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Type and Rh
- What information it provides
- Blood type (A, B, AB, O)
- Rh status (Rh positive or negative)
- When to order
- Pregnant patients with vaginal bleeding
- Need if Rh negative (prevents hemolytic disease of newborn)
- Pregnant patients with vaginal bleeding
Type and Screen
- What information it provides
- Blood type (A, B, AB, O)
- Rh status (Rh positive or negative)
- PLUS
- Antibody status
- Looks for all possible antibodies that may cause transfusion reaction
- When to order
- When the patient needs/might need a blood transfusion
- Test typically takes 30 minutes to run… ORDER EARLY!
- When the patient needs/might need a blood transfusion
Type and Cross
- What information it provides
- Blood type (A, B, AB, O)
- Rh status (Rh positive or negative)
- Antibody status
- PLUS
- Specifically tests against patients blood
- This blood is then set aside and officially “matched”
- Acts as a final safety step before transfusion
Emergency Release Blood
- Universal donor is O negative
- Order if you can’t wait 30 minutes because the patient is dying
Additional Reading
- Straight Talk with an ER Doc with Scott Weingart (BBGuy Podcast)