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Most of our antibodies to gel diluent react only with the pre-diluted reagent cells, but not in cells suspended in MTS diluent 2 (auto control, XMs). There are no antibiotics in the diluent 2 because those suspensions are discarded promptly whereas the reagent cells must remain stable for weeks. If there are antibiotics in the gel itself, we have not seen reactions to that, but it makes sense.

The best solution is to get a smart fridge. I worked at a busy hospital where they had one we used to store blood in it, daily. It looked a lot like the following picture. We used to put blue tags on O Positive and Pink tags on O negatives. The nurses did not have to think too much, just to grab the units with blue tags for boys and pink tags for girls.

I just answered this question. My Score PASS  

I just answered this question. My Score PASS  

I just answered this question. My Score PASS  

Women's Services has the patient sign a "Consent for the Administration of Blood Products" upon admission and this covers the RhoGAM as well.

I attached a few SOPs and a flowchart. Please let me know if you need other items. E-1-5_Identifying Cold Antibodies.docxE-4-6_Cold Autoadsorption.docxE-4-5_Cold Absorption Using RESt®.docxE-10-3_Cold Antibody Workup Process Flow.docx

You can't use REST adsorbed plasma to XM. IT removes ABO iso hemoglutinins. But use your validated computer system if all else fails. If your computer is validated and will not let you select ABO incompatible units then it can be used for ABO compatibility.

You may not "mean to offend" but that does not make it any less offensive. If you have nothing helpful to contribute it's best not to. I have worked in level 2 trauma centers with 24 / 7 coverage in the blood bank. I have also worked in a rural clinic in a Wyoming county the size of most states east of the Mississippi and there was not hospital in the county. The closest hospital was 2 hours by ground and if we needed a trauma center it was at least 3 hours to get a helicopter or airplane in and out. You do the best you can with what you have. The people of the county realized that one of the prices they had to pay for living in one of the most beautiful areas in the world was limited access to health care. They understood, accepted it and were actually grateful for the level we could provide! They neither wanted nor needed .......... I best stop now.