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I have found most of the standard blood bank reports useless for transfusion review. I don't specifically remember data mashed up and becoming unreadable, but it is difficult to do a proper review with the multi-line reports that they give you. I had my NPR writer develop a transfusion review report for me which pulls all of the data I need in a semi-colon delimited format. I download this report, export it into Excel, and then each transfusion is on its own line with headings that I can sort any way I need. This has been a lifesaver!

FDA and AABB had gone back and forth over the years on storage vs transport. In the past few "Ask the FDA" sessions I've been at during the AABB Annual meetings both FDA and AABB have said coolers are transport. People even brought up newer cooler technology reminding them that coolers can be out of the blood bank for an extended time. We validate our coolers to hold temp at 1 - 6. We do not take temps every 4 hours.

Method comparison - apples and oranges in Blood Bank, but it makes CAP happy that you can check the box.

I have found that if you have a gel rx <=2+ tube testing will be negative. Your positive tube screen with a negative gel: can't answer that one.

I find that Gel screens are positive and tube are negative when there is either a Cold Antibody or Rouleaux. Sometimes the gel finds an HLA that may not be picked up in tube either. In all 3 of these cases, they are more of a nuisance then anything else.

We would do an extended Gel XM as long as the current screen is positive. It's required by the LIS. The computer system disqualifies them for electronic XM in this instance. If the screen becomes negative in the future, they would qualify for electronic XM as the antibody is classified as not clinically significant

Hi Dave, Now things make sense, thats why I don't and you do perform the AHG for D neg. Ok! Great, thanks for that.