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Test ID BBAN0008 Rh Immune Globulin

AKA

RhoGam

RHIG

RHG

Specimen Type/Requirements

EDTA Specimen, one pink top tube or lavender tube

Specimen will be rejected is overt hemolysis

Specimen needs to be received and tested within 3 days of specimen collection

Minimum Volume

Adult:  3.0 ml pink or full lavender tube

Transport Temperature

Send tube(s) room temperature or refrigerated (1-10° C)

Performed Test Frequency

Daily, All shifts

Turn around time:  45-75 minutes

Methodology

Test Tube, Gel

Storage Onsite

Refrigerate 1-10° C (tubes are held 3-14 days post transfusion)

Performing Lab

Sanford Fargo

Notes:

RH Immune Globulin (RHIG) is a derivative product used when an Rh Negative patient experiences amniocentesis, abdominal injury, or spontaneous abortion.  Blood type on file at Sanford Fargo Transfusion Services is preferred.

 

Physician may waive ABORH testing.  Additional tests (antibody screen) may be ordered at physician discretion.

 

Outpatient Main Clinic Antenatal:  OB department places request in One Chart which prints to Transfusion Services.  OB department brings patient identification to Transfusion Services/Blood Bank to pick up RHG.  Patient goes to Phlebotomy area to have ABORh and Antibody Screen drawn.

 

1.  ANTENATAL:  Specimen may be drawn before or immediately after RHIG injection.  Tests include ABO/Rh, Antibody Screen.  RH Immune Globulin Group and Screen - BLOD5001 & BBAN0008

 

2.  POST DELIVERY:  Test include:  ABO/Rh, Fetal Maternal Hemorrhage Screen (FS).  See fetal screen procedure.  RH Immune Globulin Screen (fetal screen) & Dose (RHG) - BLOD1349 & BBAN0008.  When fetal screen is positive Kleihauer Betke is performed to determine when additional RHG is needed.

 

3.  EMERGENCY:  No blood type required for RHIG administration per physician request.  If ABORH requested, draw one pink-top tube (EDTA) or full lavender-top tube (EDTA).  RH Immune Globulin Dose - BBAN0008 and BLOD0919 (ABORH if needed)