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We have a Rhogam Workup test built. They order that and it orders two tests. The Rhogam workup (Fetal screen) and a Rhogam administration (1 dose of rhogam). So, if it is a threatened abortion Rhogam workup and they do not need the Fetal screen, we can cancel the workup and just be left with the Rhogam administration to give a dose.

One day I was training a new tech at the end of the day. They called a reaction & I was going through the process saying how much easier it is now than when I started Blood Banking & the work ups didn't take much time. Positive post DAT. Negative elate. I decided to test some low incidence positive cells & there was an anti-Diego a in eluate (and in pretransfusion plasma when we tested that with those cells). I just told myself to "never say never" in Blood Banking.

Thanks, it's always scary when I recommend we stop doing something and it's nice to hear confirmation that others are doing it the same way I propose.

That's what I think, too! It is a crazy task for our 40 staff members, so I really hope this goes okay. It is daunting to look at right now!

Thank you for the input! So I'm thinking that for anything that is not a test, we can put "N/A" for the other items that do not apply. That makes more sense now.

Different CLIA numbers, must do the competency at each site, despite everything being the same. I sent this specific question to CAP after a webinar they ran. It is silly and it seems our community and licensing agencies should be fighting to have this changed. There are not many hospitals that are not part of a system and need to share staff. Things need to keep up with our reality to make them feasible.

Could be - but much more likely to be a weak example of anti-D. However David, if you have some group O. rr cord blood available............

Actually it is a blood derivative. In the USofA blood is considered a drug by the FDA - to get better remuneration for his staff one of my previous lab mgrs had all the blood bank staff assigned to the same pay scale as the pharmacists - pretty ingenious I thought.