A group and save is required whenever there is the possibility of a patient requiring transfusion e.g. surgical risk, haemorrhage and amaemia
This provides information on blood group and also an antibody screen to determine if they have atypical red cell antibodies for which the lab will then do additional tests to identify these
A group an save is sample processing only
If significant bleeding confirmed, suspected or anticipated then cross matching the patient for blood would be indicated
A crossmatch is when the laboratory provides red cells products for the patient
It is not possible for the laboratory to provide crossmatched blood without having processed a group and save sample first