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Cliff

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Cliff last won the day on October 13

Cliff had the most liked content!

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About Cliff

  • Rank
    Just a regular guy
  • Birthday 06/17/1964

Profile Information

  • Gender
    Male
  • Interests
    Cycling, running, guitar, hiking, reading, web development
  • Location
    Boston
  • Occupation
    Bloodbank Compliance Officer

Recent Profile Visitors

3,871 profile views
  1. Cliff

    Welcome Joao Ribeiro

    Welcome
  2. Cliff

    Welcome Dr. Mohamed Farouk

    Welcome
  3. Cliff

    Rh Pos or Rh Neg?

    So, a pregnant woman tests 1+ pos with anti-D. Do you give her RhIg? She has many (MANY) Rh pos cells of her own, will the RhIg simply attach to those cells. What if she tests 2+? What if she previously tested 0 (prior method for us was solid phase (or tube)) and now tests 3+, do you change her type? Do you give her RhIg now because you used to call her Rh neg even though now you call her Rh Pos? What if you didn't have a prior type on her, you'd only know her as Rh pos. What do you tell the docs when you gave her RhIg at 28 weeks when she tested 1+, but now tests 3+ and you call her Rh pos and don't recomend RhIg? We are having more and more trouble, no idea why this seems "new" to us. We currently have a pregnant woman who tested 4+ with anti-D in gel and has a history (at another facility) and anti-D and anti-E. The more we talk about this the more confused we (I) get.
  4. Cliff

    Rh Pos or Rh Neg?

    Excellent, and thank you. Very helpful. Here was my takeaway: Therefore, we recommend that samples yielding an IS tube test cutoff score of not more than 5 (i.e., ≤1+ hemagglutination) or a score of not more than 8 (i.e.≤2+ hemagglutination) by gel technology, be considered D– for the purpose of transfusion and Rh immune globulin prophylaxis.
  5. Cliff

    Welcome BBTransfusion

    Welcome
  6. Cliff

    Welcome blood banker Mish

    Welcome
  7. Cliff

    Welcome REF

    Welcome
  8. Cliff

    Gold Medal.

    The site was giving @Malcolm Needs a spot of bother, so I have taken the liberty of uploading some spectacular images for him.
  9. Cliff

    Welcome Murphy Sun

    Welcome
  10. Cliff

    Welcome sa76668

    Welcome
  11. Allergic Reaction This question was submitted by forum member, Malcolm Needs. Any errors are those of the site admin, not Malcolm. Allergic Reactions.pptx Submitter Cliff Category BloodBankTalk Submitted 10/05/2018  
  12. Cliff

    Allergic Reaction

    • quizzes_questions_pl
    • quizzes_players_pl
    This question was submitted by forum member, Malcolm Needs. Any errors are those of the site admin, not Malcolm. Allergic Reactions.pptx
  13. Cliff

    Welcome Pittman

    Welcome
  14. Cliff

    Welcome shanu

    Welcome
  15. Cliff

    Rh Pos or Rh Neg?

    OK, not Rh, but D. We were using solid phase technology and recently switched to gel (IH-1000). We've had a policy for many years, if you test less than 2+, we call you Rh Neg. Now with gel, people who were 1+ are testing 2 or 3+. This is concerning for OB patients. Do we give Rh immune globulin or not? We've sent a few of these out for genetic testing to determine if they are capable of forming an anti-D, but if they've just delivered an Rh pos baby, and we don't get the results back for weeks, it's too late. We are a big organization and have a very active labor unit. We used to do about 10 thousand babies a year, but lost a big contract and now do less than 8, so there are significant financial impacts to our decisions, and since our volume is so high, we also risk finding that patient that tests as 3+, but can make an anti-D. What are you doing?
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