HWalker

We had the same problem, then we followed Orthos' advice. We kept the screening cells in their original box and refrigerated when not in use. There hasn't been a problem since we began doing those 2 things. We were :mad:, now we are :rolleyes::cool:. Good luck. Hank

Angela Congratulations on your SBB. I don't know a finer Ref. Lab than yours! Hwalker

Thanks David That's one of the things I was considering. Hank

We’re a small facility and don’t have many AB positive patients. We were using a 7% bovine albumin for the D control, but that just expired. I don’t want to spend $700 for a product that will expire before it’s all used. Does anyone know of a cheaper alternative for doing the D control on an AB positive patient? Any advice would be appreciated.

Our problem is, you can't issue through the 'emergency issue' unless you have all the patient demographics including the special BB bracelet number. Usually we don't have all that information at the time of release. We rely on our backup method(manual). True, 2 people can't access the same patient at the same time, but I hear that’s a safety issue.

We also have SoftBank and love it. Doing emergency releases does have some drawbacks, IMHO. good luck!

I have have no idea why we do it. We're going to review the whole procedure and I'm sure that will be . Thanks

Thank you all for the excellent feed back! Malcolm Needs, I realize the importance of the antibody screen to monitor the Mom for atypical antibodies during the pregnancy. But I can’t figure out why we do the DAT @ 28 wks or after delivery, if RhoGAM is indicated. It was set up by the person before me and I’ve never questioned it……..till now. John C. Staley, what you do or did makes a lot of sense to me. What makes the most sense is, “I have discovered over the years that inertia is the most powerful force in the universe. â€We have always done it that way" is often impossible to over come. However, sometimes ‘the way we’ve always done it’ IS the best way. Adiescast, what would do if the mother came in spotting at 11 or 30 weeks and you already knew she was a RhIg candidate? Would you repeat the ABO/Rh. Thanks again :D:D

Hi all Someone ask me today why we do a ABO/RH, antibody screen, & DAT on every workup for Rho(D) immune globulin? I said I thought it was a regulation but I think that’s wrong (actually I was thinking ‘that’s how we’ve always done’). I’m referring to pregnant women specifically. Of course on first time patients, but what about 28 wk doses. I hope I’m making myself clear. Can someone give me their thoughts on it or what they do in their lab? Hank USA Thanks for any input :confused:

Is anyone else having sporadic false positives in well 6 of the gel cards? It seems to occur on the last box or 2 of a lot. There's no 'rhyme nor reason' to it. For example, we'll do qc on the cards using a dilute anti-C with the Ortho 3 cell surgiscreen. Well #1 is 3+, well 2 & 3 negative. If we do it twice on the card well 6 will be a weaker 2-3+ with cells streaming all through the column. columns 1 2 3 4 5 6 surgiscrn 1 2 3 1 2 3 Results 3+ 0 0 3+ 0 2+ :confused::confused: Hope that made sense. We centrifuge the cards before use. This has happened with the last 2 lots we've used. I haven't called Ortho yet. Thanks for any input!

Thanks everyone for all the good suggestion!! Hank:)

I've never heard of Biohit....good to know. Which model do you use? Thanks Hank

Does anyone know of a pipetter that can replace the ID-Tipmaster? Something less expensive....hopefully. Thanks Hank :rolleyes:

We've had the same problem with cell 2 and have reached the conclusion it must be contamination. Two times we've had actual visible fungal growth. Now we are keeping the screening cells refrigerated and using pre-racked pipette tips to see if it's helps.

Hi All We are a small hospital blood bank that only transfuses blood products and sometimes transfers blood to a nearby larger hospital. If we test units for specific antigens, will we be required to print out ISBT labels reflecting the antigen status(+ or -)? Thank you, Hank