Everything posted by Joanne P. Scannell
Yes, I agree! We select 'the best we can'. I guess it comes down to 'at what point does the Blood Bank say, 'we can't be held responsible for this one'?' 99.9% of the time, the BB can find something 'suitable' ... but it's important to have some protocol in the SOP for that rare situation when we can't.
We have a similar protocol ... all in an effort to give them what they need asap and without a thousand phone calls! Taking the idea away from Burger King/McDonald's/Taco Bell ... we have pre-defined 'Packs' ... and once ordered, we keep making more until they stop coming to get them. This way, we KNOW ahead of time what the needs are and can plan our activities/staff/inventory accordingly AND there are 'no more' phone calls to interrupt and confuse us. We have 4 'Packs' defined, the contents of which were determined by a collaboration between the Blood Bank and the specific department, eg. E
Again, I agree with David. Informed Consent is required ... but who is supposed to provide the 'Informed' part? At our hospitals, the physician is given that 'burden'. So, to be consistent here, it is the physician who gets the additional information and he/she needs to figure out how to relay all this to his/her patient. Some risks are simple, some are more complicated. Documentation of informing the physician of additional risks such as outlined here is a good idea from a liability point of view ... don't want physicians claiming in court that they were not informed of the increased risk
Ummm ... there are limited resources in the BB in Vietnam ... let's shift our thinking patterns here. I agree with David S. and those who say 'give it and see what happens' but only IF the transfusion is life-saving. To transfuse a patient with an auto-immune process such as this can be counterproductive ... it is best to treat the problem not the symptoms. As far as an 'in vivo crossmatch' ... that only works if there's a 'immediate' hemolysin, eg. ABO or ... gee, I can't think of any other! This solution hurts my teeth ... Again, I agree that this is most likely an auto-antibody. Yes, ord
We do an elution only if the patient has been transfused. Q: What are you looking for? A: Antibodies that you will do something about in the future. In other words, WE need to know! (The MD really doesn't care what it's name is ... just get compatible blood next time.) If the patient hasn't been transfused, your eluate will be 'all cells positive' or 'all cells negative' ... so what's the point? AND if you happen to find one of those auto-antibodies that looks like an Anti-E or such ... you are only just going to confuse the world when it comes to transfusing the patient later. (The prope
1. We have validated antigen testing on gel for the Rh System, Fya/b, Jka/b, S, K1. 2. We do not do reverse typing for any ABO Rechecks (donors nor patients) ... and never have! Do request a copy of the reference for this citation. 3. We perform routine ABO/Rh/DAT on Cord Blood from Rh negative mothers. Testing should only be performed if it is clinically necessary. Why consider otherwise? Do we treat ABO Incompatibility (eg. Mom O, Baby A)? No, we don't ... so why chase it down? If the child is showing adverse symptoms of red cell destruction, the MD will order appropriate testing and w