1. For Pre-Ops, when do you get that 2nd specimen? Pre-ops get their retype the morning of surgery when they start the IV.
2. For Outpatients, when/ how do you obtain that 2nd specimen? Same process as pre-ops. When they come in for transfusion, a retype is collected if needed.
3. For Inpatients they want to transfuse, what is the protocol? We document the history was checked and a retype is needed on the original type and screen order. If the floor needs to transfuse, they have to collect the retype. We will crossmatch a unit of O neg if needed while they collect the retype.
4. Do you require it just be a different time of draw, or does it also have to be a different phlebotomist? We are a nurse draw only facility. We do not require a different collector-just a different time of draw. Retypes can only be collected in the pink 4 ml tubes and only blood bank has the tubes. We will not accept the 6 ml tubes for a retype since it was most likely drawn at the same time as the original type and screen. Blood bank places all the retype orders in EPIC and sends the needed tube to the floor, infusion center or OR.
We will use a purple top and sometimes green or blue from another draw already in the lab for the retype too. This specimen will not have our unique BB number, but must match the MRN, DOB, and name and be stored appropriately and not adulterated in anyway.