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Prepare RBC Leukoreduced (in mL) Epic Compendium  

▶ Desired Epic Build * = editable field  

Actual Epic Build 12/05/2025

PROCEDURE ID 58665
PDM 236202
ORDER DISPLAY NAME Prepare RBC Leukoreduced (in mL)
PROCEDURE NAME PREPARE RBC LEUKOREDUCED (IN ML)
PROCEDURE MASTER NUMBER LAB1724
SHORT PROCEDURE NAME PREPARE RBC
CATEGORY CODE 3.0
CATEGORY CODE RECORD NAME BLOOD BANK PRODUCT ORDERABLES
SYNONYMS BLOOD
PRODUCT
PEDIATRIC
TRANSFUSE
RBC
PRBC
RED
CLINICALLY ACTIVE Yes
ORDERABLE Yes
PERFORMABLE Yes
FILTER GENOMICS
REFERENCE LINK URL https://northwell.sharepoint.com/sites/NWHPolicies/Sys-Lab/(12)%20SLS.705%20-%20Northwell%20Health%20System%20Transfusion%20Guidelines%20Policy%20-%207.23%20Prov%20Final.pdf
ORDERING INSTRUCTIONS
Emergency release (uncrossmatched) red blood cells require an additional call to the Blood Bank!
DEFAULT SPECIMEN TYPE Product Order
SPECIMEN TYPE PICK LIST Product Order
SPECIMEN TYPE LIST
OP SPECIMEN TYPE LIST
SPECIMEN SOURCE PICK LIST Blood, Arterial
Blood, Capillary
Blood, Central Line
Blood, Venous
SPECIMEN SOURCE DEFAULT - MALE Blood, Venous
SPECIMEN SOURCE DEFAULT - FEMALE Blood, Venous
SPECIMEN SOURCE LIST
OP SPECIMEN SOURCE LIST
IP LAB TEST COMPONENTS FOR REPORT
OP LAB TEST COMPONENTS FOR REPORT
ORDER QUESTIONS ["3045300160", "3045300037", "3040000030", "3045300104", "3045300060"]
ORDER QUESTIONS RECORD NAME NH IP BLOOD BANK SPECIAL REQ RBC
NH IP BLOOD BANK RBC (PEDIATRIC) TRANSFUSION INDICATIONS
INPATIENT ORDER QUESTIONS ["3045300160", "3045300037", "3040000030", "3045300104", "3045300060"]
INPATIENT ORDER QUESTIONS RECORD NAME NH IP BLOOD BANK SPECIAL REQ RBC
NH IP BLOOD BANK RBC (PEDIATRIC) TRANSFUSION INDICATIONS
ORDER SPECIFIC QUESTION OVERRIDE
INPATIENT QUESTION OVERRIDE
LOCATION RESTRICT LIST IP
LOCATION RESTRICT LIST IP RECORD NAME
LOCATION RESTRICT LIST INCLUDE IP
LOCATION RESTRICT LIST OP
LOCATION RESTRICT LIST OP RECORD NAME
LOCATION RESTRICT LIST INCLUDES OP
EDP AMB ORDER SPECIFIC QUESTIONS RECORD NAME NH IP BLOOD BANK TRANSFUSION DURATION PER UNIT
NH IP BLOOD BANK UNIT SPECIAL INSTRUCTIONS
NH IP BLOOD BANK PROVIDER CONTACT
EDP IP ORDER SPECIFIC QUESTIONS RECORD NAME NH IP BLOOD BANK TRANSFUSION DURATION PER UNIT
NH IP BLOOD BANK UNIT SPECIAL INSTRUCTIONS
NH IP BLOOD BANK PROVIDER CONTACT
EDP IP SPECIMEN SOURCE
EDP OP SPECIMEN SOURCE
EDP IP SPECIMEN TYPE
EDP OP SPECIMEN TYPE Blood
Blood, Arterial
DERIVED EDP IP BUTTONS S
DERIVED EDP IP BUTTONS T
DERIVED EDP OP BUTTONS S
DERIVED EDP OP BUTTONS T
IP ORDERABLE
OP ORDERABLE
STANDARD LAB COMPONENTS
STANDARD LAB COMPONENTS RECORD NAME
COMPONENT DATA REQUIREMENT
EPIC OP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
3040000030 NH IP BLOOD BANK TRANSFUSION DURATION PER UNIT Transfusion Duration per Unit Custom List As Fast As Possible
30 Minutes
1 Hour
1.5 Hours
2 Hours
2.5 Hours
3 Hours
3.5 Hours
4 Hours		 Yes
3045300037 NH IP BLOOD BANK RBC (PEDIATRIC) TRANSFUSION INDICATIONS Transfusion indications Custom List Acute blood loss anemia
Acute blood loss anemia secondary to Postoperative bleeding
Hemoglobin < 7 g/dL (Patient greater than 4 months old)
Hemoglobin < 8.5 g/dL in patient with signs and symptoms of anemia
Hemoglobin < 9 g/dL in patient with cyanotic heart disease
Hemoglobin < 11 g/dL in patient with cyanotic heart disease with signs/symptoms of anemia
Emergency surgical procedure in patient with significant preoperative anemia
Pre-op hold for OR
Oncology/Transplant as per guidelines
Neonatal as per guidelines (patient less than 4 months old)
Sickle cell as per guidelines
ECMO as per guidelines
Other		 Yes
3045300060 NH IP BLOOD BANK PROVIDER CONTACT Ordering Provider's Pager/Contact # Free Text No
3045300104 NH IP BLOOD BANK UNIT SPECIAL INSTRUCTIONS Unit Special Instructions Free Text No
3045300160 NH IP BLOOD BANK SPECIAL REQ RBC Special Requirements Custom List Irradiated
CMV Negative
Sickle Cell
Washed
Autologous
Designated		 No
EPIC IP AOEs

Question IDQuestion NameQuestionResponse TypeResponse ListRequire Response
3040000030 NH IP BLOOD BANK TRANSFUSION DURATION PER UNIT Transfusion Duration per Unit Custom List As Fast As Possible
30 Minutes
1 Hour
1.5 Hours
2 Hours
2.5 Hours
3 Hours
3.5 Hours
4 Hours		 Yes
3045300037 NH IP BLOOD BANK RBC (PEDIATRIC) TRANSFUSION INDICATIONS Transfusion indications Custom List Acute blood loss anemia
Acute blood loss anemia secondary to Postoperative bleeding
Hemoglobin < 7 g/dL (Patient greater than 4 months old)
Hemoglobin < 8.5 g/dL in patient with signs and symptoms of anemia
Hemoglobin < 9 g/dL in patient with cyanotic heart disease
Hemoglobin < 11 g/dL in patient with cyanotic heart disease with signs/symptoms of anemia
Emergency surgical procedure in patient with significant preoperative anemia
Pre-op hold for OR
Oncology/Transplant as per guidelines
Neonatal as per guidelines (patient less than 4 months old)
Sickle cell as per guidelines
ECMO as per guidelines
Other		 Yes
3045300060 NH IP BLOOD BANK PROVIDER CONTACT Ordering Provider's Pager/Contact # Free Text No
3045300104 NH IP BLOOD BANK UNIT SPECIAL INSTRUCTIONS Unit Special Instructions Free Text No
3045300160 NH IP BLOOD BANK SPECIAL REQ RBC Special Requirements Custom List Irradiated
CMV Negative
Sickle Cell
Washed
Autologous
Designated		 No
EPIC Components (results - crosswalked through Cerner)