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22937 Type and Screen- Preop/Outpt Txn

Type and Screen- Preop/Outpt Txn
Test Code: T-S
Synonyms/Keywords
​T and S, Type and Screen, Type and Cross, Type and Hold, Type & Screen-Preop/Outpt Txn
Test Components
ABO/RH, ABSC​
Useful For

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

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 Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen 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 ​ 3 mL​
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 Type Temperature Drawn at Pregnant or transfused in the last 90 days​ ​Time
Whole blood​ ​ ​ Refrigerate​ ​ ​ Marshfield Medical Centers ​NA ​3 days
 
​Marshfield Clinic/Regional Center ​
 ​Yes or unknown ​3 days
​No ​30 days
Rejection Criteria
Not collected according to above protocol
Serum separator tubes (SST)​
Frozen samples​
Hemolyzed samples​
Performing Laboratory Information
Performing Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Beaver Dam
​Monday through Sunday
Less than 2 hours​​Gel​
​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
CPT Modifier
(if needed)		 Quantity Description Comments
86900​ ​ ​ ABO​ ​
86901​ ​ ​ RH​ ​
86850​ ​ ​ ABSC​ ​
Synonyms/Keywords
​T and S, Type and Screen, Type and Cross, Type and Hold, Type & Screen-Preop/Outpt Txn
Test Components
ABO/RH, ABSC​
Ordering Applications
​Type of Patient Ordering Application ​ Order Code
​Marshfield Medical Center Cerner ​ ​Type and Screen
​Lakeview Hospital Cerner​ ​ ​Type and Screen
​Preop- drawn at Marshfield Clinic or
Regional Center for inpatient surgery at
Marshfield Medical Center
 ​COM ​Type & Screen- Preop/OP Tx (Mfd)
​Outpatient Transfusion- drawn at
Marshfield Clinic or Regional Center
for transfusion at Marshfield Medical Center Infusion Center
 ​COM ​Type & Screen- Preop/OP Tx (Mfd)
​Clinic ASC ​Cerner ​Type and Screen
Blood Preparation or Transfusion orders- Transfusion Service staff will order T+S if necessary. ​ ​ ​
If the ordering application you are looking for is not listed, contact your local laboratory for assistance.
Specimen Requirements
 
Fasting Required Specimen Type Preferred Container/Tube Acceptable Container/Tube Specimen Volume Specimen 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 ​ 3 mL​
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 Type Temperature Drawn at Pregnant or transfused in the last 90 days​ ​Time
Whole blood​ ​ ​ Refrigerate​ ​ ​ Marshfield Medical Centers ​NA ​3 days
 
​Marshfield Clinic/Regional Center ​
 ​Yes or unknown ​3 days
​No ​30 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.

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 Location Day(s) Test Performed Analytical Time Methodology/Instrumentation
​Beaver Dam
​Monday through Sunday
Less than 2 hours​​Gel​
​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
CPT Modifier
(if needed)		 Quantity Description Comments
86900​ ​ ​ ABO​ ​
86901​ ​ ​ RH​ ​
86850​ ​ ​ ABSC​ ​
For most current information refer to the Marshfield Laboratory online reference manual.