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Epic Code LAB1230607 COVID-19 PCR

Important Note

  • To be collected (NP or Nares) or observed (Nares) by clinical trained staff
  • Effective 6/30/2021:All patients must have a valid order from a physician
  • Universal Transport Media (UTM) and ESwabs should be conserved for test that require this type of media. Please only use saline collection tubes for COVID testing. 
    • Spectrum Health Reference Laboratory will accept UTM swabs for COVID testing but will not supply these swabs for COVID testing. 
    • Dry swabs are not acceptable due to time limitations. 
  • Reviewed 6/29/2021
  •  

Test Name Alias

SARS-CoV2 | Coronavirus | nCov | 2019-nCov | 2019 Coronavirus | COVID19 PCR

Interface Order Alias

1230607

Ordering Instructions

Effective 6/30/2021:All patients must have a valid order from a physician

Icons & Photos

 

Ordering Supplies:

 

If you are a Spectrum Health location (SHMG, SHHG, Rural/Regioinal SH Hospitals), please order supplies via Workday.

 

If you are not a Spectrum Health location, please fill out a supply form and request COVID swabs. 

 

Description Workday  Photo Comment

1 mL or 3 mL Saline Kit with Mini-Tip Swab

Screw-cap tube filled with saline and one mini-tip swab

Green Refrigerated Specimen bag

ITM-1140814

(Lawson:138868)

Swabs will vary.

White tube: Swab will need to be trimmed/cut down to fit in tube.

Can be used for adult or pediatric testing.


There are multiple COVID-19 nasopharyngeal specimen collection media available for testing. We realize that you may have ordered a particular type of swab or media but due to availability we may have changed your order. Be assured that you can still use any of the above swabs and media sent for COVID-19 specimen collection.

Collection Instructions

Preferred

Specimen Type: Nasopharyngeal (NP) or Nares
Container/Tube: Saline Collection Kit (Workday: #ITM-1140814/Lawson: #138868)

Acceptable 

Specimen Type: Bronchoalveolar lavage (BAL), sputum, tracheal aspirate, nasopharyngeal (NP) wash/aspirate, nasal aspirate.
Container/Tube: sterile screw-cap collection container/cup

Minimum Volume to Collect: 2-3 mL

 

 

COLLECTION INSTRUCTIONS 

Review (link): Ordering and Collection document

 

NASOPHARYNGEAL SWAB COLLECTION INSTRUCTIONS

  • If possible, obtain specimen during the acute phase of the illness during the greatest amount of viral shedding. 
  • When performing a nasopharyngeal swab for COVID-19 testing or screening, you must wear the appropriate PPE for Severe Respiratory Precautions: face shield or goggles, mask, gown and gloves.

(Link) Nasopharyngeal Collection

  • Tilt the head of the patient, gently insert the swab through one of the nostrils and into the nasal passage.
  • Rotate the swab tip several times across the mucosal surface.
  • Remove the swab and insert into the viral transport medium (UTM) tube immediately.
  • Push the swab into the tube and break the plastic shaft swab at the break line.
  • Replace cap and screw on tightly. Ensure cap is secured! Leaky specimens may erase patient/specimen information on label!
  • Label specimen with at least 2 patient identifiers (usually name and date of birth)
  • Send to lab immediately 
    • If off-site keep specimen refrigerated

 

 

NASAL SWAB SELF COLLECTION OR OBSERVATION INSTRUCTIONS

(Link) Nasal swab self-collection or observation

 

 

 

OFF-SITE/OUTPATIENT TRANSPORTATION INSTRUCTIONS

  • Upon collection make sure the specimen is properly labeled.

  • Place in the plastic priority transport bag that came with the collection kit
    • One labeled specimen
    • Fully completed requisition with patient insurance information (if patient billing)
  • Immediately refrigerate specimen after collection. Keep specimen at refrigerated temperature after collection to delivery. 
    • Note: there should be one specimen only per plastic priority transport bag.  A secondary, larger plastic bag may be used to transport multiple priority transport bags.
    • Cold packs/pouches should be used in a Styrofoam, or similar type cooler, to transport priority transport bags containing specimens. It is imperative to keep specimen bags dry.

Rejection Criteria

  • Not Acceptable Collection Supplies:
    • Cotton swabs
    • Calcium alginate swabs
    • Wood shaft swabs
    • BBL CultureSwabTM
    • Universal Transport Media (UTM) and ESwabs should be conserved for test that require this type of media including
      • CMV Culture
      • Herpes Simplex PCR for Lesions & Herpes Simplex Virus Culture
      • Influenza A/B PCR,
      • Mycoplasma/Ureaplasma Culture
      • Respiratory Pathogens by Film Array, RSV Rapid, and Viral Cultures
      • Bacterial cultures (wound, throat, anaerobic, etc.) 

Specimen Stability

Keep specimen refrigerated after collection.

Transport Temperature: Refrigerated

Note: ambient temperature transport is acceptable when immediately transported to lab from BW or HDVCH ED or inpatient locations.

Preferred

Refrigerated: 72 hour stability

Acceptable

Frozen: undetermined stability. Please routinely send specimens refrigerated.

Test Frequency

Review Ordering and Collection document

Reference Range

Negative

Performing Department

Multiple Departments:
Molecular Diagnostics
ImmunoChemistry
Microbiology

Performing Department Laboratory Location

Spectrum Health Regional Laboratory (SHRL LC) - Advanced Technology Laboratory (ATL), Grand Rapids, MI

Spectrum Health Regional Laboratory (SHRL BW), Grand Rapids, MI
Spectrum Health Big Rapids Laboratory (BR), Big Rapids, MI
Spectrum Health Blodgett Laboratory (BL), Grand Rapids, MI
Spectrum Health Gerber Laboratory (GM), Fremont, MI
Spectrum Health Kelsey Laboratory (KL), Lakeview, MI

Spectrum Health Ludington Laboratory (LH), Ludington, MI

Spectrum Health Pennock Laboratory (PH), Hastings, MI
Spectrum Health Reed City Laboratory (RC), Reed City, MI
Spectrum Health United Laboratory (UN), Greenville, MI
Spectrum Health Zeeland Community Laboratory (ZH), Zeeland, MI

Methodology

RT-PCR

CPT

U0003; 87635

Epic Test ID

1230102225

LOINC

94306-8

94309-2

Beaker LOINC

COVID-19 PCR CT: N/A
COVID19 PCR: 94306-8
COVID-19 RESULT COMMENT: N/A

Mayo Access Code

SHO1230607

Reviewed Date

4/15/2021 AC

Beaker Names

Beaker Procedure Name: COVID-19 PCR
Beaker Display Name: COVID-19 PCR
BEAKER TEST NAME: COVID19 PCR
BEAKER TEST REPORT NAME: COVID19 PCR

Beaker Synonyms

BATCH|COVID BATCH

Beaker Location, Container and Temperature

BW IMMUNOCHEM: LIQUID MEDIA (Preferred)-Refrigerated
BW IMMUNOCHEM: STERILE CONTAINER R (Acceptable)-Refrigerated
BW IMMUNOCHEM: SWAB R (Acceptable)-Refrigerated
BW MICROBIOLOGY: LIQUID MEDIA (Preferred)-Refrigerated
BW MICROBIOLOGY: STERILE CONTAINER R (Acceptable)-Refrigerated
BW MICROBIOLOGY: SWAB R (Acceptable)-Refrigerated
LC MOLECULAR DIAGNOSTICS: LIQUID MEDIA (Preferred)-Refrigerated
LC MOLECULAR DIAGNOSTICS: STERILE CONTAINER R (Acceptable)-Refrigerated
LC MOLECULAR DIAGNOSTICS: SWAB R (Acceptable)-Refrigerated