Type and Screen

General Information

Lab Name

Type and Screen

Lab Code

TSCR

Epic Name

Type and Screen

Description

ABO testing is performed to determine if patient has blood group of A, B, O or AB. Rh testing is performed to determine if patient is Rh(D) Positive or Rh(D) Negative. Both ABO and Rh testing establishes the blood type of the patient.

Antibody Screen testing is performed to detect clinically significant antibodies to RBC antigens, which are defined as those that have been previously associated with hemolytic disease of the fetus and newborn, hemolytic transfusion reactions or decreased RBC survival. Typically, these antibodies react at 370C or AHG phase.

Both ABO/Rh and Antibody Screen may be performed on automated analyzer or standard tube method.

Synonyms

ABO/Rh, Antibody Screen, Blood type, Crossmatch, IAT, Indirect Coombs, RhD

Components

Code Name
%UO Units Ordered
%PI Physician Instructions
%ABR ABO/Rh(D)
%AS Antibody Screen
%EXX Crossmatch Expiration

Interpretation

Reference Range

See individual components

Ordering & Collection

Specimen Type

Whole Blood

Collection

Preferred: 6 mL PINK TOP (EDTA) tube

Also acceptable: 6 mL LAVENDER TOP tube

Specimen verification and collection:

  • Verification of positive patient ID must be performed in the presence of the patient by the person collecting the specimen and a second qualified staff member at the time of collection and include a verbal read back of the full legal name, spelling of the legal name, and MRN as it appears on the armband.
  • Both persons performing the verification are required to sign or initial the labeled sample documenting verification was performed and the specimen was collected from the correct patient.
  • Label specimen in the presence of the patient.
  • Write collection date and time on specimen label.

Handling Instructions

Transport: Place specimen in separate biohazard bag and transport at room temperature

Transport temperature: Ambient

Quantity

requested: 6 mL EDTA whole blood
minimum: 3 mL EDTA whole blood

Processing

For UWMC patients: Send specimen to appropriate transfusion service lab. H location specimen will be sent to HMC, U location specimen will be sent to UWMC Montlake TSL.

For non UWMC clients: Specimen must be collected and tested at UWMC Montlake Transfusion Services Lab within 24 hours of collection. Testing will be performed at UWMC Montlake Transfusion Services. Batch and send specimen separate from other testing, indicate for “For Transfusion Services” on bag.

SPS: Receive batch from non UWMC clients and immediately send specimen to NN601, tube station: 361 for testing.

Performance

LIS Dept Code

Blood Bank (BB)

Performing Location(s)

HMC Transfusion Service
206-520-4600

325 9th Ave, Rm # BCT-67, Seattle, WA 98104-2420
UW-MT Transfusion Service
206-520-4600

Clinical Lab, Room # NN601,
University of Washington Medical Center,
1959 NE Pacific street, Seattle, WA 98195

Frequency

Daily

Available STAT?

YES

Billing & Coding

CPT codes

86850, 86900, 86901

LOINC

34532-2

Interfaced Order Code

UOW5223