EKG and Labs Policies
Age > 65
• Cardiovascular disease includes anyone with congenital heart disease, COPD, coronary or valvular heart disease, hypertension, arrhythmia, history of heart failure, or pacemaker / AICD. The EKG is valid for 3 months for these patients unless there is a change in their medical condition
• In patients who are > 50 years old without cardiovascular disease the EKG is valid for 6 months unless there is a change in their medical condition
• Thoracic/major vascular procedure need an EKG
• None based on age
• Not indicated unless warranted by patient’s clinical condition (pneumonia, pulmonary edema, mediastinal mass)
CBC (Hct, platelet count)
• History of anemia
• Procedure with anticipated significant blood loss, greater than > 5% of estimated blood volume
• History of bleeding disorder (myeloproliferative disease, sickle cell disease)
• Patients having spinal or epidural anesthesia.
• Diabetes mellitus or risk factors/symptoms (obesity, polyuria, polydipsia)
• Diabetes mellitus and other endocrine disorders, renal disease, hepatic disorders
• Post dialysis patients
• Medications affecting or affected by electrolytes, (diuretics, digoxin) BMP is good for 6 months.
Liver function tests
• Cirrhosis or history of liver disease Coagulation tests
Coagulation tests (PT/PTT)
• History of bleeding disorder, liver disease, or malnutrition
• Patients on anticoagulants (warfarin, heparin)
• Required for all women of menstrual age, except those who had a hysterectomy, tubal ligation, or menopause (passage of at least one year without menses at age 45 or older) Pregnancy test is good for 7 days.