Harbor:Labs: Difference between revisions

(Created page with " ==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...")
 
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==iSTAT Tests==
==LABS==
===iSTAT Tests===
EG7+: Na, K, Ca, Hgb/hematocrit, Blood Gas (pH, pCO2, pO2, TCO2, HCO3, base excess, sO2)
EG7+: Na, K, Ca, Hgb/hematocrit, Blood Gas (pH, pCO2, pO2, TCO2, HCO3, base excess, sO2)


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


===Coagucheck===
==Coagucheck==
POC PT/INR
POC PT/INR


===RSV/Influenza PCR===
==RSV/Influenza PCR==
*Comes back in ~1hour
*Comes back in ~1hour
*Mon-Fri 24 hours, holidays and weekends day time hours until 3pm
*Mon-Fri 24 hours, holidays and weekends day time hours until 3pm


===BIOFIRE TESTS===
==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
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
#Adenovirus
#Adenovirus
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#Varicella zoster
#Varicella zoster


===Stool Culture===
==Stool Culture==
#Salmonella
#Salmonella
#Shigella
#Shigella
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*If specifically want E.Coli O1:57 need to order Shiga Toxin Ag test separately.
*If specifically want E.Coli O1:57 need to order Shiga Toxin Ag test separately.


===Lab===
==Lab==
*Gonorrhea/Chlamydia
*Gonorrhea/Chlamydia
**Purple/White - cervical and urethral specimens
**Purple/White - cervical and urethral specimens
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**Orange - vaginal specimen
**Orange - vaginal specimen


 
==Critical Lab/Radiology Results Callback==
===Critical Lab/Radiology Results Callback===
*Lab or radiology calls ED for critical result, senior resident or attending takes the call
*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 admitted, lab/radiology told to contact admitting team

Revision as of 22:24, 27 December 2018

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