Sign in →

Test Code LAB276 Type and Screen

Useful For

Determining the blood type (ABO/Rh) of a patient's red blood cells and detecting the presence of irregular antibodies in patient’s serum.

Methodology

Capture solid phase automation and manual blood banking methods

Performing Laboratory

Bozeman Health Laboratory Services

Specimen Requirements

Specimen Type: Whole blood

Container/Tube: Pink top preferred (K2 EDTA), or Purple top (EDTA)

Specimen Volume: 6 mL

Specimen Minimum Volume: 3 mL

Collection Instructions:  Do not centrifuge. Forward unprocessed whole blood promptly.

Additional Information:

1. If the specimen being drawn may result in a possible transfusion, the patient must be banded. Blood Bank identification band must be completed and placed on patient’s wrist at time of specimen draw. If the patitent has no historical blood type at Bozeman Deaconess Hospital, a second draw by a second phlebotomist may be required for transfusion.
2. Identify patient by asking them to state their name. If patient cannot identify himself or herself, find someone who can positively identify patient.
3. Label specimen as follows prior to leaving patient’s side. Using a computer-generated hospital label, or ballpoint pen (press firmly), fill out Blood Bank identification band as follows:
a. Patient’s full name
b. Patient’s date of birth

c. Date and time of draw
d. Phlebotomist’s initials
4. Place 1 label on “Patient Information Here” part of wristband. Remove backing and seal with clear tape.
5. Attach wristband to patient.
6. Remove label from wristband at “Place Label on Tube Lengthwise” and attach to tube. Place second patient label over wristband label, leaving barcode and number visible.
7. Detach barcode stickers from wristband. Remove backs of yellow tabs and attach to tube. Forward promptly. 

8. If specimen is spun down, label vial as plasma or serum and send along with RBCs in original tube.

Specimen Rejection:

1.  Gel tube

2.  Hemolyzed samples

3.  Improperly labeled specimens

Specimen Transport Temperature

Ambient <24 hours/Refrigerated >24 hours

Specimen Stability

 

Specimen Type Temperature Time
Whole Blood EDTA Ambient 24 hours
  Refrigerated 4 days

 

Reference Values

Type: A, B, O, AB, A2

Rh: Positive or Negative

Antibody Screen: Negative (reported as positive or negative)

 

If the antibody screen is positive, then an antibody identification, antigen screen, and direct Coombs may be performed at an additional charge.

Day(s) Test Set Up

Monday through Sunday

Test Classification and CPT Coding

86900-ABO

86901-Rh type

86850-Antibody screen

86870-Antibody identification (if appropriate)
86880-Antiglobulin (direct Coombs) (if appropriate)
86905-Each red cell antigen typing (if appropriate)

86923-Electronic Crossmatch (if appropriate)