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Definitions and clarification for the lab ordering process Priority Used for TAT Stat Acute clinical change in patient’s condition Examples: active bleeding, chest pain, change in mental status, or unexpected arrhythmia. Drawn w/in 15 min of order & received w/in 30 min of order Most results w/in 1 hour of order ASAP Urgent situations involving coordination of care on stable patients. Examples: missed orders, “now” orders, scheduled surgery patients with missing pre-op labs, or “discharge pending” results (eg-“pt may be discharged if hematocrit is stable”). Drawn w/in 30 min of order Timed When treatment or dosage decisions require tests be drawn at a specific time. Examples: peak/trough drug levels, cardiac markers, newborn screening & total bilirubin. Drawn w/in 15 min before or after time requested Most results w/in 1 hour of draw Routine Any situation not listed above. Most results w/in 4 hours of order Add On Order a test to be run on blood already in the lab. Order the test needed with the priority of Add On and the laboratory will receive the notice to process the request. Do not change any other settings. Results typically available within 1 hour if the sample in the lab is appropriate for the test ordered. If not, lab will initiate a draw. Routine in AM/AM Lab Choose Routine: AM Lab: Tomorrow and Accept Do not change any other settings. Fasting samples drawn daily between 0300 and 0630 for orders entered in EPIC by 2400 midnight. Results available by unit-specific deadlines One Time Default One time Tomorrow Choose Routine, In AM, Tomorrow PRN Do Not Use In “X” Hours Use Timed Priority and input desired draw time After X Ray Used primarily in the outpatient setting. Do Not Use Most results w/in 2 hours of order FREQUENCY ED orders all testing STAT All other units order the appropriate priority depending on the situation Comments: If comment entered in the lab test order comment field it will go to the lab. Unit Collect/Lab Collect Unit collect is for anything collected by clinicians on the unit. Lab collect is for phlebotomy done by lab.