Rhogam eval draw time

klone, MSN, RN · Jul 10, 2014

Our hospital's policy is that it needs to be drawn within 72 hours postpartum. We would always time it with whatever labs are needed postpartum, or just whenever in the first day.

debbiernbsn · Jul 12, 2014

Thank you. Do you know what reference they used to make that policy?

klone, MSN, RN · Jul 12, 2014

No, but I can look it up on Monday if you want.

debbiernbsn · Jul 12, 2014

Thank you that would be great!

serenity1 · Jul 13, 2014

We draw with labs that are needed or within the first 24 hours if no other labs are needed. We have to give rhogam within 72 hours but we try to do it as soon as we can. I have never heard any reason it needs to be drawn within an hour.

cayenne06, MSN, CNM · Jul 13, 2014

I've never heard the one hour thing either. We just time it with other labs, or do it sometime in the first 24-ish hours.

MyCall2Nsg · Jul 13, 2014

Our standard practice is to draw the rhogam workup after the blood bank has reported the results of the cord blood and we know whether baby is Rh- or not. Typically with the next blood draw which is the very next morning following delivery.

ACOG's guidelines is to administer rhogam within 72hrs of delivery, but I have not yet found a recommendation for when to draw the workup.

I have, however, heard the folks from blood bank say it should be drawn ASAP after cord blood is reported.

rn4babies63 · Jul 15, 2014

We draw it at the next 0500 draw following delivery.

Elvish, BSN, DNP, RN, NP · Jul 16, 2014

We have to administer Rhogam within 72hrs after delivery. We have Rhogam studies drawn at whatever time is reasonable for the patient that will also allow us to get her Rhogam in her within that time frame. Usually we'll have it drawn along with whatever other postpartum labs (CBC, etc.) the OBs have ordered.