Leaderboard

If we get question marks on the Echo and negative in tube, we'll call it negative. However, if we get a positive on the Echo that doesn't work out on the panel and negative with PEG we result a positive screen and put in a comment that it was negative in tube and no clinically significant antibodies were found. We also result an Unidentified anybody to get a hard stop so that patient can't ever get an electronic crossmatch (if at a later date the screen is negative, then our system would allow one if there were no antibody in there). We had a patient where this occurred and there was no clear cut answer on the panel and everything significant was ruled out. 2 weeks later the patient had a clear cut anti-C. Looking back the only cells that reacted were C+, just not enough and not in the correct pattern to identify. Yes, the Echo is overly sensitive but sometimes it picks things up before anything else.