Test Directory

• ABO
• Rh
• Antibody Screen
• Fetal Bleed Screen Test

Reflexed Testing

• Antibody Identification
• Phenotype Antigen Type
• Direct Coombs Test
• Eluate
• Keilhauer - Betke
• EGA Treatment
• Rh(D) Genotype
• Human Erythrocyte Antigen (Genotype)
• Adsorption

Rh Immune Globulin is a concentrated solution of IgG anti-D used to counteract the immunizing effect of Rh-positive red cells in Rh negative individuals.

Rh (D) negative women delivering an Rh (D) positive infant should receive one standard dose of Rh (D) Immune Globulin (RhIG) within 72 hours of delivery.

Additional doses of RhIG may be indicated in cases of a fetal-maternal bleed >30 mL.

Preferred Specimen Type: Whole Blood

Preferred Collection Container: 1 Pink Top (EDTA)

Alternate Collection Container: 2 Lavender Top (EDTA)

Desired Specimen Volume: 6 mL

Minimum Acceptable Volume: 3 mL

Lehigh Valley Health Network

The specimen tube shall be properly labeled with the following 3 independent identifiers for inpatients and outpatients:

1. Patient's full name
2. Date of birth
3. Medical record number

The labels shall also include the following verifiers:

1. Date and time of collection
2. Initials/tech code of phlebotomist

Exception Criteria:

• Trauma -ED patient: Patients with unknown name and date of birth, medical record number and temporary name are acceptable.
• Good Shepherd Rehab: Typenex band ID is used as an additional patient identifier

Redeemer Health

The specimen shall be identified at the time of collection and labeled at bedside with:

1. Full name of patient exactly as it appears on the patient's identification bracelet
2. Medical record number
3. Phlebotomy code of the person who drew the specimen. If they do not have a code, full name printed legibly.
4. Date and time of collection

Unique patient identifiers (name and medical record number) must not be changed or added once the tube has been labeled at the patient's bedside.

i. Transport to the laboratory at room temperature within 24 hours of collection

ii. Transport to the laboratory refrigerated past 24 hours of collection

• Mislabeled
• Insufficient volume
• Inappropriate specimen type

• Negative fetal screen: No presence of Rh(D) positive fetal red cells
• Positive fetal screen: Presence of Rh(D) positive fetal red cells