ED Stat Panel

Centralized Core 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. ED Stat Panel
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SPECIMEN INFO

Collection Date & Time:

Collected By:

Hospital:

Test ID :

EDPAN

Test Workstation :

BGAS

Specimen Type:

Blood

Tube Type:

Heparinized syringe or Green top (lithium heparin) macrotainer. NO GEL SEPARATOR TUBES.

Collection Volume:

4.0 ml or 600 uL (minimum 400 uL)

Minimum Volume:

0.5 mL syringe; 1.5 mL macrotainer.

Preferred Volume:

1 mL syringe; 3 mL macrotainer.

Cause for Rejection:

Clotted, air bubbles, tubes with gel separator.

Storage:

Room Temperature

Availability:

Daily, 24 hours; STAT

Methodology:

Ion Selective Electrode/Calculations

Special Instructions:

Notify laboratory if patient's temperature is other than 37 C to correct results (temperature dependent). Deliver immediately to laboratory at room temperature.

Lab/Phone:

330-543-8418

TAT:

30 minutes

Additional Info:

Reference ranges available under individual tests.

Panel Includes:

Venous Gases, Whole blood Analytes to include: Ionized Calcium, Chloride, Glucose, Potassium, Sodium, Lactate

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ED Stat Panel

Centralized Core Laboratory - : Chemistry

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