Home
HelpTest Code TRXN Transfusion Reaction Work-Up, Blood
Additional Codes
| Epic Order Code: | LAB893 |
| Sunquest Order Code: | TRXN |
Specimen Required
| Patient Preparation: |
1. Stop transfusing blood immediately, but leave needle in site with slow saline drip. Follow additional instructions on the back of the unit's Transfusion Record. 2. Call Blood Bank immediately at 269-341-6444 with patient’s name, hospital number, donor number (from bag label), and patient’s symptoms. 3. After donor unit is disconnected, return bag, attached tubing, and infusion solution to Blood Bank as soon as possible via transport- do not send through tube station. Preliminary work-up should be completed in 15 to 30 minutes. 4. Draw blood from patient post-transfusion. |
| Container Type: |
Optimal: Pink Top (EDTA) Acceptable: Lavender |
| Optimal Collection Volume: |
6.0mL Whole Blood |
| Collection Instructions: | Collect specimen and gently invert several times to mix. Label the specimen, in the presence of the patient, with full name, date of birth and patient medical record number. Must be post transfusion collection. |
| Processing Instructions: |
1. Collect sample in pink top container. 2. Label per policy in the presence of the patient. 3. Send whole blood sample to Blood Bank for testing. |
Useful For
The investigation of suspected transfusion reation.
All suspected transfusion reactions should be evaluated promptly and to the extent considered appropriate by the Blood Bank medical director. A clinical pathologist is available 24 hours a day for consultation.
Profile Information
| Test ID | Reporting Name | Available Separately | Always Performed |
|---|---|---|---|
| %ABR | ABO/RH | Yes | Yes |
| CLCK | Clerical Check | No | Yes |
| PRSA | Specimen Appearance Pre Transfusion | No | Yes |
| PTSA | Specimen Appearance Post Transfusion | No | Yes |
| %DBS | Direct Coombs, Broad Spectrum | Yes | Yes |
| %DIG | Direct Coombs, IGG | No | No |
| DCOM | Direct Coombs, Complement | No | No |
| UOCC | Urine Occult Blood | No | Yes |
| PHID | Phlebotomist ID | No | Yes |
| TRXR | Preliminary Report of Work Up | No | Yes |
| RXIN | Pathologist Interpretation of Reaction | No | Yes |
| PATHTR | Pathologist | No | Yes |
Method Name
Gel
Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Refrigerated | 3 days | |
| Ambient | 1 day |
Post Processing Specimen Type
Whole Blood
Specimen Minimum Volume
Collecting minimum volumes can result in a need for sample recollection, and/or a delay in results. Minimum volumes are subjective and cannot account for all aspects of specimen and testing needs. Refer to the Specimen Required section for optimal volumes for laboratory specimens. Contact the Bronson Laboratory if complex collection exceptions occur that require more information.
| Minimum Volume: | 3.0mL whole blood |
| Neonate Volume: | 1.0mL whole blood |
Performing Laboratory
Bronson Laboratory, Blood Bank-Kalamazoo, Paw Paw, Battle Creek, South Haven
Day(s) Performed
24/7
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| TRXN | Transfusion Reaction Work Up | 14924-5 |
| %ABR | ABO/RH | 34530-6 |
| %DBS | Direct Coombs, Broad Spectrum | 1007-4 |
| %DIG | Direct Coombs, IGG | 1006-6 |
| DCOM | Direct Coombs, Complement | 1004-1 |
| TRXR | Preliminary Report of Work Up | 14924-5 |
| RXIN | Pathologist Interpretation of Reaction | 14924-5 |
Sample Retention Time
Blood Bank specimens (other than Cord Blood) are retained in the Blood Bank for 30 days. Pretransfusion testing should be completed within 2 days of collection.