Test Code POC ACT Point of Care (POC) Activated Clotting Time

Methodology

i-STAT® Cartridge

Specimen Requirements

1mL of whole blood drawn into a plastic syringe

Day(s) Test Set Up

Monday through Sunday

Reference Values

ISTAT ONLY

Procedure/Qualifier	Target/Range
Neuroradiology/target range patient specific and subject to physician’s discretion during the case	1.5 – 2.0 times the baseline value102-146 seconds
Electrophysiology (EP)	200 – 400 seconds
Extracorporeal Membrane Oxygenation (ECMO)/target range procedure determined for each patient in the physician’s order (Cardiohelp)	200 – 220 seconds with an upper limit of 240 seconds (Usually measure PTT of 40 secs)
Cardiac catheterization/target range procedure and patient-specific interventional catheterization (This is titled Interventional Catherization Patient on the EMR result interpretation)	170 – 230 seconds for patients receiving platelet GpIIb-IIIa inhibitors and 200 – 240 seconds for patients not receiving platelet Gpllb – IIIa inhibitors
Cardiac surgery/target ranges may vary with procedure:
Baseline – 90 – 130 seconds Heparin Bolus – > 400 seconds On Cardiopulmonary bypass (CPB) regardless of the surgical procedure – greater than 450 seconds Off CPB Coronary Artery Bypass Graft (CABG) - greater than 400 seconds Therapeutic bivalirudin for CPB- Initial ACT, greater than 400 seconds

Performing Laboratory

Beebe Healthcare Laboratory

Performing Location

Margaret H. Rollins Laboratory