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201705128

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IP - Pericardial Fluid Laboratory Ordering Delegation Protocol - Adult - Supplemental [6417]

IP - Pericardial Fluid Laboratory Ordering Delegation Protocol - Adult - Supplemental [6417] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Cardiology/CT Surgery


IP - Pericardial Fluid Laboratory Ordering Delegation Protocol - Adult -
Supplemental [6417]
for Adult Patients OnlyIntended
Laboratory
Laboratory [222093]
AMYLASE, BODY FLUID [GM2795] ONCE For 1 Occurrences, Routine
Indicate specimen source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CBC WITH DIFFERENTIAL [CBC] ONCE For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CHOLESTEROL, BODY FLUID [GM2835] ONCE For 1 Occurrences, Routine
Indicate specimen source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
GLUCOSE, BODY FLUID [GM2790] ONCE For 1 Occurrences, Routine
Indicate specimen source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
HEMATOCRIT, BODY FLUID [GM1840] ONCE For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
PROTEIN, BODY FLUID [GM2810] ONCE For 1 Occurrences, Routine
Indicate specimen source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CULTURE, FUNGAL, WITH SMEAR
[HCFCULTS]
ONCE For 1 Occurrences, Routine, Smears not
routinely performed on CSF. If CSF, order Culture,
Fungal.
Indicate source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
CYTOLOGY, NON-GYN [HCPATHM] ONCE For 1 Occurrences, Routine, For any
questions please refer to U-Connect Test Directory or
contact UWHC Cytology at (608)263-3205.
Specimen Source Description/Laterality:
Clinical History:
Is Lipid Laden Macrophage Index requested?
AFB Smear and Culture (With RT to Induce
Sputum) [117209]
AFB SMEAR [AFBSMR] ONCE For 1 Occurrences, Routine
If add on test, what should lab do if unable to add
test to previous specimen?
If Conditional, What Condition?
Page 1 of 2
Printed by STRAKA, KEVIN F [KFS1] at 5/8/2017 11:19:14 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 05/2017CCKM@uwhealth.org

AFB CULTURE [AFBCX] ONCE For 1 Occurrences, Routine, Smear and
culture should be ordered for diagnostic specimens.
M. avium complex PCR is performed on the first
smear positive respiratory specimen from patients
not previously diagosed with tuberculosis.
Susceptibility testing is performed automatically on
all initial M. tuberculosis isolates. Susceptibility
testing for some non-tuberculous mycobacteria is
available.
The initial M. tuberculosis isolate from each patient
is also genotyped as part of the CDC Universal
Genotyping Program.
If add on test, what should lab do if unable to add
test to previous specimen?
If Conditional, What Condition?
RT To Induce Sputum [RT0043] ONCE For 1 Occurrences, Routine
CULTURE, BODY FLUID, AER/ANA WITH
GRAM STAIN [HCWABF]
ONCE For 1 Occurrences, Routine, UWHC Only:
Use blood culture bottles for peritoneal, pericardial,
pleural, synovial and dialysate fluids.
Indicate source if other:
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Page 2 of 2
Printed by STRAKA, KEVIN F [KFS1] at 5/8/2017 11:19:14 AM
Copyright © 2017 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised:
 
05/2017CCKM@uwhealth.org