Site content by Zac Bergner, Transfusion Medicine Division
Comments? email zbergne1@jhmi.edu
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TRANSFUSION REACTIONS
For complete information on what symptoms to look for and what to do if a transfusion reaction is suspected, click here to view the Clinical Nursing Protocol for Blood and Blood Component Transfusion, section IV-G.
What do I send to Transfusion Medicine?
- A new properly labeled specimen for ABO/Rh and Antibody Screen. This includes handwritten label, full name and history number.
- Completed Pathology 11 requisition. Phlebotomist must sign the requisition. Order test 4180 'Evaluation of Transfusion Reaction'
- Completed 'Report of Suspected Transfusion Reaction' JHH Form #15133100. Please write the entire unit number(s) of the unit or units suspected of causing the reaction in the section 'Blood, blood components, and other solutions administered today'.
- Blood bag for each unit and infusion set, with needles removed. Send only those products directly indicated in the reaction.
- First urine voided after reaction. Does not have to be clean catch.
The ABO/Rh and Antibody Screen specimen is used for the transfusion reaction workup and can also be used to crossmatch additional red blood cells, as long as it is properly labeled. After a transfusion reaction, a patient must have a new, properly labeled specimen for ABO/Rh and Antibody Screen if additional crossmatched red cells are needed.
The blood bags are sent to Microbiology for a gram stain and culture. Urine specimens are examined for traces of hemoglobin.
All transfusion reactions are evaluated by the Transfusion Medicine resident and attending prior to release of further blood products.
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