For patient safety, it is essential that the following be adhered to when submitting blood specimens for crossmatching purposes. Use special pink-top (EDTA) tubes. Show
If the Blood Bank does not have a previous ABO/Rh on file for the patient, and the patient's initial blood type is other than type O, the Blood Bank will request a second sample to be collected for an ABO/Rh confirmation. Failure to properly label the tubes will require that the specimens be redrawn. If the patient requires blood as an emergency and another sample cannot be drawn, an Emergency Release Form must be signed for uncrossmatched group O blood. Compliance with the Gann Act California Health and Safety Code 1645 The most recent update of the California State Law mandates that every physician who determines that there is a reasonable possibility that his/her patient may require a blood transfusion must:
Whole Blood or Packed Cells Transfusion Specimen Requirements 1 full 6 mL pink-top (EDTA) tube with label that includes: patient's first and last name, PF#/MR#, time, date, printed last name of phlebotomist. Send specimen and order form to Blood Bank immediately
All components are to be held in the Blood Bank until they are infused into the patient. They must NEVER be "held" in domestic refrigerators on the wards. If a unit is issued and transfusion plans have changed or been delayed, please return it immediately to the blood bank. If returned unopened and unused within 30 minutes of issue, it will be held in the Blood Bank refrigerators for reissue to that patient. If it is anticipated that the transfusion will exceed four hours, special arrangements should be made with the Blood Bank to split the unit prior to transfusing. Pheresis (White cell concentrate or single donor platelet concentrate) White Cell Concentrate Specimen Requirements 1 full 6 mL pink-top (EDTA) tube with label that includes: patient's first and last name, PF#/MR#, time, date, printed last name of phlebotomist. By appointment only. Consult with Director of Blood Bank, ext. 5716 Platelet Pheresis Specimen Requirements (if Blood Bank does not have patient's ABO/Rh on file): 1 full 6 mL pink-top (EDTA) tube with label that includes: patient's first and last name, PF#/MR#, time, date, printed last name of phlebotomist. A platelet count must be completed before these components may be ordered. If the Platelet count is greater than 50,000 per mm3, the request for these components must have the approval of the Blood Bank Medical Director. Information necessary for ordering is patient diagnosis, ordering physician and time of transfusion. Exchange transfusion for Hemolytic Disease of the Newborn Specimen Requirements
Transfusion Reaction A transfusion reaction can be life threatening and should always be treated on a STAT basis.
What is a common reason a blood specimen may be rejected and need to be collected quizlet?Reasons why specimens may be rejected include: no requisition form; unlabeled or mislabeled specimens; incompletely filled tubes; defective tubes; collection in the wrong tube; hemolysis, clotted blood in an anticoagulated specimen; contaminated specimens and containers; improper special handling.
What is the most common error a phlebotomist can make?Common Mistakes Phlebotomy Technicians Should Avoid. Drawing blood from the wrong patient. This may be one of the rarest mistakes but misidentifying patients do happen. ... . Labeling mistake. ... . Lack of knowledge in using equipment properly. ... . Poor phlebotomy techniques.. What is the most common complication encountered in obtaining a blood specimen?Hematoma: Blood can leak out of a vein and under the skin during venipuncture. This can cause discomfort and pain and can complicate further collections from that site. As soon as a hematoma is noted, remove the needle and tourniquet and apply pressure at the site for a minimum of 3 minutes.
What is the most critical error that a phlebotomist can make before collecting the specimen?The most serious error is failure to properly identify the patient. Even if everything else is done perfectly, the final result will not apply to the patient incorrectly presumed to be the source.
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