jayinsat

The trouble is that, if the antibody happened to be an anti-Jka or, worse, an anti-Vel, the resulting rise in titre, following an anamnestic response, could be fatal on rare occasions.

Jason Bourne all over again!!

All, I am about to blow your mind....
Our plasma freezer is down and so is our backup. The freezer will not get colder than -18 C. I was preparing to move all the products into boxes with dry ice until I had a conversation with my 87 year old dad, a retired blood banker from University of Chicago. He said to me, do not take the plasma out of the freezer and put it in boxes, PUT THE DRY ICE IN THE FREEZER, IT IS THE BEST STORAGE BOX YOU HAVE!!!!
MIND=BLOWN!!!!
I did that. Our freezer is currently reading -25.1C and getting colder. Furthermore, the probes in the freezer continually monitor the temp in the freezer so you don't have to record temps every 4 hours, the chart is doing that for you!!!
Isn't that cool? That perfectly illustrates the difference between wisdom and knowledge there. I wish we could hire my dad.
I just had to share this here.
PS. Freezer is now at -26.4C.
 

You did everything that was required in this situation. The patient was a trauma and needed emergency transfusion. The risk of death outweighed the risk of a hemolytic transfusion reaction in that scenario, according to the treating physician. I once had a trauma surgeon tell me "I can treat a transfusion reaction but I can't treat death!" That put things in perspective for me. That is why thy sign the consent.
Next step would be to report this to your risk management department so that follow-up can be made, including monitoring the patient for the s/s of DTR. 

We do not accept units from our regional supplier from donors with alloantibodies. 

I agree with Malcolm. I would dig as deep as possible to find that antibody history. If none can be found, I would do AHG crossmatches. If it was a frequent antibody, the titers should rise to detectable levels soon.

Extended cross-match, UNLESS, the history of which other hospitals the patient has been treated is known.

Of course, in the UK we have a national database of patient's antibodies, which makes life an awful lot easier, even if the data is just a "snap shop".

I agree with Malcolm. I would dig as deep as possible to find that antibody history. If none can be found, I would do AHG crossmatches. If it was a frequent antibody, the titers should rise to detectable levels soon.

Inspection proof is a section of MediaLab where you can upload accreditation checklists and track how you are meeting them. Similar to AABB Apex self inspection but more robust. You can link and quote SOPs if you use the document control feature and flag any deficiencies and document corrective action like uploading an SOP revision. Makes inspecting a breeze for both sides. Only caveat is you have to upload in excel format and I’ve never seen joint commission provided that way. I have an email out to my medialab rep. 

Ah ok. Makes sense.
Cheers

I think they're meaning don't repeat the ABID on a post partum positive screen when you've already performed the ABID on the admit type and screen likely done within 24hrs of each other.

If we've done an antibody screen when the patient was admitted, we cancel the screen on the RhIG workup. If the patient only had a blood type ordered on admission, we do a screen.

Most blood bankers I know have a pain tolerance only slightly less than their resistance to change!!

Just curious, do they want the documents sent electronically or hard copy?  Either way, especially since you referred to the request as a "big list" I would probably, respectfully decline.  I would indicate that the listed documents would be readily available upon their arrival.  But that just me and I never had an inspector request anything like this.  I'm sure things have changed since my last CAP inspection.

Lol. Do you have a validation guide and procedure for that?

There is one danger in this process, and I have seen it happen. Miscommunication between shifts opens the possibility of an expired unit being successfully issued because the expiration date in the LIS is different then what is manually written on the unit. If you are not changing the expiration in the LIS, you will need some sort of system in place (in policy and practice) that shows you mitigate this possibility. 

Lol. Do you have a validation guide and procedure for that?

With pictures???

Have you thought of thumb screws????????!!!!!!!!!!!!!!!!!!!!

Exactly what we do.

You did everything that was required in this situation. The patient was a trauma and needed emergency transfusion. The risk of death outweighed the risk of a hemolytic transfusion reaction in that scenario, according to the treating physician. I once had a trauma surgeon tell me "I can treat a transfusion reaction but I can't treat death!" That put things in perspective for me. That is why thy sign the consent.
Next step would be to report this to your risk management department so that follow-up can be made, including monitoring the patient for the s/s of DTR. 

We do not accept units from our regional supplier from donors with alloantibodies. 

I am not sure I understand your question. 
If the mother had an admission type and screen and was rh negative, then all that would be required post-delivery is the fetal bleed screen. Why would you want to repeat and antibody screen post delivery?

I am not sure I understand your question. 
If the mother had an admission type and screen and was rh negative, then all that would be required post-delivery is the fetal bleed screen. Why would you want to repeat and antibody screen post delivery?

I am not sure I understand your question. 
If the mother had an admission type and screen and was rh negative, then all that would be required post-delivery is the fetal bleed screen. Why would you want to repeat and antibody screen post delivery?