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Since all elective surgeries have been postponed and restaurants/bars have closed the BB has been incredibly slow which is rather scary in itself (the calm before the storm?). Due to this we have voluntary reduced our inventory to help with the blood supply.

Hi Rich, I am not a clinician but as far as I know IVIG can be given to obstetrical patient in diff. conditions (autoimmune disorders, recurrent pregnancy loss, ...). I thought about IVIG when I saw the DAT becoming positive plus additional reactions coming up over the time. Anti-A and Anti-B are indeed the most prevalent antibodies in plasma derived products but other specificities of low titre can be present sometimes such as anti-D, anti-K and a bunch of antibodies of undetermined specificity reacting with several to not say all RBCs. Just a thought that can be doublechecked with the clinician..? Hereunder is a very great (not recent though) paper to be read and re-read again: Problems Associated With Passively Transfused Blood Group Alloantibodies George Garratty, PhD, FRCPath American Journal of Clinical Pathology, Volume 109, Issue 6, 1 June 1998, Pages 769–777, https://doi.org/10.1093/ajcp/109.6.769

I took my SBB a hundred years ago (OK, maybe early on when it was first computerized). I self-studied. Did not go to SBB school, did not take an online class. I had, and still have, the great fortune of working at a world class hospital. What worked for me: Read Transfusion cover to cover for at least a year. Regardless if I was interested in the article or understood it. Read the AABB Technical Manual, at least once, I think I read it twice, maybe three times. Memorize all of the common antigen frequencies, and some of the odd ones too. Read where the concentration of questions would be. For example, there was anticipated to be 1 HLA question on my exam. A person could get their PhD in HLA, I only read that chapter once. Memorize AABB Standards. Memorize the relevant FDA CFRs. Read a good hematology text book. That is a lot of reading and will have you well versed in most things related to blood banking. You will easily pass your BB. If you are taking your SBB, the only thing I was not anticipating was the management questions. I did not study anything about that. If I were to take it again (that will never happen), I'd read a book or two on employee relations / management. I was one of the lucky few who passed (barely) the first time. But you know what they call the person who finishes last in their class of medical school...