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Lab Test Dictionary

PT w/ INR

Methodology

Mechanical


Synonyms

Prothrombin Time + International Normalized Ratio (INR)

Specimen Type

Plasma

Performing Lab

RCHSD Coagulation


Epic ID

LAB320

Lab Test Days

As received

Standard TAT

4 hrs

Stat TAT

1 hr


Collection Information

Specimen Required

1.8mL or 2.7 mL Sodium Citrate

Container Type

Light Blue (Sodium Citrate)

Collection Instructions

1. The preferred method of specimen collection for coagulation studies is a properly performed VENIPUNCTURE. The specimen may be collected directly into 1.8 or 2.7 mL vacutainer or into a syringe and then transferred immediately into a 1.8 or 2.7 mL vacutainer. 2. The vacutainer tube MUST contain the EXACT amount of blood. It is essential that LT blue top tubes are PROPERLY FILLED. Volume is CRITICAL and the blood (9 parts) to liquid anticoagulant (1 part) must remain intact for correct results. 3. The specimen should be transported to the Laboratory within one hour of collection. 4. SPECIAL INSTRUCTIONS FOR SPECIMENS COLLECTED FROM A LINE: If collecting specimens for coagulation studies from an indwelling line that may contain heparin, it is recommended that the line should be flushed with 5 mL of saline and the first 5 mL of blood or 6-times the line volume (dead space volume of the catheter) be drawn off and discarded before the coagulation tube is filled. For those samples collected from a normal saline lock (capped off venous port) twice the dead space volume of the catheter and extension set should be discarded. 5. Stability - Specimens are stable for 24 hours following collection.6. If patient's hematocrit is greater than 55%, contact hematology lab to request a light blue tube with adjusted anticoagulant amount.


Processing Information - Lab Use Only

Transport Temperature

Ambient-Only

Specimen Stability

Room Temp: 24 hrs

Rejection Criteria

Underfilled or overfilled tubes, clotted, refrigerated specimens

Test Volume Required

1.8 ml or 2.7 ml in light blue top

Minimum Test Volume

1.8 ml light blue top

Processing Instructions

Centrifuge within one hour of collection


Included Tests

Prothrombin time and INR


CPT Codes

85610


Revised

12-08-17

Initials

JZ