TEG, GLOBAL WITH HEPARINASE (CARDIOLOGY)

Message
If testing is not ordered in EPIC a TEG Requistion Form must accompany the specimen.  Call Hematology Lab 7-4230 before sending sample. Priority samples include those from OR, ED and ECMO/PICU.

Please use the link below for the TEG Requisition
 


Test Code
LAB1231236


Preferred Specimen
One 2.7mL adult blue top tube. Either order in EPIC or submit a TEG requistion.
Pediatric: One 1.8mL blue top tube


NOTE: Only Becton Dickinson (BD) Tubes are acceptable.


Instructions
• Call Hematology Lab 7-4230 before collecting samples
• Collect samples using 21 gauge needle or larger. NO BUTTERFLIES if possible, must be 21 gauge.
• Draw 1 Blue Top waste tube and DISCARD before collecting sample
• Completely fill 1 Blue Top Tube, Mix thouroughly as soon as collected, label, and record collection time on tube
• If samples are collected from a line first collect 5 mL waste prior to samples for testing.
• Samples CANNOT be used for other testing
• Outpatient collection must be done in the Physician Office Lab

Hand delivery of samples is preferred.  Pneumatic tube delivery is acceptable.  Emergent/Trauma cases should be hand delivered to the lab to expedite testing. 


UML Lab Processing Instructions: Not available for outreach clients.
Only Becton Dickinson (BD) Tubes are acceptable


Transport Container
Not available for outreach clients.


Specimen Stability
Stable for 2 hours once collected. 


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Blue Top samples greater than 2 hours old, clotted samples, underfilled samples. Samples sent without requisitions/orders or Tubes other than Becton Dickinson (BD).


Methodology
Thromboelastography performed on Haemonetics insturments

Setup Schedule
Sunday- Saturday


Reference Range
  Normal Values for Citrated Whole Blood
R 4.6-9.1 (min)
K 0.8-2.1 (min)
Angle 63-78 (degree)
MA 52-69 (min)
CRT 52-70 (min)
CKH 4.3-8.3 (min)
CFF 15-32 (min)
FLEV 278-581 (mg/dL)


Performing Laboratory
West Virginia University Hospital, Inc.
Berkeley Medical Center


Additional Information
TEG Requistion
TEG Requisition


The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.