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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