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Everything posted by Hi-Freq
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That makes perfect sense to me. Had it been up to me, I would not have changed the standard in the first place. Seems more reasonable to test for Weak D anyway.
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krickards: You still perform the weak D testing on prenatal patients, even though the AABB Standards changed? I am just curious because we do not perform Weak D testing on prenatals (or anyone for that matter, due to the AABB Standard) and I find myself faxing copies from the Technical Manual nearly every day to OB's about Weak D. I'm going to call tech support at Immucor today, as we have seen too much of this. I'll keep you posted.
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Agreed, to r/o autoagglutination. Also, if you're an old bloodbanker, it's an old habit:) I think you get a good, clear, clinical picture of what's going on with the patient. As per myself here, having a hi-freq antibody, if was nice to see at least one negative reaction!
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We seem to be having a problem lately, getting a lot of D negatives on our Galileo. Per the AABB Standard, we don't routinely test for Weak D, which leads to mass confusion when the prenatal patient delivers and the hospital does test for Weak D, and the OB calls us demanding to know "what happened". Recently, we re-checked the patients's history (as usual) and she was Rh negative on 2 previous occassions. After testing as D positive in the hospital, the doctor ordered Weak D typing. She typed D negative again on our Galileo, but when we tube typed her, she was weakly positive. Upon RT incubation, she was 2+ (Immucor). So we tried using Gamma (monoclonal) and she was immediately strong 3+ at immediate spin. Yet still, on the Galileo, she results as negative, and we're stuck trying to explain this to her doctor. Anyone else seeing anything like this? Suggestions? (And no, we can't use the Gamma on the Galileo because it does not have a barcode!)
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Sounds pretty cool. Who's your blood supplier?
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I'm new here, too. Looks like we're neighbors! I work not too far from you, in that BIG lab, up in Tampa!
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How many donor units per year do your draw there?
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Is anyone getting "centrifuge read error 2 second delay" errors? We are losing 2 - 3 plates per day lately, yet not doing anything differently. Also getting some ? on some OB screens.
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I could send you a sample of my own blood for your staff to test for CEU's (and for fun). Can you guess what they might find?? :cool:
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Money talks. We can be bought!
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The numbers that you quote above, the Galileo finishing about 340 type and screens in less than 8 hrs. is just about what we are seeing - excpet that we are starting to get "centrifuge read error 2 second delay" error codes, invalidating between 2 and 3 plates per day. According to Immucor Tech Support, we could be overloading the instrument. We're still using version 10 software, and we were thinking that SP 11 would correct this problem, but were told that while 11 will allow more time, it will not correct for this particular error. We're thinking we need a second Galileo.
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