Gram Stain

Last Modified: 3/27/2019 2:53:37 PM


Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: Aerobic Culture Swab (Red cap w/out gel or Red cap w/ Pledget)
Collection Instructions:

Order must include Current antibiotic therapy, collection site and/or source

1. Remove cap/swabs from tube
2. Swab sample area
3. Return cap/swabs to tube
4. Push cap to bring swab into contact with moistened pledget

Transport & Storage: Temperature/Stability:  
Reference Range: No Organism Seen
Critical Ranges:  
Test Comments:

Description of relative numbers and types of microorganisms present. Relative numbers of pus cells and epithelial cells are noted

Methodology: Microscopic
Clinical Significance:  
Documentation: The Gram Stain is included in all Aerobic and Anaerobic Cultures
Custom Panel: No

PRODUCTION SCHEDULE

Stat Eligible: Yes
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley
PHL Test Code: GRAM
EPIC Test Code: LAB250
Included Tests:  
CPT Coding: 87205

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