CRITICAL VALUE CHART (CONT.)*
|
CHEMISTRY PEDIATRIC
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TEST
|
CRITICAL VALUES
|
|
|
0-28 days
|
29 days - 18 years
|
|
Bilirubin, Neonatal
|
>15.0 mg/dL
|
Not Established
|
|
Caffeine
|
>30 mcg/mL
|
Not Established
|
|
Calcium
|
<6.5 and >11.0 mg/dL
|
<6.0 and >13.0 mg/dL
|
|
Chloride
|
<85 and >115 mmol/L
|
Not Established
|
| CO2 |
<15 and >35 mmol/L
|
<10 and >40 mmol/L
|
| Cord blood pH |
< 7.0 |
N/A |
|
Creatinine
|
>2.0 mg/dL
|
>2.5 mg/dL
|
|
Glucose
|
<30 and >250 mg/dL
|
<50 and >400 mg/dL
|
|
Magnesium
|
<1.0 and >3.0 mg/dL
|
<1.0 and >4.0 mg/dL
|
|
Phosphorus
|
<3.5 and > 10.0 mg/dL
|
<2.5 mg/dL (29 days - 16 years)
|
|
Potassium
|
<3.0 and >7.0 mmol/L
|
<3.0 and >6.0 mmol/L
|
|
Sodium
|
<125 and >155 mmol/L
|
<120 and >160 mmol/L
|
|
HEMATOLOGY
|
TEST
|
CRITICAL VALUE
|
|
WBC
|
<2.0 K/mcL
|
|
WBC (Outpatient)
|
>30.0 K/mcL
|
|
Hemoglobin
|
<7.0 g/dL
|
|
Hematocrit
|
<20.0 %
|
|
Platelet
|
<20.0 or >1,000 K/mcL
|
|
INR
|
>4.5
|
|
APTT
|
>90 sec
|
|
Bleeding Time
|
>9.5 minutes
|
|
MICROBIOLOGY
|
TEST
|
CRITICAL VALUE
|
|
Gram Stain
|
Positive on Blood or CSF
|
|
Blood Culture
|
Positive
|
|
CSF Culture
|
Positive
|
> = Greater than
< = Less than
* These critical value test results may imply a life-threatening situation for the patient and will be brought to the immediate attention of the physician or a responsible person.
In accordance with the Joint Commission (JCAHO) 2004 National Patient Safety Goals, all criticalvalue results given verbally, including over the telephone, will be asked to be "read-back" by theperson receiving the test result(s). After the results have been called, the coded comment "RCRB" must be entered into the Laboratory Information System (LIS) so that the patient report reflects that the critical result was "read-back."
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