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Test Code TRR Transfusion Reaction Investigation

Important Note

Important Note

All samples for blood bank testing must:

             1. Have two people perform patient identification at bedside and both collector codes must be written on the sample

             2. Arrive in the lab with the lab order label on the sample (No handwritten or chart labels unless it is during computer downtime)

             3. Any patient that does not have a blood type history with Arnot Health will have their blood type confirmed with a second venipuncture before transfusion of blood products. Blood type confirmation samples do not require two person verification.

The exceptions for two person verification:

             - Outpatient ABORh, Prenatal Testing, Antibody Titers, Direct Coombs (DAT), Blood Type Confirmation samples

            - Homedraw patients and Satellite phlebotomy stations must complete the "Patient Identification Verification" Form and submit it with the sample.

Performing Lab

Arnot Ogden Medical Center/Ira Davenport Memorial Hospital

Ordering Recommendations

To determine if symptoms displayed during or after a transfusion are a reaction to the products transfused.

Collect

Whole Blood and Urine

AND ALL BLOOD PRODUCT BAGS AND TUBING FROM THE PAST 24 HOURS.

 

Collection Device

EDTA Pink Tube or lavender microtainer for pediatric draws, Sterile Urine Cup

Specimen Volume

5 ml

(1 ml for pediatric patients)

2mL Urine

Stability (from collection to initiation)

Room Temp 24 hours
Refrigerated 3 days

 

Storage/Transport Temperature

Room Temp or Refrigerated

Minimum Requirements

3 mL Blood, 2 mL Urine

Methodology

AOMC: Manual and Automated technology, Capture Solid Phase technology, Gel Column

IDMH: Tube, Gel Column

Start Date

9/13/2017

Last Review Date

7/11/25 AP

Performed

A completed Transfusion Reaction Investigation, Nursing order must be sent ASAP to the Blood Bank OR a Blood Bank Transfusion Reaction Investigation Form # 7250.5d must be completed and returned to the Blood Bank.


The pathologist will review all testing and the patent's symptoms to determine if a transfusion reaction has occurred and what type

Specimen Handling

Refrigerated

Remarks

TURN AROUND TIME

STAT 1 hour
Routine 8 hours

*Additional testing may delay turn around time.

Patient Preparation

A completed Transfusion Reaction Investigation, Nursing order must be sent ASAP to the Blood Bank OR a Blood Bank Transfusion Reaction Investigation Form # 7250.5d must be completed and returned to the Blood Bank.

The pathologist will review all testing and the patent's symptoms to determine if a transfusion reaction has occurred and what type