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Test ID BLOD0944 Baby Type and Screen/Crossmatch

Additional Codes

If RBC is needed request the Transfuse RBC and/or the Prep and Hold RBC

AKA

Type and Screen NICU Baby

T&S (NICU)

NICU Type and Screen

Specimen Type/Requirements

EDTA Specimen, Pink or Lavender   (See Notes below for specimen options)

Specimen will be rejected if overt hemolysis

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

Cord blood specimen testing for Infant Type and DAT is performed along with type and screen order

Minimum Volume

Pediatric:  2.0 ml EDTA whole blood

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

CPT Code

86900 (ABO), 86901 (RH), 86850 (ABSC)

Storage Onsite

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

Performing Lab

Sanford Fargo

Notes:

If antibody screen is negative, blood will be available at all times.  If antibody screen is positive, antibody identification will be performed and antigen-negative units will be available if appropriate.

 

ANY OF THE FOLLOWING SPECIMEN COMBINATIONS MAY BE USED:

FIRST CHOICE:  Peripheral baby specimen and cord blood (sent in or collected on site).  Tests included:  ABO/Rh and Direct Coombs on cord blood; ABO/Rh, Antibody Screen on baby's peripheral specimen.

 

SECOND CHOICE:  Mother's specimen (sent in or collected on site) and cord blood (sent in or collected on site)/peripheral hematology specimen on baby.  Tests included:  ABO/Rh, Antibody Screen on mother's specimen;  ABO/Rh, Direct Coombs on cord blood and ABO/Rh on peripheral specimen. 

 

THIRD CHOICE:  Mother's specimen (sent in or collected on site) and peripheral hematology specimen on baby.  Tests included:  ABO/Rh, Antibody Screen on mother's specimen; ABO/Rh, Direct Coombs on baby's peripheral hematology specimen. 

 

BABY PERIPHERAL:  Draw one lavender-top tube (EDTA) or pink-top tube (EDTA); minimum 3mL

 

BABY PERIPHERAL-HEMATOLOGY:  Specimen from CBC can be used to confirm baby's ABO/Rh and/or Direct Coombs

 

MOTHER'S:  Draw one pink-top tube (EDTA), minimum 3mL pink tube or one full lavender-top tube

 

CORD BLOOD:  Sent in or obtained in Family Birth Center.  Specimen collected in cord blood tube or red top tube (plain).  For accurate results, cord blood specimen must be less than 72 hours old.