TRANSFUSION REACTION WORKUP

Alternate Names:

None

Test includes:

Examination of all clerical work for possible error.
Examination of pre- and postreaction specimens for hemolysis and/or icterus.
Direct antiglobulin test (DAT) (Direct Coombs) on pre- and postreaction specimens.

If the above are negative, no additional tests are performed.

If any of the above tests are positive, the following may be done upon order of pathologist:

Urinalysis for free hemoglobin
Bilirubin
Gram stain and culture of donor blood.
ABO and Rh
Antibody screen
Antibody identification if indicated
Coagulation studies.

Performed:

Daily, 24 Hours

Must be ordered by physician

Methodology:

Hemagglutination

Turnaround Time:

< 1 hour for initial testing
Evaluated by a pathologist within 24 hours.

Container / Specimen Requirements

Call Blood Bank and request Part 1 of the form " Investigation of Suspected Hemolytic Transfusion Reaction". This form is to be completed by the patient's nurse and returned immediately to Blood Bank.

Return blood bag and attached administration set to Blood Bank.

All samples must be clearly identified with patient's full first and last names, medical record number, phlebotomist' s initials, date, and time.

    Container / Tube:

7 ml pink or lavender Vacutainer® tube

    Minimum Volume:

3 ml

Special Handling or Timing of Specimen:

Drawn at the time of the suspected transfusion reaction.

Preparation of Patient:

None

Expected Results:

NA

Causes for Specimen Rejection: 

Improper labeling.
Hemolysis.

CareManager Test Group:
CareManager Name/Alias:

CLAB
transfusion

Specimen Labeling:

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