/clinical/,/clinical/cckm-tools/,/clinical/cckm-tools/content/,/clinical/cckm-tools/content/order-sets/,/clinical/cckm-tools/content/order-sets/inpatient/,/clinical/cckm-tools/content/order-sets/inpatient/hospital-wide/,

/clinical/cckm-tools/content/order-sets/inpatient/hospital-wide/name-98259-en.cckm

201606170

page

100

UWHC,UWMF,

Clinical Hub,UW Health Clinical Tool Search,UW Health Clinical Tool Search,Order Sets,Inpatient,Hospital-wide

IP – Microbiology Lab Tests [1634]

IP – Microbiology Lab Tests [1634] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Hospital-wide


IP - Microbiology Lab Tests [1634]
Laboratory
Blood [22893]
CULTURE, BLOOD, BACTERIA/YEAST (2 SITES)
[116728]
This order equals 2 sites (4 bottles). See link below for Best Practices for Blood Culturing.
Best Practices for Blood Culturing URL: https://uconnect.wisc.edu/clinical/references/clinical-
laboratories/blood/
Lab Test Directory URL: https://uconnect.wisc.edu/clinical/tools-resources/lab-
test-directory/microbiology/name-67798-en.labtest
CULTURE, BLOOD, BACTERIA AND YEAST [GM4045] ONCE, Starting today For 1 Occurrences, Routine, For
optimum diagnosis of sepsis, sample 3-4 sites only on the
first day of a septic episode. Cultures on subsequent days
are of minimal diagnostic value. Culture detects bacteria,
Candida and Cryptococcus. If filamentous fungi are
suspected see Culture, Blood, Filamentous Fungi.
Patient's Active Lines:
No Active Lines Found.
If Conditional, What Condition?
CULTURE, BLOOD, BACTERIA AND YEAST [GM4045] ONCE, Starting today For 1 Occurrences, Routine, For
optimum diagnosis of sepsis, sample 3-4 sites only on the
first day of a septic episode. Cultures on subsequent days
are of minimal diagnostic value. Culture detects bacteria,
Candida and Cryptococcus. If filamentous fungi are
suspected see Culture, Blood, Filamentous Fungi.
Patient's Active Lines:
No Active Lines Found.
If Conditional, What Condition?
CULTURE, CATH TIP, INTRAVASCULAR [GM4155] ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, BLOOD, FILAMENTOUS FUNGI
[HCDIBLIA]
ONCE, Starting today For 1 Occurrences, Routine, Needs
Approval from Infectious Diseases or Microbiology Director.
If Conditional, What Condition?
Respiratory [22896]
CULTURE, SPUTUM WITH GRAM STAIN [HCSPUCS] ONCE, Starting today For 1 Occurrences, Routine, For
patients with an ET tube or tracheostomy, quantitative mini-
BAL by RT or bronchoscopic BAL are the preferred methods
of specimen collection.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
RSV DETECTION [130094]
RSV DETECTION [HCRSVD] ONCE, Starting today For 1 Occurrences, Routine,
Includes RSV by PCR and possibly rapid antigen test
during season.
UWHC: Collect Nasopharyngeal Minitip swab (flocked
swab) and place in UTM. Room temperature M4 (M4RT) is
not acceptable.
UWMF: Collect Nasopharyngeal (flocked swab) and place
in refrigerated M4 viral media. Room temperature M4
(M4RT) is not acceptable.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Isolation - Contact and Droplet - Respiratory Infection CONTINUOUS
Page 1 of 5
Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 10/16/2015 1:43:30 PM
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority, University of Wisconsin Medical Foundation, Inc, UW-Madison

 

[ISO0045]
Isolation Cart [EQP0016] CONTINUOUS, Starting today, Routine
INFLUENZA A AND B AND RSV DETECTION [130092]
INFLUENZA A AND B AND RSV DETECTION
[HCFLURSV]
ONCE, Starting today For 1 Occurrences, Routine,
Includes Influenza A and B by PCR and RSV by PCR.
UWHC: Collect Nasopharyngeal Minitip swab (flocked
swab) and place in UTM. Room temperature M4 (M4RT) is
not acceptable.
UWMF: Collect Nasopharyngeal (flocked swab) and place
in refrigerated M4 viral media. Room temperature M4
(M4RT) is not acceptable.
ACHC: Collect Nasopharyngeal Minitip swab (flocked
swab) and place in UTM. Room temperature M4 (M4RT) is
not acceptable.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Isolation - Droplet - Influenza [ISO0066] CONTINUOUS
RESPIRATORY VIRUS PANEL, PCR [HCRVPPCR] ONCE, Starting today For 1 Occurrences, Routine, The
Respiratory Virus Panel test includes detection of: Influenza
A, Influenza A subtype H1, Influenza A subtype H3, Influenza
A subtype 2009 H1N1, Influenza B, RSV A, RSV B,
Parainfluenza 1, Parainfluenza 2, Parainfluenza 3, human
metapneumovirus (nMPV), human rhinovirus, Adenovirus
B/E, Adenovirus C.
This test is most appropriate for transplant and select other
immunocompromised patients. All others should consider
'Influenza A, Influenza B, and RSV by PCR'- [HCFLURSV].
During peak influenza season consider ordering 'Influenza A,
Influenza B, and RSV by PCR'- [HCFLURSV].
For UWHC only: Collect Nasopharyngeal Minitip swab
(flocked swab) and place in UTM. BAL is also acceptable.
Room temperature M4 (M4RT) is not acceptable.
For UWMF only: Collect Nasopharyngeal (flocked swab) and
place in refrigerated M4 viral media. BAL is also acceptable.
Room temperature M4 (M4RT) is not acceptable.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, ADENOVIRUS (OTHER) [HCADECX] ONCE, Starting today 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?
PNEUMOCYSTIS JIROVECII STAIN, SPUTUM
[HCTBOSPU]
ONCE, Starting today For 1 Occurrences, Routine, HIV
positive or suspected HIV positive patients: Collect either
induced or expectorated sputa. Bone marrow transplant,
solid organ transplant and hematology patients: induced
sputa only. Requests from any other patients must be
reviewed by the Microbiology Director or Pathology Resident.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
B. PERTUSSIS PCR [130495]
Page 2 of 5
Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 10/16/2015 1:43:30 PM
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority, University of Wisconsin Medical Foundation, Inc, UW-Madison

 

B. PERTUSSIS PCR [BPPCR] ONCE, Starting today For 1 Occurrences, Routine, Swab
for Bordetella culture is included in kit for public
health/epidemiological purposes. WSLH performs cultures
on positive specimens for epidemiologic purposes but does
not report the results. Cultures are performed at no
charge.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Isolation - Droplet - Pertussis (Whooping Cough)
[ISO0074]
CONTINUOUS
LEGIONELLA PCR [HCLEGPCR] ONCE, Starting today 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, NOCARDIA [HCNCULT] ONCE, Starting today For 1 Occurrences, Routine
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Abscess, Body Fluid, Bone and Tissue [22899]
CULTURE, BODY FLUID WITH GRAM STAIN [HCBFC] ONCE, Starting today For 1 Occurrences, Routine, For
peritoneal, pericardial, pleural, synovial and dialysate fluids
order Culture, Body Fluid, Aer/Ana with Gram stain and use
blood culture bottles.
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, BODY FLUID, AER/ANA WITH GRAM
STAIN [HCWABF]
ONCE, Starting today 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?
CULTURE, BONE, AER/ANA WITH GRAM STAIN
[HCWABO]
ONCE, Starting today For 1 Occurrences, Routine
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, BONE WITH GRAM STAIN [HCBONC] ONCE, Starting today For 1 Occurrences, Routine
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, CATH TIP, NON-INTRAVASCULAR,
AER/ANA [HCWATIP]
ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, SURFACE WOUND, NO GRAM STAIN
[WDC]
ONCE, Starting today For 1 Occurrences, Routine
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, SURFACE WOUND WITH GRAM STAIN
[HCWSURFS]
ONCE, Starting today For 1 Occurrences, Routine
Indicate source if other:
If add on test, what should lab do if unable to add test to
Page 3 of 5
Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 10/16/2015 1:43:30 PM
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority, University of Wisconsin Medical Foundation, Inc, UW-Madison

 

previous specimen?
If Conditional, What Condition?
CULTURE, TISSUE WITH GRAM STAIN [HCWOUC] ONCE, Starting today For 1 Occurrences, Routine
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, TISSUE, AER/ANA WITH GRAM STAIN
[HCWANC]
ONCE, Starting today For 1 Occurrences, Routine
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, TISSUE, QUANT WITH GRAM STAIN
[HCQWOC]
ONCE, Starting today For 1 Occurrences, Routine, If
necrotizing fasciitis or Fournier's Gangrene order Culture,
Tissue, Quant, Aer/Ana with Gram stain.
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, TISSUE, QUANT AER/ANA WITH GRAM
STAIN [HCQWANC]
ONCE, Starting today For 1 Occurrences, Routine
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, ABSCESS, AER/ANA WITH GRAM STAIN
[HCWABSCS]
ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, ABSCESS, AER WITH GRAM STAIN
[HCABSCS]
ONCE, Starting today For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Fungal [22900]
CULTURE, FUNGAL [HCFCULT] ONCE, Starting today For 1 Occurrences, Routine
Indicate 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, Starting today 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?
CULTURE , FUNGAL, SKIN, HAIR, NAILS [HCFCULTD] ONCE, Starting today For 1 Occurrences, Routine
Indicate 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, SKIN, HAIR, NAILS WITH
SMEAR [HCFCULDS]
ONCE, Starting today For 1 Occurrences, Routine
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, YEAST, OTHER [HCYSTCOT] ONCE, Starting today For 1 Occurrences, Routine
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
Page 4 of 5
Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 10/16/2015 1:43:30 PM
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority, University of Wisconsin Medical Foundation, Inc, UW-Madison

 

If Conditional, What Condition?
CULTURE, YEAST, OTHER WITH SMEAR
[HCYSTCOS]
ONCE, Starting today For 1 Occurrences, Routine
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
FUNGAL SMEAR [HCFSMEAR] ONCE, Starting today For 1 Occurrences, Routine
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
CULTURE, NOCARDIA [HCNCULT] ONCE, Starting today For 1 Occurrences, Routine
Indicate source if other:
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
Genital [22904]
C TRACHOMATIS AND N GONORRHOEAE BY
AMPLIFIED PROBE TECHNIQUE [HCCGAPT]
ONCE, Starting today For 1 Occurrences, Routine,
Unacceptable sources include throat (or any oropharyngeal
sites), rectal and eye.
If the specimen is urine, then the patient should not urinate for
at least one hour prior to the collection of urine specimen.
Collect the first 10-50 mL into a urine container.
If add on test, what should lab do if unable to add test to
previous specimen?
If Conditional, What Condition?
HERPES SIMPLEX VIRUS BY PCR [HCHSVPCR] ONCE, Starting today 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?
Page 5 of 5
Pr i nt ed by GUETZLAFF, SCOTT F [SFG091] at 10/16/2015 1:43:30 PM
Copyright © 2015 University of Wisconsin Hospitals and Clinics Authority, University of Wisconsin Medical Foundation, Inc, UW-Madison