TEG, RAPID GLOBAL WITH LYSIS (TRAUMA)

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


Test Code
LAB1231237


Preferred Specimen
Only collect one sample type. Order in EPIC or submit a TEG Requisition Form.
Sample Type #1 One 2.7 mL adult blue toptube  
Pediatric: One 1.8 mL 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

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

• Outpatient collection must be done in the Physician Office Lab
UML Lab Processing Instructions: Not available for outreach clients
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, under-filled samples. Samples sent without requisitions/orders or tubes other then Becton Dickinson (BD)


Methodology
Thromboelastography performed on Haemonetics instruments

Setup Schedule
Sunday- Saturday


Reference Range
  Normal Values for Citrated Whole Blood
R 4.6-9.1mm
LY30 0.0-2.6%
CRF 52-70mm
CFF 15-32mm


Clinical Significance
Interpretation is the responsibility of the ordering provider. Pathology available for consult.


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


Additional Information
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.