Test Code TRNRX Transfusion Reaction Work-Up
Performing Laboratory
MaineGeneral Medical Center
Reference Values
An interpretative report will be issued by pathologist.
Critical value (automatic call-back): positive transfusion reaction
Day(s) Test Performed
Monday through Sunday
Methodology
Immediately notify the blood bank of any suspected transfusion reaction. (Notify pathology immediately of any possible transfusion related disease.)
Testing includes: ABO group and Rh type of pre- and post- transfusion specimens. A clerical review of all records and patient identification is performed. Additional testing DAT (“Coombs, Direct/Direct Antiglobulin”) on pre and post specimens, urinalysis, as well as other tests may be required.
Note: Please complete a “Transfusion Reaction Report” form provided by the blood bank.
Specimen Requirements
Blood and Urine are required for this test.
Immediately return the blood product involved, with IV lines and fluids attached, to the Blood Bank for further testing.
Blood
Draw blood in a 6-mL pink-top (EDTA) tube(s) and one 4- or 6-mL plain, red-top tube. For pediatric specimen, draw a 4-mL lavender-top (EDTA) tube(s) and a 4-mL plain, red-top tube. (When an EDTA tube cannot be collected, collect 3 full EDTA [pink- or lavender-top] MICROTAINERS®.) (Improperly labeled specimen is not acceptable.) Deliver immediately to the laboratory.
Note: 1. Label specimen with patient’s full name (first and last), date of birth, date and time of draw, phlebotomist’s initials, and medical record number (MR# not required, if not available for office/home collection).
2. Hemolyzed specimens will be analyzed and may require a redraw.
Urine
Submit a random urine collection in a plastic urine container. (Improperly labeled specimen is not acceptable.) Deliver immediately to the laboratory.
Note: Label specimen with patient’s name (first and last), date of birth, date and time of collection, and collector’s initials.
Specimen stability: 3 days refrigerated at 2-8°C. Pre-transfusion samples older than 3 days will be utilized for Delayed Transfusion Reactions.
Specimen rejection criteria: Hemolyzed samples may be rejected. Improperly labeled specimens will not be accepted.
Test Classification and CPT Coding
86880 - Coombs
86900 - ABO
86901 - Rh