Sfdreams

OH..My...Gosh!! Some people leave their brains behind, methinks!

We have Horizon BB and use ProVue (mainly) We do the same as Mabel: we do not test weak D anymore except on cord bloods. Also, when we get a result less than 3+ on the ProVue, we will check with tube, and report out the tube result. Therefore, we are calling more people Rh Negative than before, and they are receiving D- units. Occasionally, we run across patients whom we had typed as Rh Positive before, when we were doing Du testing, and we change them to Rh Negative with this comment: “Rh typing on this patient is dependent on reagents used, tests performed, and/or technical performance. Patient may have been previously reported as Rh Positive or Rh Negative. For Blood Bank testing the patient will be treated as Rh Negative, a candidate for Rhogam, and will receive Rh Negative blood. As a blood donor, this patient will be treated as Rh positive.” But for cordbloods, we ONLY do them on the ProVue or in MTS gel, so that if they are Weak-D the mom still gets Rhogam. I believe we wanted to take a conservative approach.

Same here: we handwrote on the expiration date in the "stone age" and now we have tags automatically printed. (duplicate of blood administration profile except on paperboard.)

I find radio/music played not too loud to be calming. For some reason, though, classical music agitates me, which is the exact opposite of what one would expect. The policy here is music with agreement between the techs-if anyone objects, it is turned off. I don't mind either way. I often provide my own internal music: I am almost constantly humming to myself!

Ditto that!!! I'm having WA-A-A-AY too much fun on a Sunday at work!! Terri (also!)

Sorry about this post!! Should have checked preview before posting! The formatting held until I posted the reply!!

Positive DAT ↓ Look up mother’s blood type in HBB (or call the floor if no Hx in computer) ↓ Mother ABO Compatible?* ↓ ↓ Yes No ↓ ↓ Hx of Maternal Antibody? Hx of Maternal Antibody? ↓ ↓ ↓ ↓ Yes No Yes No ↓ ↓ ↓ ↓ Spin cord blood and Spin cord blood Spin cord blood Perform ABO Perform antibody ID and perform antibody and perform antibody incompatibility on cord serum. ID ID on cord serum. identification on cord screen. Report should correspond to If antibody is identified, serum. Perform ABO antibody mother’s antibody. request a sample from incompatibility screen present. Report antibody the mother and verify also. Report antibody present. antibody. Report present. antibody present.

So interesting to see the different ways everyone handles this! We do cord blood workups on whatever cord bloods are sent down (usually from O moms or Rh neg moms, but occasionally others). If the DAT is positive, this is considered a critical result and phoned to the nursery. If the mom is O positive (which is usually when we get a positive DAT on a cordblood) we do a modified Du procedure, where we test the cord serum with A or B cells (whichever the baby is) and O cells. If it is positive after incubation/washing/and adding IGG coombs, we report the presence of anti-A (or in baby's serum. I haven't seen a positive DAT on a cord from an Rh neg mom, but I did at my previous employment in CA. Our policy here is to perform a panel on cord serum if DAT is positive on cords with same type as mom, and on different type mom's as well as the ABO incompatibility screen if mom has a history of an antibody.