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HelpTest Code LAB8078 Type and Screen, Neonate
Additional Codes
| Test Name in EPIC | EPIC Test Code | Mnemonic |
|---|---|---|
| TYPE & SCREEN FOR NEWBORN | LAB8078 | TSNB |
Test Alias
Type, neonate, TS, TS neonate, Type and Screen, Type and Screen neonate, Type & Screen Newborn
Useful For/Utility
Red Blood Cell transfusions are indicated:
1. Single unit RBC transfusions should be the standard for non-bleeding, hospitalized patients. Order one unit at a time with reassessment of Hemoglobin and clinical status prior to ordering additional units (exception for oncology outpatient transufsions).
2. Hgb ≤ 7 gm for stable hospitalized patients
3. Acute blood loss not responding to adequate volume resuscitation
4. Hgb ≤ 8 gm for patients with pre-existing cardiovascular disease; oncology patients actively under treatment; or higher Hgb. Levels if symptoms are present.
5. Hgb ≤ 8 gm for perioperative surgical patients; higher Hgb. Levels if symptoms are present.
Methodology
Tube Testing/Gel Card Testing
Includes LAB8008 ABO/Rh, Neonate; LAB8009 Antibody Screen; and LAB8018 Direct Antiglobulin Test.
Test Algorithm
If two blood types have not been previously performed at Essentia Health, a second ABO/Rh will be reflexed. This is only done once and is at no charge to the patient. The Rules governing the transfusion of blood components for the neonate are defined by AABB. EH Guidelines for Transfusion include: All cellular products (pRBC and PLT) will be irradiated, CMV Safe (leukoreduced), and hemoglobin S-negative, for routine NICU transfusions, including intrauterine transfusions. RBCs will be type O negative, PLTs will be ABO-compatible (if available), and FFP/Cryo will be ABO-compatible.
Specimen Requirements
Specimen Type: Whole blood
Container/Tube: Lavender top (EDTA) MICROTAINERS
Specimen Volume: 2 Full tubes
Specimen Minimum Volume: 1 microtainer
Collection Instructions: Send specimen in original tubes.
Additional Information:
1. Label specimen for Blood Bank.
2. See Transfusion Services in Special Instructions for labeling instructions.
Specimen Transport Temperature
Ambient/Refrigerate OK/Frozen NO
Day(s) Test Set Up
Upon request
Performing Laboratory
Transfusion Services-
St. Joseph's Medical Center Lab, SMDC Clinical Lab, Virginia Hospital Lab, Fargo Hosital Lab, Fosston Hospital Lab, St. Mary's - Detroit Lakes Lab
Test Classification and CPT Coding
86850-Antibody screen
86880-Direct antiglobulin test
86900-ABO
86901-Rh
Special Instructions
Drawing instuctions can be obtained from the Source under the Resources tab. Select Policies & Procedures and Select Laboratory Releated Documents.