jane eubanks

I didn't read everyone's comments so this may be a duplicate. We all say we use homozygous cells for ruling out but we rule out every day using our screening cells. Our screens don't always have homozygous cells for each antigen. We perform electronic crossmatch on negative screens so we could be missing antibodies that show dosage is this a worry for others?

How many of you still have standing orders to perform cord blood studies on babies born to O moms? We do but my techs think they should only be done if the bilirubin increases. If we do that we won't be able to bill because the baby will proably be discharged and the peditrician will be calling not our inhouse physician.

I have one physician who feels we should titer all antibodies detected on our prenatal patients. I have checked with the local hospitals and they require a physican order to do titers. I feel that if we do titers without a specific order we could have a compliance issue. We would be relying on the individual entering the orders to put the correct physician on order. This physician also wants all of his patients who have received Rh Immune globulin during the pregnancy to be titered after the birth, is this a common practice? I don't see the necessity in doing this I think they would need another dose of Rh Immune globulin. Second Part We are seeing antibodies on our prenatals that show no specificity we detect in tube but Capture R was negative 2+-3+ at AHG in tube what besides RBC antibodies could we be detecting?

Can someone recommend a good stain that I don't have to weigh out and make from scratch. I am a small lab and we have only one person working in blood bankso i need a fast method

I have a patient with a history of anti-Jkb. She is showing dosage but she is also not reacting with an occassional homozygous cell. Do you know any reason why she is selective with the homozygous cells.

I knew that Rh immune globulin could not tell the difference.(next time I will not try to be funny) We do not give Rh immune globulin to weak D moms is it common practice to do so? It seems to me that the liablility is greater if you give the injection and they have a reaction I don't know what percentage of people react but anytime you give a human deriviative you run that risk.

So you give Rh immune globulin to Mom are telling her no quarantee you won't develop anti-D? I didn't know that the Rh immune globulin could only detect fetal cells.