Transfusion Home

Unit of blood for transfusion Red Blood Cells

Telephone Numbers

Laboratory extension		2208
External direct line		0121 378 6052
Dr Malcolm Hamilton (Consultant)		2226
Dr Matthew Lumley (Consultant)		2196
Jenny Meredith (Blood Bank Manager)		2213
Dr. Shailesh Jobanputra		2210
Antoinette Turner (Transfusion Practitioner)		Bleep 415

Samples

Samples for Group and Crossmatch should be sent in 6ml (pink cap) bottles.
All samples for blood transfusion must be properly identified.

The following information is therefore essential:

                    Surname
                    Forename
                    Date of Birth
                    Hospital number

In accordance with National Guidelines, samples will be rejected
unless full patient data is handwritten on the sample tube label.

All unlabelled and inadequately labelled samples will be immediately discarded to protect the patient.
Please do not ask Blood Bank staff if sample labelling can be altered.

For proper identification of patients for blood transfusion in extreme emergencies only, 'unknown male' or 'unknown' female' and a unique Hospital case number should be used when the patient's identity is not known..

Request form

All sections of the blood transfusion request form must be completed.
Failure to do this may result in delays in providing compatible blood products.
Also see the 'samples' section above.

Transfusion in Extreme Emergency

In the event of extreme emergency, please telephone the Blood Bank Biomedical Scientist to determine how quickly matched blood can be provided.
If transfusion must be given immediately, without matching, 2 units of Group O Rh Negative blood are normally kept at each of the following locations: -

          Ground floor Theatre - Reception
          Maternity - Labour Ward
          RSU - Theatre Suite
          Pathology - Blood Bank

It is imperative that the Blood Bank Biomedical Scientist be notified if
any emergency Group O Rh Negative blood is used.

Warning - uncrossmatched 'O' Negative blood may cause a reaction
in patients with anomalous red cell antibodies.

Appropriate blood product usage

Please refer to the guidelines on the front of the request form

Other (non Red Cell) Blood Products

20% human albumin solutions can be obtained from the laboratory on submission of a transfusion request form.
All requests for 4.5% albumin will be referred to a Consultant Haematologist.

For Platelets and Plasma products (e.g. FFP and Cryoprecipitate), please contact the Duty Consultant Haematologist for advice.

Routine Tests

Test Specimen/Volume TubeCap Performed/Reported

Antenatal blood group and antibody screen 1 x clotted
and
1 x EDTA

Referred to BTS

Antibody screen
(non-ante natal cases) 1 x 6 ml EDTA

Blood Group 1 x 6 ml EDTA

Daily

Coombs Test 1 x 4.5 ml EDTA

Daily

Cross Match * 1 x 6 ml EDTA

Daily

Cold agglutinins.
(Maintain sample at 37^c ) 1 x red tube

As required

HLA B27 2 x 4.5 ml EDTA

Mon - Wed

* 24 hours notice is desirable for elective cases. Note that if blood is required for 9.00 am, the sample should be received in the laboratory before 3.00 pm on the previous day.

Kleihauer Tests

For >20wk ante natal women who have a bleeding incident during pregnancy :

Test Specimen/Volume TubeCap Performed/Reported

Kleihauer (Hb F) 4ml EDTA

Daily

Post Natal check for Rhesus Negative mothers :

Test Specimen/Volume TubeCap Performed/Reported

Kleihauer (Hb F) 4 ml clotted from Baby (cord)

Daily

6 ml EDTA From Mother

Prophylactic anti-D will be issued if appropriate

Maximum Surgical Blood Ordering Schedule (MSBOS)

All transfusion requirements for operations will be supplied in accordance with the current Maximum Surgical Blood Ordering Schedule (MSBOS). If the operation may require more units of blood than usual please inform Blood Bank, or write "Difficult Case" on the request form.

                           MSBOS General Surgery

Cholecystectomy G&S

Splenectomy G&S

Splenectomy for ITP/AIHA 4

Laparotomy G&S

Liver Biopsy G&S

Vagotomy G&S

Gastrotomy, ileostomy, colostomy G&S

Oesophageal dilation G&S

Hiatus hernia G&S

Partial Gastrectomy G&S

Mastectomy G&S

Thyroidectomy G&S

Pancreatectomy - partial / Whipple 4

Rectum - pouch: resection / excision etc 4

Intra-abdominal - colectomy etc 2

                         MSBOS Vascular Surgery

Amputation of leg G&S

Femoral endarterectomy G&S

Carotid endarterectomy G&S

Femoral-popliteal bypass G&S

Axillo-femoral bypass 2

Aorto-femoral bypass 4

Bifemoral bypass 6

Aorto-iliac bypass 2

Aorto-iliac endartectomy 4

Infra-renal aortic aneurysm 6

Thoracic or thoraco-abdominal aneurysm 10

Ruptured aneurysm 10

                           MSBOS NeuroSurgery

Disc surgery G&S

Laminectomy G&S

                           MSBOS Orthopaedics

Arthroplasty 2

Nailing fractured neck of femur G&S

Spinal fusion G&S

Laminectomy G&S

Internal fixation of femur 2

Internal fixation - tibia or ankle G&S

Changing hip prosthesis (THR) 2

Dynamic hip screw (DHS) 2



                            MSBOS Urology

Cystectomy 6

Cystectomy and urethrectomy 8

Nephrectomy 2

Open prostatectomy (RPP) 2

TURP G&S

TUR bladder tumour G&S

                          MSBOS Obstetrics & Gynaecology

LSCS G&S

EPRC / D & C G&S

Hydatitiform mole 2

Placenta Praevia / retained placenta 2

APH / PPH 2 (variable)

Hysterectomy: abdominal or vaginal - simple G&S

Hysterectomy: abdominal or vaginal - extended 2

Werthelm's operation 4

Pelvic exenteration 6

Vulvectomy (radical) 2

Myomectomy 2

Oophrectomy (radical) 4

Termination of pregnancy G&S

Test	Specimen/Volume	TubeCap	Performed/Reported
Antenatal blood group and antibody screen	1 x clotted and 1 x EDTA		Referred to BTS
Antibody screen (non-ante natal cases)	1 x 6 ml EDTA
Blood Group	1 x 6 ml EDTA		Daily
Coombs Test	1 x 4.5 ml EDTA		Daily
Cross Match *	1 x 6 ml EDTA		Daily
Cold agglutinins. (Maintain sample at 37^c )	1 x red tube		As required
HLA B27	2 x 4.5 ml EDTA		Mon - Wed

* 24 hours notice is desirable for elective cases. Note that if blood is required for 9.00 am, the sample should be received in the laboratory before 3.00 pm on the previous day.

Cholecystectomy	G&S
Splenectomy	G&S
Splenectomy for ITP/AIHA	4
Laparotomy	G&S
Liver Biopsy	G&S
Vagotomy	G&S
Gastrotomy, ileostomy, colostomy	G&S
Oesophageal dilation	G&S
Hiatus hernia	G&S
Partial Gastrectomy	G&S
Mastectomy	G&S
Thyroidectomy	G&S
Pancreatectomy - partial / Whipple	4
Rectum - pouch: resection / excision etc	4
Intra-abdominal - colectomy etc	2

Amputation of leg	G&S
Femoral endarterectomy	G&S
Carotid endarterectomy	G&S
Femoral-popliteal bypass	G&S
Axillo-femoral bypass	2
Aorto-femoral bypass	4
Bifemoral bypass	6
Aorto-iliac bypass	2
Aorto-iliac endartectomy	4
Infra-renal aortic aneurysm	6
Thoracic or thoraco-abdominal aneurysm	10
Ruptured aneurysm	10

Arthroplasty	2
Nailing fractured neck of femur	G&S
Spinal fusion	G&S
Laminectomy	G&S
Internal fixation of femur	2
Internal fixation - tibia or ankle	G&S
Changing hip prosthesis (THR)	2
Dynamic hip screw (DHS)	2

Cystectomy	6
Cystectomy and urethrectomy	8
Nephrectomy	2
Open prostatectomy (RPP)	2
TURP	G&S
TUR bladder tumour	G&S

LSCS	G&S
EPRC / D & C	G&S
Hydatitiform mole	2
Placenta Praevia / retained placenta	2
APH / PPH	2 (variable)
Hysterectomy: abdominal or vaginal - simple	G&S
Hysterectomy: abdominal or vaginal - extended	2
Werthelm's operation	4
Pelvic exenteration	6
Vulvectomy (radical)	2
Myomectomy	2
Oophrectomy (radical)	4
Termination of pregnancy	G&S