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mcgouc

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Posts posted by mcgouc

  1. We don't do an eluate on cords unless it its ordered, which almost never happens. Our docs just "treat" the baby.

    We switched to this policy a couple of years ago and had the same results. We get and keep all the cords 10 days. If the mom is group O, Rh negative or has a clinically significant antibody, we routinely do the DAT on the cord. If the mom is Rh negative we also do the ABO/Rh on the cord. At first they would order an elution if an O negative mom had an anti-D probably caused by RhIG and the baby was an A or B positive with a positive DAT. They ordered a few of those elutions and then decided it didn't affect how they treated the baby so they stopped ordering them. They have ordered DATs a few times on cords of jaundiced babies who don't meet our routine criteria. There have been no complaints since we started this policy and the techs really like it. :):):)

  2. While I was off a few days, the techs sent an antibody to our reference lab without really looking at the panel they had performed. When I reviewed our gel panel it was a perfect anti-Jka. The reference lab uses LISS and PEG. They told the techs the patient had an anti-Jka and an auto anti-M. The techs told them to crossmatch and send compatible blood. When I asked the techs why they had them crossmatch and send Jka negative units, they said they thought the auto anti-M would make the crossmatch incompatible. It took 12 hours and a lot of money to get 4 units of Jka negative blood. If the techs had looked at our panel, we would have had crossmatch compatible, Jka negative blood for the patient within 2 hours of completing the panel - and we would have saved a lot of money. If the reference lab had used gel, they would have only seen the anti-Jka and would have completed the work-up faster. We would not have known the patient had an auto anti-M, but that had no significance for our treatment of the patient.

  3. I used to work in an outpatient "reference" lab where we performed up to 300 type and screens a day. We did have a process to check the historical antibody identifications and ABO discrepancies, but I don't know how we would have been able to check the historical types on those patients. In the hospital setting , we do check our hospital records on all Blood Bank samples.

  4. We had a 4 year old who had been transfused multiple times. The last crossmatch and transfusion was 3 months ago. This day, she was in OR with no type and screen, started bleeding, and they needed blood STAT. When I called to let OR know there would be a delay because the patient now had an antibody, the doctor told me we couldn't have a problem because we didn't have a problem the last time we transfused her.

    A second shift tech had a nurse call and ask if she could bring someone with her to bless the blood because the patient wanted it blessed before she got the unit. Since we didn't have a policy for blood blessing, he winged it and had the nurse and man she brought stand in front of some plants we had in a back corner to bless the blood - which was just mumbling a few words over it.

  5. I just received the letter from Immucor regarding Using Buffered Saline with the Fetal Bleed Screening Test. We haven't been using phosphate-buffered saline. Since we use gel, we don't use a lot of saline. What is my best option for obtaining this product when I don't need a large volume? Thanks in advance.

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