CRITICAL VALUES LIST

Arterial Blood Gases Test pH PCO2 PO2 Hemoglobin

Chemistry Test Bicarbonate (Total CO2) Bilirubin, Total Calcium, Ionized Calcium, Total Glucose Iron Glucose, WB POC Glucose, WB, neonatal POC Magnesium Phosphorus Potassium Sodium Troponin I

Coagulation Test

Prothrombin Time

INR

PTT

Fibrinogen

Factors 2, 5, 8, 9, 11

Factor 7 Factor 10 Factor 13, Activity

CRITICAL VALUES LIST

Value 7.25 or 7.6 20 or 60 mmHg 40 mmHg 7.0g dL

Value < 10 or > 40 mmol/L > 15 mg/dL 0.78 or 1.58 mmol/L < 6.0 or > 13.0 mg/dL < 55 or > 450 mg/dL > 500 ?g/dL < 60 or > 450 mg/dL < 40 or > 200 mg/dL < 1.0 or > 9.0 mg/dL < 1.0 or > 9.0 mg/dL < 3.0 or > 6.1 mmol/L < 120 or > 160 mmol/L 0.30 ng/mL

Value

44.0 seconds

5.0

85 seconds

< 100 mg/dL

5%

6% 7% 5%

Comments

Comments

Comments When ordered as part of a panel, other criteria apply. When ordered as part of a panel, other criteria apply. When ordered as part of a panel, other criteria apply.

CORP-APPEND-0104A, Rev. 34 | April 2019 | Page 1 of 4

CRITICAL VALUES LIST

Hematology Test Hematocrit Hemoglobin Platelet Count White Blood Cell Count

Value 21% or 65% 7 or > 21.0 g/dL 20 or 1000 x 103/?L 2.0 or 40 x 103/?L

Comments

Infectious Disease Test

Detection of infectious agent in

Blood

Bone marrow

Value

by

Positive culture, smear, rapid antigen, or nucleic acid test (NAT) detection (not speciation) Positive culture or smear

Body fluid (except gastrointestinal fluid or urine sources) CSF or other central nervous system specimen CSF or other central nervous system specimen

Positive culture or smear

Positive culture, smear, or rapid antigen NAT

Eye/ocular

Positive culture, smear, or NAT

Tissue

Positive culture or smear

Detection of infectious agent Mycobacterium sp, acid fast bacillus (AFB) Mycobacterium tuberculosis

by First positive stain First positive culture Identification, positive NAT and resistance to primary antituberculosis agents (INF and RIF)

Comments

AFB, bacterial, fungal, parasite (except anaplasma, ehrlichia, and babesia) AFB, bacterial, fungal, viral, parasite AFB, bacterial, fungal, viral, parasite

AFB, bacterial, fungal, viral (except Enterovirus), parasite All pathogens except Enterovirus, Parechovirus, EBV, HIV, JC virus, CMV, HHV6, and parvovirus AFB, bacterial, fungal, viral, parasite AFB, bacterial, fungal, viral, parasite

Within the last 90 days Within the last 90 days

Within the last 90 days

Any clinically significant mold (excluding contaminants) Any mold

Histoplasma capsulatum, Blastyomyces dermatitidis, Penicillilum marneffei, Coccidioides immitis, Cryptococcus neoformans and Cryptococcus gattii Cryptococcus

Positive culture or NAT from original specimen Positive culture or NAT from original specimen Identification by culture or NAT

First positive antigen

BAL, bronch wash, sinus or any sterile site Bone Marrow Transplant locations at U of U hospital

Within the last 90 days

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CRITICAL VALUES LIST

Infectious Disease continued Test Nocardia Select agents and other highly pathogenic organisms: Bacillus anthracis, Brucella spp., Burkholderia mallei, Burkholderia pseudomallei, Francisella tularensis, Yersinia pestis, and C.orynebacterium diphtheriae, Salmonella typhi, Vibrio cholera 5- fluorocytosine

Value Positive culture Identification by any method

100 ?g/mL

Comments

Toxicology Test Acetone Acetaminophen

Amikacin

Caffeine (Neonate) Cyanide Digoxin Ethanol Ethylene Glycol

Gentamicin

Isopropanol Methanol Lidocaine Lithium Pentobarbital Primidone Procainamide NAPA Quinidine Salicylate TCA--Tricyclics

Value > 100 mg/dL > 150 ?g/mL > 40 ?g/mL

> 30 ?g/mL

> 8 ?g/mL

> 20 ?g/mL > 100 ?g/mL

> 2.4 ng/mL

> 250 mg/dL > 20 mg/dL

> 12 ?g/mL

> 2 ?g/mL

> 50 mg/dL > 20 mg/dL

> 9 ?g/mL

1.6 mmol/L > 10 ?g/mL > 15 ?g/mL > 12 ?g/mL > 35 ?g/mL > 10 ?g/mL > 300 ?g/mL or > 30 mg/dL > 400 ng/mL

Comments

4 hours post ingestion; 12 hours post ingestion Peak--draw 30 minutes post infusion Trough--draw 30 minutes before infusion

Trough--draw 8?12 hours post dose; minimum post dose 6 hours

Peak?draw 30 minutes post infusion Trough--draw 30 minutes before infusion

> 30 minutes post IV dose after steady state (5?10 hours) Trough

Trough Trough

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CRITICAL VALUES LIST

Toxicology continued Test

Tobramycin

Vancomycin

Trace and Toxic Elements Test Lead

Transfusion Services Test Antibody Screen DAT (Direct Coombs)

Value > 12 ?g/mL

> 2 ug/mL > 80 ?g/mL > 80 ?g/mL

Value 45 ?g/dL (birth?18 years) 70 ?g/dL ( 19 years)

Value Positive Positive

Comments Peak--draw 30 minutes post infusion Trough--draw 30 minutes before infusion Trough Peak (not recommended)

Comments Blood Blood

Comments

CORP-APPEND-0104A, Rev. 34 | April 2019 | Page 4 of 4

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