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The possible antobodies are anti-E, V,K, Jsa and Lua, then I will pick some cells to test it and antigen typing the patient to confirm it.( Jsa and Lua pos cells are quite rare, so it is hard to get them, luckily they will not cause rapid hemolysis after transfusion, as for anti-V, the clinical significance is unknown.)1 point
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From the second panel you posted, I think there are some specificity in the 37 and IAT phase, so my guessing it that there are not only cold auto that interfere with the reaction. I will do an auto-absorption in 4 drgess first( If this patient has not received transfused red cells pack in three months), then run panel using tube IAT. Just personal opinion, I am looking forward to learn from here.1 point
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Thermometers for taking temp of returned blood products
AMcCord reacted to Mabel Adams for a topic
I read an article a few years back that showed that blood really didn't do anything terrible if it got a few degrees outside of our range for a bit. That gave me comfort for dealing with these slight deviations. That said, we once had a nursing unit return a unit of plasma that they found in their meds fridge a month or so after we issued it.1 point