| 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 (Direct Coombs) on pre- and post- reaction specimens.
|
| If the above are negative, no additional tests are
performed. |
| If any of the above tests are positive, the following
may be done: |
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 |
| 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.
Serum separator gel tubes. |
CareManager Test Group:
CareManager Name/Alias: |
LAB
transfusion |
| Specimen Labeling: |
Click here for policy |
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