Neonatal Transfusion

CERNER / EPIC MNEMONIC: NEO RC
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: 1 hour
SPECIAL INSTRUCTIONS: Group O RBCs are available for neonates. All neonates in NICU are to receive leukocyte-depleted blood products. Birth weight is required on the transfusion requisition. Platelet concentrates are released as individual units (5.5 x 1010 platelets each); mark requisition for 'Pediatric Platelets.' Once ABO, Rh, and antibody screening have been completed for the infant, they need not be repeated for the remainder of the neonatal period (0-4 months) pending that no unexpected antibodies are present. ABO and Rh typing and antibody screening must be done on readmissions.
CONTAINER TYPE: Microtainer(tm)
COLLECTION: Special Labeling Requirements: The content of each sample label must include the patient's full name and medical record number, the phlebotomist's initials, the date and time the sample was collected and, for non-LLT draws, the initials of a second medical professional who has confirmed that the sample came from the patient whose name is on the label; the computer label must have this same information plus an accession number and the tests ordered. NOTE:  LLT phlebotomists should write 'LLT' for the second set of initials.
SPECIMEN REQUIREMENTS: Blood; cord blood is not acceptable.
MINIMUM VOLUME: Four Microtainers
REFERENCE RANGE: Compatible
TEST SYNONYM(S):Pediatric Transfusion

Nose Culture, Fungus

CERNER / EPIC MNEMONIC: C FUNGUSSM
POE DESCRIPTION: CU FUNGUS W SMEAR (NON-SKIN); C FUNGUSSM (NON-SKIN)
CPT CODE: 87102; 87206
TEST INFORMATION: Test includes a culture for fungi and performance of a direct fungal smear. All fungal isolates will be identified. Other isolated organisms (i.e. aerobes, etc.) may be referred for identification and/or susceptibility testing if medically indicated AND a separate culture procedure has NOT yielded the same organism(s).
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: Smear results: same day if the specimen is received in the laboratory no later than 1400. Preliminary culture reports are available after 1 week or when a fungal isolate is detected. Cultures will be finalized after 4 weeks.
SPECIAL INSTRUCTIONS: The specific anatomic site of the specimen MUST be specified on the order or the requisition.
CONTAINER TYPE: Copan Swab® II , nasopharyngeal swab in sterile container
SPECIMEN REQUIREMENTS: Nose, throat, nasopharyngeal
REJECTION CRITERIA: Inappropriate specimen container, insufficient specimen volume.
MINIMUM VOLUME: One swab
HANDLING INSTRUCTIONS: Specimen should be transported as soon as possible. When transportation is delayed, leave at room temperature.
REFERENCE RANGE: No fungi observed/isolated
METHODOLOGY: Fungal smear: calcofluor white stain. Culture: Conventional culture utilizing media specifically formulated for fungal isolation.
TEST SYNONYM(S):Fungus Culture, Nose

NTX-N-Telopeptide (Osteomark), urine

CERNER / EPIC MNEMONIC: RU/NTX
POE DESCRIPTION:

N-TELOPEPTIDE; OSTEOMARK

(includes random urine creatinine also)

CPT CODE: 82523-90 and 82570-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: Random urine container - Second void of the day preferred.
SPECIMEN REQUIREMENTS: 2.0 mL urine
MINIMUM VOLUME:

1.0 mL urine

REFERENCE RANGE:

 

See Specialty Labs  - Search Test Code 4266UR

LAST UPDATED:

9-17-2012

TEST SYNONYM(S):NTx-telopeptide, (Osteomark); N-telopeptide, urine; Urine N-telopeptide; Collagen Cross-Linked N-telopeptide

Neuronal Nuclear IgG Autoantibodies (HU)

CERNER / EPIC MNEMONIC: HU ABS
POE DESCRIPTION: HU ABS
CPT CODE:

84181-90

TURNAROUND TIME: 7-10 days
CONTAINER TYPE:

Red top tube or SST tube

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME:

1.0 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code - 37053

LAST UPDATED:

9-17-2012

TEST SYNONYM(S):HU, Neuronal Nuclear IgG Autoantibodies; HU Antibodies

Norclazapine and Clozapine

CERNER / EPIC MNEMONIC: CLOZAPINE
POE DESCRIPTION: CLOZAPINE
CPT CODE: 80299-90
TEST INFORMATION: see Clozapine and Norclazapine
TURNAROUND TIME: 7-10 days
SPECIMEN REQUIREMENTS:

4.0 mL blood (2.0 mL serum)

MINIMUM VOLUME:

2.0 mL blood (1.0 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 4964

LAST UPDATED:

9-12-2012

Nortriptyline

CERNER / EPIC MNEMONIC: NORTRIP
POE DESCRIPTION: NORTRIPTYLINE
CPT CODE: 80182-90
TURNAROUND TIME: 5-7 working days
SPECIAL INSTRUCTIONS: Collect at trough or at least 12 hours after last dose.
CONTAINER TYPE: Red top tube only
SPECIMEN REQUIREMENTS:

6.0 blood (3.0 mL serum)

MINIMUM VOLUME:

3.0 mL blood (1.5 mL serum)

REFERENCE RANGE: See Specialty Labs - Search Test Code 4930

LAST UPDATED:

9-17-2012

TEST SYNONYM(S):Aventyl; Pamelor.

Neuron Specific Enolase

CERNER / EPIC MNEMONIC: NSE
POE DESCRIPTION: Neuron Specific Enolase
CPT CODE:

86316-90

CDM NUMBER: 3181374
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE:

Red top tube

SPECIMEN REQUIREMENTS: 4.0 mL blood (2.0 mL serum)
REJECTION CRITERIA: Hemolysis
MINIMUM VOLUME: 1.5 mL blood (0.7 mL serum)
REFERENCE RANGE: See Specialty Labs - Search Test Code 3860
METHODOLOGY: Enzyme Immunoassay
TEST SYNONYM(S):NSE

N-Telopeptide, blood

CERNER / EPIC MNEMONIC: NTX
POE DESCRIPTION: N-Telopeptide (NTX) serum
CPT CODE: 82523-90
TURNAROUND TIME: 5-7 working days
CONTAINER TYPE: Red top tube only 
SPECIMEN REQUIREMENTS: 2.0 mL blood (1.0 mL serum)
MINIMUM VOLUME:

1.0 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code 4266

METHODOLOGY: Enzyme immunoassay
TEST SYNONYM(S):NTX

Nucleosomal (Chromatin) Antibodies

CERNER / EPIC MNEMONIC:

MISC CHEM

CPT CODE:

86235-90

TURNAROUND TIME:

5-7 working days

CONTAINER TYPE:

Red top tube or SST tube

SPECIMEN REQUIREMENTS:

2.0 mL blood (1.0 mL serum)

MINIMUM VOLUME:

1.0 mL blood (0.5 mL serum)

REFERENCE RANGE:

See Specialty Lab - Search Test Code S51571

TEST SYNONYM(S):Nucleosomal antibodies; Chromatin antibodies

NMO-IGG Autoantibody Test

CERNER / EPIC MNEMONIC:

NMO-IGG AB

CPT CODE:

83520-90

TURNAROUND TIME:

8 working days

CONTAINER TYPE:

SST or Red Top

SPECIMEN REQUIREMENTS:

4.0 mL blood (2.0 mL serum)

MINIMUM VOLUME:

2.0 mL blood (1.0 mL serum)

REFERENCE RANGE:

See Specialty Labs - Search Test Code S52438

LAST UPDATED:

7-28-2014

TEST SYNONYM(S):NMO-IGG Antibodies; Neuromyelitis Optica Antibody

NEW TEST NAME

LAST UPDATED:

4-16-2013

Naegleria Culture

CERNER / EPIC MNEMONIC:

MICRO REF

CPT CODE:

87081

DAYS PERFORMED:

Monday-Friday Sendout

TURNAROUND TIME:

8-10 days

CONTAINER TYPE:

Sealed sterile container; no preservative

COLLECTION:

Specimens are to be collected from a site prepared utilizing aseptic technique.  Overlying and adjacent areas must be carefully prepared to eliminate surface organisms.  Ideally, material obtained by needle aspiration through intact surface, which has been cleaned with antiseptic, is injected into a sterile container.

SPECIMEN REQUIREMENTS:

Cerebrospinal fluid, tissue from brain, lung, cornea or lesions; corneal scrapings, contact lens or lens care solution from an open container already used by patient.

REJECTION CRITERIA:

Inappropriate specimen container, insufficient specimen volume, inappropriate temperature.

MINIMUM VOLUME:

1 mL

HANDLING INSTRUCTIONS:

Specimen should be transported as soon as possible.  When transportation is delayed, leave at room temperature.

REFERENCE RANGE:

No parasites found

METHODOLOGY:

Culture

REFERRAL LABORATORY:

Commercial

ADDITIONAL INFORMATION:

Use to detect African trypanosomiasis; detect primary amebic meningoencephalitis.

LAST UPDATED:

6-3-2014

TEST SYNONYM(S):Parasites in Spinal Fluid; Naegleria; Acanthamoeba