ANORRIS

Our SOP requires that newborns, who test negative with anti-D by immediate-spin test, must be tested for Weak D using anti-D antiserum formulated for Weak D testing.  If the Weak D Control is agglutinated, we report Rh type of the newborn as "Indeterminate" and "RhIG indicated" for the mother if the mother is Rh negative.

I think we'd better drop it as wast or wait until there is time  to test it.

I will go with what the manufacturer states.

I will go with what the manufacturer states.

Fatal septicaemia?  The injection is IM not IV.  Malcolm don't you think that a septiceamia is a bit of a stretch.  I would think that a nasty cellulitis is more likely and if left untreated could be very serious or even fatal depending on the bug involved.  
I appear to be feeling just a bit argumentative today, good thing my lovely wife is off visiting family for a few days.   

I believe the manufacture (Kedreon) says 10 hours. That’s what we use

I contacted the company and received written guidelines describing storage limits. It was acceptable. 

If I remember correctly AABB has a book on the validation of pneumatic tube systems for the transport of blood products.  It was very thorough and in MY opinion overly and unnecessarily complex.  We validated ours before it was available by simply timing the transport and checking the temp on arrival.  If I remember correctly we may have even let the units used settle out to see if there was any excessive hemolysis visible but I'm not sure on that since is was 16 years and 3 jobs ago.    Since we were transporting to every nursing unit in the facility we were most concerned with those farthest from the blood bank.  We were fortunate to be able to do this prior to moving into the new facility which made life much simpler.    

This is the answer to your question:  a current specimen.  A historical blood type is not a current specimen!

i do not think anyone issues blood based on a previous admission's history.  People are not always who they say they are.
Scott

Well said, Cliff !

I prefer the second scenario.  I have seen this quite often.

We use a opaque purple bag.  I like to refer to it as the "party " gift bag.  My director asked that we do this.  It wasn't necessary to use a bio-hazard bag.

I have found that if you have a gel rx <=2+ tube testing will be negative.
Your positive tube screen with a negative gel:  can't answer that one.

I find that Gel screens are positive and tube are negative when there is either a Cold Antibody or Rouleaux.  Sometimes the gel finds an HLA that may not be picked up in tube either.  In all 3 of these cases, they are more of a nuisance then anything else.

We take the temp upon return.   The temp varies depending on what area of the hospital the blood was sitting .  OR is very cold, pt rooms are very hot, etc.

Hello All,
I passed the test last week. Thanks to all the board members. I learned a lot from all the topics discussed here as well as the educational material.

There is no 30 minute rule, I do not believe there ever has been.  An old AABB Accreditation Requirements Manual referenced it once.  I do not believe anyone supports this any longer.
We validated a time to return products in our organization.  We have recently changed our policy to using a Temp Check to measure each red cell upon return.

We get ours pre-pooled from ARC.  Far too much QC needed to do it in house.  Also, I your LIS may not play well with a mixed ABO.

Due to the lack of definitive guidance via actual studies (Seriously, how can that be done?), we have taken a 'logic' approach with our policy (my comments for this posting in italics) :
Select Product in this order ...
Indated product using shortest outdate first.  (This means that plasma that is already thawed is used first, regardless of ABO Group as long as it is not Group O, see next rule.)
ABO Group: ABO compatible are preferred but not essential.  (And then there's a chart because it is a procedure and that has to have everything in it.)
Do not issue Group O to a Non-Group O or Group Unknown patient without the consent of a pathologist. Caution: The use of ABO Incompatible plasma may cause significant hemolysis if sufficient volume is given (e.g. over 1000ml) within a 24 hour period.  Notify attending physician prior to ordering and/or issuing so an assessment could be made of the risk vs need when larger volumes are anticipated.  (And then instructions about how this is done and documented.)  
 
 
 

Since we are a VA and are a "small" transfusion service it is not in our best interest to purchase Type A liquid plasma. Our policy is to get a specimen immediately so those suggestions above don't help. I'm specifically looking to see if anyone had any research on what volume is acceptable. Honestly, it looks like everyone is just going to have to figure it out themselves.

I sent you some info

Even better, if they could be published in the Case Studies section of this site (no patient names, of course - or, come to that, hospital names).  That way, we could all learn, as none of us knows everything!

We use a CAP form that we've added our ID to. See attached.
ID Stripped Clinical Laboratory Pathology PT Exception Investigation Checklist.docx

We have a form to fill out and usually have the tech repeat the test and comment on anything that might have caused the problem.
PROFICIENCY REVIEW.docx
 
This is a copy of our form.