Policy Manual sample

MDT Home Health Care Agency, Inc. Laboratory panic value results: Test Results Less Than Results Greater Than HEMATOLOGY CSF WBC 100 per cu mm Hematocrit 20 % Hemoglobin 7.5 gms (mg per dL) Platelet count 30,000 WBC (admission) 2500 per cu mm 30,000 per cu mm COAGULATION values reflected are for adult patients only Bleeding Time 8 minutes Fibrinogen 100 mg per dL Prothrombin Time 51.6 seconds INR - 5.1 PTT 90 seconds Thrombin Time 1.3 times control CHEMISTRY Amylase 500 units per L (ETC patients) Bromide, Serum 300 mg per dL Cadmium, Blood 10 ng per mL Cadmium, Urine 10 ng per mL Calcium 6 mg per dL 13 mg per dL Carbon Dioxide 10 mEq per L 40 mEq per L Cyanide, Blood 0.5 mg per L Glucose (Adults) 50 mg per dL 450 Magnesium 1 mg per dL 4.7 mg per dL Phosphorus 1 mg per dL Potassium 2.5 mEq per L 6.5 mEq per L Sodium 120 mEq per L 160 mEq per L DRUG LEVELS Acetaminophen 40 mg per dL Amikacin 35 mcg per mL Amitriptyline/Nortriptyline Fractionation values 500 ng per mL Amoxapine 600 ng per mL Amphetamine 500 ng per mL Home Health Agency Nursing Care & Procedures K-150