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Epic Code LAB320 PT/INR

Important Note

There is currently a nationwide shortage of this tube. Please take steps to ensure specimen integrity to reduce recollection. Specimen Tube Shortage (link)

  • Specimen tube must be full.
  • The ratio of blood to anticoagulant is critical.
  • Increased or decreased volumes of anticoagulant will cause erroneous results.

Test Name Alias

Protime with INR | PT with INR | 8434 | PTINR | Prothrombin Time | International Normalized Ratio

Interface Order Alias

10059

Ordering Instructions

If PT is drawn in conjunction with APTT use APTT specimen requirements for handling instructions.

Icons & Photos

Sodium Citrate tubes

Collection Instructions

Specimen Collection: Blood

 

Container(s): 3.2% Na Citrate Tube (blue top)

Preferred Volume to Collect: 2.7 mL (full 2.7 ml Na Citrate blue tube)

Minimum Volume to Collect: 1.8 mL (full 1.8 ml Na Citrate blue white tube)

Capillary collect ok: No

Microtainer acceptable: No

 

Collection Instructions:

 

Processing Instructions (Laboratory, Outpatient or Off-site collection)

  • Processed Specimen: Platelet Poor Plasma
  • Centrifuge/Spin: Yes
  • Aliquot: Yes
  • Processing Instructions:
    • Detailed instructions (link): Preparing Platelet Poor Plasma
    • Separate plasma into 2 - 3 aliquots, minimum of 0.5 mL each.
    • Freeze aliquots in plastic transport tubes immediately.

  • Transport Temperature:

    • Ambient - up to 24 hours in whole blood state (unspun)
    • Frozen - plasma only >24 hours

Rejection Criteria

  • Hemolysis
  • Specimen has been thawed

Specimen Stability

Ambient: 24 hours (unspun)

Frozen: 2 months (aliquoted) 

Laboratory Retention: 24 hours

Reflex Information

Link: Mandatory reflex approved by MEC

Test Frequency

Available 24 hours, usual TAT 1 day.

Reference Range

PT:

  • 9.7 - 12.6 seconds (Spectrum Health Reference Lab, Grand Rapids)
    • Beginning 12/6/2021 will be updated to 9.5-12.0 seconds
  • 9.5 - 12.0 seconds (Spectrum Health Regional Hopsital Labs including Blodgett, Big Rapids, Gerber, Kelsey, Ludington, Pennock, Reed City, United and Zeeland)

 

INR:

  • 0.9 - 1.2 *INR value is clinically relevant only when patient is on warfarin
  • Low Intensity anticoagulation theraputic range: 2.0-3.0
  • High Intensity anticoagulation therapeutic range: 2.5-3.5

 

Laboratory Critical Values Table

Performing Department

COAGULATION

Performing Department Laboratory Location

Spectrum Health Reference Laboratory, Grand Rapids, MI

Regional Hospital Laboratories:
Spectrum Health Big Rapids Laboratory, Big Rapids, MI
Spectrum Health Blodgett Laboratory, Grand Rapids, MI
Spectrum Health Gerber Laboratory, Fremont, MI
Spectrum Health Kelsey Laboratory, Lakeview, MI
Spectrum Health Ludington Laboratory, Ludington, MI
Spectrum Health Pennock Laboratory, Hastings, MI
Spectrum Health Reed City Laboratory, Reed City, MI
Spectrum Health United Laboratory, Greenville, MI
Spectrum Health Zeeland Laboratory, Zeeland, MI

Methodology

Prothrombin clot-based assay

CPT

85610

CDM Code

4098434

Epic Test ID

1230101099

LOINC

PT: 5902-2

INR: 6301-6

Beaker LOINC

INR: 6301-6
PROTHROMBIN TIME: 5902-2

Mayo Access Code

SHO8434

Reviewed Date

5/13/2020

Beaker Names

Beaker Procedure Name: PROTIME-INR
Beaker Display Name: Prothrombin Time (PT with INR)
BEAKER TEST NAME: PT
BEAKER TEST REPORT NAME: PT

Beaker Synonyms

No synonym on file

Beaker Location, Container and Temperature

BW COAGULATION: BLUE TOP TUBE (Preferred)
BL COAGULATION: BLUE TOP TUBE (Preferred)
BR COAGULATION: BLUE TOP TUBE (Preferred)
GM COAGULATION: BLUE TOP TUBE (Preferred)
KL COAGULATION: BLUE TOP TUBE (Preferred)
LH COAGULATION: BLUE TOP TUBE (Preferred)
PH COAGULATION: BLUE TOP TUBE (Preferred)
RC COAGULATION: BLUE TOP TUBE (Preferred)
UN COAGULATION: BLUE TOP TUBE (Preferred)
ZH COAGULATION: BLUE TOP TUBE (Preferred)