EDibble

I agree with David.

And, not to add confusion to the mix, if the antibody were just forming, subsequent testing with new samples could show stronger reactivity. There are so many variables involved, it is hard to generalize some of these things.

All but IM Rhogam comes from Pharmacy. We were so happy to give up handling albumin!

Oh Linda, I feel your pain. Check *everything*, patient ID #, Lot #'s, etc twice if not three times. Beth

Yes, come back to the Great White North.

We use a paper form. No problems here. With the flurry of activity that often accompanies an emergency release of blood, it would be unreasonable to expect the physician to HAVE to order the blood electronically. Patient care is the primary concern.

But, if the antibody is not reacting in tubes, a full AHG XM could read as compatible. Sorry to continue the scary thread.

We have small buckets on the benches (never heard the term scut bucket before, but I like it). They are lined with a red bag and covered. They usually fill up in just a day or three. We just lift out the bag, tie it shut, and place it in a larger biohazard container. No disenfectant in it at all. No problems.

I know I am late to the party, but just last week, we had a new patient (to us) admitted. The nurse called us to say, "her daughter is with her and says she has an antibody, an f y something." :-) Sure enough, I called a nearby hospital and they had identified the anti Fya, which was NOT currently reacting. We used to give out cards, but do not anymore.

By a strong cold that reacts at 37C I assume you mean invitro? This phrasing confuses me, but maybe it is because it is Friday afternoon....

Same at my place Kate.

If only we would get these calls! I cannot tell you how many duplicates get ordered here.

Just checked it out. Oh boy, more fun to be had!

I need to pass this info along. I do not believe we QC the pH paper. Yikes!

I also agree. And that scenario you mention gives me the willies Justina!

In total agreement here. The potential for transcription errors is huge.

Was it possible that either patient had recently been transfused with several units of O cells? I know you said one patient was new to you, but they may have gone elsewhere.

Same as Terri. This has made a HUGE difference in the product we have wasted in the last year or two.

Number 2 for sure. Why could it be considered a trick question?

Done

Exactly the same here.

We do the same thing here. One time I had to call five out of state hospitals to get the complete history on a patient. Having all that information was well worth it! On a personal note, I have often said that if I ever developed an antibody, I would get a medical alert bracelet. I wonder why that is not a routine thing. That information is certainly as important to a patient's treatment as information regarding allergies, etc.

This is exactly the history with cords here. Started on the Echo. Even washed specimens gave us falst positives. We do ours in tube now.

Malcolm, that is the shortest post from you I have ever seen! ;-)

This is often a frustration we have here Anna. It would seem like a good idea to get a handle on just what is causeing her "anaemia", and not just throw a bandage (transfuse units) on the problem. ESPECIALLY when she is reacting so often to transfusion.