[What Would You Do??]

It is probably best to look at the decision to remove or not remove the antibody history in terms of risk. There was evidence, however suspect, that the patient had an anti-K. If you remove the requirement of transfusing K antigen negative blood and by a very unlikely chance the patient had a transfusion reaction due to anti-K (or any harm even remotely attributable to the transfusion), then you have to convincingly explain why this was a safe or better decision for the care of the patient to your hospital QA, administrators and/or lawyers, who may only know one thing about blood-it's red!

And this from a junior member and the only response that I actually agree with.

Good For YOU!! : )

[Rh Enigma.]

I'm off on annual leave at the moment (I'm painting and decorating my son's bedroom) but a case has been brought to my attention by one of my staff members.

We have a mum (mom) who is R1R1. Her baby is R2R2.

1) Any ideas about this? I have a few.

2) Any ideas about how to get emulsion and gloss paint out of the hair of a 12-year-old son who should not have been in the area in the first place, and has just about avoided justifiable homicide???????????????????????

:shakefist:shakefist:shakefist:shakefist:shakefist

Hi Malcom!

I have been reading your posts for quite some time now and it's because of that I will choose to answer #2. There are a few recourses here. The first is simple and kind of fun, really. Just let him "wear it" for a few days : ) He'll eventually realize that he looks somewhat the buffoon and will sure never do it again. If this is an oil based paint, there's probably nothin' you can do but cut his hair. Let me know how it comes out, K?

Thanks for all that you've taught me!

Penny (thielp@health.missouri.edu)

[ISBT and Cerner Millennium]

Well, we completed our build, but not very successfully. Apparently our version cannot translate the ISBT product codes correctly. Cerner told us that only the most current version (not sure of the number) can do it correctly. We were not happy after spending much money and time to do this conversion. We will not be upgrading Cerner as we are changing computer systems, so we are stuck with workarounds in the meantime.

Ah...seems like Cerner is one HUGE "work around". We just got done with our build (we were given no choice but Cerner) and we were able to build ISBT. Even at that, it's a bit quirky and I'm sure we won't really know just how bad it is till ARC converts to ISBT sometime in 2011. You are very bright and blessed to be dumping Cerner. Please do not be taken in by Mediware. It's truly the VALLEY of HCLL. We jumped in not knowing all the facts about Cerner. Their people seem to be a bit difficult to communicate with. We're finding they will do things without telling you and with no concern of the impact it may have on your process. Suddenly things just don't work and then they don't seem to know how to fix them. I could blab on and on.

That's all I know.... my heart goes out to ya

[Rh negative OB samples positive on Echo, but negative with tube/PEG, etc...]

Ah...yes....the ECHO. The little fella who's so sensitive if you look at him sideways, he'll cry?

He has always been like that with us. Totally supersensitive. It took a while and lots of money down the drain with time and reference lab. charges but we finally did decide to do all positive screens from the ECHO on the bench in Liss and that's our answer. 99% of them are negative. There are some ECHO owners who work up all the positive results. We don't have that kind of staffing. Our last AABB inspection was with flying colors and the inspector totally agreed with our procedure regarding the ECHO postive screens. So, there ya have it. : )