We perform a second ABO/Rh on ALL patients that do not have a historical type on file. We also use a second tube from a different collection. If the patient has had a CBC or a chemistry test requiring a plain red top, we can usually grab those and do our testing, otherwise, the phlebotomist is sent back to the patient to redraw the specimen. The only time that we do not do this is if the patient only has a ABO/Rh ordered. When we report a Type and Screen, Crossmatch, etc., we have a test that must be answered called a previous history test (nonchargable), and depending on the answer that the tech enters into that box (no history, prev history with no antibodies, previous history with antibodies) determines if a second type is needed, if no history is entered, then a second type is reflexed, where by the same token if a previous history is entered we do not get a second type reflexed. This repeat testing is called a confirmatory type, and IS NOT a chargable test since it is a part of the testing required.