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26302 Type and Screen (Transfusion Services)

Type and Screen (Transfusion Services)
Test Code: T+S
Synonyms/Keywords

​T and S, Type and Screen, Type and Cross, Type and Hold

Test Components

​ABO/RH, ABSC

Useful For

​If ordering for newborn or neonate (<4 months) refer to Neonate Transfusion.

If ordering for Preop or outpatients refer to Type and Screen-Preop/OP tx

To prepare Red cell units for intended transfusion or anticipated need during surgical procedure with high blood loss or actively bleeding patient. A blood type and antibody screen are required to prepare Red Cell units on hold or for an intended transfusion for patients >4 months of age. ​

Specimen Requirements
Fasting RequiredSpecimen TypePreferred Container/TubeAcceptable Container/TubeSpecimen VolumeSpecimen Minimum Volume
(allows for 1 repeat)

Pediatric Minimum Volume
(no repeat)

 

​No​Whole Blood​6 mL EDTA
Pink Top Tube
(PTT)​		​
Two 3 mL EDTA Lavender Top Tubes (LTT)
 
6 ml Red Top Tube (RTT)​
​6 mL​3 mL​Two 0.5 mL microcollection tubes​ EDTA
Collection Processing Instructions

​

Collection of a separate specimen for blood band testing is preferred.
 
Drawn in Marshfield Medical Center:
Armband is required
If not collected with scan hand-held system, label must contain:  First Name, Last Name, Medical Record Number, date/time of collection and phlebotomist's legible initials.
 
Drawn in Marshfield Clinic or Regional Center:
No armband is required

If not collected with scan hand-held system, label must contain:  First Name, Last Name, Medical Record Number, date/time of collection, and the phlebotomist's legible initials. 

Specimen Stability Information
Specimen TypeTemperature​Drawn atTime
​Whole blood​Refrigerated​Marshfield Medical Centers​3 days
Rejection Criteria
Not collected according to above protocol
​ ​Serum separator tubes (SST)​
​ ​Frozen samples​
​ Hemolyzed samples​​
Performing Laboratory Information
Performing LocationDay(s) Test PerformedAnalytical TimeMethodology/Instrumentation
Marshfield​​​Monday through Sunday​Less than 2 hours​Solid Phase Red Cell Adherence
​Eau Claire​Monday through Sunday​Less than 2 hours​Solid Phase Red Cell Adherence/ Serological
Park Falls​​Monday through Sunday​Less than 2 hours​Gel/ Serological​
​​Rice Lake​Monday through Sunday​Less than 2 hours​Solid Phase Red Cell Adherence/ Serological
​Minocqua​Monday through Sunday​Less than 2 hours​Solid Phase Red Cell Adherence/ Serological
Ladysmith​​Monday through Sunday​Less than 2 hours​Gel
Neillsville​​Monday through Sunday​Less than 2 hours​Gel
​​Weston​Monday through Sunday​Less than 2 hours​Solid Phase Red Cell Adherence/ Serological
Test Information

​A blood type and antibody screen are performed to determine the presence of atypical antibodies in order to provide compatible red cells. If atypical antibodies are present refer to Antibody Identification. Surgical patients served by Marshfield Transfusion Service having clinically significant antibodies will have 2 Red Blood cell units crossmatched for surgery.   If the patient does not have a historical blood type in Marshfield Labs Transfusion Service computer system, a second sample may be obtained for second blood type (no charge) for improved safety when transfusing type-specific Red Cell products.

Reference Range Information
Performing Location

Reference Range

​N/A​No reference ranges are available​
Outreach CPTs
CPTModifier
(if needed)		QuantityDescriptionComments
​86900​​​ABO​
​86901​​​RH​
​86850​​​ABSC​
Synonyms/Keywords

​T and S, Type and Screen, Type and Cross, Type and Hold

Test Components

​ABO/RH, ABSC

Ordering Applications
Ordering ApplicationDescription
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
Fasting RequiredSpecimen TypePreferred Container/TubeAcceptable Container/TubeSpecimen VolumeSpecimen Minimum Volume
(allows for 1 repeat)

Pediatric Minimum Volume
(no repeat)

 

​No​Whole Blood​6 mL EDTA
Pink Top Tube
(PTT)​		​
Two 3 mL EDTA Lavender Top Tubes (LTT)
 
6 ml Red Top Tube (RTT)​
​6 mL​3 mL​Two 0.5 mL microcollection tubes​ EDTA
Collection Processing

​

Collection of a separate specimen for blood band testing is preferred.
 
Drawn in Marshfield Medical Center:
Armband is required
If not collected with scan hand-held system, label must contain:  First Name, Last Name, Medical Record Number, date/time of collection and phlebotomist's legible initials.
 
Drawn in Marshfield Clinic or Regional Center:
No armband is required

If not collected with scan hand-held system, label must contain:  First Name, Last Name, Medical Record Number, date/time of collection, and the phlebotomist's legible initials. 

Specimen Stability Information
Specimen TypeTemperature​Drawn atTime
​Whole blood​Refrigerated​Marshfield Medical Centers​3 days
Rejection Criteria
Not collected according to above protocol
​ ​Serum separator tubes (SST)​
​ ​Frozen samples​
​ Hemolyzed samples​​
Useful For

​If ordering for newborn or neonate (<4 months) refer to Neonate Transfusion.

If ordering for Preop or outpatients refer to Type and Screen-Preop/OP tx

To prepare Red cell units for intended transfusion or anticipated need during surgical procedure with high blood loss or actively bleeding patient. A blood type and antibody screen are required to prepare Red Cell units on hold or for an intended transfusion for patients >4 months of age. ​

Test Components

​ABO/RH, ABSC

Reference Range Information
Performing Location

Reference Range

​N/A​No reference ranges are available​
For more information visit:
Performing Laboratory Information
Performing LocationDay(s) Test PerformedAnalytical TimeMethodology/Instrumentation
Marshfield​​​Monday through Sunday​Less than 2 hours​Solid Phase Red Cell Adherence
​Eau Claire​Monday through Sunday​Less than 2 hours​Solid Phase Red Cell Adherence/ Serological
Park Falls​​Monday through Sunday​Less than 2 hours​Gel/ Serological​
​​Rice Lake​Monday through Sunday​Less than 2 hours​Solid Phase Red Cell Adherence/ Serological
​Minocqua​Monday through Sunday​Less than 2 hours​Solid Phase Red Cell Adherence/ Serological
Ladysmith​​Monday through Sunday​Less than 2 hours​Gel
Neillsville​​Monday through Sunday​Less than 2 hours​Gel
​​Weston​Monday through Sunday​Less than 2 hours​Solid Phase Red Cell Adherence/ Serological
For billing questions, see Contacts
Outreach CPTs
CPTModifier
(if needed)		QuantityDescriptionComments
​86900​​​ABO​
​86901​​​RH​
​86850​​​ABSC​
For most current information refer to the Marshfield Laboratory online reference manual.