Transfusion Services

Laboratory Guidelines - Blood or Blood Component Request

To order any blood or blood component the order must be entered into the Integrated Healthcare Information System (IHIS) system. Or for non IHIS patient care areas, a “Blood and Blood Component Order Form” must be completed and sent to Transfusion Services, Doan 317, Tube Station 231 or Fax 293-8782 prior to the transfusion. If at OSUWMC East Hospital bring form to room N320. An electronic or manual order must be received for all blood components.

Call the Transfusion Service (614-293-8467) at OSUWMC or (614-257-2064) at OSUWMC East Hospital to see if a type and screen is required for transfusion; patients must have a current type and screen to transfuse blood components. Red blood cells may be issued if the specimen is collected within 3 calendar days of transfusion or may be held for up to 30 days if drawn as preadmission testing (patient cannot be pregnant or transfused within last 3 months). If a type and screen redraw is not needed, enter the order in IHIS. Patient care areas that do not have access to IHIS send a completed “Blood & Blood Component Order Form” to the transfusion service. If a type and screen is needed, see TEST: Type and Screen.

Red Blood Cells (leukocyte reduced)
Enter the order in IHIS. Patient care areas that do not have access to IHIS, send completed “Blood and Blood Component Order Form”.

Red Blood Cells, Irradiated
This component must be approved by Transfusion Service physician prior to transfusion. For ordering, see Red Blood Cells.

Red Blood Cells, CMV Negative
All red blood cells are leukocyte reduced and are considered CMV safe. CMV negative tested components are only required for neonates, IUTs and currently pregnant women receiving blood component transfusions.

Red Blood Cells Deglycerolized
This component must be approved by Transfusion Service physician prior to transfusion. For ordering, see Red Blood Cells.

Group O Low Titer (less than 1:256) Irradiated Whole Blood
This product is only stored in the ED refrigerators. Call the Transfusion Service at 614-293-8467 for OSUWMC or 614-257-2064 for OSUWMC East Hospital when the product is used. Complete the Blood and Blood Component Order form attached to the unit and send to the Transfusion Service. These units are only used for trauma patients.

Directed Donation Red Blood Cells
Call Transfusion Service (614-293-8467) to initiate the paperwork for directed donor blood. Directed donations are not available until up to five (5) days after directed donors donate. For ordering, once units are available, see Red Blood Cells. Service offered by Veristi – Clinical Service Department (800-632-4722).

Autologous Red Blood Cells
Patient must make arrangements with their physician, prior to admission or surgery, to have this component available. Once the units have been shipped to the Transfusion Service, see Red Blood Cells for how to order. Service offered by Veristi – Clinical Service Department (800-632-4722).

Neonatal Transfusion (Pediatric Transfusion)
Initial neonatal transfusion requires:

  1. Heelstick on the infant (see TEST: Heelstick)
  2. Maternal type and antibody screen within 3 days of delivery. See TESTS: Type and Screen.
Subsequent transfusions can be ordered by calling the Transfusion Service (614-293-8467) and entering the order in IHIS. Patient care areas that do not have access to IHIS, send completed “Blood and Blood Component Order Form”. For infants over 4 months, a new heelstick is needed every 3 days.

Platelet Transfusion (Apheresis Platelets)
Enter the order in IHIS. Patient care areas that do not have access to IHIS, send completed “Blood and Blood Component Order Form”.

Platelet Pheresis, Irradiated
This component must be approved by Transfusion Service physician prior to transfusion.

Platelet Pheresis, CMV Negative
For ordering, see Platelet Transfusion. CMV negative tested components are only required for neonates, IUTs and currently pregnant women receiving blood component transfusions.

Platelet Pheresis, HLA Matched or Cross-matched
Use of this component must be approved by Transfusion Service physician prior to transfusion. For HLA matched, patient must have HLA typing. See TESTS: HLA Typing, HLA Antibody Screen. For ordering, see Platelet Transfusion.

Fresh Frozen Plasma (FFP)
(Plasma Frozen within 24 hours after Phlebotomy, converted to Thawed Plasma after thawing) Enter the order in IHIS. Patient care areas that do not have access to IHIS, send completed “Blood & Blood Component Order Form”.

Cryoprecipitate (Cryo)
Enter the order in IHIS. Patient care areas that do not have access to IHIS, send completed “Blood & Blood Component Order Form”. Cryoprecipitate is available in pools of five (5) units.

Liquid Plasma
This product is only stored in the ED refrigerators. Call the Transfusion Service at 614-293-8467 for OSUWMC or 614-257-2064 for OSUWMC East Hospital when the product is used. Complete the Blood and Blood Component Order form attached to the unit and send to the Transfusion Service.

Rh Immune Globulin (Rhophylac, RhIg)
Enter the order in IHIS. Patient care areas that do not have access to IHIS, send completed “Blood and Blood Component Order Form”. See TEST: RhoIg Evaluation.

Pathogen Reduced Cryoprecipitated Fibrinogen Complex (INTERCEPT® Fibrinogen Complex/IFC)
This product may be substituted for a pool of cryoprecipitate and transfused the same as a pool of cryoprecipitate. The product is good for up to 5 days post thawing at room temperature. Indications for use are similar to conventional cryoprecipitate AHF. Should not be used for the replacement of factor VIII.

 

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