Policy Manual sample

MDT Home Health Care Agency, Inc. Test Results Less Than Results Greater Than Normephenytoin 50 ug per mL Nortriptyline 500 ng per mL Phenobarbital 60 mcg per mL Phenytoin 40 mcg per mL Primadone 12 mcg per mL Procainamide 8 mcg per mL Sum of PA + NAPA - 30 mcg per mL Propranolol 1000 ng per mL Quinidine 5 mcg per mL Salicylate 40 mg per dL Sertraline 500 ng per mL Sulfonamides 20 mg per dL Tacrolimus 25 ng per mL Theophylline 20 mcg per mL Tobramycin Results -10 mcg per mL Trough - 2.5 mcg per mL Trazodone 3.2 mcg per mL Trimethadione and Metabolite 80 ug per mL Valproic Acid 150 mcg per mL Valproic Acid (Free) 40 ug per mL Vancomycin 50 mcg per mL MICROBIOLOGY Any positive blood culture Sepsis Any indication of a Clostridium on a wound culture Sepsis Any positive cerebrospinal fluid gram stains or cultures Meningitis Any positive TB smears or cultures Report for public health reasons Any positive Salmonella or Shigella cultures Report for public health reasons Any positive systemic fungus culture or any Vancomycin resistant Enterococci Sepsis Home Health Agency Nursing Care & Procedures K-152