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:

5-7 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:

4-16-2013

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

NEW TEST NAME

LAST UPDATED:

4-16-2013