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* Transfusion Services

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Richard A. Henson School of Science and Technology

Salisbury University

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You may have seen an episode of "ER" on television and heard someone call out "Type and cross for 2 units STAT!" Transfusion services become involved in hospital settings when people need to receive blood transfusions. You may not realize that most hospitals have a blood bank laboratory (sometimes called transfusion services) that performs the lab testing necessary when someone needs a blood transfusion. It may seem uncomplicated, but there is much more involved in a blood transfusion than a simple test for a blood type. This testing has its scientific base in the study of immunohematology which is the immunology of blood cells. This is one of the only areas of the laboratory responsible for actually dispensing a substance that will be injected into a person. Did you know that the blood bank has to follow FDA regulations?

You may have actually given blood at your local blood bank. This is another area related to transfusion services. The blood bank is not actually a bank. It is a facility that screens donors to help us keep a safe blood supply. They draw units of blood from the donors. They test the donor blood to be sure it is as safe as possible. Then, they split the unit of blood up into components such as platelets, plasma, and cells to be sure they can stretch one unit of blood as far as it can go. After that, they ship the blood to hospitals where it is needed. So, it is more like a blood "pipeline" than a blood bank. Most donor centers are not in hospitals anymore, although many hospitals used to draw blood. So, many times you will still hear a "transfusion service" called a blood bank.. Also, we call the donor drawing facility the "blood bank," while it is really a collection and testing facility.

Paternity testing has long been an area related to blood banking, since blood types of newborns are determined by genes donated from father and mother. Techniques now used for determining possible paternity are much more sophisticated than simple blood typing. If you have seen Montel Williams open the envelope and quote the likelihood of paternity, he is reading a laboratory report generated from DNA testing, which is commonly used today.

In the field of clinical laboratory sciences, people commonly call this discipline "blood banking." However, "blood banking component therapy, as ng" usually encompasses immunohematology, the transfusion services area, blood screening, collection, and well as paternity testing.


Comments and questions about this page can be directed to 
Johanna W. Laird, M.S., MT(ASCP)
jwlaird@salisbury.edu

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