Jump to content

Rhogam eval draw time

Ob/Gyn   (3,371 Views | 9 Replies)

debbiernbsn has 15 years experience and specializes in ER/MIU/L&D.

1,431 Profile Views; 20 Posts

When do you draw the blood for a rhogam work up after delivery? Our facility states that it must be within an hour but I'm having a hard time finding evidence for that. Thanks for any help!

Share this post


Link to post
Share on other sites

klone has 14 years experience as a MSN, RN and specializes in Women's Health/OB Leadership.

6 Followers; 13,527 Posts; 118,257 Profile Views

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.

Share this post


Link to post
Share on other sites

debbiernbsn has 15 years experience and specializes in ER/MIU/L&D.

20 Posts; 1,431 Profile Views

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

Share this post


Link to post
Share on other sites

klone has 14 years experience as a MSN, RN and specializes in Women's Health/OB Leadership.

6 Followers; 13,527 Posts; 118,257 Profile Views

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

Share this post


Link to post
Share on other sites

debbiernbsn has 15 years experience and specializes in ER/MIU/L&D.

20 Posts; 1,431 Profile Views

Thank you that would be great!

Share this post


Link to post
Share on other sites

serenity1 has 7 years experience and specializes in labor & delivery.

266 Posts; 8,255 Profile Views

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.

Share this post


Link to post
Share on other sites

cayenne06 has 10 years experience as a MSN, CNM and specializes in Reproductive & Public Health.

1,394 Posts; 18,549 Profile Views

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.

Share this post


Link to post
Share on other sites

MyCall2Nsg specializes in Maternal Child Health, GYN.

77 Posts; 3,874 Profile Views

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.

Share this post


Link to post
Share on other sites

rn4babies63 has 12 years experience and specializes in L&D, PP, Nursery.

174 Posts; 4,554 Profile Views

We draw it at the next 0500 draw following delivery.

Share this post


Link to post
Share on other sites

Elvish is a BSN, DNP, RN, NP and specializes in Community, OB, Nursery.

3 Followers; 17 Articles; 5,259 Posts; 67,671 Profile Views

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.

Share this post


Link to post
Share on other sites
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.