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khalidm3

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Everything posted by khalidm3

  1. Anti bodies A in some B subjects do not react with with A2 Cells?? Please Comment
  2. Patient's ICT (AB Screen is negative) needs question from the blood bank their technique to perform ICT, do they observe IS during ICT, if they are on manual? Cold ICT should be performed and elution studies for DCT positive cells should be done. Medication history should be kept in mind.
  3. .... Ditto.... Can not under stand why some go for pre warm DCT, any reference? . I wanted to write but ignored to avoid criticism.
  4. You have AB Negative and DCT+ by Coombs Poly Specific and IgG but pre-warm DCT is Negative? Can u write little more history of patient, age sex, recent medication/transfusion, any other diagnosis? Positive DCT should be further worked up starting by elution.
  5. The Best practice is to isolate all three from each other, separate fridges. If it is not facilitated one/two fridge can be used for the purpose but allocate one column/area for each item. Label it clearly that the shelf is reserved for_______ "Shelf is only For _______ Keep only ________Here, Do not keep ________here. Observe universal precautions strictly with specimens I mean leaking etc.
  6. Anti body ID should be performed. In our system we have option to add additional tests. Health Care is free here.
  7. --ditto-- Sorry! "ever" in my last post is incorrect-- with in last 3 months is correct.
  8. 72 hours limit is for the patients who have/had transfusion (blood or blood products) or the females who are/were ever pregnant. Consult AABB Technical Manual and AABB standards and develop a policy.
  9. What detection he wanted, to test it for factor VIII and Fibrinogen?
  10. AABB manual for quality Control explains all quality control very well.
  11. To Shilly, I believe such areas do not have hemo-vigilance.
  12. During a visit to an Emergency department Lab we found that they were issuing red cells by IS x-match only even to sickles, thalassemia and dialysis etc (HB 8-10) patients under the umbrella "it is emergency/stat transfusion "; the pathologist there replied that he is observing this practice from last 20 years and no problem was raised????? Later on pre-transfusion compatibility testing was shut down at that Lab.
  13. Thanks, Your explanation justified our ABS+AHG (GEL) but we miss IS at present, considering to add IS since CLIA requirement.
  14. Donna has explained in reply to your previous thread. Risk of missing an antibody is very little by AB screen (by commercial cells esp 3 cell panel) vs cross match. Frequency of missing an antibody due to dosage effect in cross match is higher than missing a low frequency or private AB by AB screen. Few years ago I had a meeting with a German University Hospital Transfusion chief, he was in favour of AB Screen+IS cross match+AHG Cross match, but he had not good reasons to perform AHG cross match, just he said he did not want to leave any chance/risk. Still in some countries it is necessary to do AHG (Major cross match) beside ABS. Some of our senior (old) consultants also wants to perform ABS+IS+AHG, but they agree that AB screen+IS/Computer is sufficient.
  15. Sorry for my second post, I had a phone call during writing and I posted without updating the page
  16. I have a look on the brochure, mostly the option is there but it will not perform the test automatically for negatives, u have to run required samples for weak Rh test. Better Contact DiaMed, they r very prompt to answer, just an email to their support.
  17. We do not have this machine but to test Weak Rh(Du), ID Anti D in Combs card and incubation should be there, Is this option available in this machine? Which Gel Station u r validating? We r on manual DiaMed Gel.
  18. We have electric back up from years, it starts with in seconds and covers all refs and freezers, half of other equipment and lights. Our electric department check its function periodically. All Blood Banks should have such system.
  19. For product selection, this the best criteria whereas we miss some testing and use less than 5 days old red cells. I hope we shall add these tests soon
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