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Epic Code LAB1230746 COVID-19, Influenza A/B, RSV PCR (Spectrum Health Emergency Department Orderable Only)

Important Note

  • This test is intended for use by Spectrum Health Emergency Departments
    • Butterworth (SHBW)
    • Helen DeVos Children's Hospital (HDVCH) 
    • Blodgett (SHBL) 
    • Big Rapids (SHBR)
  • When testing for both COVID and Influenza is clinically indicated, this panel may be ordered instead of individual asays for each target. 

Test Name Alias

SARS-CoV2 | Coronavirus | Flu | Respiratory Syncytial Virus | Influenza A | Influenza B | Resp 4-plex | 4-plex panel | COVID Flu

Interface Order Alias

1230746

Icons & Photos

Viral Transport Media (UTM) Kit with Flocked Swab for Nares collection [ITM-1186125]

Viral Transport Media (UTM) Kit with Mini-Tip Swab for NP collection [ITM-1140078]

  

Note: Saline Collection Kit is acceptable container but no longer supplied as of 2/14/22

Collection Instructions

Specimen Type: Nares (Nostril)
Container/Tube: UTM Universal Transport Media (UTM) Kit with Flocked Swab [ITM1186125]

 

Specimen Type: Nasopharyngeal (NP)
Container/Tube: UTM Universal Transport Media (UTM) Kit with Mini-Swab [ITM1140078]

 

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

 

Rejection Criteria

  • Not Acceptable Collection Supplies:
    • Cotton swabs
    • Calcium alginate swabs
    • Wood shaft swabs
    • BBL CultureSwabTM

Specimen Stability

Keep specimen refrigerated after collection.

Transport Temperature: Refrigerated 4°C

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

Preferred

Refrigerated: 7 day stability

Acceptable

Ambient: 48 hour stability.

Test Frequency

Review Ordering and Collection document

Reference Range

Negative

Performing Department

MICROBIOLOGY

Performing Department Laboratory Location

Spectrum Health Regional Laboratory, Grand Rapids, MI

Spectrum Health Blodgett Laboratory, East Grand Rapids, MI

Spectrum Health Big Rapids Laboratory, Big Rapids, MI

Methodology

RT-PCR

CPT

0241U

CDM Code

80106150

Epic Test ID

1230102316

LOINC

Currently Unavailable

Beaker LOINC

COVID-19 PCR CT: N/A
COVID19 PCR: 94306-8
COVID-19 RESULT COMMENT: N/A
INFLUENZA A PCR: 34487-9
INFLUENZA B PCR: 40982-1
RSV PCR: N/A

Mayo Access Code

Unavailable for ordering

Reviewed Date

7/31/2021

Beaker Names

Beaker Procedure Name: COVID-19, INFLUENZA A/B, RSV PCR
Beaker Display Name: COVID-19, Influenza A/B, RSV PCR (Lab Only)
BEAKER TEST NAME: COVID-19, Influenza A/B, RSV PCR
BEAKER TEST REPORT NAME: COVID-19, Influenza A/B, RSV PCR

Beaker Synonyms

No synonym on file

Beaker Location, Container and Temperature

BW MICROBIOLOGY: LIQUID MEDIA (Preferred)-Refrigerated