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FETAL HEMOGLOBIN STAIN (007-0139) "FETAL HEMOGLOBIN STAIN" Synonyms: Kleihauer-Betke Stain, KB stain, Acid Elution Stain CPT 4 Code: 85460 Test Order Mnemonic: FHS Test Includes: The percentage of fetal cells in a maternal blood film is used to calculate the approximate volume of fetal-maternal hemorrhage. Lab: Blood Bank Request Form: Blood Bank Division Primary Request Form Causes for Rejection: Gross hemolysis, serum separator tube, old specimen Availability: Samples are accepted 24 hours per day; Blood Bank John Sealy Annex, Room 1.180 Turnaround Time: 1 hour Special Instructions: All requests must include requesting physician’s name and ID number, patient's name, UH #, patient location, clinical information/diagnosis, identity of phlebotomist and date and time collected. Specimen must be labeled with patient full name, UH # and Date of Collection. Specimen must be transported to the laboratory in a biohazard specimen bag with request form in the pocket of the bag. Request form must be filled out completely and all information must be legible. Specimen: Blood Volume: 7 mL blood Minimum Volume: 5 mL blood Container: Lavender-topped tube (EDTA) Reference Ranges: Negative Reviewed/Revised 02/14/06 by D. Madrigal, MT(ASCP)SBB |
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