trisram

Yes, wow, your answer is excellent! Thank you! I am just trying to get a clear picture in my head, just in case, I ever get into this type of situation.

Here's the scenerio: I got an order for 2 units of blood. I do a ABORH and then an Ab screen. The screen is positive. What do I do next? Can you tell me if my steps here listed are correct? 1) First I do an antibody panel 2) After I do my first panel, I still have a few antibodies not ruled out, but I have one antibody that I have ruled in Anti-K 3) Then look into our inventory to find two units there are K antigen negative 4) Then I crossmatch the 2 units and do Ab screens on both of them 5) as the units screens are incubating, I do a 2nd Ab panel with prior used panel reagents to rule out all the antibodies I didn't rule out the first time 6) Then I keep doing this until I ruled out everything 7) as soon as all my rule outs are done, then my units will be ready to issue. Does this sound like an efficient way of going about this problem? Or is there something I can add or correct to make this as quickly and efficient as possible? Thank you for your time. T. Ramon, MT(ASCP) PS. Usually, I work core lab and microbiology, but they have me working in blood bank, and I am still trying to work out stuff. Thank you for your time.

Thank you all for your help. I usually work in microbiology, but we lost some employees recently, and so they have me training in blood bank to make up for the loss of man power. And it's been a while since I worked blood bank, oh boy. Haha, thanks. T. Ramon, MT(ASCP)

I apologize, this may be a stupid question. For example, if you are trying to do a gel cross match and the donor cells have Rouleaux, can you tell that from looking at the gel card? If so, can you tell me where I can find some pictures of this reaction. Thank you for your time and help in advance.