Bank Test and Information and Special Instructions

Testing/Reporting TEST NAME TUBE TYPE TEST INFORMATION SPECIAL INSTRUCTIONS REFERRAL LAB Times

PINK (7 mL) Ordered when no type & screen is Two sets of legible initials are STAT: 30 min ABO/Rh Typing or required and no crossmatch is required for blood bank No Routine: 4 hours LAV (4 mL) necessary. specimens

PINK (7 mL) Two sets of legible initials are Antibody Test is ordered by blood bank for all Might require referral to STAT: variable or required for blood bank Identification positive antibody screens. Bonfils Routine: variable LAV (4 mL) specimens

PINK (7 mL) Two sets of legible initials are Normally only ordered on prenatal STAT: 2-3 hours Antibody Titers or required for blood bank Referred to Bonfils patients with a known antibody. Routine: 12 hours LAV (4 mL) specimens

RED (13 mL) Includes ABO/Rh and DAT (if See Cord Blood Handling and Cord Blood STAT: 30 min or indicated), should be ordered on all Labeling Policy for labeling No Workup Routine: 4 hours PINK (4 mL) group O and Rh negative mothers. requirements

PINK (7 mL) Used to demonstrate in-vivo coating of Two sets of legible initials are Direct Coombs STAT: 30 min or red cells with antibodies or required for blood bank No (DAT) Routine: 4 hours LAV (4 mL) complement. specimens

PINK (7 mL) Should be ordered on all Rh negative Two sets of legible initials are Rh Immune STAT: 60 min or mothers or when there is a risk of Rh required for blood bank No Globulin Workup Routine: 4 hours LAV (4 mL) sensitization. specimens

Always considered STAT by Transfusion PINK (7 mL) Might require referral to Initiated by nursing service when Blood Bank. Product with Reaction or Bonfils if TRALI is STAT: Variable transfusion reaction is suspected. attached tubing should be sent Investigation LAV (4 mL) suspected immediately.

Ordered when blood use is possible. Two sets of legible initials are PINK (7 mL) Might require referral to The Blood Bank will do the type and required for blood bank STAT: 60 min Type & Screen or Bonfils if the patient has antibody screen and antibody ID if specimens. Can be used for Routine: 4 hours LAV (4 mL) an atypical antibody necessary. crossmatch for up to 3 days

Two sets of legible initials are PINK (7 mL) Might require referral to Type & Consists of a Type & Screen and required for blood bank STAT: 60 min or Bonfils if the patient has Crossmatch Crossmatch. Indicate products needed. specimens. Can be used for Routine: 4 hours LAV (4 mL) an atypical antibody crossmatch for up to 3 days Blood Bank Test and Blood Product Information and Special Instructions

Testing/Reporting TEST NAME TUBE TYPE TEST INFORMATION SPECIAL INSTRUCTIONS REFERRAL LAB Times

Ordered when there is a current Type PINK (7 mL) Two sets of legible initials are Might require referral to STAT: 15 min (with and Screen specimen in the Blood Crossmatch Only or required for blood bank Bonfils if the patient has negative antibody screen) Bank (< 3 days) and no draw is LAV (4 mL) specimens. an atypical antibody Routine: 1 hour necessary.

Blood Products BLOOD SPECIAL PRODUCT INFORMATION ANALYTIC TIME PRODUCTS INSTRUCTIONS

Must have an ABO/Rh on Must have pathologist approval if criteria not met. For transfusion criteria, see two different specimens Red Blood Cells Concise Blood Product Ordering And Administration Guidelines See Type & before type-specific Leukoreduced https://www.uchealth.org/professionals/Pages/Clinical-Laboratory/Transfusion- Crossmatch crossmatched RBCs will be Services.aspx given.

Expires 24 hours after washing. Notify Blood Washed Red Blood Indicated for symptomatic anemia in patients with anaphylactic or other severe STAT: 4-6 hours Bank ASAP with request. Cells transfusion reactions or documented plasma protein allergies or IgA deficiencies. Routine: 8-12 hours Must be obtained from Bonfils.

Cellular blood components should be irradiated in order to reduce the risk of graft vs. host for patients in the following categories:  Fetuses or infants who have ever received intrauterine transfusions, infants RBCs: receiving exchange transfusions, infants weighing less than 1200 grams See Type & Irradiated Red Crossmatch  Selected immunocompromised recipients Depends on availability of Blood Cells/  Recipients of RBCs and/or donated from a blood relative products Irradiated Platelets Platelets:  Recipients of bone marrow transplantation STAT: 20 min  Recipients of HLA-matched or crossmatch compatible platelets Routine: 2 hours  Patients with Hodgkin’s disease or other hematologic malignancies  Other requests if approved by Medical Director.

Expires 24 hours after start STAT: 2-3 hours Deglycerolized Red Red Blood Cells that have been frozen. Indicated for symptomatic anemia in patients of thawing. Must be Not deglycerolized Blood Cells with rare antibodies, IgA or IgE deficiencies. obtained from Bonfils. until requested. Blood Bank Test and Blood Product Information and Special Instructions

BLOOD SPECIAL PRODUCT INFORMATION ANALYTIC TIME PRODUCTS INSTRUCTIONS

Must have pathologist approval if criteria not met. For transfusion criteria, see Platelets Concise Blood Product Ordering And Administration Guidelines Depends on availability of STAT: 15 min Leukoreduced https://www.uchealth.org/professionals/Pages/Clinical-Laboratory/Transfusion- products Routine: 2 hours Services.aspx

Must have pathologist approval if criteria not met. For transfusion criteria, see STAT: 30 Min. Pooled Concise Blood Product Ordering And Administration Guidelines Expires 6 hours after Routine: 2 hours https://www.uchealth.org/professionals/Pages/Clinical-Laboratory/Transfusion- thawing. Not thawed until Services.aspx requested.

Must have pathologist approval if criteria not met. For transfusion criteria, see Units expire 24 hours after STAT: 25 Min. Fresh Frozen Concise Blood Product Ordering And Administration Guidelines thawing. Must indicate Routine: 2 hours Plasma or FP24 https://www.uchealth.org/professionals/Pages/Clinical-Laboratory/Transfusion- when products are to be Not thawed until Services.aspx thawed and transfused. requested.

Clinically equivalent to , with the exception of Factor V and Factor VIII levels. Must have pathologist approval if criteria not met. For Units expire 5 days after STAT: 20 Min. Thawed Plasma transfusion criteria, see Concise Blood Product Ordering And Administration thawing. Routine: 2 hours Guidelines https://www.uchealth.org/professionals/Pages/Clinical- Laboratory/Transfusion-Services.aspx

Aliquot Fresh Indicated for neonates requiring plasma transfusion. Preferred product is FFP (if More than one aliquot can STAT Estimate: 1 hr Frozen Plasma possible), type AB pos or AB neg. be taken from each unit. Routine: 4 hours

Indicated for neonates with excessive unconjugated bilirubin most commonly due to maternal antibody. Exchange is indicated less frequently in sepsis, respiratory Notify Blood Bank ASAP Neonatal Exchange distress, to remove toxins, and DIC. Preferred product is type O pos or O neg RBC, with request. Must be STAT: 2-4 hours antigen negative for maternal antibody, less than 5 days old, CMV negative, obtained from Bonfils. leukoreduced, irradiated, washed, and reconstituted with AB FFP.

Aliquot Red Blood Indicated for neonate requiring red cell transfusion. Preferred product is less than 5 More than one aliquot can STAT Estimate: 1 hr Cells Leukoreduced days old (if possible), CMV negative, leukoreduced, irradiated O pos or O neg. be taken from each unit. Routine: 4 hours

Red Blood Cell or Product is antigen negative for maternal antibody, less than 5 days old, CMV STAT: 4 hours Reconstituted negative, leukoreduced, irradiated, washed, Hct adjusted, and type O pos or O Notify Blood Bank ASAP If a donor needs to be for neg. Might require calling special donors with antigen negative blood for maternal with request. Must be found, could be up to 3 Intrauterine antibody. Indicated when fetus is severely anemic due to HDN. Usually not feasible obtained from Bonfils. days Transfusion <24 weeks gestation. Blood Bank Test and Blood Product Information and Special Instructions

BLOOD SPECIAL PRODUCT INFORMATION ANALYTIC TIME PRODUCTS INSTRUCTIONS

Aliquot Indicated for neonates with thrombocytopenia. Preferred product is leukoreduced, More than one aliquot can STAT: 1 hr

Leukoreduced irradiated, and type AB pos or AB neg. be taken from each unit. Routine: 4 hours

Indicated for patients with ANC < 0.5 x 109/L All requests must have pathologist Expire 24 hours after start Granulocyte approval. Granulocytes should be transfused as soon as possible, preferably < 8 of the collection. Must be STAT Estimate: Concentrate hours. Must be ABO/Rh compatible. A special donor will need to be called in to coordinated through Bonfils Variable donate. Blood Center

Notify Blood Bank ASAP STAT: If a donor needs HLA-matched Indicated for thrombocytopenic patients with HLA antibodies. Patient must have an with request. Must be to be found, could be Platelets HLA type on record before donors can be recruited for their specific HLA type. coordinated through Bonfils up to 3 days Blood Center

Notify Blood Bank ASAP Indicated for patients who have immune-mediated refractoriness to platelet Crossmatched with request. Must be STAT: 6-8 hours transfusions. Products might be helpful in patients demonstrating refractoriness to Platelets coordinated through Bonfils . Platelets are crossmatched at Bonfils. Routine: 10-12 hours Blood Center