R1R2

What were the blood types of mom and baby?

welcome James!

I don't think you would need to take it to coombs. Do you not perform cord blood testing?

Way to make us feel bad John. You are a lucky man.

You could enter a patient safety event. This may get someone's attention.

Do you not get a sample because the patient expires? That is usually the case here in Chi Town. When this happened in the past, I remind the ED staff that we have only so many units of O blood and if they had a couple of these MTPs going at the same time, we may run out of O if we can't change blood type.

I agree with exlimey, perhaps validate that your instrumentation can perform antigen typing with antisera that requires AHG phase or uses AHG cards.

Most programs will not ID the antibody. They are just a tool for the blood banker to use during ID. In my experience, most blood bankers, including SBBers could not tell the difference between an anti-D+C and either an anti-C+G or anti-G, anti-hrB, rather than anti-C+e or anti-hrS, rather than anti-ce (anti-f) IMO (sad but true).

Is the other hospital performing a crossmatch with maternal specimen?

I have used and liked this one- http://www.antibodycheck.com/

There are some nifty antibody id programs out there, like Antibody Check, that can aid in the identification of abs. I think this would be a great tool for generalists.

You could use bottled water (gallon size). Did you try vinegar? Not sure if that is kosher for plasma thawers but it works in my dishwasher.

I assumed your screen was negative. What was the panel results of the positive antibody screen?

possible anti A1?

On of the plus sides of the CMS announcement that BS in nursing is equivalent to a degree in biological sciences is that it is a lot easier to find a BSN to help me perform POC competency assessments.