nanste

I have attached a summary that was received via e-mail from William Laboratories. It is a summary of the discussion at the AABB Annual Meeting in 2009..........this is in addition to Dr. Pepper's posting from earlier today! Vuepoint home.doc

we recently moved RhIG to Pharmacy (we use Rhophylac). Once it was moved, the responsibility for tracking lot #s and product recalls was also moved to them. Unfortunately, at present time, can't answer fetalbleed questions, as our birth center has been closed (but soon to reopen). When that happens, we still plan on keeping the product in Pharmacy. We communicate with Pharmacy via telephone, informing them of Rh type and antibody screen result. We hope to educate on looking up results in the computer in the future. Would definitely be interested in hearing more about the process used by"LaraT23"!!!!

One bag is the IDEAL product, but you have to follow your facility's protocols and capabilities (do you pool? follow FDA's Bar Code Label Requirements for Human Drug Products and Biological Products; Final Rule [Docket Number 2002N-0204]?) We just add up the volumes of frozen plasma to get as close to the volume needed for patient, thaw, and issue all at once.

Ortho manufacturer insert, for DAT, has a NOTE: "The sensitiviity of complement / anti-complement reactions can be increased by incubation at room temperature for 5 to 10 minutes and recentrifugation. However, the results obtained following immediate centrifugation should not be ignored because anti-IgG reactions may be adversely affected by incubation." Rev. March 2005

none. closed system

Thanks. We established a protocol with Pharmacy years ago for potential WinRho use. Our reasoning was WinRho is not efficacious if patient is Rh negative. See below: "1. Upon entry of an order in the Pharmacy Department’s computer system for WinRho for the treatment of ITP, the Pharmacy Computer will prompt a “Dispense Message” stating the following: “Contact Blood Bank at 44620 that patient is receiving WinRho. They need to be notified whenever a patient has received it. Ask them for the patient’s blood type. WinRho should not be used if a patient is Rh negative. The physician must be called. If the Blood Bank does not have a blood type on file, the physician must be contacted to order a blood type.” 2. Obtain the patient’s first and last name and medical record number from the Pharmacy Department. Check the Blood Bank files (current and previously discharged) to determine if patient has an ABORh on file. [WE'RE STILL MANUAL!!!] 3. If a current/previous record is located, communicate the ABORh to the Pharmacy Department. Confirm with the Pharmacy Department if the patient is to receive WinRho. If yes, document in the “Comments” section of the Blood Bank Record: “Patient received WinRho....date received”. 4. If a current/previous record is NOT located, communicate this to the Pharmacy Department. It is then their responsibility to contact the physician to order a blood type. THE PROTOCOL ABOVE IS WHAT I'M THINKING OF DOING FOR RhIG IN GENERAL, BUT ONLY WITH CURRENT ABORh. That's why I'm reaching out!. Thanks!

We are a community hospital, and closed our family birth center last year. We have a busy ER, and occassionally need to provie Rh Immune Globulin. We currently use Rhophylac, and Pharmacy will start using this for ITP treatment. Am interested in hearing from anyone who HAS transitioned Rh immune globulin to the Pharmacy, and more interested in the process prior to Pharmacy dispensing product. EXAMPLE: Blood Bank does ABORh.....result in computer (or maybe not) ....does Pharmacy look up on their own or do they call Blood Bank? ...or any other scenario would be most welcome!!

can you provide some insight on how pharmacy accomplishes dispensing Rh Immune Globulin for Rh prophylaxis? We have closed our family birth center, but have an active ER. We use Rhophylac, and Pharmacy is to transition to Rhophylac for ITP use. Does Pharmacy call the BLood Bank to verify Rh? would appreciate any guidance!!!