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I have marked that one N/A for years - we don't prepare (manufacture) blood products. Just get them ready for transfusion, which is crossmatching, thawing, pooling (if you do that), etc. No inspection problems.

Thanks for the replies. I thought maybe there was a new practice being adopted out there where you didn't have to rule out other antibodies, just confirm Anti-D in Moms having received Rhig. Heard rumblings in the greater Toronto area. Thanks Richard

We check for a 3 month RHIG history (probably could be longer but we chose 3 months). If the ABSC is + we do a mini panel (Ortho panel has cells marked with * - Immucor has cells with brackets; if negative rule out significant antibodies other than D. We then call it Anti-D RHIG. This Anti-D only requires a full AHG crossmatch while it is demonstrating. If patient returns ABSC Neg we can go back to electronic XM.

Wow, out of the business for a couple of years and I don't have a clue what most of the acronyms in this thread mean!!

Whether you call yourselves Lean (or Six Sigma or some other facetious productivity name) or not, the reality for many labs these days is that generalists are more and more necessary to keep things going in light of personnel shortages, We are a 250 bed level 2 trauma hospital, with a fair amount of Lab work on the type of patient population we see, including BB. The only real "dedicated" techs we have are in Micro (and of course, Histology). About a quarter of the techs on first shift are generalists that can work on a regular basis in BB (in addition to the main Lab area). On second and third shift, virtually all of the techs work BB in addition to the main lab area. Whether one has BB with all dedicated staff or no, the key is to have adequate training and competency, along with extensive references, including having good P&Ps available. This is true for all areas of the Lab (and in health care in general!). It requires a sharp and dedicated management model and staff. Scott