STAIN, GRAM

NOTE:

The Gram stain is performed on all “Culture, Routine, Aerobic” orders where appropriate and should not be ordered separately.

 

Test Performed At:

 

 

St. Louis Children’s Hospital

 

Specimen Required:

 

SUBMIT ONLY 1 OF THE FOLLOWING SPECIMENS:

 

 

 

Unacceptable Sources:

 

Blood, drainage, fluids, and tissue.

 

 

Urine

 

 

1.

Aseptically collect 0.5-5.0 mL of urine.

 

 

2.

Place specimen in a screw-capped, sterile container.

 

 

3.

Label transport container with the patient’s full name (first and last), patient identifier, date, and time of collection.

 

 

4.

Maintain sterility and forward promptly.

 

 

NOTE:

SPECIMEN SOURCE IS REQUIRED ON REQUEST FORM FOR PROCESSING.

 

Laboratory Notes:

 

 

If source is vaginal, please review for sperm and report.

 

Reference Values:

 

 

No organisms seen

 

Day(s) Test Set Up:

 

 

Monday - Sunday

 

Cut-Off Time:

 

 

 

 

Turn Around Time:

 

 

4 hours

 

CPT Code:

 

 

87205   

 

KIDDOS Order Name:

 

 

Stain Gram

 

Cerner Order Name:

 

 

ST G

 

Last update 05/09