Driving directions to the Akron campus during the marathon on Saturday, Sept. 30

Cordstat Drug Screen

Laboratory - : Chemistry

PATIENT INFO

Patient Name:

Medical Record #:

BD: / / Sex: F M

PHYSICIAN INFO

Physician Name :

Address:

Ph: ( ) - Fax: ( ) -

Additional Report to:

Ph: ( ) - Fax: ( ) -

TESTS REQUESTED
Test Name:	ICD9 Code: (required)
1. Cordstat Drug Screen
2.
3.
4.
5.
6.

SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

CORDD

Test Workstation :

USDTL

Specimen Type:

Umbilical cord tissue

Tube Type:

Kit provided by USDTL Laboratory for specimen and requisition

Collection Volume:

6 inches umbilical cord tissue

Cause for Rejection:

Umbilical cord rinsed with alcohol or fixed with formalin

Storage:

Ambient

Availability:

Sent to Reference Laboratory

Special Instructions:

Sample size is 6 inches of umbilical cord tissue that has been drained, exterior rinsed with saline (NO alcohol product), Â and patted dry. Umbilical cord is NOT fixed in formalin.

TAT:

2-3 days

Additional Info:

Umbilical cord is stored at room temperature for 7days, can be refrigerated (2-8 degrees C) for up to 3 weeks and frozen (<10 degrees C) up to 1 year.

CPT Code:

80301

While we are ranked among the best children's hospitals in the country, it's our compassionate approach to treatment that makes us truly exceptional. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. It brings the entire family together for emotional support and understanding across multiple locations to reach you in the community where you live. Learn more...

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There are 10 nurses in the picture.

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The five differences are:
– Phone color
– Coat pocket
– Stethoscope earpiece color
– Stethoscope bell dot
– Clipboard paper color

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The two matching doctors are 9 and 14.

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The correct path:

The Correct Path

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