Results confirmation done by tandem mass spectrometer (MS/MS)

80101 X5 Drug Ab Hair+*
99001 Collect Chg Drug Ab

POWERCHART NAME

DRUG ABUSE URINE COC

MERCY TEST NAME

DRUG ABUSE UR COC* 

MERCY LAB CODE

DAUC

Amphetaminines         Benzodiazepines              Opiates 
Barbiturates               Cocaine                          Pencyclidine (PCP) 
THC metabolite (20 ng/ml)

Specimen collected Monday through Friday, 9AM to 3PM call 641-422-7256, ext. 1824 to set up an appointment.  Chain-of-custody maintained. 

NOTE: DHS social worker, attorney, or designee MUST accompany the patient to provide positive identification.
All court ordered test will be paid at the time of service.

Exception:  If physician – ordered, patient must provide photo-ID (such as drivers license) for positive identification. If on minor child with no photo-ID, parent, legal guardian, or physician office representative may positively identify  patient.

Order Medtox Panel #500.
Send to Medtox Laboratories, St. Paul, Minnesota.

Negative - 24 hours
Positive - 48-72 hours
Tests run Monday through Friday

80101 X7 Drug Ab R UR+*
99001 Collect Chg Drug Ab

POWERCHART NAME

COLLECTION DRUG SCREEN HEALTH WORKS

MERCY TEST NAME

DRUG ABUSE TESTING FOR EMPLOYMENT, PRE-EMPLOYMENT, POST-ACCIDENT, CDL (Commercial Driver's License), NON-CDL

 CCDAHW 

Employers each have specific procedures.  Certain industries are mandated by DOT regulations.  Chain-of-custody available. Refer Healthworks clients to Healthworks at Mercy, Cheslea Creek, 8:00 AM to 5:00 PM. 1-800-622-6352 or 421-5244.
After hours, Laboratory support services staff will collect the urine specimens.  Clients are to register in Patient registration or through ER.
An Employer representative must accompany the employee and the employee must have a photo ID.  (Exception: Post accident or out of area). The Lab will refrigerate the sealed package in a locked box and secure paperwork. 

Specimen

20 mls serum or heparinized plasma refrigerated or frozen.

Order Medtox test #5223

Send to Medtox laboratories, St. Paul, Minnesota.

Includes

Amphetamine, Barbiturates, Benzodiazepines, Cocaine, Methadone, Methaqualone, Opiates, Propoxyphene, Phencyclidine (PCP), THC (marijuana)

Specimen

30 mls serum or heparinized plasma refrigerated or frozen.

Processing

Order Medtox test #20305
Send to Medtox Laboratories, St. Paul, Minnesota.

POWERCHART NAME

DRUG  OF ABUSE SCREEN URINE

MERCY TEST NAME

DRUG AB R UR      

MERCY LAB CODE

DRUG

Performed at Mercy in Mason City.  No chain of custody is kept. 
Regional Lab Clients: Refer to Drug Abuse With Chain of Custody for legal actions.

Screens for these types of drugs:

1. Amphetamines which includes amphetamine and methamphetamine.
2. Barbiturates which includes various bartiturate drugs.
3. Benzodiazepines which includes a variety of compounds.
4. Cocaine.
5. Opiates which includes heroin, codeine, and morphine.
6. Cannabinoids which includes marijuana and THC compounds.

Screening test for medical decisions, not for legal chain of custody.  Confirmatory testing must be ordered by Physicians. 
Positive urines are saved for 2 weeks.

Aliquot and refrigerate. 
Positive drug of abuse screens are kept frozen for 2 weeks.

Confirmation Testing
When confirmation of results is requested, order Misc-Chemistry and send specimen to Mayo for the specific drug found.

MAYO # 8257     Amphetamines, Urine   (5ml minimum)
             80372   Barbiturate Confirmation, Urine   (5 ml minimum)
             80370   Benzodiazepine Confirmation, Urine (5ml minimum)
             9286     Cocaine Confirmation, Urine   (5 ml minimum)
             8473     Opiates, Urine   (5ml minimum)
             8898     Tetrahydro Cannabinol (THC) Confirmation, Urine   (5 ml minimum)

None detected
Samples from patients taking chlorpromazine (Thorazine) may produce positive results.

TEST NAME

DRUG ABUSE WITH CHAIN OF CUSTODY (Regional Lab Clients)

Regional Lab clients need to order the collection kit directly from MEDTOX. Regional Lab clients are responsible for the collection process, chain of custody, mailing kit, billing, and reporting.

MEDTOX Laboratories
402 West County Road D
St. Paul, MN   55112
Phone number:  800-832-3244.
CLIA ID# 24D0665278

TEST NAME

DRUG SCREEN AUTOPSY*

Performed at Mercy Medical Center – North Iowa, send to Mayo, send to Medtox, send to Aegis Analytical Lab, or as indicated on the Mercy Drug Screen Autopsy form.

Drug Abuse Random Urine performed at Mercy North Iowa
DGS - Drug Screen Blood, Mayo # 8421
DRGB - Drug Screen Body Fluid, Mayo #8579
FDS - Forensic Drug Screen, Medtox #299, #4299, #1299
AFDT – Aegis Forensic Drug Testing, Aegis #40250, #40599, #40569

OTCU - OTC/Rx Drug Screen Urine #88460

POWERCHART NAME

DRUG SCREEN BODY FLUID

MERCY TEST NAME

DRUG SCN BF*

MERCY LAB CODE

DRGB

Analgesics  
Hypoglycemics
Stimulants

Complete list of drugs tested is available in the Mayo catalog. 
Send at room temperature to Mayo.  Mayo # 8579.

80100
80150-80299 (apply to confirmation ONLY)

POWERCHART NAME

MECONIUM DRUG SCREEN

MERCY TEST NAME

DRUG SCN MECONIUM*

MERCY LAB CODE

DGME

Amphetamines        Opiates
Cocaine                  Tetrahydrocannabinol

Request kits from Mercy Laboratory-Mason City.
Complete Mayo’s Chain of Custody form. 

Regional Lab Clients: Request kits from Mercy Laboratory – Mason City.  Complete Mayo’s Chain of Custody form (included in the kit) and Mercy lab reference form. Do not seal chain of custody bag.

POWERCHART NAME

DRUG SCREEN  COMPREHENSIVE PLASMA

MERCY TEST NAME

DRUG SCN BLOOD*

MERCY LAB CODE

DGS

Analgesics           Hypoglycemics         Lidocaine           Sedatives
Stimulants           Anticonvulsants       Barbiturates  
Other miscellaneous drugs                 Psychotropics  Disopyrimide

80100
80299 (applies to confirmation ONLY)

TEST NAME

DRUG SCREEN URINE

See: Drug Abuse Random Urine

POWERCHART NAME

DRUG SCREEN URINE PRESCRIPTON - OTC

MERCY TEST NAME

MERCY LAB CODE

OTCU

80100

POWERCHART NAME

QUICK DRUG SCREEN CHAIN OF CUSTODAY - ORDERABLE ONLY BY LAB

MERCY TEST NAME

DRUG SCRN COC QUICK

MERCY LAB CODE

QDRUG