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Test Code TSC Type and Screen

Important Note

Label the specimen, in the presence of the patient, with full name, date of birth and patient medical record number.

When blood component needs have not yet been determined (ie, trauma, high risk
OB, etc.), a TSC can be ordered to decrease turnaround time if blood components become necessary. If products are needed, orders for specific components must be placed. An ABO/RH (D) and Antibody Screening must be performed within 3 days prior to transfusion for all inpatients. Pre-surgical patients drawn as a PADM may have expiration date extended to 21 days provided the patient has not been pregnant or transfused within the last 3 months, has a current negative antibody screen, and has never had a clinically significant antibody.

Additional Codes

Epic Order Code: LAB276
Sunquest Order Code: TSC

Specimen Required

Patient Preparation:

 

Container Type:

Optimal: Pink Top

  

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. 

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

Determining patient blood type and antibody status. Also used to review compatibility between recipient and donor blood and blood components. Completion of type and screen helps reduce turn around times for blood product preparation when there is a change in circumstance or in the event of a clinically significant unexpected antibody.

Profile Information

Test ID   Reporting Name Available Separately Always Performed
%ABR ABO/RH (D) Yes (Test ABRH) Yes
%AS Antibody Screen Yes (Test ASC) Yes
%EXX Crossmatch Expiration No No
%UN Unit Number No No
%CT Blood Component No No
%UDIV Unit Division No No
%ST Status of Unit No No
%TS Transfusion Status No No
%XM Crossmatch Result No No

Method Name

Gel

Stability Information

Specimen Type Temperature Time
  Refrigerated 3 days
  Ambient  1 day

Rejection Due To

Hemolysis Mild OK; Moderate OK; Gross Reject
Lipemia Mild OK; Moderate OK; Gross Reject
Icterus Mild OK; Moderate OK; Gross Reject
Other N/A

 

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: 0.5mL 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 LOINC Value
TSC Type and Screen 34532-2
%ABR ABO/RH(D) 34530-6
%AS Antibody Screen 75263-4

CPT Code Information

Test ID   Test Order Name CPT Code
%ABR ABO/RH(D) 86900,86901
%AS Antibody Screen 86850

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.