 LifeBridge Health - Department of Pathology
Blood Bank |
LIFEBRIDGE HEALTH SYSTEM
DEPARTMENT OF PATHOLOGY
TRANSFUSION AND TISSUE BANK SERVICES (SHB)
Hours of Operation: 24 hours, 7 days
Telephone: SHOB (410) 601-5112 Fax: (410) 601-8985 Northwest: (410) 521-5926
Problems/Consultation: Manager or Team Leader on site or on call: 24 hrs.
Medical Consultation: Pathologist on site or on call: 24 hours.
Contact the Transfusion Service to reach above individuals.
I. Blood Bank Specimens:
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A.
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Patient specimens must be labeled as per standard hospital policy. No discrepancies, omissions, etc. may exist in name spelling, identification numbers or other required information either on tube or requisition. |
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B.
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Sample Types (tubes must be full): |
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1.
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Adult: 1 six (6) ml. pink top vacutainer |
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2.
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Pediatric: 1 three (3) ml. lavender top vacutainer |
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3.
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NICU: 1 lavender top microtainer (1 ml minimum) |
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4.
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ALL samples for Blood Bank must be signed and dated by the phlebotomist and must be accompanied by the Blood Bank requisition. |
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C.
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Tests |
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1.
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Type and screen |
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2.
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Crossmatch |
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3.
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Direct Coombs |
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4.
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Fetal-Maternal Hemorrhage Screen |
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5.
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Serologic Problem Solving |
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6.
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Platelet Crossmatch (send out) |
II. Test method and service turn around time-described below:
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A.
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Testing |
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1.
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Type & Screen: |
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a. ABO/Rh Tube: Stat - 5 minutes/Routine - 8 hr. shift |
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b. Antibody Screen IgG Coombs or Gel: Stat - 1 hr/Routine - 8 hr. shift |
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2.
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Direct Coombs: Stat - 1 hr/Routine - 8 hr. shift |
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3.
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Compatibility: |
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a. Immediate Spin (IS) by protocol: Stat - 30 minutes/Routine - 8 hour shift |
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b. IgG Coombs or Gel: Stat - 1 hour/Routine - 8 hour shift |
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c. None (uncrossmatched for emergency): 10 minutes |
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4.
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Fetal Maternal Hemorrhage (FMH) Screen Rosette technique: 8 hour shift |
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5.
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Antibody Identification (Contemporary techniques/may be sent out): 8-24 hours |
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6.
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Platelet Crossmatch (send out): 8 hour shift (provided platelets are available) |
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7.
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Transfusion Reaction Evaluations ( Pathologist review of patient clinical history): 8 hours from the time the reaction is reported (verbal and written report unless complicated by prolonged technical workup). |
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B.
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Blood Components: |
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1.
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Red cells uncrossmatched : |
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a. O Negative (no sample or incomplete testing): 10 minutes |
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b. Group specific (acceptable sample with complete ABO/Rh testing): 15 minutes |
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1.
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Red cells crossmatched: |
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a. Completed Type and Screen is necessary |
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b. IS (by protocol): Stat - 30 minutes/Routine - 8 hour shift |
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c. IgG: Stat - 1 hour/ Routine - 8 hour shift |
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2.
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Frozen plasma: |
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a. Completed ABO/Rh is necessary |
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b. 45 minutes |
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3.
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Platelets: |
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a. Completed ABO/Rh is necessary |
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b. Pooled - 30 minutes |
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c. Pheresis - 15 minutes |
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d. Concentrated (volume reduced) - 2 hours |
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e. Add 2 hours to above times if platelets must be ordered from Red Cross |
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4.
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Cryoprecipitate: |
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a. Completed ABO/Rh is necessary |
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b. Pooled - 45 minutes |
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c. Not pooled (glue) - 15 minutes |
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5.
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Red cell component preparation |
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a. Washed unit- 2 hours |
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b. Split unit - 1 hour |
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c. Irradiated unit - 1 hour |
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6.
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Exchange transfusion of newborns: |
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a. Red cells already in Blood Bank - 2 hours |
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c. Red cells must be ordered from Red Cross - 4 hours |
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C.
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Blood Derivatives: |
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1.
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Rh Immune Globulin(IM) (after completion of current ABO/Rh type) : 15 minutes |
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2.
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Rh Immune Globulin (IV) WinRho (after initial ABO/Rh type): 15 minutes and then sent to Pharmacy for reconstitution |
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3.
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Varicella Zoster Immune Globulin: 15 minutes |
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D.
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Tissue - |
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All bone and tissue (frozen, freeze dried, and refrigerated) used for implantation is ordered and issued through the Transfusion and Tissue Bank Service. A basic inventory is maintained. Specific requests can be made for products not routinely kept in inventory..
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