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
- Adenovirus
- Coronavirus HKU1
- Coronavirus NL63
- Coronavirus 229E
- Coronavirus OC43
- Human Metapneumovirus
- Human Rhinovirus/Enterovirus
- Influenza A
- Influenza A/H1
- Influenza A/H3
- Influenza A/H1-2009
- Influenza B
- Parainfluenza Virus 1
- Parainfluenza Virus 2
- Parainfluenza Virus 3
- Parainfluenza Virus 4
- Respiratory Syncytial Virus
- Bordetella pertussis
- Chlamydophila pneumonia
- Mycoplasma pneumoniae
Meningitis/Encephalitis Panel (CSF from LPs only)
- E.Coli K1
- H. Flu
- Listeria monocytogenes
- N. Meningititis
- Strep agalactae
- Strep pneumonia
- CMV
- Enterovirus
- HSV-1
- HSV-2
- Human herpes virus 6
- Human parechovirus
- Cryptococcus neoformans/gatti
- 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
- Salmonella
- Shigella
- Campylobacter
- 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
- Provider places order for specimen
- Request clerk/nurse to print labels
- Provider affix label to specimen
- Leave specimen in room on cart
- NO NEED TO INITIAL OR PUT PROVIDER ID ON LABEL
- If no specimen labels printed
- Affix generic patient label
- RN prints and affixes specimen label
- Provider notifies RN specimen ready to send
- If RN unavailable notify Charge RN
- RN scans specimen and patient wristband
- RN sends to lab
(Wu 1/2019)