Misc. Blade Tests
High levels of this substance may form crystals in the blood which can damage the joints and kidneys
What is uric acid?
Blood cell that does not have nucleus
Red blood cells- they're sacks full of hemoglobin!
A labeled specimen with the patient name, MRN and blood bank number as well as time, date and username of person who drew/labeled specimen
What is a proper labeled specimen for blood bank?
The face sheet of the patient (Name and MRN) and the blood bank number
What is needed when picking up blood product from the blood bank?
The length of time for which you can use blood tubing until it expires.
4 hours.
Normal levels of 135-145mEq/L are expected for this ion excreted in the urine that assists in transmission of nerve impulses and maintains osmotic pressure
What is Sodium (Na)?
This value represents the percentage of the total blood volume that is made up of erythrocytes (RBCs) and is typically lower in females.
What is the Hematocrit (37-52%)?
Using wrong color lab tubes, inadequately mixing blood, and increased transport times
What are reasons for inaccurate lab results due to clotting blood?
Steps to take when a transfusion reaction is suspected
What is SLAPP?
Stop transfusion, Leave in IV, Assess reaction/call MD, Paperwork/Labs, Product return to Blood Bank
This document is required to be filled out by a provider and signed by a witness prior to initiating a transfusion.
Consent for Blood
Hemolyzed sample, dehydration and acidosis.
What are reasons for increased Potassium levels?
These immature WBCs are the first released from the bone marrow into the blood stream and can be indicative of the return of bone marrow function
What are Bands?
Reading the last three numbers ALOUD from the labeled specimen and matching them to the patient's ID band upon completion of a lab draw.
What is the FINAL CHECK?
Length of time before a type and screen needs to be redrawn.
72 hours.
A "bottle of immunity", this is the antibody portion of plasma for the prevention of infectious disease that comes from pharmacy and must be titrated per the manufacturer's instructions.
What is IVIG?
Name of the blood test for tuberculosis.
Quantiferon gold
Total amount of albumin and globulins in the plasma.
What is Serum Protein (6-8g/dL)?
major source of building material for blood, skin, hair, nails, and internal organs. They regulate osmotic pressure and are necessary for the formation of many hormones, enzymes, and antibodies.
Applying too much force to the syringe plunger, drawing blood samples through small gauge needles, vigorous mixing, prolonged tourniquet time, and not allowing adequate skin prep dry time.
What are ways to induce hemolysis?
This frozen blood product is to control bleeding associated with fibrinogen deficiencies or conditions such as disseminated intravascular coagulation (DIC). Once thawed, it deteriorates quickly so it must be given promptly.
What is Cryoprecipitate?
CHKD policy for vital sign parameters for giving blood products.
What is Baseline, every 15 minutes X2, then 30 minutes until 1 hour post transfusion?
Tests for over 30 disorders including sickle cell disease, phenylketonuria, cystic fibrosis, etc.
Newborn screening
A byproduct of protein catabolism, it is metabolized in the liver and excreted via the kidneys as urea.
What is Ammonia (35-65 mcg/dL)?
The mnemonic “Careful BloodWork Returns Genuine Labs”
What is The Order of Draw for labs?
Cultures, Bluetop(Coags), Redtop(Bloodbank, Drug Levels), Green(Chemistries), Lavender(CBC).?
A synonym for single-donor on a blood product
What is pheresis?
A complication of exposure to blood products where the patient develops antibodies to donor cells.
Alloimmunization