Respiratory Virus Cascading Panel
Label Mnemonic: RPPNL
Epic code: LAB8657
Downtime form: A-1a Doctor-Provider Orders - Pathology Microbiology
Microbiology
BT 6004
356-2591 Bacteriology/Virology Section
Collection Medium:
Swab Kit Flexible Nasopharyngeal--Viral 3.0 mL
Delivery Instructions:
Transport the specimen to the Microbiology laboratory (6004 BT). Ensure specimens are in leak-proof containers that are securely closed and double bagged. Do not send specimens through the tube system.
Testing Schedule:
24 hrs/day, 7 days a week, including holidays.
Turn Around Time:
3 hours (upon receipt in laboratory)
Comments:
This order is available for outpatient,inpatient and ED 
encounters.  If positive for Influenza A, Influenza B or Influenza 
H1N1, only the results of these 3 tests will be reported.  If 
Influenza negative, the remaining viruses on the Respiratory Virus 
Panel will be reported (Parainfluenza 1, 2, 3 and 4; RSV A and B; 
Human metapneumovirus; adenovirus, Human Rhinovirus/Enterovirus; 
coronavirus; Chlamydia pneumoniae and Mycoplasma pneumoniae). To 
order the remaining tests on the Respiratory virus Panel when only 
the Influenza tests have been reported, order LAB8658, "Respiratory 
virus Panel Cascading Add on".

This panel covers these analytes: Influenza A (includes H1N1/2009), 
Influenza B, Parainfluenza 1, 2, 3, and 4, Respiratory Syncytial virus
A and b, Adenovirus, Human Metapneumovirus, Human Rhinovirus/
Enterovirus (not distinguished), Coronavirus  (229E, HKU1, NL63,
OC43), Coronavirus (SARS-CoV-2), Chlamydia pneumoniae and Mycoplasma
pneumoniae.  This panel does NOT detect other coronaviruses such as
SARS-CoV (2003) or MERS.

Processing Instructions:
Specimen Collection:
* Droplet Precautions (surgical mask) should be used by healthcare
  workers obtaining clinical specimens. Since sneezes, coughing or
  splashes may occur during sample collection, eye protection also
  should be worn.
* Nasopharyngeal swab: Collect specimen using the flexible minitip
  flocked swab (Hospital Stores #33595). Measure the distance from 
  the patient's nostril (half the distance from nostril to base of 
  the ear) and hold the swab at that location. Do not advance the 
  swab beyond that point. Gently insert the swab along the base of 
  one nostril (straight back, not upwards) and continue along the 
  floor of the nasal passage until reaching the nasopharynx. Rotate 
  swab 2-3 times and hold in place for 5 seconds. Place swab in tube 
  containing viral transport medium. Break off the excess length of 
  swab at the score mark to permit capping of the tube.