khalidm3

Yes, best and prompt way

Recently we updated our disaster policy and now after reading this thread especially Dr. Pepper's experience I need to revise it again. Thanks to Mabel for starting an attractive and needed topic.

Hi Malcolm! Agree with u. Actually we were forced to do that, the details I can not write here. At the occasion my opinion was same and I opposed this much draw but in the end I proved to be wrong, a few units were expired most of the red cells were consumed.

Few years back we had a blast in the town and some casualties were rushed to our hospital. It was last hour of the morning shift when our executive director informed about the disaster. Luckily we had a good number of staff available on the duty, one receptionist on reeving the phone call, 4 techs and me for coordination. Medical Supervisor also stayed with us. 4-6 porters were to carry the products. We thawed 8 units of FFP from each group and kept in ref. Each tech prepared 8 units suspension from the bags and rechecked the blood groups from segment, One tech had A+, other B+, and two of them O+, the tech maintained his suspension till the end. I kept for me issuing products without specimen. As soon as we received a written request with sample we processed ABO and Rh Cell typing by slide and forwarded to the techs having ready suspensions for that group. He performed IS and issued the PRBC, Receptionist and me helped in paper work, and FFP requests to release already thawed plasma. We had two calls for O Neg without specimen; we issued 4 packs each and meanwhile requested the sample, on receipt of sample we shifted to group specific. We issued 10-12 patients by IS, 2 patients O Neg and later some cold victims by complete cross match. Most of the patients were given 8-16 units red cells and same number of FFP (figure may not accurate, as it is long ago). All cross match were compatible on completion and no discrepancy in ABO and Rh.( At that time we had not ABS, we were on major cross match only.) Luckily we had no shortage; our PRBC stock was 900-1000 FFP +5000 and RDP 200-250. We declared emergency collected a lot of blood. Donations were opened for 72 hours round the clock and we recovered with in these 72 hours, +1000 red blood cells.

Yes, Malcolm Actually from Eltonsey first short question I understood same like u that he is asking for x-match and I answered in the same direction too.

Yes up to 4 month, At first order: ABO and Rh, antibody screen, cord DCT and if no unexpected results O Rh compatible red cells for 4 months without further testing.

Thanks manojpm.

Thanks David S

Thanks David, We face this problem with physicians always. My question is how should I write this O:T to transfusion committee. How should I write 1:0, then it looks normal as normal is 2:1

One department orders the blood but does not use at all. How to write O:T or C:T in such case. Previously they requested 4 units and not transfused. Again this month they requested one unit and not used. 1:0 Is it correct when the normal O:T is 2:1?

There is no mandatory requirements, the requirement is only to have an active committee, holding regular meetings. As Bill stated since 2010, our policies and procedures are discussed and approved by the committee. Signature of head of the committee are there on each policy as a reviewer.

Till neonate reaches 120 days.

Maternal sample (EDTA) for x-match/antibody screen screen if maternal sample not available then from neonate, major cross match only if indicated.

For us monthly, all transfusion related problems, corrective actions and their out come. Particularly O:T (C:T) abnormality, delayed release of blood products etc.

We do not do FMH screen in Blood Bank it is in Haematology. We do not observe RhoGam administration also. It is considered as a drug and pharmacy dispense it on prescription. I remember TJC has included it in the drugs? Please Comment Thanks

For manual tube methods we use AABB as L106 stated by but for Gel we have adopted the reaction grading provided by the manufacturer and it is part of each policy where it is required, by this way are our polices are little lengthy.

Thanks Malcolm, I did not request but it will help me too.

Yes, Please khalidm3@hotmail.com Thanks

Lara123 In our centre we do not do IS but if we perform it; it will be counter check for miss-pipetting for testing or miss-labelling of the unit.

Really, me too, when I read it first time, surprised and thought why Colin posted this. I learned the way from Colin and Deny to handle such problem. Thanks and appreciations for all those who contribute to BloodBankTalk

Yes sorry I should write random donor not single, thanks for correction

Deny u and Colin are right

We take permission (Verbal) of our MD if release ABO, incompatible or Rh pos to Rh Negative Platelets. ABO & Rh compatible mismatch, we just issue and inform him, if he or an other BB physician is around (all products). More than last 10 years, we never issued Rh + red cells to Rh- The Blood Bank may initiate a policy, and if required approval of transfusion Committee, to transfuse ABO mismatch compatible products and get approved from the hospital director. All the staff including the pathologist will feel comfortable when they will have a written protocol.

I suggest to let this patient's husband read this thread, he is an educated person hope he will believe professionals and agree with us. Approval of FDA, CE and ISO signs are sufficient to assure quality/safety.

Fears of Liz proved true, If Colin had not posted, we would not know all this.