ABO AND Rh TYPING

BLTY

T

Y

NA

ACETAMINOPHEN

ACETA

C

Y

NA

>125 UG/ML

AFB SMEAR

AFBS

M

N

NA

POSITIVE

ALCOHOL SCREEN

ALCSC

C

Y

NA

Send out test, Serum Osmolality must be ordered.  Two red top tubes needed.

AMMONIA

NH4

C

Y

NA

>64 UMOL/L

All Critical Results will be called to the Emergency Department including repeat Critical Results.

For EACH inpatient ADMISSION exhibiting repeated Critical Results for Ammonia, will only be called once.

AMYLASE, SERUM

AMY

C

Y

NA

ANTIBODY SCREENING (INDIRECT ANTIGLOBULIN TEST)

IAT or PABS

T

Y

NA

BASIC PANEL

BASIC

C

Y

SEE INDIVIDUAL TESTS

SEE INDIVIDUAL TESTS

BETA-HYDROXYBUTYRATE

BHBT

C

Y

NA

Replaces ACETONE

BILIRUBIN, TOTAL

NEONATAL SPECIMENS ONLY

TBIL (included in COMPR) TBILC (cord)

C

Y

NA

>14.9 MG/DL

Total Bilirubins on Neonates >30 mg/dl, the Lab must call extension 1524 or 1230 for sentinel event reporting.

BLOOD GAS

CRITICAL TEST

BGAS

C

Y

SEE INDIVIDUAL TESTS

SEE INDIVIDUAL TESTS

BLOOD PRODUCT REQUESTS

TSDP,

TICP TRHIG, TPLT, TRCRY NNTR AUTO

T

Y

NA

BUN (UREA NITROGEN)

BUN (included in BASIC, COMPR)

C

Y

NA

>100 MG/DL

For EACH inpatient ADMISSION exhibiting repeated Critical Results for Creatinine will only be called once.

CALCIUM

CA

(included in BASIC, COMPR)

C

Y

<6.1 MG/DL

>12.9 MG/DL

CALCIUM, FREE

ALL SPECIMEN TYPES

CAFR

(included in CSP)

C

Y

<3.1 MG/DL

>6.3 MG/DL

BLOOD GASES:  Results are printed directly into the cardiac operating room where the patient is located.

Patients exhibiting critical results while in cardiac operating rooms will not be called.

CARBAMAZEPINE

(TEGRETOL)

CARB

C

Y

NA

>15 UG/DL

CARBOXY-HEMOGLOBIN

SATCO

C

Y

NA

NA

CARDIAC SURGERY

BLOOD GAS PROFILE

CRITICAL TEST

CSP

C

Y

SEE INDIVIDUAL TESTS

SEE INDIVIDUAL TESTS

CBC, CBC5D

CBC, CBC5D

H

Y

SEE INDIVIDUAL TESTS

SEE INDIVIDUAL TESTS

CHLORIDE

CL

(included in BASIC, COMPR)

C

Y

NA

CO2 CONTENT

CO2 (included in LYTES, BASIC, COMPR)

C

Y

<16 MEQ/L

>39 MEQ/L

All Critical Results will be called to the Emergency Department including repeat critical results.

For EACH inpatient ADMISSION exhibiting repeated Critical Results for CO2 will only be called once.

CORTISOL

PCORT

C

Y

NA

CPK

CK

C

Y

NA

>1000 IU/L

For EACH inpatient ADMISSION exhibiting repeated Critical Results for CPK will only be called once.

CREATININE

CREAT

C

Y

NA

>6.0 MG/DL

For EACH inpatient ADMISSION exhibiting repeated Critical Results for Creatinine will only be called once.

CROSSMATCH (COMPATIBILITY TESTING)

TXM

T

Y

NA

CRYOGLOBULIN

CRYOG

H

N

NA

POSITIVE

CULTURE - BLOOD

BLDCA

M

N

NA

POSITIVE

CULTURE - FLUID

FLDC

M

N

NA

POSITIVE

CULTURE – GENITAL TRACT

GENC

M

N

NA

POSITIVE

Maternal/Fetal Specimen

Group B Streptococcus, Staphylococcus Aureus, Neisseria gonorrhoeae, Listeria monocytogenes or pure isolation of gram negative bacilli from maternal/fetal specimens (placenta, amniotic fluid or genital tract).  Results are phoned to both the mother’s nursing unit and the nursery.

CULTURE - TISSUE

TISSC

M

N

NA

POSITIVE

D DIMER

DDIMR

H

Y

NA

>500 UG/FEU

Outpatient locations ONLY excluding the ER.

DIFFERENTIAL, WBC

DIFF

H

Y

BLASTS

BLASTS

Patients exhibiting repeated presence of Blasts in the WBC differential will not be called.

DIGOXIN

DIG

C

Y

NA

>2.4 NG/ML

DIRECT ANTIGOLBULIN TEST (DIRECT COOMS) B

DCT

T

Y

NA

ELECTROLYTES

LYTES

(included in BASIC, COMPR)

C

Y

SEE INDIVIDUAL TESTS

SEE INDIVIDUAL TESTS

ESTRADIOL

EST

C

Y

NA

ETHANOL

ETOH

C

Y

NA

ETHYLENE GLYCOL

ETHGL

C

Y

NA

Send out test, Serum Osmolality must be ordered.  Two red top tubes needed.

FETAL FIBRONECTIN

FIBRO

C

Y

NA

FIBRINOGEN

FIBR

H

Y

<51 MG/DL

NA

FIBRINOGEN,

BIRTH TO 30 DAYS

<100 MG/DL

>850 MG/DL

FLUID CELL COUNT & DIFFERENTIAL

FLDCC

H

Y

NA

GENTAMICIN

GET (trough)

GER (random)

GEP

(peak)

C

Y

NA

>1.5 MCG/ML

-------------

>15 MCG/ML

Results which flag as “call pharmacy” have been established for inpatients only.  True Critical Results for these drug levels will have flags for both “call pharmacy” and “call floor”.  Outpatients who have critical results should be called to the health care provider.

Gent Trough Level:

>2 and less than 10 call Pharmacy only

For NICU Trough Levels, results are called to the unit, not the Pharmacy.

GLUCOSE

O.R. HEART ROOMS

CSP

C

Y

<41 MG/DL

NA

GLUCOSE

NEONATAL SPECIMENS

GLU

C

Y

<31 MG/DL

>299 MG/DL

GLUCOSE, CSF

GLUCF

C

Y

NA

GLUCOSE, SERUM

ALL SPECIMEN TYPES EXCEPT NEONATAL AND O.R. HEART ROOMS

GLU

(included in BASIC, COMPR, CSP)

C

Y

<54 MG/DL

>499 MG/DL

GRAM STAINS (CSF, TISSUE, OTHER STERILE FLUIDS)

GRAM

M

Y

NA

POSITIVE

HCG (QUANTITATIVE SERUM, QUALITATIVE SERUM AND URINE)

HCGB (quant)

QPREG (serum qual)

HCGU

(urine qual)

C

Y

NA

>4 MIU/ML

POSITIVE RESULTS ON INPATIENT, PAT OR ED PATIENTS

Critical Results applies to Preadmission, Inpatients and Emergency patients.

For EACH inpatient ADMISSION exhibiting repeated Critical Results for HCG will only be called once.

Positive HCGs for 3OB (Delivery Room) will not be called.

Quantitative HCGB for ED do not need to be called if the Qualitative Result has been called.

HCT,

BIRTH TO 30 DAYS

<30%

>60%

HEP INDUCED PLAT AB (PF4)

HAT

H

N

NA

>1.000 O.D.

HEPARIN ANTI Xa

HEPXA

H

Y

NA

>1.5 IU/ML

HEPATITIS SURFACE AG (Women’s and Children’s)

HBSAG

C

Y

NA

See Policy CH1

HGB

HB

H

Y

<6.7 G/DL

>20 G/DL

Patients exhibiting Critical Results while in the Heart Room will not be called.

HGB, NEONATAL

<11 G/DL

>22 G/DL

HGB & HCT

HH

H

Y

ANY RESULT INDICATIVE OF THE PRESENCE OF A COLD AGGLUTININ

ANY RESULT INDICATIVE OF THE PRESENCE OF A COLD AGGLUTININ

INPATIENTS only.

First time reported.

INDIA INK

II

M

N

NA

POSITIVE

INFECTIOUS MONO TEST

IMONO

S

Y

NA

LACTATE (LACTIC ACID)

LACTA (arterial)

LACTV (venous)

C

Y

NA

>2.0 MMOL/L

LEAD

LEADA

C

Y

NA

>19 UG/DL

Provided staff available to perform test.

LIDOCAINE

LIDO

C

Y

NA

>8.9 UG/ML

LIPASE

LIPA

C

Y

NA

>1200 U/L

All Critical Results will be called to the Emergency Department including repeat Critical Results.

For EACH inpatient ADMISSION exhibiting repeated Critical Results for Lipase, will only be called once.

LITHIUM

LITH

C

Y

NA

>2.00 MEQ/L

MAGNESIUM

MG

C

Y

<1.3 MG/DL

>4.7 MG/DL

All Critical Results will be called to the Emergency Department including repeat Critical Results.

For EACH inpatient ADMISSION exhibiting repeated Critical Results for Magnesium, will only be called once.

METHEMOGLOBIN

C

Y

NA

NTBNP

NTBNP

C

Y

NA

OCCULT BLOOD, STOOL

GASTRIC

OCBLB

C

Y

NA

OSMOLALITY

OSMO

C

Y

NA

PCO2 - ARTERIAL

EXCEPT NEONATAL, HEART SPECIMENS

BGAS or CSP

C

Y

<16 MMHG

>70 MMHG

PCO2 - ARTERIAL

NEONATAL SPECIMENS

BGAS or CSP

C

Y

<16 MMHG

>60 MMHG

PCO2 - ARTERIAL OR HEART ROOMS

BGAS or CSP

C

Y

NA

>100 MMHG

Ph - ARTERIAL

EXCEPT NEONATAL AND CORD BLOOD

BGAS or CSP

C

Y

<7.3

>7.5

BLOOD GASES:  Results are printed directly into the cardiac operating room where the patient is located.

Patients exhibiting critical results while in cardiac operating rooms will not be called.

Ph - ARTERIAL

NEONATAL SPECIMENS

BGAS or CSP

C

Y

<7.25

>7.5

Ph - CORD BLOOD ONLY

CBGA (arterial)

CBGV (venous)

C

Y

<7.2

NA

PHENOBARBITOL

PBRB

C

Y

NA

>40 UG/ML

PHENYTOIN (DILANTIN)

PHENY

C

Y

NA

>30 UG/ML

PHENYTOIN, FREE (DILANTIN, FREE)

FPHEN

C

N

NA

>3.0 UG/ML

FPHEN testing performed daily 1^st shift.

PHOSPHORUS

IP

C

Y

<1.1 MG/DL

>8.8 MG/DL

All Critical Results will be called to the Emergency Department including repeat Critical Results.

For EACH inpatient ADMISSION exhibiting repeated Critical Results for IP, will only be called once.

PLASMA FDP (FIBRINOGEN)

DEGRADATION PRODUCTS

FDP

H

Y

NA

PLATELET COUNT

PC

H

Y

<50,000/L

>999,000/L

Location code “REFCHEMO” and inpatients exhibiting repeated Critical Results for WBC and Platelets will not be called.

Patients exhibiting Critical Results while in the Heart Room will not be called.

Location code “SPHONC” exhibiting repeated Critical Results for WBC and Platelets during office hours 8am - 4pm M-F will not be called.

PLATELET COUNT, BIRTH TO 30 DAYS

<50,000/L

>900,000/L

PO2 - ARTERIAL

EXCEPT NEONATAL AND CORD BLOOD

BGAS or CSP

C

Y

<55 MMHG

NA

BLOOD GASES:  Results are printed directly into the operating room where the patient is located.

Patients exhibiting critical results while in cardiac operating rooms will not be called.

PO2 - ARTERIAL

NEONATAL

BGAS or CSP

C

Y

<35 MMHG

NA

POTASSIUM

ALL SPECIMEN TYPES EXCEPT HEMOLYZED

K+

(included in LYTES, BASIC, COMPR, BGAS, CSP)

C

Y

<3.0 MEQ/L

>6.0 MEQ/L

BLOOD GASES:  Results are printed directly into the cardiac operating room where the patient is located.

Patients exhibiting critical results while in cardiac operating rooms will not be called.

POTASSIUM

HEMOLYZED

K+-

(included in LYTES, BASIC, COMPR, BGAS, CSP)

C

Y

NA

>6.5 MEQ/L

PROGESTERONE

PROG

C

Y

NA

PROTEIN, TOTAL - CSF

TPCF

C

Y

NA

PROTHROMBIN TIME:

NON-COUMADIN

PTB

H

Y

NA

>2.5 INR

PROTHROMBIN TIME:

COUMADIN

PTB

H

Y

NA

>4.5 INR

PTT (ACTIVATED)

ON HEPARIN OR ARGATROBAN

PTT

H

Y

NA

>119.9 Sec.

PTT (ACTIVATED) NON-HEPARINIZED

PTT

H

Y

NA

>69.9 Sec.

REDUCING SUBSTANCES

URED

C

Y

NA

RPR

RPR

S

Y

POSITIVE RESULTS MATERNAL OR NEONATAL

POSITIVE RESULT MATERNAL OR NEONATAL

SALICYLATE

SAL

C

Y

NA

>29 MG/DL

SERUM VISCOSITY

SVIS3

H

N

NA

>3.9

SODIUM

ALL BLOOD SPECIMEN TYPES EXCEPT NEONATAL SPECIMENS

NA+

C

Y

<121 MEQ/L

>155 MEQ/L

BLOOD GASES:  Results are printed directly into the cardiac operating room where the patient is located.

Patients exhibiting critical results while in cardiac operating rooms will not be called.

SODIUM

NEONATAL SPECIMENS

Na+

C

Y

<125 MEQ/L

>159 MEQ/L

SPECIFIC GRAVITY

RSG

C

Y

NA

THEOPHYLLINE

THEO

C

Y

NA

>24 UG/ML

TRICYCLIC SCREEN

TCS

C

Y

NA

TROPONIN I

TROPI

C

Y

NA

>0.045 NG/ML

All Critical Results will be called to the Emergency Department including repeat Critical Results.

URINALYSIS

RUA

C

Y

NA

URINE DRUGS OF ABUSE

DSPH

2DSCN (including confirmation)

C

Y

NA

Confirmation is not performed STAT.

VALPROATE (DEPAKOTE)

VALP

C

Y

NA

>199 UG/ML

VANCOMYCIN

VAT (trough)

VAR (random)

C

Y

NA

>20 MCG/ML

>20 MCG/ML

Critical Results for these drug levels will have flags for both “call pharmacy” and “call floor”.  Outpatients who have critical results should be called to the health care provider.

For NICU Trough Levels, results are called to the unit, not the Pharmacy.

WBC

WBC

H

Y

<1,900/DL

>35,000/DL

Location code “REFCHEMO” and inpatients exhibiting repeated Critical Results for WBC and Platelets will not be called.

Patients exhibiting Critical Results while in the Heart Room will not be called.

Location code “SPHONC” exhibiting repeated Critical Results for WBC and Platelets during office hours 8am - 4pm M-F will not be called.

WBC, CSF

NA

5 cells/mm or any neutrophils

WBC,

BIRTH TO 30 DAYS

<3,000/L

>25,000/L