EAB81

9/10 times we don't perform the 1st ABSC. So, we spend a lot of time working up that ABID that is just remnants of antenatal RhIg.

Same here. If the patient has a T&S upon admission, I will not perform the ABSC again for the RhIg workup. A couple of years back we tried to get the OB docs to all send their prenatal workups to us so that we could at least get baselines on their patients because every OB in town delivers at our hospital. Unfortunately, we have 2 groups in town--1 that is affiliated with the hospital system , and 1 that is not. Its really a struggle with these patients that you can guess had antenatal rhogam but their ABSC is all over the place. The blood banker in us wants to work it all up, but its so aggravating--esp if we have no history to compare to.

We will do it for every new order. Our form has a place to put unit stickers on them. So, essentially, the physician signs for however many units we put a sticker for. Any more after the initial units, we require a new form. This also kinda serves as a reminder to physicians that their patient has special blood bank circumstances.

We will do it for every new order. Our form has a place to put unit stickers on them. So, essentially, the physician signs for however many units we put a sticker for. Any more after the initial units, we require a new form. This also kinda serves as a reminder to physicians that their patient has special blood bank circumstances.

Hello All,
For CAP, what is everyone doing for Antigen Typing Alternate Proficiency testing? For my facility, CAP says an alternative assessment is required for this. Would the ungraded part of the J-A where we actually do antigen typing suffice for this requirement as long as our % is >98%?
Side Note: I'm a newbie BB Tech Spec that will take any and all advice, recommendations, helpful hints, suggestions, and words of wisdom. Also, feel free to send cookies

We do the Lui Freeze eluate on all cord bloods with positive DATs. These mostly come back being a maternal-A1, B, or both when mom is an O and the baby is an A or B.

WOW@ this feed  So, we've decided that we will start labeling them even if they are Jane/John Doe along with our "uncrossmatched" conspicuous sticker.  Name, DOB, and MRN should suffice, correct?
Also, there has been discussion of what type to give patients.... I know what you're thinking, but hear me out.
Normally, we give O-Neg no matter what. That's never been an issue, but a tech asked me if we could give type specific if it was a patient we had a confirmed history on. Another tech says that at her previous hospital they had to either give O Neg or they could give whatever type the patient was typing at that time. The AABB Technical Manual states " issue uncrossmatched blood if the patient's ABO group is unknown. Issue blood that is ABO and Rh compatible if there has been time to test a current spec." Well, if it's a person we've had before and there's no time to test a current specimen, and we have a confirmed type--can we technically issue whatever their historic type is? The manual doesn't speak to those we would know the type just from history.

We use the A1 in our eluate. That's what I was thinking. Yes, I mean anti-A

Hello All,
For CAP, what is everyone doing for Antigen Typing Alternate Proficiency testing? For my facility, CAP says an alternative assessment is required for this. Would the ungraded part of the J-A where we actually do antigen typing suffice for this requirement as long as our % is >98%?
Side Note: I'm a newbie BB Tech Spec that will take any and all advice, recommendations, helpful hints, suggestions, and words of wisdom. Also, feel free to send cookies

Hi! I'm Beth, and I'm a newbie Blood Bank Technical Specialist. I heard this was a pretty happening place to get the dish on all things Blood Bank! haha. I will have many questions... so there's your warning  I welcome all input, advice, words of wisdom. Feel free to help a sister out! Have a great day!