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<p class="MsoNormal"><img width="960" height="343" style="width:10.0in;height:3.5729in" id="Picture_x0020_1" src="cid:image001.jpg@01D757C2.C1F48B20" alt="cid:image001.jpg@01D750B4.B0B11690"><o:p></o:p></p>
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<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">Medicine and laboratory testing are constantly changing. In an attempt to keep us all on the same page, the Laboratory Formulary Committee will be regularly sending out emails
with recent updates and guidances. Below are the short versions of relevant changes. Attached are more in-depth resources about the changes.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><strong><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">Testing Tier rules live:
</span></strong><strong><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif;font-weight:normal">Starting June 7<sup>th</sup>, 2021, inpatient and ED laboratory tests classified as Tier 1 can be ordered in Epic by trainees. Laboratory tests classified
as Tier 2 or 3 will require a second sign by an attending physician, Physician’s Assistant, or Nurse Practitioner. Epic will alert the ordering trainee that a second sign is ordered and the order requiring a second sign are easily identified in the Epic chart.
Please see guidance at</span></strong><b> <a href="https://urldefense.com/v3/__https://nam04.safelinks.protection.outlook.com/?url=https*3A*2F*2Fepic.upstate.edu*2Fdocuments*2Fintra*2Fordering_tier_2_tier_3_labs_upstate_system_update_bulletin.pdf&data=04*7C01*7CElkinsM*40upstate.edu*7Cd5d468ce38b7477b015a08d925f470fb*7C5cf50a665e2641dd89f883cf73ffee98*7C0*7C0*7C637582554744415474*7CUnknown*7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0*3D*7C1000&sdata=NdMZ2kpZx37cqnhgCt1dPsIXykYc8Fy3jzAHKxsG8e4*3D&reserved=0__;JSUlJSUlJSUlJSUlJSUlJSUlJQ!!GobTDDpD7A!dAj_vUKLCE927xN5KEQNnfS-S97_9NFH3GuDh2ciUtbCQdo5KJvIU6nUkg5HPvmMNfy8dtee$">
Ordering Tier 2/Tier 3 Lab Orders</a> </b>and <b><a href="https://urldefense.com/v3/__https://nam04.safelinks.protection.outlook.com/?url=https*3A*2F*2Fepic.upstate.edu*2Fdocuments*2Fintra*2Fsecond_sign_tier_2_tier_3_labs_upstate_system_update_bulletin.pdf&data=04*7C01*7CElkinsM*40upstate.edu*7Cd5d468ce38b7477b015a08d925f470fb*7C5cf50a665e2641dd89f883cf73ffee98*7C0*7C0*7C637582554744420450*7CUnknown*7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0*3D*7C1000&sdata=LbnCXGN*2BkMHpHLOL6uvS9Re0ANKpoVNkiHcXcQzwcXE*3D&reserved=0__;JSUlJSUlJSUlJSUlJSUlJSUlJSU!!GobTDDpD7A!dAj_vUKLCE927xN5KEQNnfS-S97_9NFH3GuDh2ciUtbCQdo5KJvIU6nUkg5HPvmMNX9IUJwE$">Second
Signing Tier 2/Tier 3 Lab Orders</a></b><strong><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif;font-weight:normal">.
</span></strong><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><strong><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">High Sensitivity Troponin testing:
</span></strong><strong><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif;font-weight:normal">Starting June 10<sup>th</sup>, the troponin testing performed at Upstate will be transitioned from the current troponin assay to the new 5<sup>th</sup>
generation troponin. Interpretation of this new testing is different from interpretation of the current troponins. Please see the attached 8 slide ppt guidance for more information (a single page guidance is also attached for posting, if needed).
</span></strong><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:10.0pt;font-family:"Segoe UI",sans-serif">For prior guidances, please visit
<a href="https://urldefense.com/v3/__https:/upstate0.sharepoint.com/sites/LaboratoryFormularyCommitteeLabchanges__;!!GobTDDpD7A!fMqwKEI3JlieL_eF-Vo4vMVj2PNzfXcL0GsxYMLCbL6cXpbRqzmyQKWIxbV1BBgJ8OlmOsFv$">
https://upstate0.sharepoint.com/sites/LaboratoryFormularyCommitteeLabchanges</a><o:p></o:p></span></p>
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