Transfusion Reaction Investigation

 

Test description

A laboratory clerical check of all documentation relating to the pre-transfusion sample is performed. Pre and post- transfusion venipuncture samples are visually inspected and compared for the presence of hemolysis. Preliminary tests may include the determination of patient's ABO group, Direct Antiglobulin test (DAT) and a screen for the detection of atypical antibodies. Additional testing is performed based on the patient’s clinical symptoms and/or laboratory findings.

Specimen and requisition requirements

Specimen(s):
Minimum of two (2) 4 - 6 ml EDTA (lavender) tubes, unless pediatric patient, mixed thoroughly by gentle agitation. 
Label specimen with the required minimum information: patient’s last name, first name, PHN or Unique Lifetime Identifier (ULI) and date of collection.

Complete Requisition (must include):

• Patient’s last name, first name, date of birth and PHN or ULI
• Facility name, complete address, phone and fax number
• Phlebotomist ID information
• Date of collection

Include….
Transfusion Reaction Details

• Reaction date, clinical signs and symptoms, pre & post vitals, measures taken
• Blood component blood group, component type, donation number, volume transfused, transfusion start and end dates and times
• Nursing clerical check

Requisition
Transfusion Reaction Investigation Requisition (Not available on-line - Contact Edmonton Diagnostic Services)

Pre-shipping storage

Recommended Refrigeration 1-10°C.

Shipping instructions

Submit samples as soon as possible after collection.

Shipping

Ship in a container that will maintain temperature at ≥1°C.
Select shipping method for container to arrive at testing site within 48 hours.
Note: Protect from freezing.

Send to

Canadian Blood Services
Edmonton Centre
8249 114 St NW
Edmonton, AB T6G 2R8 
Attention: Diagnostic Services Laboratory
Tel: 780-431-8765
Fax: 780-431-8747