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I just answered this question. My Score PASS

I just answered this question. My Score PASS

I just answered this question. My Score PASS

I just answered this question. My Score PASS

Wish you were still with us in NHSBT Malcolm!

So they don’t forget?!

No elutions here unless DAT is positive and we don't have mother's specimen or the DAT is positive w/ no apparent reason (no ABO incompatibility, mom's antibody screen is negative). In all the years I've worked here, we've never actually needed to do this.

When we still saw antibody screen orders prior to antenatal RhIG administration, the OB providers wanted the patients drawn within 7 days of their appointments. I always assumed that this was a recommendation of the American College of OB/Gyn. They stopped ordering those antibody screens several years ago, so I'm again assuming that there is no longer a recommendation for that testing. That particular practice very much follows guidelines.

When I started here we performed elutions on all positive DATs as well, but when I became supervisor we put an end to that. Busy work for no real benefit; like your Pediatrician, they treat the babies the same. Just this year, our Pediatric Subsection decided to start performing cord blood evaluations on all babies of O Pos moms. I know there are several facilities that do the same, but we never have. I asked our Mother/Baby nursing coordinator for the evidence they used to make this change and have had no response. I have never understood the long standing practice of performing the cord blood workups on jaundiced babies either. It seems to me this is all academic and of no real clinical value, but what do I know. Does anyone have any Best Practice guidelines with supporting evidence for any of these practices? The only thing I can come up with is that if the baby turns out to be O as well, that may steer them to investigate alternate explanations for the jaundice; but even then, unless the baby is having continued problems, is the information actually used to determine treatment?