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Test Code BB-PBP PREPARE BLOOD PRODUCTS, ADULT OR CHILD

Important Note

Submit a manual order.
All platelet products are irradiated and may be extended to a 7 day shelf lif using an FDA-approved bacterial screening test.

Labeling Instructions: Please provide patients full name (NO abbreviations or cut-off letters), University of Vermont Medical Center medical record number and/or date of birth, date and time sample collected and the signature of the person collecting the Blood Bank sample is required on specimens used to prepare blood products.

Specimen Transport: Specimens must be received in the laboratory within 24-hours of collection accompanied by a completed order form.

ABO Typing Requirements: Patients receiving blood transfusions for the first time at UVM Medical Center Blood Bank will require two ABO typings from separately drawn specimens. The second determination of ABO may come from a historic record on file in the Blood Bank or may come from a second, current specimen. Until the ABO group has been determined twice, only group O uncrossmatched RBC units will be issued. This policy does not apply to neonates (under the age of 4 months).

 

Additional Codes

Primary ID

 Epic Code

Mayo Access ID

BB-PBP

 N/A N/A

 

Specimen Information

Adult

Container

Specimen

Temperature

Collect Vol

Submit Vol

Minimum Vol

Pink Top Tube

Whole Blood

Refrigerate

6 mL

6 mL

6 mL

Plain red top tube or two-4.0 mL lavender top tubes are acceptable, submit unseparated. Serum gel tube is NOT acceptable.  Specimen must include patient’s full name, University of Vermont Medical Center medical record number, and date of birth. Sample tube must be signed and dated by phlebotomist. Specimen can be used for crossmatch until 23:59 on the third day from the draw date. Outside accounts call Blood Bank Supervisor to schedule (847-5121).


Neonate (If mothers sample is available)

Container

Specimen

Temperature

Collect Vol

Submit Vol

Minimum Vol

2 Capillary Tubes

Red or Lavender

 Ambient  

 

 

Deliver sample to lab immediately. If mothers sample is not available, contact the Blood Bank 847-5121. Two capillary tubes (red or lavender) are acceptable.

Test Schedule / Analytical Time / Test Priority

Daily / 24 Hours / Available STAT

Method

Agglutination by tube test, Gel Methodology or electronic crossmatch if eligible

CPT(s)

Description CPT Code
Compatibility Test Electronic 86923
Compatibility Test Immediate Spin 86920
Compatibility Test Incubation 86921
Compatibility Test AHG 86922

 

Instrumentation

Manual Method

Section

Blood Bank

Performing Location

University of Vermont Medical Center

Is the UVMMC lab NY State Certified to perform this testing?  Yes/No

No

Red Blood Cell Transfusion

Patients receiving RBC transfusions for the first time at UVM Medical Center Blood Bank will require two ABO typings from separately drawn specimens. Until the ABO group has been determined twice, only group O uncrossmatched RBC units will be issued. The Blood Bank will notify nurses or ordering providers if a second sample is needed when reviewing crossmatch (prepare) orders for RBC unit(s).  If a second sample is needed, they will ask that an order for an “ABO/RH” specimen be placed.

 

If RBC units need to be urgently transfused before all testing is complete, our current policy and procedure will be followed:

  1. Call the Blood Bank and order “Emergency Release Uncrossmatched” products
  2. The Emergency Release Uncrossmatched Order form needs to be completed over the phone with the Blood Bank technologist at the time the order for blood is being placed
  3. The completed form will be sent to Health Information Management
  4. Then, scanned into the patient’s electronic medical record and sent to the ordering provider for signature

There is a different protocol for urgent transfusions from the operating room, please contact the blood bank.

 

Red Blood Cell units for transfusion to patients with sickle cell disease (SCD) will be antigen-matched for Rh (C,c,E,e) and Kell compatibility as well as be Hemoglobin S negative per the AABB Technical Manual, Eighteenth Edition. In recipients with red blood cell antibodies, more extensive antigen-matched red blood cell units will be used for non-emergent transfusions. Provider will be notified if there is a delay in availability of blood products.

 

For infants up to 4 months old, call the Blood Bank (847-5121).