Transfusion Reaction Work-up

CERNER / EPIC MNEMONIC: (not orderable on LIS)
DAYS PERFORMED: Daily, 24 hours
TURNAROUND TIME: 1-4 hours depending on complexity of work-up
SPECIAL INSTRUCTIONS: Stop transfusion, physician must order investigation. Notify Blood Center immediately. Post-transfusion blood and urine samples, the transfusion administrative set and unused unit of blood must be sent to the Blood Center. Lower half of transfusion tag (#5715) must be filled out by physician and returned promptly to the Blood Center (blue copy). Label post-transfusion specimens with patient`s name, hospital number, date, and time.
CONTAINER TYPE: Pink top  tube, plastic urine container
COLLECTION:

Special Labeling Requirements: The content of each sample label must include the patient's full name and medical record number, the phlebotomist's initials, the date and time the sample was collected and, for non-LLT draws, the initials of a second medical professional who has confirmed that the sample came from the patient whose name is on the label; the computer label must have this same information plus an accession number and the tests ordered. NOTE:  LLT phlebotomists should write 'LLT' for the second set of initials.

SPECIMEN REQUIREMENTS: Blood, urine, residual blood bag, all attached I.V. tubing and solutions, sample of first post-transfusion urine voided by patient and second urine 5-7 hours post-transfusion
MINIMUM VOLUME: 7 mL blood
TEST SYNONYM(S):Hemolytic Transfusion Reaction Work-up