Purpose & Capabilities:
The laboratory provides a full array of blood components for transfusion support and an extended menu of immunohematology tests.
The laboratory operates 24 hours a day, 7 days a week. Services include the detection and identification of red cell autoantibodies and alloantibodies, evaluation of immune hemolytic anemias, ABO and Rh typing, diagnosis and management of transfusion reactions, compatibility testing and preparation of red blood cells, plasma, cryoprecipitate, platelets, Rh immune globulin, and granulocytes for transfusion support.
Special procedures are available, including cell washing, extended phenotyping, component irradiation, and HLA-matching or crossmatching of platelets. The medical staff provides consultations involving all aspects of blood transfusion support and immunohematologic problems.
- Gel-based immunohematology testing
- Cobe® 2991 cell processing
- Tango BioTest Instruments
Identification System for Drawing Blood:
The Blood Bank specimen identification system consists of a request form with an attached strip of unique peel-off numbers. Immediately after the blood is drawn, attach the "patient I.D." number to the armband and the "specimen" number to the specimen tube. Send the blood specimen, the request form, and the remaining numbers to the Blood Bank. All subsequently crossmatched units will be tagged with this unique number.Source of Blood and Components:Blood and components are supplied to Wake Forest Baptist Medical Center by the American Red Cross (ARC). Periodic blood drives are held at the medical center. Families that wish to donate for a specific patient should contact the ARC for a bloodmobile or location of the nearest center.The Circular of Information may be obtained from the Blood Bank lab. This comprehensive booklet has been prepared jointly by the American Red Cross, the American Association of Blood Banks and America’s Blood Centers to provide information about blood and blood products, donor testing, dose and administration, transfusion complications and contraindications. Additional copies may be ordered by calling the Blood Bank Manager, Ms. Mary Rose Jones, at 336-716-6408.Autologous and Directed Donations:
- Autologous and Directed units are collected by the American Red Cross (ARC).
- The patient's physician must complete and sign a Special Collection Order form. The forms are available in clinics and physicians' offices.
- The completed form must be faxed to the ARC.
- Patients and donors are responsible for making their own appointment.
- Allow 4-5 working days for processing at the ARC.
- Patients should complete all autologous donations approximately one week prior to their scheduled surgery date.
- If the surgery is cancelled or postponed, the physician's office should notify the ARC.
Charges for Blood and Blood Products: There are two types of laboratory charges incurred with blood component therapy:
- Unit Processing Fee: Blood donations are voluntary and the ARC does not charge for the blood unit. However, a fee is charged for the cost of recruiting, collecting, testing, and transporting the units to the hospital on a per-unit basis. The unit processing fee includes the charges from the ARC and the hospital's cost of mandatory testing required by regulatory agencies, storage, and preparing the unit for transfusion.
- Compatibility Fee: This fee covers all of the testing required to provide compatible products to the recipient including: recipient ABO-Rh, antibody screen and identification, if required, and compatibility testing per unit.
- Red cell products and white cell concentrates require a crossmatch order.
- RhIG requires a type and screen order.
- Plasma, platelets and cryoprecipitated AHF require an ABO group and Rh type order within the previous 12 months.
- American Association of Blood Banks
- College of American Pathologists