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Akron Children's > For Healthcare Professionals > Lab Tests : Akron | Mahoning Valley

RSV, Qualitative NAAT

PATIENT INFO
Patient Name:
Medical Record #:
BD:       /      /         Sex:   F   M

PHYSICIAN INFO
Physician Name :
Address:
Ph: (      )      -          Fax: (      )      -       
Additional Report to:
Ph: (      )      -          Fax: (      )      -       

TESTS REQUESTED
Test Name: ICD9 Code: (required)
1. RSV, Qualitative NAAT  
2.  
3.  
4.  
5.  
6.  

SPECIMEN INFO
Collection Date & Time:
Collected By:
Hospital:
Test ID :
IDRSV
Test Workstation :
MMIC2
Specimen Type:
Nasopharyngeal Swab
Tube Type:
1 NPH flocked swab (dry or placed in M4)
Collection Volume:
1 NPH flocked swab
Cause for Rejection:
Incorrect swab received (e.g. oropharyngeal or Eswab). Swab received in inappropriate transport media (not approved VTM such as M4 media). Swab/sample received beyond stability limits for testing.
Storage:
Direct NP swab: - Room Temp: 2 hours; 2-8°C (refrig): up to 24 hours; NP swab in VTM: - Room Temp: 8 hours; 2-8°C (refrig): up to 24 hours
Availability:
24/7
Methodology:
Isothermal nucleic acid amplification.
Special Instructions:
Collect NPH swab specimen using standard respiratory swab collection processes. Label and transport to the laboratory for testing as soon as possible. Transport and store refrigerated at 28°C.
Lab/Phone:
330-746-9623
TAT:
2 hours
CPT Code:
87634-QW
Synonyms:
RSV; Respiratory Syncytial Virus

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