Test Code TT Thrombin Time (TT), Blood
Additional Codes
Hospital Ordering Code |
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LAB324 THROMBIN TIME |
Specimen Requirements
Specimen must arrive within 4 hours of draw.
Specimen Type: Whole blood
Container/Tube: Light-blue top (sodium citrate)
Specimen Volume: 2.7 mL
Collection Instructions:
1. Tube must be filled to the etched line of the tube
2. If there is a delay in transport of >4 hours, spin down and send 1 mL of frozen platelet poor plasma in plastic vial.
Platelet Poor Plasma
Centrifuge Specimen
Recommended centrifuge speed is 1500 x G for at least 15 minutes or 5100 x G for 5 minutes. Be careful that the tubes are evenly balanced when placing them into the centrifuge. When the centrifuge stops, carefully remove and rack tubes. Be aware that an unbalanced centrifugation, speed too slow, or centrifugation for too short of a spin time may all lead to an increased number of cells in the plasma which could contribute to a clotted specimen or erroneous results.
Remove Plasma
To remove plasma, start from the top, gently draw specimen into pipette as you go further down tube. Leaving approximately 0.5mL of plasma will ensure that you do not disturb the buffy coat and cell layer.
Second Spin
Plasma separated from cells goes back into the centrifuge for a second spin. Balance and centrifuge the tubes. Failure to perform a second spin will result in plasma containing too many platelets which interfere with some coagulation testing and is a contributing factor for a clotted specimen.
Transfer Plasma to Aliquot Tubes
Pipette plasma from second spin tube into labeled aliquot tubes without disturbing the bottom 0.5mL.
Specimen Storage
Promptly freeze specimens after processing.
3. Underfilled, overfilled, clotted, and hemolyzed specimens are not acceptable.
Performing Laboratory
Unity Point-Sioux City-Coagulation
CPT
85670
Methodology
Mechanical Clot Detection
Specimen Transport Temperature
Whole Blood:
Ambient – 4 hours
Refrigerated – Unacceptable
Frozen – Unacceptable
Aliquoted Plasma:
Ambient – 4 hours
Refrigerated – Unacceptable
Frozen – 3 months
Day(s) Test Set Up
Daily