| Test Name: | Transfusion Work-up For Suspected Reaction |
| Epic Order Code: | Orderable by requisition only |
| CPT Code: | 86999 | | |
| Specimen(s) Type: | Whole Blood, 5.0 mL and 1.0 mL just voided urine sample, minimum volumes. |
| Acceptable Container(s): |   
Sterile container; tube top is purple (lavender) or pink. |
| Testing Schedule: | 24 hours/day, 7 days/week |
| Turn Around Time: | STAT: NA |
| | Routine: 24 hours |
| Collection Information: | Notify Transfusion Medicine immediately and return blood bag with administration set attached, blood samples, and urine sample to laboratory. Complete Transfusion Reaction Report form (obtained from the blood bank or down loaded from the Forms Index on the UMC intranet site). Obtain specimen by standard collection procedures. |
| Transport Information: | Deliver to lab immediately. All specimens must be signed into the laboratory. |
| Reference Clients: | If unable to deliver to the lab immediately, store and transport specimen at 2-8° C. Specimen must be received in the lab within 48 hours. All specimens drawn as outpatients will be for informational purposes only not for transfusion. |
| Causes for Rejection: | Improperly labeled, incorrect container, contaminated, insufficient quantity, incorrect/delay in transport, grossly hemolyzed, failure to provide a properly completed Requisition Form and/or paperwork documenting reaction. |
| Reference Range: | NA | | |
| Additional Information: | The attending physician will be notified by phone immediately of any lab data suspicious of hemolytic transfusion reaction. A written report will follow within 24 hours. |
| | Interpretive Use: Investigate cause of possible transfusion reactions manifest by any of the following: Chills, temperature elevations, hematuria, dyspnea, nausea, urticaria, pain in lower back and shock. |