Professional Documents
Culture Documents
1.0 Principle
To demonstrate ABO compatibility between donor red cells and recipients
plasma/serum when the antibody screen is negative and there is no previous
history of clinically significant antibodies.
2.2
2.3
For recipients that may need additional units, the original blood specimen
may be used for crossmatch within the 96 hour period post transfusion of the
first unit of blood.
2.4
The ABO type of the red cells collected and prepared by the blood supplier
must be confirmed if a serological crossmatch is not performed before
transfusion of the red cells.
2.5
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This document may be incorporated into each Regional Policy/Procedure Manual.
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Version: 2.0
Effective Date: 2012-09-30
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3.0 Specimens
3.1
3.2
Serum (Do not use samples drawn into tubes with neutral gel separators)
4.0 Materials
Reagents:
Isotonic saline
Supplies:
Test tubes (10x75mm)
Transfer pipettes
Test tube rack
Equipment:
Serological centrifuge
Donor Unit (s)
5.2
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Effective Date: 2012-09-30
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Process Flow
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7.0 Procedure
7.1
7.2
7.3
7.4
7.5
7.6
Select the appropriate donor unit from the blood bank refrigerator.
7.7
7.8
7.9
Label 2 tubes with a donor number label from the donor bag (if the donor
number label is not available, label with at least the last 4 digits from the
donor unit number) for each red cell unit to be crossmatched. One tube will
be used for preparing the donor cell suspension and the other will be the
crossmatch tube.
7.10 Detach one donor segment from the unit, cut and express contents in
appropriate labelled tube. Return the donor unit (s) to the blood bank
refrigerator.
7.11 Wash the donor cells once with isotonic saline and make a 3-5% cell
suspension.
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This document may be incorporated into each Regional Policy/Procedure Manual.
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Effective Date: 2012-09-30
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8.0 Reporting
8.1
8.2
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9.2
9.3
If clotted or hemolysed segments are found on the donor units use another
segment for crossmatching. If all segments are clotted or hemolysed, do not
use the donor unit and notify the blood supplier.
9.4
Failure to perform the IS crossmatch procedure properly can cause falsenegative results and failure to detect ABO-incompatible donor RBC units.
There should be no delays in centrifuging or reading the reaction after
centrifugation.
_______________________________________________________________________
This document may be incorporated into each Regional Policy/Procedure Manual.
NL2011.018
Version: 2.0
Effective Date: 2012-09-30
Page 7 of 9
11.0 References
11.1 CSA Standards for Blood and blood Components, Z902-04, Canadian
Standards Association, 2004.
11.2 CSTM Standards for Hospital Transfusion Services, Version 3.0, Canadian
Society for Transfusion Medicine, 2011, Ottawa, Ontario.
11.3 Manitoba Provincial Blood Coordinating Office. Manitoba transfusion
quality manual for blood banks Version 2.0. Winnipeg (MB).Manitoba
Provincial Blood Programs Coordinating Office; 2007.
11.4 Roback, J., Grossman, B., Harris, T & Hillier, C. Technical manual 17th ed.
Bethesda, Maryland: AABB; 2011.
11.5 Sharpe, Gail. Eastern Health Immediate Spin Crossmatch PRC-TRM-034
Ver. 2. St. Johns, NL: Eastern Health; 2011.
11.6 Transfusion Ontario Programs Ottawa Office. Ontario regional blood
coordinating network standard work instruction manual. Ottawa (ON):
Transfusion Ontario Programs Ottawa Office; 2009.
_______________________________________________________________________
This document may be incorporated into each Regional Policy/Procedure Manual.
NL2011.018
Version: 2.0
Effective Date: 2012-09-30
Page 8 of 9
_______________________________________________________________________
This document may be incorporated into each Regional Policy/Procedure Manual.
NL2011.018
Version: 2.0
Effective Date: 2012-09-30
Page 9 of 9