Harbor:Labs

iSTAT Tests

EG7+: Na, K, Ca, Hgb/hematocrit, Blood Gas (pH, pCO2, pO2, TCO2, HCO3, base excess, sO2)

CG4+: Lactate, Blood gas(pH, pCO2, pO2, TCO2, HCO3, base excess, sO2)

CHEM8+: Na, K, Cl, CO2, AG (Ref range "10-20"), Ionized Ca, Glu, BUN, Cr, Hgb, HCT

Coagucheck

POC PT/INR

RSV/Influenza PCR

• Comes back in ~1hour
• Mon-Thurs 24 hours, Fri until 10pm, holidays and weekends day time hours until 3pm

BIOFIRE TESTS

Respiratory Panel - Mon-Thurs 24 hours, Fri until 10pm, holidays and weekends day time hours until 3pm, call lab if will make a difference in workup so they can prioritize

1. Adenovirus
2. Coronavirus HKU1
3. Coronavirus NL63
4. Coronavirus 229E
5. Coronavirus OC43
6. Human Metapneumovirus
7. Human Rhinovirus/Enterovirus
8. Influenza A
9. Influenza A/H1
10. Influenza A/H3
11. Influenza A/H1-2009
12. Influenza B
13. Parainfluenza Virus 1
14. Parainfluenza Virus 2
15. Parainfluenza Virus 3
16. Parainfluenza Virus 4
17. Respiratory Syncytial Virus
18. Bordetella pertussis
19. Chlamydophila pneumonia
20. Mycoplasma pneumoniae

Meningitis/Encephalitis Panel (CSF from LPs only)

1. E.Coli K1
2. H. Flu
3. Listeria monocytogenes
4. N. Meningititis
5. Strep agalactae
6. Strep pneumonia
7. CMV
8. Enterovirus
9. HSV-1
10. HSV-2
11. Human herpes virus 6
12. Human parechovirus
13. Cryptococcus neoformans/gatti
14. Varicella zoster

C.Diff Toxin

• Consider for patients with diarrhea and NOT taking laxatives, enema, PO contrast in preceding 48 hours
• Need signed copy of attestation form File:New C. difficile ordering requirement 20220728.pdf

Stool Culture

1. Salmonella
2. Shigella
3. Campylobacter
4. Aeromonas

• If specifically want E.Coli O1:57 need to order Shiga Toxin Ag test separately.

Lab

• Gonorrhea/Chlamydia
  • Purple/White - cervical and urethral specimens
  • Yellow - urine specimen
  • Orange - vaginal specimen

Critical Results

Critical Results (Lab/Radiology) Callback

• Lab or radiology calls ED for critical result, senior resident or attending takes the call
• If patient is admitted, lab/radiology told to contact admitting team
• If patient is discharged already, then patient is called back by senior resident/attending
• Senior resident/attending documents a note of whether patient was able to be reached
• If patient is returning to ED for re-evaluation, then place pre-arrival note and notify the charge nurse
• If the radiology overread is NOT critical, please tell the Lab/Radiology team to send it to the Message Pool 'Har ED Radiology Follow up" for the ED NPs to review and contact the patient as appropriate.

Specimen Collection by Providers

1. Provider places order for specimen
2. Request clerk/nurse to print labels
3. Provider affix label to specimen
4. Leave specimen in room on cart
5. NO NEED TO INITIAL OR PUT PROVIDER ID ON LABEL
6. If no specimen labels printed
   1. Affix generic patient label
   2. RN prints and affixes specimen label
7. Provider notifies RN specimen ready to send
   1. If RN unavailable notify Charge RN
8. RN scans specimen and patient wristband
9. RN sends to lab

(Wu 1/2019)

See Also

• Harbor:Main