Do you require 2nd blood type for transfusion of platelet, plasma on new (second) admission?  future admissions?

are there requirement/guidelines for ABO/Rh testing for platelet, plasma transfusion on future admissions?

We require an ABO/Rh for each admission for platelets and plasma products.  If there is no history, our computer system automatically orders a confirmation type.

​We require a 2nd ABO for all specimens collected for pretransfusion compatibility testing regardless of the blood component requested and whether or not patient qualifies for electronic crossmatch.  We do this for standardization to eliminate complexity and decision making in a small facility staffed with generalists.

Do you require 2nd blood type for transfusion of platelet, plasma on new (second) admission?  future admissions?

are there requirement/guidelines for ABO/Rh testing for platelet, plasma transfusion on future admissions?

 

We do not require a 2nd blood type.

 

Regarding the patient's first blood type:  Although we prefer to have a blood type on the patient, we will issue non-group-specific platelets and group AB plasma to the patient if necessary.

 

Once we have a historical blood type in our computer, we do not routinely request repleat ABO/Rh testing on the patient when transfusing platelets and plasma during future admissions.  (I am not aware of any requirements/regulations to do so.)

 

Donna

We require an ABO/Rh on the current admission for transfusion of plasma products.

 

Also of note, we do not perform a blood group/type on a 2nd specimen prior to transfusion for new patients. We rely on the crossmatch to provide that check. However, only patients who have had 2 indepedent determinations of blood group and type qualify for electronic crossmatch.

We will soon start requiring a blood type during this admission for plasma and platelets. In the past we accepted a historical type in some situations.  We require 2 blood types on record only for RBC transfusions of non-O patients.

 

The reason I want to move to requiring a type on the current admission is that sometimes Admitting selects the record of the wrong James Johnson so it matches up with someone else's history.  Not that a couple of ABO incompatible FFP units will likely do much harm but I'd rather get it right and 6 units of ABO-incompatible plasma might start to cause more of an issue.  Also, sometimes patients borrow each other's insurance ID to get surgery.  Yikes!

Like Mabel for the same reasons. We also will give AB FFP and, if possible, AB platelets until we get the 2nd type. That may be a bit of overkill (no pun intended) but it doesn't happen very often at all - most of our recipients are frequent fliers or have other specimens around that we can type.

We do the same thing. Type from a second specimen from a unique specimen collection before releasing type-specific plasma.

We require a second type on all new patients, whatever the order. After that, we will transfuse platelets and FFP with a blood type performed at any time during that admission as long as the same blood bank ID bracelet is on their wrist/ankle.

We just give A Pos HT neg platelets to everyone (unless specifically ordered) *shock horror*

We just give A Pos HT neg platelets to everyone (unless specifically ordered) *shock horror*

 

We also stock only A Pos apheresis platelets.