* Platelet Function Screen Synonym PFA - Bleeding Time Guidelines The Platelet Function Screen does not necessarily predict bleeding at surgery. An abnormal test result may not be associated with excessive bleeding. Conversely, a normal test result may exist in the setting of interaoperative or post surgical bleeding.Patients with low hematocrits (<35%) or low platelet counts (<150,000) may show falsely abnormal platelet function with this test method. Patients with hematocrits <35% or platelet counts less than 150,000 may exhibit prolonged results. Platelet inhibiting drugs, such as aspirin, and anti-glycoprotein IIb/IIIa antagonists directly affect platelet function. Certain dietary fatty acids and lipids are known to inhibit platelet function. Hemolysis and an elevated erythrocyte sedimentation rate (ESR) may interfere with results. Specimen Collection Requirements Collect Whole Blood, two 2.7 mL light blue or three 1.8 mL clear light blue (3.2% buffered sodium citrate) top tubes. Handling See Coagulation Specimen Collection Guidelines For PFA specimens: Sample must be gently inverted four times, immediately following collection. Transport in an upright position without disruption. DO NOT transport sample via pneumatic tube system. It should be received in the Legacy Good Samaritan Hematology Lab within 2 hours of collection. Specimen must be tested within 4 hours. All samples must be transported STAT directly to the Legacy Good Samaritan Hematology Lab. Preferred Volume 6.0 mL Minimum Volume 3.0 mL Transport Ambient (15-25°C) within 2 hours Rejection Criteria Clotted samples, samples collected in containers other than 3.2% buffered sodium citrate, tubes filled less than 90%, samples from patients with a Hematocrit greater than 55%, hemolyzed samples due to ex-vivo causes (i.e., difficult draw, poor sample draw), whole blood samples that were frozen before processing Stability WHOLE BLOOD: Ambient: 4 hours Note: The test takes a minimum of 1 hour to perform and must rest for 30 minutes after transit and prior to testing. Thus specimens need to be in the Good Samaritan Hematology Lab optimally within 2 hours of collection. Testing Information Performed 7 days/week Reported Same day Method Whole blood platelet adhesion and platelet aggregation Reference Values Reference Values COL/EPI Borderline: 153-170 seconds COL/ADP Borderline: 108-120 seconds COL/EPI: 80-152 seconds COL/ADP: 53-107 seconds TEST INTERPRETATIONS (Most Common):Normal Platelet Function COL/EPI Normal COL/ADP NormalConsistent with drug-induced platelet dysfunction COL/EPI Abnormal COL/ADP Normal Intrinsic platelet dysfunction; further studies are indicated COL/EPI Abnormal COL/ADP AbnormalNOTE: Other interpretive comments may be used as test results indicate. CPT Codes 85576 Last Updated: Tuesday, January 26, 2021 01:20:16 AM Client Services: 503-413-1234