VRE Culture
| 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. VRE Culture | |
| 2. | |
| 3. | |
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| SPECIMEN INFO |
| Collection Date & Time: |
| Collected By: |
| Hospital: |
Test ID :
VRE
Test Workstation :
MIC2
Specimen Type:
250mg (pea sized amount) of solid stool or 0.5 mL liquid stool in sterile container or in Cary-Blair medium.
1 mL of urine collected in sterile container.
Swab collected from G-tube or Cath site source.
Minimum Volume:
Urine minimum volume is 0.5 mL.
Cause for Rejection:
Reject if Stool is >2 hours at room temperature, or >24 hours at 28C or Frozen. Sticks left in container will dry out stool. Quantity not sufficient, improper specimen type, improper storage/transport, improper swab, dry swab, swab not present, multiple swabs per vial, mislabeled, or unlabeled.
Storage:
For Eswabs, transport at room temperature. For stool and urine, transport refrigerated required from off campus location. Upon arrival in laboratory, store refrigerated.
Availability:
Mon-Sun (0700-1600)
Methodology:
Culture
Lab/Phone:
330-543-8406
TAT:
72 hours
Additional Info:
These specimens are cultured for Enterococcus sp. only! No other pathogens will be reported. Any Enterococcus isolated will be tested for sensitivity to Vancomycin. Orders must state specific site of specimen.
CPT Code:
87081
Synonyms:
Culture for Vancomycin resistant Enterococcus
