EPIC Code

LAB276
 

Performing Lab

UCHealth University of Colorado Hospital Clinical Laboratory - Transfusion Service/Blood Bank

Collect

Preferred: 6.0 mL Pink top (K2EDTA) labeled with patient's last name, first name, medical record
number, date drawn, initials of the healthcare professional obtaining the specimen, and second person's (verifier) initials.

Utilizing READBACK VERIFICATION, the healthcare professional obtaining the specimen and a second hospital personnel verify that the patient's identifiers on his/her hospital identification bracelet match those on the blood specimen. Both persons must initial the specimen label attached to the pink top tube and, if used, the pink Transfusion Service request form.

In the outpatient setting, it is permissible for the patient to verify their identification and initial the specimen label
attached to the pink top tube.

Minimum volume: At least 3.0 mL whole blood collected in a pink top, plasma (K2EDTA).

Acceptable: In the event of blood collection supply shortages, a red top (clotted blood) tube or a purple top (EDTA) tube is also acceptable if labeled with patient's last name, first name, medical record number, date drawn, initials of the healthcare professional obtaining the specimen, and second person's (verifier) initials.

Pediatric Collection

For neonatal specimens, refer to NEWBORN TRANSFUSION EVALUATION or TYPE AND SCREEN NEWBORN

Unacceptable Conditions

  • Specimen not properly identified/labeled
  • Specimen collector and/or verifier's initials illegible
  • Serum separator tube
  • Gross hemolysis
  • Insufficient sample volume
  • Incorrect container

Storage/Transport Temperature

Internal: Deliver to Blood Bank immediately at ambient temperature.
Offsite: Transport to Blood Bank at ambient temperature within 8 hours, or on a refrigerated cold pack within 24
hours. Do not allow specimen to freeze.

Performed

Daily

Stability (from collection to initiation)

Ambient: 8 hours
Refrigerated: 72 hours
Frozen: Unacceptable

Remarks

Test is ordered when anticipated blood usage is unlikely.

If transfusion is needed, use the HIS Order Set "UCH BLOOD ADMINISTRATION: INPATIENT AND EMERGENCY DEPARTMENT" to place orders for Lab Testing (Type and Screen) and desired Blood Products for Transfusion (Order both Prepare and Transfuse Orders).

If blood should be needed for transfusion subsequent to completion of the type and screen, using the HIS Order Set "UCH BLOOD ADMINISTRATION: INPATIENT AND EMERGENCY DEPARTMENT" select only the desired Blood Products for Transfusion (Order both Prepare and Transfuse Orders) or call the Blood Bank and the appropriate products and testing will be performed.

Notes

Pre-procedure specimens may be held for additional testing, not to exceed 33 days, for patients who have not been pregnant and/or transfused with products containing red cells within the preceding three months and have no history of previously identified antibodies.

Testing may lead to additional specimens being requested or additional charges if the patient has has a history of an antibody or if an unexpected antibody is identified.

Performed

Daily

Methodology

Hemagglutination (HA)
Solid Phase Red Cell Adherence Assay

Reported

Same day

Synonyms

  • TS

EPIC Code

LAB276
 

Reference Interval

ABO Typing: A, B, AB, O
Rh Typing: Rh positive/Rh negative
Antibody Screen: Negative

CPT Codes

ABO: 86900
Rh typing: 86901
Antibody Screen: 86850; additional CPT codes may apply
Collection

EPIC Code

LAB276
 

Performing Lab

UCHealth University of Colorado Hospital Clinical Laboratory - Transfusion Service/Blood Bank

Collect

Preferred: 6.0 mL Pink top (K2EDTA) labeled with patient's last name, first name, medical record
number, date drawn, initials of the healthcare professional obtaining the specimen, and second person's (verifier) initials.

Utilizing READBACK VERIFICATION, the healthcare professional obtaining the specimen and a second hospital personnel verify that the patient's identifiers on his/her hospital identification bracelet match those on the blood specimen. Both persons must initial the specimen label attached to the pink top tube and, if used, the pink Transfusion Service request form.

In the outpatient setting, it is permissible for the patient to verify their identification and initial the specimen label
attached to the pink top tube.

Minimum volume: At least 3.0 mL whole blood collected in a pink top, plasma (K2EDTA).

Acceptable: In the event of blood collection supply shortages, a red top (clotted blood) tube or a purple top (EDTA) tube is also acceptable if labeled with patient's last name, first name, medical record number, date drawn, initials of the healthcare professional obtaining the specimen, and second person's (verifier) initials.

Pediatric Collection

For neonatal specimens, refer to NEWBORN TRANSFUSION EVALUATION or TYPE AND SCREEN NEWBORN

Unacceptable Conditions

  • Specimen not properly identified/labeled
  • Specimen collector and/or verifier's initials illegible
  • Serum separator tube
  • Gross hemolysis
  • Insufficient sample volume
  • Incorrect container

Storage/Transport Temperature

Internal: Deliver to Blood Bank immediately at ambient temperature.
Offsite: Transport to Blood Bank at ambient temperature within 8 hours, or on a refrigerated cold pack within 24
hours. Do not allow specimen to freeze.

Performed

Daily

Stability (from collection to initiation)

Ambient: 8 hours
Refrigerated: 72 hours
Frozen: Unacceptable

Remarks

Test is ordered when anticipated blood usage is unlikely.

If transfusion is needed, use the HIS Order Set "UCH BLOOD ADMINISTRATION: INPATIENT AND EMERGENCY DEPARTMENT" to place orders for Lab Testing (Type and Screen) and desired Blood Products for Transfusion (Order both Prepare and Transfuse Orders).

If blood should be needed for transfusion subsequent to completion of the type and screen, using the HIS Order Set "UCH BLOOD ADMINISTRATION: INPATIENT AND EMERGENCY DEPARTMENT" select only the desired Blood Products for Transfusion (Order both Prepare and Transfuse Orders) or call the Blood Bank and the appropriate products and testing will be performed.

Notes

Pre-procedure specimens may be held for additional testing, not to exceed 33 days, for patients who have not been pregnant and/or transfused with products containing red cells within the preceding three months and have no history of previously identified antibodies.

Testing may lead to additional specimens being requested or additional charges if the patient has has a history of an antibody or if an unexpected antibody is identified.

Ordering

Performed

Daily

Methodology

Hemagglutination (HA)
Solid Phase Red Cell Adherence Assay

Reported

Same day

Synonyms

  • TS

EPIC Code

LAB276
 
Result Interpretation

Reference Interval

ABO Typing: A, B, AB, O
Rh Typing: Rh positive/Rh negative
Antibody Screen: Negative
Administrative

CPT Codes

ABO: 86900
Rh typing: 86901
Antibody Screen: 86850; additional CPT codes may apply