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Specimen Collection Manual and Test Catalog

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VANCOMYCIN RANDOM

Geisinger Epic Procedure Code:  LAB3233    Geisinger Epic ID:  29555

SPECIMEN COLLECTION
Specimen type: 

Plasma or serum


Specimen required: 

2 mL aliquot serum or plasma; minimum 0.2 mL.


Special notes: 

The date and time of the last drug dose should be written on request at the time of order. Typically peak level specimens are collected shortly after the dose is given and trough level specimens are collected shortly before the dose is given. Refer to your prescribing pharmacy for specific information on how drug doses are to be administered along with timing of specimen collection.



SPECIMEN PROCESSING
Processing instructions: 

Allow serum to clot. Centrifuge to separate serum or plasma within 2 hours of collection.


Transport temperature: 

Refrigerated (preferred) or frozen.


Specimen stability: 

Room temperature: 48 hours. Refrigerated: 14 days. Frozen: 1 year.


Rejection criteria: 

Stability limits exceeded.



TEST DETAILS
Reference interval: 

Reference Interval: 10-40 ug/mL.


Critical values/courtesy alerts: 
> 80 mcg/mL.
CPT code(s):  80202
Note: The billing party has sole responsibility for CPT coding.  Any questions regarding coding should be directed to the payer being billed.
The CPT codes provided by GML are based on AMA guidelines and are for informational purposes only.

Test includes: 

Random vancomycin, vancomycin last dose time, vancomycin last dose date.


Methodology: 
Enzyme Immunoassay (EIA)
Synonyms: 

RVANCO


Clinical significance: 

Vancomycin is an antibiotic used in the treatment of serious bacterial infections, especially methicillin-resistant staphylococci. Vancomycin is also used in treatment for penicillin-allergic patients who cannot receive or have failed to respond to other drugs, including the penicillins and/or cephalosporins and for other infections caused by vancomycin-susceptible organisms.


Doctoral Director(s): 
Hoi-Ying Elsie Yu, PhD, DABCC, FADLM
Sheng-Ying (Margaret) Lo, PhD, DABCC
Review Date:  12/27/2024

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