The only way we get staff to read policies is to discipline themif they are not signed off. Our staff gets 2 weeks to read and sign off on procedures, if not they are disciplined. We obviously take vacations into account but are pretty stringent that they sign off ASAP.
We have recently began using gel and have an increased amount of warm autos. We still use tube (LISS) testing as a back up method. We have recently got a patient that reacted positive (3+) on all cells including the AC. The tube (LISS) panel was negative except the AC. The DAT was positive IgG 3+ and neg c3bc3d. The tube AHG crossmatches were compatible and the patient has not received any recent transfusions. Would you call this a warm auto ab and forgo the expensive workup or is GW too flippant about calling a warm auto?
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