Alberta Precision Laboratories

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Organization:

Alberta Precision Laboratories

Message Alert:

PLEASE NOTE: This Test Directory is in an interim state and due to changes pertaining to the DynaLIFE transition, performing site for routing has not been updated. Please refer to Laboratory Information System for appropriate routing.

Test Name/Synonym:

Transfusion Reaction Investigation (Adverse Reaction to Transfusion)

Clinical Indications:

For investigation of a suspected transfusion reaction.

Test Includes:

Transfusion Reaction Interpretation by a TM Physician
Testing of the pre- and post- transfusion sample, and remaining blood component / product may include:

Clerical checks
Visual hemolysis and icterus
Direct Antiglobulin test
ABORH
Antibody Screen
Antibody Identification
Antigen Typing
Serological crossmatch

Ordering Alert:

STOP the transfusion. Maintain venous access.

Collection Alert:

Avoid hemolysis.

Shipping and Handling Alert:

Return remaining blood component / product, IV tubing and Transfusion Reaction Report to Transfusion Medicine.

LABID (Connect Care):

LAB893

Test Code:

CALGARY ZONE	TRXN INV1
CENTRAL ZONE NORTH ZONE SOUTH ZONE	TRXRXN OR TRXRXNRO

Specimen Type:

Blood

Specimen Source:

Venous, Arterial, Intraosseus

Primary Container:

Lavender Top - EDTA
South Zone: Medicine Hat and area: also collect 5mL SST Gel no additive

Minimum Collection Volume:

Connect Care Calgary Edmonton	1 mL
Central Zone North South	4 mL (adult) 1 mL (pediatrics and neonates)

Test Resources:

AHS Transfusion of Blood Components and Blood Products Policy
Acute Transfusion Reaction Chart
Transfusion Reaction Report (Connect Care Downtime)

Stability and Storage:

Refrigerated 1-6°C
Stored for minimum of 7 days post transfusion.

Method and Interpretation of Results:

Transfusion Reaction interpretation and medical consultation is provided by the TM physician.

Testing Schedule:

Daily

Critical Value:

Any indication of serious adverse transfusion reaction.

Testing Area:

Transfusion Medicine

Performing Site:

Calgary Zone	Alberta Children's Hospital Canmore General Hospital Foothills Medical Centre High River General Hospital Peter Lougheed Centre Rockyview General Hospital South Health Campus
Central Zone	Camrose, St. Mary’s Hospital Drumheller HC Red Deer Regional Hospital Centre Wainwright HC Wetaskiwin Hospital
Edmonton Zone	Grey Nuns Hospital Misericordia Hospital Royal Alex Hospital Sturgeon Hospital University of Alberta Hospital
North Zone	Bonnyville HC Cold Lake HC Edson HC Grande Prairie Regional Hospital High Prairie HC Hinton HC Lac La Biche HC Peace River HC St. Paul HC
South Zone	Chinook Regional Hospital Medicine Hat Regional Hospital Brooks Health Centre

Additional Test Information:

Additional samples or patient / blood unit investigations may be required depending on patient symptoms and the product(s) transfused. Transfusion Medicine will advise.

Last Updated On:

Friday, March 18, 2022