Resources

Transfusion Reaction Workup

Test Code
BB Transfusion Rxn Workup (cs) - NOCO


Includes
Includes ABO/Rh type and direct coombs, IgG


Preferred Specimen
10 mL whole blood in original Pink top (EDTA)


Minimum Volume
5 mL (0.5 mL pediatric)
 


Instructions
  • The transfusion should be stopped and a specimen should be drawn as soon as possible if a transfusion reaction is suspected.
  • Call Blood Bank as soon as possible at:
    • BFCMC 821-4350
    • McKee 820-1911
    • NCMC 810-6430
  • The transfusion container with remaining contents, along with unit tag with patient vitals and back of tag completly filled out including: symptoms, clerical error check, transfusion record medical record number, hospital ID band medical record, and blood bank armband medical record number should be returned to the laboratory.
Lab Staff:
Per Transfusion Reaction Workup protocol, order culture-C TRANS for the patient who received the transfusion
  • DIN is entered under ‘Additional Source Information”
  • Do not perform Gram Stain-MMC Micro will perform gram stain.


Specimen Stability
Specimen Type Temperature Time
EDTA whole blood Refrigerated 3 days

Lab Staff: Bag, tubing, segments transport Room Temp to MMC Micro - send STAT


Methodology
Solid Phase Red Cell Adherence or Tube Agglutination

Setup Schedule
Monday through Sunday; Continuously


Report Available
Same day


Reference Range
No evidence of hemolytic reaction


Performing Laboratory
Banner Fort Collins Medical Center Laboratory
McKee Medical Center Laboratory
North Colorado Medical Center Laboratory



The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.