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  • Fetal Bleed Screening Test

    Test Name:Fetal Bleed Screening Test
    Epic Order Code:Orderable by requisition only
    CPT Code:86900, 86901, 85461
    Specimen(s) Type:Blood from the infants mother; minimum 5.0 mL
    Acceptable Container(s):
    Testing Schedule:24 hours/day, 7 days/week
    Turn Around Time:STAT: NA  
     Routine: 1 - 3 hours
    Collection Information:Blood specimen must be drawn from the infants mother after delivery. It is best to wait for approximately 1 hour after delivery to allow any fetal blood to mix thoroughly in the maternal circulation, but the sample should be collected as soon as possible thereafter.
    Transport Information:Deliver to lab immediately. All specimens must be signed into the laboratory.
    Reference Clients:If unable to deliver to the lab immediately, store and transport specimen at 2-8° C. Specimen must be received in the lab within 48 hours. All specimens drawn as outpatients will be for informational purposes only not for transfusion.
    Causes for Rejection:Improperly labeled, incorrect container, contaminated, insufficient quantity, incorrect/delay in transport, grossly hemolyzed, failure to provide a properly completed Requisition Form and/or a Blood Infusion form.
    Reference Range:NA  
    Additional Information:This test can only be performed on Rh (D) negative patients
     Interpretive Use: A positive test result indicates the presence of D-positive (fetal red cells) in possibly significant numbers in the maternal blood. A quantitative test (Kleihauer-Betke Test) is required to estimate the volume of feto-maternal hemorrhage as a means of estimating the dosage of Rh immune globulin needed to prevent Rh immunization.
     **All illegible or mislabeled specimen will be destroyed. There are no exceptions**