Liz0316
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Everything posted by Liz0316
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When we get hazy or unclear reactions in Gel, we use PEG, if neg, issue full XM compatible units - using PEG. Check your Gel cards - is the level of liquid sufficient and even? Ortho probably won't agree (or at least put in writing) but you could try repeating the Gel panel after you spin the cards before using. Be sure your specimen is sufficiently spun too.
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We would report as B neg, with an internal comment explaining the discrepancy.
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Rouleaux is not that rare. If it is presenting with the classical characteristic of "stacking" then it's rouleaux, regardless of the patient's diagnosis. On the other hand the simple act of doing the saline replacement, may warm the tube enough to disperse a weak cold. As far as the staff goes, ask them to check each case under the scope prior to reporting rouleaux. As long as clinically significant antibodies are ruled out, the immediate spin XM should present no delaying issues, even if you see reactivity. The first thing I would do is a saline replacement, if neg - issue the blood. Does it matter if it's true rouleaux or a weak cold?
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Rouleaux is not that rare. If it is presenting with the classical characteristic of "stacking" then it's rouleaux, regardless of the patient's diagnosis. On the other hand the simple act of doing the saline replacement, may warm the tube enough to disperse a weak cold. As far as the staff goes, ask them to check each case under the scope prior to reporting rouleaux. As long as clinically significant antibodies are ruled out, the immediate spin XM should present no delaying issues, even if you see reactivity. The first thing I would do is a saline replacement, if neg - issue the blood. Does it matter if it's true rouleaux or a weak cold?
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Have you considered using a blood bank band, similar to how you would band a trauma patient? At our hospital, we use a banding system with a unique ID # in trauma cases. Why not apply the same theory to the L&D patients when time is critical? There is no need for the patient to be pre-registered, you don't even need a name...Jane Doe, XYZ123 - there are your 2 patient ID's. I realize blood bank bands can be costly, but how often are you using them? If you are already using a banding system for traumas, get a secondary color for the L&D patients.
