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-Fri 24 hours, holidays and weekends day time hours until 3pm

BIOFIRE TESTS

Respiratory Panel - Mon-Fri 24 hours, 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

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 Lab/Radiology Results 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

See Also

• Harbor:Operations manual