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Specimen Collection Manual

Physician Notification of Critical Values


The following test results are to result in the immediate notification of the Physician:

CHEMISTRY CRITICAL VALUES: SERUM, PLASMA, WHOLE BLOOD
BNP >500
BUN >100
Ca+ <6.6 or >13
Creatinine >5.0
Glucose >400
K+ <2.9 or >6.2
MB/CK Index >3.9
Sodium <129
Troponin I >0.4


COAGULATION AND HEMATOLOGY CRITICAL VALUES:
PLASMA OR WHOLE BLOOD
PLT COUNT <40 OR > 1000
PT >47.5
PTT >80.0
HGB <8.0
WBC <2.0 OR >40.0

MICROBIOLOGY CRITICAL VALUES: CULTURE OR MEDIA
BLOOD CULTURE POSITIVE
MALARIAL SMEAR POSITIVE
EYE CULTURE PSEUDOMONAS
RESPIRATORY NEISSERIA MENINGITIDIS
SYNOVIAL FLUID GROWTH OF ANY KIND

TOXIC VALUES: THERAPUTIC DRUG MONITORING
DIGOXIN >2.5