CompuNet Urinalysis Order Set Refresher

Premier Pulse     July 2024

The EPIC Inpatient Urinalysis order set went live in February to clarify lab orders for urinalysis/culture testing. Refer to the EPIC Tip Sheet as a guide.

The Inpatient Urine Specimen Panel has two test options: Urinalysis Reflex to Culture and Other.

  1. Urinalysis Reflex to Culture: suggested test code to order for infectious disease workup.  Urine Culture is automatically performed ONLY IF the white blood cell (WBC) result is >10/hpf or on a child <2 years of age.
  2. Other Options:
    1. Urinalysis, Complete (includes dipstick and microscopic)
    2. Urinalysis, Reflex to Microscopic (includes dipstick; Microscopic review performed ONLY IF positive for Blood, Protein, Leukocyte Esterase or Nitrite above a trace level.
    3. Urine Culture Panel

Please note: The EPIC Urinalysis order set in the Emergency Department is a separate order set from the Inpatient one presented here.

If you have any questions, please contact Catherine Hoesl MT(ASCP), system director for hematology, coagulation, and urinalysis, at cchoesl@compunetlab.com

This new panel has two options.

  1. Urinalysis Reflex to Culture
    • This is the preferred option when ordering a urinalysis with culture.
    • The verbiage in the Comments section specifies the parameters of this order.
  1. Other UA and Culture Options
    • Chose this option for other UA testing
    • These are single-pick options
    • If Additional Testing – Urine Culture Panel is selected, an auto cancelation after 24 hours is also placed.

 

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