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:

Type and Screen
(Pretransfusion Testing, Group and Screen, Crossmatch)

Clinical Indications:

Required for transfusion of red blood cells (RBC).
Required in Central Zone for transfusion of plasma, platelets and cryoprecipitate.

Refer to blood product information monographs for clinical indications for transfusion

Test Includes:

ABORH (Blood type)
Antibody Screen
Type and Screen Expiry Date (where applicable)

Ordering Alert:

Express, written, informed consent is required for transfusion.

NOT for prenatal screening. Prenatal screening is performed by CBS.

A separate order is required for blood components.

Electronic order (Epic, SCM, Meditech) or use of a Transfusion Medicine Requisition is required.

A valid/recent type and screen is required prior to ordering red blood cells for transfusion.

Type and Screen testing is valid for 96 hours from date and time of collection.*
In Central Zone for transfusion of plasma, platelets, cryoprecipitate, the patient must be wearing the TSIN wristband from their most recent type and screen.
*Exceptions may apply for pre-admission clinics and neonates. See below.

Collection Alert:

Specimens must be collected using the zone’s Transfusion Service Identification Number (TSIN) system.

STAT requests require transfusion service notification.

LABID (Connect Care):

LAB276

Test Code:

CALGARY ZONE: TS OR TS RURAL
CENTRAL ZONE: TS (LOCAL)
TSREF (CZ PAC) OR TSRO (CALGARY PAC)
NORTH ZONE: TS OR TSRO
SOUTH ZONE: TS (LOCAL)
TSRO OR TMSO (EXTERNAL PAC CLINIC)
TSREF (BROOKS TO MHRH)

Specimen Type:

Blood

Specimen Source:

Venous, Arterial, Intraosseus

Primary Container:

Lavender Top - EDTA

Minimum Collection Volume:

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

(Additional volume is required for patients with antibodies or requiring multiple units for transfusion.)

Specimen Collection Requirements:

Contact Transfusion Medicine if patient is already wearing a TSIN wristband. Do not remove an existing TSIN wristband without consulting Transfusion Medicine.

Collect number and sizes required for patient age.

Connect Care:
Edmonton Zone:

2 x 4 mL

Calgary Zone:	Age	Container Size
	18 years and over	2 x 6 mL
	13 years to 17 years*	1 x 6 mL
	2 years to 12 years*	1 x 4 mL
	* 2 years to 12 years with known compatibility testing problem	2 x 4 mL
	4 months or 7kg to 24 months	1 x 3 ml
	Less than 4 months	Contact Transfusion Medicine
Central Zone:	Age	Container Size
	18 years and over	2 x 6 mL
	Pediatric 4 months and over	2 x 3 mL
North Zone:	Age	Container Size
	Adults	3 x 4 mL
	Neonates and Pediatrics	1 x 4 mL
South Zone:	Age	Container Size
	18 years and over	2 x 6 mL
	3 years to 15 years	1 x 6 mL
	4 months to 3 years	Contact Transfusion Medicine

Test Resources:

Transfusion Service Identification Number
Calgary Zone, Central Zone (former DTH):, North Zone: (Connect Care sites), South Zone: TSIN Form 21505 ordered through Data CM
Resource: Completing a TSIN Form
Additional Information at www.ahs.ca/labtransfusion
Central Zone (former ECH): Transfusion Medicine ID
Edmonton Zone: EZ Transfusion Sample Labelling
North Zone (non Connect Care sites): North Zone Type and Screen Collection

Requisitions:
APL Transfusion Medicine Requisition
Calgary Zone (non Connect Care sites: Pretransfusion Testing Requisition
Edmonton Zone:Regional Blood Transfusion Service Requisition

Transfusion Policy & Procedure
AHS Transfusion of Blood Components and Products Policy

Stability and Storage:

Refrigerated 1-6⁰C.
Retained for minimum of 7 days post transfusion.

Processing:

Send properly labelled specimens and their accompanying TSIN form to Transfusion Medicine.

Transportation:

Notify transfusion medicine if a STAT sample is being shipped, and the method of transport.

Method:

Antibody screen: indirect antiglobulin test.

Method and Interpretation of Results:

Compatible blood may be delayed or unavailable for patients with a positive antibody screen.

Routine Turn Around Time:

Stat – performed within 90 minutes for ED patients, or 120 minutes for hospital patients if ordered at a testing site and required for transfusion.

Results may be delayed if antibodies are detected.

Testing Schedule:

Daily

Reference Interval:

Antibody screen: negative

Critical Value:

Positive antibody screens will be phoned in urgent situations or when availability of compatible blood will be delayed.

Testing Area:

Transfusion Medicine

Performing Site:

Calgary Zone	Alberta Children’s Hospital Foothills Medical Center Peter Lougheed Center Rockyview Hospital South Health Campus Canmore General Hospital High River Hospital
Central Zone	Camrose General 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 William J Cadzow - Lac la Biche HC Peace River HC St. Therese – St. Paul HC
South Zone	Chinook Regional Hospital Medicine Hat Regional Hospital Brooks HC

Additional Test Information:

Blood component transfusions must be arranged at the transfusing location. A separate order is required for blood component preparation.

Express, written (signed) informed consent is required prior to transfusion Consent to Treatment Policy

*Pre-admission clinics may request collection up to 30 days in advance of scheduled surgery, if the patient has not been transfused or pregnant within the previous 3 months (see local policy)

** Neonatal type and screen are valid up to 120 days from date of birth, as long as the TSIN band has remained attached.

A confirmatory ABORH sample may be required in order to provide group-specific Red Blood Cells. Transfusion Medicine will advise. Refer to Confirmatory ABO.

Additional sample may be requested in order to complete testing. Transfusion Medicine will advise.

Last Updated On:

Tuesday, June 7, 2022