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Transfusion Incident/Reaction/Investigation

Important Note

Not orderable in Cerner

Notify patients' physician and Transfusion Services immediately when calling a reaction.

If using Bridge: End transfusion with reaction and complete required information.

If using downtime: Use blood reaction report form #17-7581

Performing Laboratory

Charleston Area Medical Center-Transfusion Services

Memorial 304-388-4236

General 304-388-6248

Women and Children's 304-388-2380

Teays 304-757-1770

Test Profile

ABO/Rh/Antibody Screen on pre transfusion specimen DAT
ABO/Rh/Antibody Screen on post transfusion specimen Cultures on donor segments
ABO/Rh/Antibody Screen on donor sample Repeat crossmatches
Clerical checks Urine free hemoglobin

Specimen Requirements and Processing

Draw 1 full 7 mL pink-top EDTA tube -Post Transfusion

Urine BD vacutainer (no additive), Kova tube or sterile cup

 

Return to Transfusion Services immediately:

  • entered bag of product
  • attached tubing
  • fluids
  • blood report form 

 

Note: Label specimen in indelible ink with patient’s full name, date of birth, hospital medical record number, date and time of draw, and initials of phlebotomist. Patient must have hospital or FENWAL armband to collect blood. Monitor vital signs.

Specimen Rejection

Improperly labeled, quantity not sufficient, and improper collection. 

Serum gel is not acceptable.  

Methodology

Antigen-Antibody

Days Test Set Up and Turnaround

Monday through Sunday, Continuously

Results available within 4 hours 

Reference Values

Used to detect clerical and technical errors; rule out hemolytic reactions to blood; rule out possible donor blood contamination.