Procedure Listing

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213 Procedures

List All Procedures

ACETAMINOPHEN

Methodology:

Colorimetric

Perform/Available:

Daily

Synonyms:

Tylenol, Datril, Excedrin, Liquiprin Tempra

CPT:

82003

Specimen
Requirement:

Inpatient -	n/a
Outpatient -	Red, 5ml
Transport/Storage -	Refrigerate 2-8 C
Remarks -	Centrifuge & separate within 4 hours.
Unacceptable Conditions -	Hemolysis
Stability -	Room temperature 14 days, refrigerate 14 days, frozen 14 days.

Use:

Analgesic, found in many over-the-counter pain medications.

ACETONE (Semiquantative)

	Methodology:
	Visual/Chemical
	

	Perform/Available:
	Daily  
	

	Synonyms:
	Ketone bodies
	

	CPT:
	82009
	

	Specimen 
Requirement:

Inpatient -	n/a
Outpatient -	7.5ml Red/gray
Transport/Storage -	Refrigerate 2-8 C
Remarks -	Centrifuge & refrigerate promptly.
Unacceptable Conditions -	Hemolysis
Stability -	Frozen 14 days.

Use:

To detect ketoacidosis resulting from diabetes mellitus, alcoholism, stress, starvation dietary imbalance, vomiting and other metabolic disorders.

ALBUMIN

Methodology:

Colorimetric

Perform/Available:

Daily

Synonyms:

N/A

CPT:

82040

Specimen
Requirement:

Inpatient -	n/a
Outpatient -	7.5ml Red/gray
Transport/Storage -	Refrigerate 2-8 C
Remarks -	Centrifuge within 4 hours.
Unacceptable Conditions -	Hemolysis
Stability -	Room temperature 7 days, refrigerate 14 days, frozen 14 days.

Use:

Albumin is decreased in these conditions: nephrotic syndrome, starvation, myelomas, cirrhosis of liver, major infections, surgical and accidental trauma, exudative enteropathy, eclampsia, uremia, acute infectious hepatitis, severe congestive heart failure, mesenteric lymphatic diseases and idiopathic hypoalbuminemia.

ALCOHOL (Alcohol-Medical or Alcohol-State)

	Methodology:
	Colorimetric
	

	Synonyms:
	Ethanol Level, Blood Ethyl Alcohol, ETOH
	

	CPT:
	82055
	

	Specimen 
Requirement:

Inpatient -	n/a
Outpatient -	Red, 5m1
Transport/Storage -	Refrigerate 2-8 C
Remarks -	Do not open tube. USe soap and water to prep arm, do not use alcohol pads. Centrifuge within 3 hours. If not to be performed within 3 hours, separate and refrigerate.
Unacceptable Conditions -	N/A
Stability -	Room temperature 3 hours, refrigerate 7 days, frozen 14 days.

	Use:
	Ethanol is the most common toxic substance encountered in medico-legal cases. It may be ordered by the doctor (medical) or a police officer (Alcohol-State). Toxic levels may result in a coma. 
	

	Comments:
	Special Instructions: Use soap and water to prep the arm. 
	

ALKALINE PHOSPHATASE

Methodology:

Enzymatic

Synonyms:

Alk Phos; Alkaline Phosphatase, serum

CPT:

84075

Specimen
Requirement:

Inpatient -	n/a
Outpatient -	7.5ml Red/gray
Transport/Storage -	Refrigerate 2-8 C
Remarks -	Centrifuge within 4 hours.
Unacceptable Conditions -	Hemolysis
Stability -	Room temperature 4 days, refrigerate 4 days, frozen 14 days.

Use:

Evaluate hepatobiliary disorders and skeletal disorders with increased osteoblastic or chondroblastic activity. For detecting cirrhosis, alcoholism, primary and metastatic neoplasia in liver and bone.

ALKALINE PHOSPHATASE ISOZYMES

	Methodology:
	Heat inactivation/Enzymatic
	

	Perform/Available:
	Daily.  
	

	Synonyms:
	Alk Phos Isoenzymes, Fractioned Alkaline Phosphatase
	

	CPT:
	84080
	

	Specimen 
Requirement:

Inpatient -	n/a
Outpatient -	7.5ml Red/gray
Transport/Storage -	Refrigerate 2-8 C
Remarks -	Centrifuge
Unacceptable Conditions -	Hemolysis
Stability -	Room temperature 4 days, refrigerate 4 days, frozen 14 days.

	Use:
	Used to evaluate hepatobiliary disease and bone disease associated with increased osteoblastic activity. 
	

	Comments:
	Test Includes: Total Alk Phos, Alk Phos Isoenzymes 
	

ALKALINE PHOSPHATASE STAIN

Methodology:

Special Stain

Perform/Available:

Monday - Saturday, 1St shift

Synonyms:

Alk Phosphatase Stain, Leukocyte Alkaline Phosphatase Stain, LAP

CPT:

85540

Specimen
Requirement:

Inpatient -	n/a
Outpatient -	4 ml green
Transport/Storage -	keep tube in dark
Remarks -	Make 5-8 smears within 3 hours and keep in dark.
Unacceptable Conditions -	Clotted, hemolysis
Stability -	Room temperature 3 hours.

Use:

Used to differentiate chronic leukemia from myelocytic leukemoid reactions.

Comments:

Special Instructions: Test is only performed Monday through Saturday on 1st shift. Blood smears must be made on blood less than 3 hours old.

ALPHA FETOPROTEIN (Tumor or Marker)

	Methodology:
	MEIA
	

Perform/Available:

Monday - Friday 1 shift only, before 1:00 pm.

	Synonyms:
	AFP - tumor Note: Maternal AFP's are sent out
	

	CPT:
	82105
	

	Specimen 
Requirement:

Inpatient -	n/a
Outpatient -	7.5 ml red/gray
Transport/Storage -	Refrigerate 2-8C
Remarks -	This test is for tumor marker only. AFP as part of a maternal tri-screen; see Tri-Screen, Maternal.
Unacceptable Conditions -	Severe hemoloysis
Stability -	Sample must be frozen after 24 hours. Room temperature: 8 hours; Refrigerate: 24 hours; Frozen: 14 days.

	Use:
	Elevated levels occur in several malignant diseases most notably nonseminomatous testicular cancer and primary heptocellular carcinoma. 
	

ALT

Methodology:

Enzymatic

Perform/Available:

Daily

Synonyms:

SGPT, GPT, Alanine Aminotransferase, Glutamic Pyruvate Transaminase

CPT:

84460

Specimen
Requirement:

Inpatient -	n/a
Outpatient -	7.5ml Red/gray
Transport/Storage -	Refrigerate 2-8 C
Remarks -	Centrifuge within 4 hours.
Unacceptable Conditions -	Hemolysis
Stability -	Room temperature 3 days, refrigerate 7 days.

Use:

Liver function test, screening test for hepatitis, cirrhosis and other liver diseases. ALT is not normally elevated after myocardial infarctions.

AMMONIA (NH3)

	Methodology:
	Colorimetric
	

	Perform/Available:
	Daily  
	

	Synonyms:
	NH3
	

	CPT:
	82140
	

	Specimen 
Requirement:

Inpatient -	n/a
Outpatient -	4ml green, on ice
Transport/Storage -	On ice, separate and freeze if greater than 3 hours.
Remarks -	Centrifuge and separate if test not performed within 15 minutes.
Unacceptable Conditions -	Specimen not on ice.
Stability -	Refrigerate 3 hours Frozen 4 days

	Use:
	Liver function test. Increased levels found in liver disease and Reye’s syndrome. 
	

	Comments:
	Special Instructions: Transport tube on ice to the laboratory within 15 minutes. 
	

AMYLASE

Methodology:

Enzymatic

Perform/Available:

Daily

CPT:

82150

Specimen
Requirement:

Inpatient -	n/a
Outpatient -	6.5 ml red/gray; 24 hour urine collection
Transport/Storage -	Serum, refrigerate; urine, refrigerate.
Remarks -	Serum, centrifuge within 4 hours, do not frreeze; urine, see Urine Collection Procedure.
Unacceptable Conditions -	N/A
Stability -	Serum & urine, room temperature 7 days, refrigerate 14 days. Body fluid, refrigerate 14 days.

Use:

Diagnosis of pancreatitis, diseases of the pancreas and of the salivary glands.

ANA (Antinuclear Antibody)

	Methodology:
	Auto EIA/Indirect fluorescent antibody
	

	Perform/Available:
	Test performed Monday, Wednesday & Fridays, 1st shift.  
	

	Synonyms:
	Antinuclear Antibody
	

	CPT:
	86038
	

	Specimen 
Requirement:

Inpatient -	n/a
Outpatient -	7.5 mlRed/gray
Transport/Storage -	Refrigerate 2-8 C
Remarks -	Reflex to ANA titer if screening positive.
Unacceptable Conditions -	Heparinized plasma, avoid collection in gel tubes.
Stability -	Room temperature 8 hours Refrigerate 48 hours Frozen 14 days

	Use:
	Screening test for Systemic lupus erythematosus. Positive Screening will reflex to ANA titers. 
	

ANTI-STREPTOLYSIN 0 TITER (ASO)

Methodology:

Latex agglutination

Perform/Available:

Monday - Friday 1st shift only

CPT:

86060

Specimen
Requirement:

Inpatient -	n/a
Outpatient -	7.5ml Red/gray
Transport/Storage -	Refrigerate 2-8C
Remarks -	n/a
Unacceptable Conditions -	Hemolysis
Stability -	Room temperature Refrigerate 48 hours Frozen 14 days

Use:

To aid in diagnosing rheumatic fever, acute glomerulonephritis and erythera nodosum.

ARTERIAL BLOOD GASES

	Methodology:
	Ion Selective Electrobe
	

	Perform/Available:
	Daily  
	

	Synonyms:
	Arterial blood gases, ABG’s
	

	CPT:
	82805
	

	Specimen 
Requirement:

Inpatient -	n/a
Outpatient -	2ml arterial blood in heparinized syringe on ice.
Transport/Storage -	On ice.
Remarks -	Done at Grant County, North and South Units only. Transport to lab within 15 minutes, record O2 level.
Unacceptable Conditions -	Venous specimen
Stability -	On ice 15 minutes.

	Use:
	To monitor patients on oxygen therapy. Results depend on both lung perfusion and proper heart function. 
	

Comments:

Test includes: pH, pCO2, pO2, HCO3, total CO2, O2 sat & base excess. Note: Label syringe with the patients type and amount of oxygen ie. room air, percentage or liters of 02 and vent, mask, nasal candula, etc.

***REMOVE NEEDLE AND CAP SYRINGE BEFORE TRANSPORTING***

ARTHROPOD, MACROSCOPIC

Methodology:

Visual/Microscope

Perform/Available:

Daily 1st shift.

Synonyms:

LICE, TICKS

CPT:

87168

Specimen
Requirement:

Inpatient -	n/a
Outpatient -	Arthropod in clean sealed container
Transport/Storage -	Room temperature
Remarks -	Use clean container with sela tight lid.
Unacceptable Conditions -	n/a
Stability -	Room temperature 24 hours.

Use:

Macroscopic exam of arthropod in order to identify.

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