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Lab Test Details

Lab Test Details

SIMIncluded in the following order sets:  Blood Administration, Adult Blood Administration Emergency, Pediatric Blood Administration 
CPT 
SynonymsTransfuse PRBC, packed cells, leukocyte reduced packed cells, irradiated leukocyte reduced packed cells, CMV negative irradiated leukocyte reduced packed cells, etc. 
Specimen TypeN/A Must have prerequisite, in date, Type & Screen performed. 
ContainerN/A
Collection InstructionsSee appropriate type & screen.
VolumeN/A
Additional Information

Patient must have a completed in date pre-transfusion specimen as appropriate for specimen preparation.  
Birth - 4 months:  Must have prerequisite Neonatal Type & Screen performed this admission. 
>4 months:  Must have Prerequisite Type & Screen performed within past 3 days. 
>4 months and pre-screened as not having been pregnant or transfused in the past 3 months by PAT/AM Preprocedural staff:  Must have Prerequisite Type & Screen with extended specimen outdate performed within past 10 days.

All RBC blood products are leukocyte reduced and as such are considered "CMV Safe".  Any additional requirements (CMV seronegative, irradiated) need to be specified in the order. 

  
Rejection CriteriaBlood armband number from pretransfusion specimen does not match patient.  Patient does not have a blood armband.
  
Test IncludesRequired testing for blood component preparation.  
  
Testing FrequencyDaily, Monday – Sunday 
  
Reviewed ByMichele Earley
Reviewed Date3/28/23
Supplemental
Red Blood Cell Products (Leuko-reduced)
Pre-RequisiteExpected Availability
Current completed Type & Screen without serologic abnormalitiesStat with call:10 minutes 
ASAP:30 minutes
Routine:60 minutes

Pending Type & Screen without serologic abnormalities*

*If patient requires an additional phlebotomy for blood type confirmation (no historical type) expect an additional hour.

Stat2 hours from lab specimen receipt
ASAP:     3 hours from lab specimen receipt
Routine:4 hours from lab specimen receipt
Pending Type & Screen with Abnormalities*Unspecified time for problem serologic resolution.  Will provide periodic updates.  Could be hours to days depending on the serological presentation and availability of compatible components in the upstate/nation.  Alert pathologist on call if availability does not meet clinical need.

Emergency – Uncrossmatched Blood with call specifying “Uncrossmatched” and the following information:

  • Patient Name
  • Patient MRN
  • Ordering
  • Provider
  • Blood Armband #
Emergency15 minutes

Expected availability times listed are expected to be obtained 80% of the time.