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Prepare Irradiated Granulocytes (in mL) Epic Compendium  

▶ Desired Epic Build * = editable field  

Actual Epic Build 12/05/2025

PROCEDURE ID 66641
PDM 236212
ORDER DISPLAY NAME Prepare Irradiated Granulocytes (in mL)
PROCEDURE NAME PREPARE IRRADIATED GRANULOCYTES (IN ML)
PROCEDURE MASTER NUMBER LAB1741
SHORT PROCEDURE NAME PREP GRAN ML
CATEGORY CODE 3.0
CATEGORY CODE RECORD NAME BLOOD BANK PRODUCT ORDERABLES
SYNONYMS BLOOD
PRODUCT
PLASMA
TRANSFUSE
PEDS
PEDIATRIC
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
Consultation with Blood Bank Medical Director is required prior to ordering this product.






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 ["3045300164", "3045300052", "3040000030", "3045300104", "3045300060"]
ORDER QUESTIONS RECORD NAME NH IP BLOOD BANK SPECIAL REQ GRANULOCYTES
NH IP BLOOD BANK GRANULOCYTES TRANSFUSION INDICATIONS
INPATIENT ORDER QUESTIONS ["3045300164", "3045300052", "3040000030", "3045300104", "3045300060"]
INPATIENT ORDER QUESTIONS RECORD NAME NH IP BLOOD BANK SPECIAL REQ GRANULOCYTES
NH IP BLOOD BANK GRANULOCYTES 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
3045300052 NH IP BLOOD BANK GRANULOCYTES TRANSFUSION INDICATIONS Transfusion indications Custom List Granulocytes for infection and severe neutropenia (< 500 PMN/ul unresponsive to antibiotics for at least 48 hours)
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
3045300164 NH IP BLOOD BANK SPECIAL REQ GRANULOCYTES Special Requirements Custom List CMV Negative 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
3045300052 NH IP BLOOD BANK GRANULOCYTES TRANSFUSION INDICATIONS Transfusion indications Custom List Granulocytes for infection and severe neutropenia (< 500 PMN/ul unresponsive to antibiotics for at least 48 hours)
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
3045300164 NH IP BLOOD BANK SPECIAL REQ GRANULOCYTES Special Requirements Custom List CMV Negative No
EPIC Components (results - crosswalked through Cerner)