Trauma Panel

Last Modified: 10/30/2023 10:23:40 AM


  Medicare Medical Necessity Restrictions May Apply
Medical Necessity Documentation:  
Client Notes:
Patient Preparation:  
Specimen Requirements:

1.0 mL Plasma in a PST Mint Green Top Tube - Li Heparin
and
4.0 mL Whole Blood in a Green Top Tube - Li Heparin
and
A full Whole Blood in a Blue Top Tube - 3.2% Buffered Sodium Citrate
and
3.0 mL Whole Blood in a Lavender Top Tube - EDTA

Collection Instructions: Mint Green PST
Use betadine or zephrin as a skin preparation for drawing specimen.
Centrifuge and Separate from Cells within 4 hours of collection

Blue Top Tube
Specimens must be filled appropriately see this example

Correct ratio of Blood to Citrate is critical (9:1). Specimens must be filled within +/- 10% of stated volume.

If a Blue Top Tube is collected utilizing a butterfly, a Blue Discard Tube must be drawn first to remove air from the line. If this is not done, the Blue Top Tube will not be filled properly due to the vacuum in tube and a redraw will be required

   Heparinized Patient specimens must be spun within 1 hour of collection - Follow Platelet Poor Collection

Note: Collection of blood for coagulation testing through intravenous lines that have been previously flushed with heparin should be avoided, if possible. 
If the blood must be drawn through an indwelling catheter, possible heparin contamination and specimen dilution should be considered. 
When obtaining specimsn from indwelling lines that may contain heparin, the line should be flushed with 5mL of saline, and the first 5 mL of blood or 6-times the line volume
(dead space volume of the catheter) be drawn off and discarded before the coagulation tube is filled. For those samples collected from a normal saline lock (capped off venous port) twice the dead space volume of the catheter and extension set should be discarded.

Transport & Storage: Temperature/Stability:  
Rejection Criteria: Hemolysis;
Reference Range: See Individual Tests
Critical Ranges: See Individual Tests
Test Comments:  
Methodology: Multiple
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Stat Eligible: Yes
Turn Around Time: SUPER STAT ELIGIBLE at PRMC & PVH ONLY
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Dekalb Hospital, Parkview Huntington Hospital, Parkview LaGrange Hospital, Parkview Noble Hospital, Parkview Randallia Hospital, Parkview Regional Medical Center, Parkview Southwest , Parkview Wabash Hospital, Parkview Warsaw , Parkview Whitley Hospital
PHL Test Code: TRAMX
EPIC Test Code: LAB2650
Included Tests: Activated Partial Thromboplastin Time (APTT); Basic Metabolic Panel (BMP) [Blood Urea Nitrogen (BUN); Calcium (Ca); Creatinine; Electrolytes [Carbon Dioxide (CO2); Chloride (CL); Potassium (K); Sodium (Na)]; Glucose]; Complete Blood Count with Differential [Automated Differential; Hematocrit (Hct); Hemoglobin (Hgb); Mean Corpuscular Hemoglobin (MCH); Mean Corpuscular Hemoglobin Concentration (MCHC); Mean Corpuscular Volume (MCV); Platelet (PLT);  Red Blood Cell Count (RBC); Red Cell Distribution Width Standard Deviation (RDWSD);  Red Cell Distribution Width Coefficient Variation (RDWCV); White Blood Cell Count (WBC)]; Prothrombin Time (PT);
CPT Coding: 86364 x 2, 80048, 82150, 85025, 85610, 85730 (Reflex 85007 or 85008)

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