Jump to content

Leaderboard

  1. jalomahe

    jalomahe

    Members - Bounced Email


    • Points

      3

    • Posts

      136


  2. Malcolm Needs

    Malcolm Needs

    Supporting Members


    • Points

      2

    • Posts

      8,471


  3. SMILLER

    SMILLER

    Members - Bounced Email


    • Points

      1

    • Posts

      1,373


Popular Content

Showing content with the highest reputation on 01/26/2018 in all areas

  1. When I asked CAP about this they stated that for Blood Bank it only applied to kits that come with their own Pos and Neg QC. So Fetalscreen Kit Yes, Elution Kit No.
    2 points
  2. I would suppose (after a quick bit of research), that since a K is only going to vary by only 1 or 2 mEQs, that its inclusion makes little clinical difference. That's as long as the reference range is appropriate for whatever calc you are using (such as: 8-16 without K+, and 10-20 with it). Actually now that I think of it, the original omission probably had to do with making the equation a bit easier to do on the fly. I imagine that as people used to do it in their head before the advent of computerized analyzers and reporting systems that now give the anion gap automatically. Scott
    1 point
  3. I may go to the extreme but when we receive surveys all of the "patients" are registered in the computer and the appropriate tests ordered. The vials can then be labeled with barcoded patient/test labels and can be scanned. I also enter the "donor unit" into our inventory and print donor unit label for the specimen and place the DIN label on the vial. This way everything is done in the computer just as it is with a real patient. When the tech has completed testing they can print their results from the LIS and if need be I can always go back and look at the results.
    1 point
  4. I agree that you should NEVER hold back blood in an emergency situation, just to get the correct Rh and K type when there are no such antibodies present, however, be aware that the next time there may well be Rh and/or K antibodies present too, and the situation could be even more of an emergency. What do you do then????????!!!!!!!!!!!!!!
    1 point
  5. According to BSH Guidelines (and work performed by such luminaries as the late Prof Patrick Mollison - who knew a bit about blood transfusion!), those who have already made a clinically significant atypical alloantibody are more likely than others to make other specificities. It is for this reason that a patient who has made such an antibody is no longer eligible for a transfusion of blood selected by electronic issue (or, as people STILL insist on wrongly calling it, computer crossmatch - GRRRRRRRRRRR!!!!!!!!!!!!). The more antibodies in a person's plasma, the more difficult it is to sort out all the various specificities, and the more difficult it is to supply antigen negative blood. As a (former) Reference Laboratory Chief, I prefer either to work on really easy samples, or really, really complex samples, but not on samples with two or three antibodies present, particularly where one or more are avoidable Rh and/or Kell Blood Group System (BGS) antibodies. Therefore, although not mandated by either the BSH Guidelines, or, indeed, the UK Transfusion Services as a whole, as a personal preference, I would advise that Rh and Kell BGS,antigens are matched (particularly as, if the individual has already produced an antibody - probably from a previous transfusion - although other stimuli are "available" - and needs another transfusion, the chances are that this individual will require further transfusions in the future, if not actually become transfusion dependent). I fully admit that this is a purely personal point-of-view, however, I would be more than a little annoyed if I was to be sent a sample at 3 o'clock in the morning, to sort out an additional, but avoidable specificity. It is, however, down to you.
    1 point
×
×
  • Create New...

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.