On-Site Routine/STAT Laboratory Tests. This policy provides information regarding approved procedures performed at each site
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1 Purpose: Policy: This policy provides information regarding approved procedures performed at each site This policy provides a list of laboratory tests performed on-site in each AHS Central Zone Northeast Laboratory indicates tests that are performed on site for routine testing. The expected turnaround time for these tests is within the same working day that the test is ordered for inpatient testing and within 24 hours for Community Clients. When appropriate, routine testing on inpatients may be deferred until the following day. S indicates tests that may be ordered by a physician on a STAT basis. These tests are to be ordered as stat only in situations where the result has the potential to acutely impact patient care such as emergent situations or where clinical circumstance mandates urgent collection of the sample, whether or not the test is run on a STAT basis, and collection cannot be deferred to regular working hours. The technologist will do only those tests which are on the stat list during weekend or holiday hours and during on-call hours.
2 CHEMISTRY Acetaminophen S S S Albumin ALP S S ALT S S S S S S AST Bilirubin Conjugated Bilirubin-Total S S S S S S Bilirubin Neonatal S S S S S S S S S Bilirubin- Unconjugated S Blood gas S S S S S S S S S S S S S S Co-oximetry S Calcium S S S S Cholesterol Chloride S S S S CK S S S CSF Glucose S CSF Protein S Digoxin S S Ethanol S S S S Fetal Fiberonectin S S S S S S Glucose S S S S S S S S S S S S S S S Gestational Diabetic Screen Creatinine/GFR S S S S S S S S S S S S S S GGT Glucose Tolerance Lactate S S S S S S S S S S S S LDH Lipase S S S S S S S S
3 Lipid Lithium S S S Magnesium S S S S Phosphate Potassium S S S S S S S S S S S S S S Protein Total Salicylate S S S Sodium (Na) S S S S S S S S S S S S S S TCO² S Trig Troponin I S S S S S S S S S S S S (Triage Meter) I-Stat Meter S S Urea S S S Uric Acid SPECIAL CHEMISTRY (ECi) B12 BHCG S S Ferritin Free T4 FSH LH Troponin I S S TSH URINE/ MISC. HCG urine S S S S S S S S S S S S S S S S Microalbumin Mono S S Occult Blood Post Vasectomy RF Semen Analysis Urinalysis S S S S S S S S S S S S S S S S
4 BLOOD BANK ABO Rh S S Postnatal Matches S S Type & Screen S S DAT S S Antibody Screen HEMATOLOGY CBC/diff S S S S S S S S S S S S S S S S CSF cell count S S S S S S D-Dimer S S S S S S S S S S S S S S ESR S* S* S* S* S* S* S* S* S* S* S* S* S* S* S* Fluid Cell Count INR S S S S S S S S S S S S S S Malarial Parasite Screen S S S S S S S S PTT S S S S S S S S S S S S Retic BNP S S S S S S S S S S S S S Thrombin Time S S * ESR is performed on a STAT basis only in indicated circumstances such as diagnosis of temporal arteritis, not as a general screening test.
5 Microbiology Culture Availability AHS - Central Zone - Northeast Urine Urine (Screen) Ear Eye GC/ Chlamydia Gram Stain S S Throat Blood CSF S CDiff Fluid (Misc.) MRSA (screen) Mouth/ Tongue VRE (screen) BV (screen) Cervical/ Urethra Group B Screen RSV S Stool Sputum Skin/Wound References: Site consulting pathologist, Alberta Health Services- Central Zone.
Test Name CPT Price Note ABO TYPE $ ACETAMINOPHEN $ 61.25
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MONTGOMERY TOWNSHIP BOARD OF EDUCATION : Aetna Open Access Managed Choice
This is only a summary. If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan document at www.healthreformplansbc.com or by calling 1-888-502-3862.
1/01/ /31/2019 IBEW LOCAL 351 WELFARE FUND
Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 1/01/2019-12/31/2019 IBEW LOCAL 351 WELFARE FUND Coverage for: Family Plan Type: PPO The Summary
2015 Medical Plan Options and Enrollment Information
KEYSOLUTION TM ENROLLMENT GUIDE 2015 Medical Plan Options and Enrollment Information Benefit Effective Date: 01/01/2015 Enrollment Period: 11/11/2014 through 11/28/2014 Enroll by phone at 800-865-9164,
Choice Easy Tier PPO Plus %/35% Coverage Period: On or after 1/1/2019. You don t have to meet deductibles for specific services.
The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about