YorkshireExile

No bad outcomes at all. So I suppose your next question would be " then why change anything?" Which would be a good question!

In my hospital we irradiate all blood for neonatal top-up transfusions, and because we reserve units for the neonate to reduce donor exposure, some blood is even irradiated up to the unit being 35 days old. All irradiated blood is transfused within a few hours. I have just belatedly read the 2020 British Committee for Standards in Haematology (BCSH) guidelines for the Use of Irradiated Blood Components. These guidelines are now saying that blood for neonatal top-up transfusions does not need to be irradiated (with a couple of exceptions of course, such as after an IUT). They also state t

Congratulations!!

Which Standard number is this?

Slightly off topic, but we don`t wash our units for IUT. What anticoagulant for the blood collection do you use? We use blood collected in CPD with no SAG-M added, which normally has an HCT of around 80%. So no washing is required.

Congratulations!!

Hi Malcolm, you mention that in massive, urgent transfusions to give Rh and K-matched blood for females of child-bearing potential from the age of 0. What about routine top-up transfusions for female neonates from age 0? Should they get Rh matched blood? Or only from four months old onwards?

Thank you all for your suggestions and helpful information. Unit has been returned to supplier as there is no way we could use it for any patient. Investigations are underway....

We have never used a lectin panel before. Are these commercially available?

We have one unit of group O positive blood that we unexpectedly got a 4+agglutination by tube and a 2+ agglutination by gel card when we crossmatched to a patient with a negative antibody screen. We did a polyspecific DAT and a monospecific DAT by gel card and both were negative. Group and antibody screen of the donor was checked and was confirmed O positive with negative screen. We then crossmatched the unit with five random patients of different groups who all had a negative antibody screen. The unit was incompatible with all five patients. What could be the reason for this one unit being i

For anyone who is washing red cells, what do you use as your quality control criteria for the final product? Is it based on any standards? I have looked at AABB standards but cannot find anything specific there. What is the HCT level you are aiming for? What is the protein level you are aiming for? Any other criteria?

Melanie - I have sent you a PM

We also test for Weak D`s on Rh negative babies of Rh negative mothers. The CAP TRM: 40780 says you have to anyway. I think in about 13 years I have seen two babies that were Weak D positive.

My hospital is looking to begin stem cell / bone marrow transplants, but the lab will only be involved in receiving, assigning and issuing the product. The actual collection and processing will take place at another site before the product is sent to us to issue to a a patient. We use the Cerner Millenium computer system. Are there ISBT labels that we can use for these products that have the code available in Cerner software? I have been told that we need to get third party software for this as Cerner does not support cellular therapy products. Can anyone who has Cerner and transfuses cellula