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April 2024 Challenge

NANCY AUGENSTEIN

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Everything posted by NANCY AUGENSTEIN

  1. NANCY AUGENSTEIN
    Is sickle cell testing required for an exchange?
  2. NANCY AUGENSTEIN
    What are the requirements for the unit of rbcs when reconstituted for an exchange to a neonate?
  3. NANCY AUGENSTEIN
    What the requirements for an exchange unit? Must it be washed, irradiated, and sicklecell neg?
  4. NANCY AUGENSTEIN
    We did a study comparing both and the staff did not like the Ortho product. The pos control was very weak and not what they have been used to.
  5. NANCY AUGENSTEIN
    We may be changing from Sunquest to Cerner. Has anyone compared or used both? We currently have a Provue and do perform electronic crossmatches.
  6. NANCY AUGENSTEIN
    We have noticed the B cell button first has the appearance of being positive, but after excessive shaking it comes off negative with patients who are type B or AB.
  7. NANCY AUGENSTEIN
    I have had a few discrepancies between gel and tube. The Provue probe will sample blood from the very bottom of the tube. The blood at the bottom tends to be the freshest or heavier. So if the Rh pos patient was transfused with Rh neg recently you get the dual population of Rh or it will type totally Rh neg if there was a massive transfusion. Same thing would happen if the patient had received alot of another type. Tube testing is a big mixture of cells. Also I have seen a difference between the Ortho reagent on the Provue and Immucor reagent used with tube testing.
  8. NANCY AUGENSTEIN
    Thanks for your reply. How do you like SCC? I was very impressed. We currently use Sunquest. Are there any problems with SCC?
  9. NANCY AUGENSTEIN
    We are looking a Soft. We currently have Sunquest. What system did you have before? I know this does not help your situation.
  10. NANCY AUGENSTEIN
    DAT on cords- We quit doing this unless the physician requests it for some reason. We had routinely been doing a DAT and ABOR on babies born to RH + moms. We were continually working up ABO incompatibilities and Rhogam.
  11. NANCY AUGENSTEIN
    Antigen screening- We screen units with the patient's plasma if the antibody is showing, then we antigen type using commercial antisera in the tube those that were compatible. If the antibody is not showing strong enough, you can use gel Igg cards or buffered gel and test units with the commerical antisera. Since we have not validated this in gel, we would confirm with a tube test. 2nd ABO type- I hope it is not a state requirement. We just went to electronic Xm and we do a forward type to confirm on the smae sample.
  12. NANCY AUGENSTEIN
    I looked on the internet for MIDAS and cannot find anything. Where can I get the information on this.
  13. NANCY AUGENSTEIN
    I use MERS-TM but I do not submit it to the website. I just clasify the variances this way. Check out their website.
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