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Test Code O18306 Massive Blood Transfusion Panel

Important Note

Panel includes Type and Screen, Red Blood Cells, Platelets, Fresh Frozen Plasma, and a Fibrinogen test. All blood product orders default to transfuse 1 unit with an indication of emergent blood transfusion. A Phsyician or Advanced Practice Clinician must sign an emergent release form stating the risk of delay outweigs the increased risks associated.

Additional Codes

Test Name in Epic

Epic Test Code
Massive Blood Transfusion Panel O18306

 

Test Alias

MTB

Useful For/Utility

Panel includes Type and Screen, Red Blood Cells, Platelets, Fresh Frozen Plasma, and a Fibrinogen test. All blood product orders default to transfuse 1 unit with an indication of emergent blood transfusion. A Phsyician or Advanced Practice Clinician must sign an emergent release form stating the risk of delay outweigs the increased risks associated. This form must be returned to the Laboratory and will be include din the patients EMR. The Transfusion Services department will immediately prepare blood products following a 1:1:1 ratio and will continue to do so until they are told to stop. Each facility has an estabilished runner to run blood products from the lab to the patient care area. The protocol must be stopped by a clinician and notification of cessation must be communicated to the Laboratory.

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. Antibody Identification will be reflexed for positive antibody screen testing.                                                         

Two red cell components may be cross matched for inpatients type and screen who have a positive antibody screen and subsequent antibody.    

Performing Laboratory

Essentia Health

St. Joseph's Medical Center Lab, Sandstone Hospital Lab, SMDC Clinical Lab, St. Mary's Hospital - Superior Lab, Virginia Hospital Lab, Deer River Hospital Lab, Northern Pines Hospital Lab, Moose Lake Hospital Lab, Ada Hospital Lab, Fargo Hospital Lab, Fosston Hospital Lab, St. Mary's - Detroit Lakes Hospital Lab, Holy Trinity Hospital Lab