In this section
The following procedures/tests are necessary prior to placing a patient on the Deceased donor list or confirming a date for Live donor transplant.
Blood group must be confirmed for all recipients and donors.
A copy of the recipient and donor's blood group report must go to VTIS. Report must have visible NATA accreditation (ie: not a print out from clara, can be obtained from blood bank).
If a recipient is blood group incompatible ABO titres may be requested. This test is sent to The Royal Melbourne Hospital where they will complete a Diamed and Ortho test. The minimum volume required is 2-3 ml Neutral (plain) tube and 7ml (large tube) EDTA. If this test is against a specific donor the donor will also need to provide samples. For information call RMH haematology laboratory.
The tests need to be booked with VTIS (Red Cross - phone 9694 0354). VTIS request form to accompany all blood samples sent
Blood is to be sent to VTIS via RCH Hospital courier and needs
to be received by RCH laboratory before 10.00am if tests are to be carried
out on the same day. If blood is collected later in the day,
it can be stored overnight at room temperature and should be booked for the following day. The initial
tests need to be repeated by confirming tests at least 2 weeks
Class I typing
Class II typing
Class II typing
Monthly sample to VTIS (10 ml serum gel tube)
It is preferable to receive patient and donor samples on the
Repeat Class I typing by serology (patient)
Repeat Class I typing by serology (donor, if previous result as
Repeat Autoantibody crossmatch (T & B cells)
Repeat Alloantibody crossmatch (T & B cells)
Repeat Extract DNA (patient & donor)
Final Crossmatch Test
The final crossmatch is carried
out 6 to 10 days prior to transplantation
Autoantibody crossmatch (T & B cells)
Alloantibody crossmatch (T & B cells)
It is essential to repeat the crossmatch at least one
month after any blood transfusion. All crossmatches need to
be booked with VTIS by phoning: 9694 0354.
All Serology to be repeated annually. CMV serology and EBV serology to be repeated every 6 months for patients active on the deceased donor list. These results are
recorded on the RCH Kidney Transplant Checklist. Renal Transplant Coordinator to organise.
Patients that have involvement with other specialties should have clearance for transplant by that department, ie: orthopaedics, gastroenterology, respiratory etc.
All patients are required to attend a Consultant Nephrologist interview. This is a comprehensive discussion which identifies that the transplant education is complete and patients/parents understand the procedure, risks and benefits and ongoing care requirements (including medications, clinics etc) for renal transplantation.
Transplant dates will be allocated once
all assessment requirements are complete.
Transplant dates are selected for patients at the Transplant planning meeting which is held on the fourth Monday of each month.
Patients will be made active on the Deceased Donor list once:
All the assessment requirements are complete
Confirmed for listing by the Renal Transplant Team
A transplant plan must be sent out to all the appropriate parties
CYT samples available at VTIS - please note that for a patient to be made active in particular month they must be on the 'trays' for that month. In order to do this VTIS must be notified by the last week of the month that the patient is to be added to the trays and a sample must be available. The patient will then be active once the trays are complete ( usually within the first week of the month).