Respiratory Virus Cascading Panel
Label Mnemonic: RPPNL
Epic Lab Code: LAB8657
Downtime Form: A-1a Doctor-Provider Orders - Pathology Microbiology
BT 6004
Bacteriology/Virology Section
Collection Medium:
Swab Kit Flexible Nasopharyngeal--Viral 3.0 mL
Delivery Instructions:
Transport the specimen to the Microbiology laboratory (6004 BT). If the tube system is used, ensure specimens are in leak-proof containers that are securely closed and double bagged.
Testing Schedule:
24 hrs/day, 7 days a week, including holidays.
Turn Around Time:
3 hours (upon receipt in laboratory)
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, Chlamydia pneumoniae and Mycoplasma pneumoniae.
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.