OUTREACH THREATENING CRITICAL VALUES DMC University Laboratories will call clients when test results are significantly abnormal (critical). All “Life-threatening critical values” will be called to the physician as soon as possible within 30 minutes after they are released from the testing department. They will be called 24 hours a day regardless of physician preference. All clients of DMC University Laboratories are sent notifications and updates of the critical call lists automatically anytime a change is made. TEST UNIT INPATIENTS AND HOSPITAL CLINIC PATIENTS OUTREACH Same as Inpatients & ADULT PEDIATRIC NEONATAL Hospital Clinic (4 wks - 18 yrs) (0 - 4wks) patients except where noted below Low High Low High Low High Low High TOXICOLOGY Acetaminophen + >50 >50 >40 mcg/mL Acetone (GC) >20 >20 >20 mg/dL Alcohol (Ethanol)+ >300 >200 mg/dL Carbamazepine* >20 >15 >15 mcg/mL >12 Carbamazepine, >4 >4 mcg/mL Free* Digoxin ng/mL >2.5 >2.5 >2.0 Isopropanol >30 >30 >30 mg/dL Lead+ >44 >44 >44 mcg/mL Lithium¶ >2.0 >2.0 >1.5 mmol/L Phenobarbital, Total* >45 >45 >45 mcg/mL Phenytoin* >30 >30 >20 mcg/mL Phenytoin Free >4 >4 >3 mcg/mL Salicylate+ >25 >25 >20 mg/dL Theophylline* >25 >25 >20 >30 mcg/mL Valproic Acid* >100 >100 >100 mcg/mL Valproic Acid, Free* mcg/mL >15 >15 >15 DO NOT CALL CHEMISTRY
OUTREACH THREATENING CRITICAL VALUES DMC University Laboratories will call clients when test results are significantly abnormal (critical). All “Life-threatening critical values” will be called to the physician as soon as possible within 30 minutes after they are released from the testing department. They will be called 24 hours a day regardless of physician preference. All clients of DMC University Laboratories are sent notifications and updates of the critical call lists automatically anytime a change is made. TEST UNIT INPATIENTS AND HOSPITAL CLINIC PATIENTS OUTREACH Same as Inpatients & Hospital Clinic patients except where noted below ADULT PEDIATRIC (4 wks - 18 yrs) NEONATAL (0 - 4wks) Low High Low High Low High Low High TOXICOLOGY Acetaminophen + mcg/mL >50 >50 >40 Acetone (GC) mg/dL >20 >20 >20 Alcohol (Ethanol)+ mg/dL >300 >200 Carbamazepine* mcg/mL >20 >15 >12 >15 Carbamazepine, Free* mcg/mL >4 >4 Digoxin ng/mL >2.5 >2.5 >2.0 Isopropanol mg/dL >30 >30 >30 Lead+ mcg/mL >44 >44 >44 Lithium¶ mmol/L >2.0 >2.0 >1.5 Phenobarbital, Total* mcg/mL >45 >45 >45 Phenytoin* mcg/mL >30 >30 >20 Phenytoin Free mcg/mL >4 >4 >3 Salicylate+ mg/dL >25 >25 >20 Theophylline* mcg/mL >25 >25 >20 >30 Valproic Acid* mcg/mL >100 >100 >100 Valproic Acid, Free* mcg/mL >15 >15 >15 DO NOT CALL CHEMISTRY
Critical%20Call%20Value%20List%20final%20outreach%209.2018.docx