Lab

From Guide to YKHC Medical Practices
Revision as of 18:06, 19 July 2021 by JenniferH (talk | contribs) (Lab Anacronyms/Panels)
Jump to navigation Jump to search

The Bethel lab is able to process most standard, routine labs including cultures, comprehensive chemistries, and blood counts. Viral loads and some specialized tests need to be sent to Lab Corp and are not quickly available.

Miscellaneous Labs

YKHC Commonly uses LabCorp for sendout labs. If you are ordering a lab that is not in the electronic medical record, complete the Downtime Lab Requisition Form.

Include a Test# and CPT# from LabCorp (LabCorp Test Menu Search) to prevent confusion about the requested lab.

Village Clinic Labs

Point of Care tests include, rapid strep, urine HCG, urine analysis, hemoglobin, hemoglobin A1C, glucose.

Other basic labs can be drawn and sent to Bethel.

Sub-regional Clinic (SRC) Labs

The Sub-regional Clinics have an onsite lab that runs many tests.

  • The SRC labs may do CBC, BMP, CMP, HGB A1C, lipids, quantitative troponin, UA, urine micro, wet preps, RST/cultures, urine HCGs.
  • For questions about the lab please contact Aniak SRC Lab Director (907-675-4556).

Lab Anacronyms/Panels

In PowerChart/FirstNet you can order many lab panels in PowerPlans for specific diagnoses. If interested in individual components of lab panels, right click the order, and select Reference Information.

CBC Complete Blood Count
ABG Arterial Blood Gas
BMP Na, K, CI, CO2, Bun Creatinine, glucose, calcium
Hep B Carrier Panel AFP, SGOT, SGPT, HepBsAg
CMP BMP and LFT’s
LFTs Total protein, albumin, total bili, direct bili, SGOT, SGPT, Alk phos
Quad Screen HCG, AFP, UE 3, DIA (used to be called the triple screen)
Acute Hepatitis Panel HepA Ab IgM, HepB Core IgM, HepBs Ag, HepC Ab
Iron Profile Iron, Unsaturated Iron-Binding Capacity , Ferritin, Transferrin, Calculated TIBC, Calculated Iron Saturation
CSF Meningitis/Encephalitis Panel CSF Multiplex

Pap smears

For Pap smears, YKHC uses ThinPrep (see Protocol: endocervical brush/spatula Quick Reference Guide for collection instructions. If you leave the broom brush or spatula in the vial, it will be rejected). We are doing high grade HPV testing per Pap guidelines. The appropriate testing is found in the Pap orders.

Blood Bank

Group A Liquid Plasma

The Blood Bank currently has two units of Group A Liquid Plasma available for use in the event of a massive transfusion protocol or major trauma:

  1. Patients with loss of 50% of total blood volume (Class IV by the Advance Trauma Life Support definitions of hemorrhage) with ongoing blood loss.
  2. An adult patient or pediatric patient weighing ≥ 40 kg who arrives in the ED in profound shock or who has a hemoglobin value of ≤ 7 gm/dl, and who’s bleeding has not been controlled.

Almost all group A plasma in the U.S. comes from male donors. In men, the titer of anti-B in group A plasma is generally low, <128 (due to the lack of stimulation by incompatible fetal RBCs during pregnancy), making it less likely the antibody will harm the RBCs of group B or group AB recipients. Transfused anti-B is diluted into the patient’s much-larger total blood volume, and as a result, it comprises only a small quantity of the total circulating ABO antibodies.

Indications: Liquid Plasma is indicated for the initial treatment of patients who are undergoing massive transfusion because of life-threatening trauma/hemorrhages and who have clinically significant coagulation deficiencies.

Contraindications: Do not use Liquid Plasma as the treatment for coagulation factor deficiencies where other products (Thawed Fresh Frozen Plasma) are available with higher factor concentrations.

This Liquid Plasma will be available immediately without the necessary thawing process.

Group AB Fresh Frozen Plasma will still available if requested by the physician and should be used after the initial treatment of liquid plasma.

Resources/Documents