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Catalog ID Neo Trans Protocol for Neonatal Transfusion (Infants under 4 months of age)

CPOE Test Name

Use Blood Bank Protocol – Neonatal Workup Pediatric Subphase (Type, Antibody Screen, and DAT (IgG))

Synonyms

Neonatal Transfusion, Newborn Crossmatch, Pediatric Transfusion

Specimen Requirements

Fenwal Label. Requires Full Name, Medical Record Number, date and phlebotomist initials/Cerner ID. Pink top (EDTA) tube.

Storage and Transport

Send to Blood Bank

Causes for Rejection

Improper labeling; wrong tube; gross hemolysis; insufficient volume

Interpretation

ABO and Rh defined, and the presence of antibody established if the antibody screen result is positive. The Antibody Screen can detect antibodies that are clinically significant, and antibodies that are not clinically relevant or significant. The Direct Coombs will detect the coating of the patient’s RBC’’s with antibody and/or complement. Additional testing will be needed to determine what is coating the patient’s cells if the DAT is positive. If Antibody screen is positive, the patient can not be placed on Protocol and will require a current type and antibody screen with all RBC orders.

Turn Around Time

Routine: 2 – 4 hours
Urgent: 1 – 2 hours
Emergent: 30 minutes

Methodology

ABO, Rh, Antibody Screen (Indirect Coombs), and Direct Coombs

CPT / HCPCS Code

86850, 86901, 86900, 86880

Reference Ranges

Only one Type and Screen (if results are negative) per admission is required until the patient is older than 4 months. The Fenwal Typenex number from the initial testing must be included on all blood bank orders, in addition to the patient’s name and MRN#. All blood released for a protocol patient will be Group O, Rh appropriate, Irradiated, CMV negative, leukoreduced.

Performing Lab

Blood Bank, BI-1230, 721-2731