Emergency Hemorrhage Panel

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General Information

Lab Name
Emergency Hemorrhage Panel
Lab Code
EHPA1
Epic Name
Emergency Hemorrhage Panel
Description

EHPA for Emergency Bleeding Patients only. This panel will always be ordered STAT. It is to be used by the physician in selecting the appropriate blood products for the management of severe bleeding.

NOTE: Samples are tested and results reported without verification by another method. Resubmit a new sample when results do not correlate with clinical presentation.

Components
Code Name
FIBCL Fibrinogen
HBHCT Hemoglobin and Hematocrit
HB Hemoglobin
HCT Hematocrit
PLTG Platelet Count
PLT Platelet Count
PRO Prothrombin Time
PROPAT Prothrombin Time Patient
PROINR Prothrombin INR

Interpretation

Reference Range
See individual components

Ordering & Collection

Specimen Type
whole blood
Collection

3 or 5 mL BLUE (Citrate) tube + 3 mL Lavender Hemogard tube

For NICU patients: 1 NICU Draw Citrate tube from the Coagulation lab at UWMC-ML (phone 206-598-6242). This is not a vacutainer, use a non-additive syringe to fill the tube to the 1 mL mark with baby whole blood. Mix well immediately after filling. 1 lavender top BD - Microtainer MAP tube, minimum fill is to 250 mcL line. Mix well immediately after filling.

Processing

Receiving Instructions

HMC Instructions: Take Specimen IMMEDIATELY to Hematology. Notify Hematology technologist of EHP specimen arrival by overhead page. Login after delivery to Hematology. Take the Labels to Hematology for specimens.

    UW-MT Instructions: Take Blue Top to Coagulation and Lavender Top to Hematology. Announce EHP specimen arrival to Heme and Coag.

      UW-NW Instructions: Take Blue Top to Coagulation and Lavender Top to Hematology. Announce EHP specimen arrival to Heme and Coag. For specimens received with Epic ADT labels and manual requisition, order the tests in Sunquest and bring the accession labels to Coagulation and Hematology.

        Note: If only one type of tube is received, process received sample immediately. Cancel and credit the unreceived test and notify ordering location immediately to resubmit missing sample with a new order.

        Misc Sendout

        Performance

        Lab Department
        Frequency
        Available STAT?
        Yes
        Performing Location(s)
        HMC See Individual Tests
        UW-NW Main Lab
        206-668-1344

        UW Medical Center – Northwest
        1550 N 115th Street, A200
        Seattle, WA 98133
        UW-MT See Individual Tests

        Billing & Coding

        CPT Codes
        85014, 85049, 85384, 85610
        LOINC
        18720-3