Heidi-
At our facility, if a trauma patient arrives and any uncrossmatched red cell
units are transfused (O neg or O pos), a retrospective crossmatch sample
must be done. According to the standards of the American Association of
Blood Banks (AABB), a crossmatch must be performed on every unit of red
cells transfused to a patient, even if it is performed after the
transfusion. A common scenario for when a retrospective crossmatch is
required is with a trauma patient receiving uncrossmatched red cells because
of the urgency of the situation. The retrospective crossmatch sample must
be drawn as early as possible in the transfusion sequence, ideally prior to
the first transfusion. Another patient sample for crossmatch should be sent
by the patient care area as soon after the transfusion as possible. This
might be the rationale behind this requirement at your facility.
At our facility, if a patient comes in as a "DOE" we will get a type and
cross using the "DOE" name. Once the patient is identified, we get another
T&C sample using the new name (the hospital number doesn't change) to
confirm the patient's type and update the new information with our blood
center.
Dana Kyles
Dana M. Kyles, R.N., B.S.N.
Transfusion Nurse Specialist
Clinical Education, Box 359733
Harborview Medical Center
Phone (W): 206-731-6495
(P): 206-680-8403
FAX: 206-731-2043
E-mail (W): dkyles@u.washington.edu
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----- Original Message -----
From: "Hotz, Heidi, RN" <Heidi.Hotz@cshs.org>
To: <traumanurses@mailman.listserve.com>
Sent: Tuesday, December 16, 2003 8:32 AM
Subject: [traumanurses] Crossmatch for Trauma Patients
> Hello All!
>
> I would like to know what other trauma centers policy and procedure is for
> crossmatching for trauma patients, e.g., are you required to draw 2 blood
> specimens on one trauma patient at 2 different times? Would you be willing
> to share your P&P? Please share you comments on the effectiveness of your
> P&P.
>
> We are being asked to draw 2 specimens at 2 separate intervals on the same
> patient. Our concern is that this will delay the administration of
> crossmatched blood as well as deplete our stores of O negative/positive
> blood.
>
> I appreciate your feedback.
>
> Thanks,
>
> Heidi Hotz, RN, Trauma Program Manager
> Department of Surgery
> Cedars-Sinai Medical Center
> Los Angeles
>
>
> >
> >
> >
> >
> >
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