Hi everyone,
I have been a lurker here for a while, but joined this week! I was wondering if I could get some advice. We currently at our hospital draw a patient for a TS or TXM and then there results are good for 12 days as long as they are not pregnant or have not received products in the last 3 months. We are getting pressure from the surgical doctors to extend our TS/TXM to 30 days. I am reluctant. We have an archaic blood bank system and do not do electronic crossmatching. I have seen that most 30 day facilities do electronic crossmatching. The argument that I must dispute is why can't we do 30 days if the patient is redrawn for a fresh specimen when they come in for surgery. We would ask if they received any blood products since their last TS and if not, do a type on the new specimen and use it for any crossmatching. I realize the more time that passes, the more risk a patient would get products and not report correctly, but apparently this isn't a strong enough reason by itself. I would prefer to keep it the same, but we are getting a major push to change.
Hi all, I just want to know what other facilities do for a patient that have mixed field results on the front type in gel testing, but have a straight forward type in tube testing when the patient has no history. I cannot find much literature on this. If a patient has a history that matches the tube type then obviously, we would follow the tube type for resulting. If there is no history to be found would you give the patient O RBCs? The example that stirred this post was a patient that recieved 2 Opos and 2 Apos units the day before they came to our facility and in gel there was a mixed front type between O and AB. Thanks everyone. Jason