Trauma Panel

Overview

  • EPIC Code:
  • LAB2650 & O289244
  • Soft Test Code:
Alternate Names
  • TRAMX
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)


Specimen Collection & Preparation

Test Notes

Patients that are younger than 12 years will not have the alcohol tested.


Specimen Requirements:

-AND-

2.7 mL Whole Blood in a Blue Top Tube - 3.2% Buffered Sodium Citrate
Minimum Volume:
1.8 mL Whole Blood in a Clear Blue Top Tube*

* This volume does not allow for repeat testing

Collection Instructions:

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

   

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 specimen 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.


Processing Instructions:

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


Rejection Criteria:

Clotted samples

Improperly filled tubes (under or overfilled)

Wrong anticoagulant (3.8% sodium citrate is NOT acceptable)

Patients with hematocrit (HCT) >55% (red cell volume is >1/2 tube volume)

Hemolyzed samples

Whole blood that was refrigerated or placed on ice

DO NOT freeze in a frost-free freezer

Frozen samples that were thawed in transport, or thawed samples that were refrozen


Transport and Storage:
  • Ambient (18-24°C): 4 Hours

This tube must be transported to testing laboratory within 45 minutes from collection.

If this is not possible, follow these steps: 
1. Heparinized patient specimens must be spun within 1 hour of collection, following these Platelet Poor Plasma preparation instructions 
2. Send the platelet poor plasma and primary tube to the testing laboratory
3. Contact the laboratory at 266-1500 (Option 1) to notify PRMC laboratory that the specimen is coming

-AND-

1.0 mL Plasma in a PST Mint Green Top Tube - Li Heparin
Processing Instructions:

Centrifuge and separate from cells within 4 hours of collection


Rejection Criteria:

Hemolysis


-AND-

4.0 mL Whole Blood in a Green Top Tube - Li Heparin
Collection Instructions:

Use Betadine or Zephiran as a skin preparation for drawing specimen


-AND-

3.0 mL Whole Blood in a Lavender Top Tube - EDTA
Minimum Volume:
1.5 mL Whole Blood*

* This volume does not allow for repeat testing

Collection Instructions:

Mix tube by inversion 5 times

Do not centrifuge

Specimens must not be clotted. Overfilling or underfilling may allow blood to clot. Specimens may be rejected due to improper storage or age of specimen


Rejection Criteria:

Clotted specimens


Transport and Storage:
  • Ambient (18-24°C): 24 Hours
  • Refrigerated (2-8°C): 48 Hours

Clinical Interpretation

Reference Range:

See Individual Tests


Critical Ranges:

See Individual Tests


Methodology:
  • Multiple - Based on Individual Components

Production Schedule

Sites Performed
  • Parkview Bryan Hospital
  • Parkview DeKalb Hospital
  • Parkview Huntington Hospital
  • Parkview Kosciusko Hospital
  • Parkview LaGrange Hospital
  • Parkview Montpelier Hospital
  • Parkview Noble Hospital
  • Parkview Randallia Hospital
  • Parkview Regional Medical Center
  • Parkview Southwest
  • Parkview Wabash Hospital
  • Parkview Whitley Hospital
Days Performed
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Chemistry
  • Coagulation
  • Hematology
Turn Around Time

SUPER STAT ELIGIBLE at PRMC & PVH ONLY


Stat Eligible

Coding & Compliance

CDM

01429516, 01429517


CPT Coding

86364 x 2, 80048, 82150, 85025, 85610, 85730 (Reflex 85007 or 85008)


Medical Necessity May Apply