Reputation Activity
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Gkloc got a reaction from tms8313 in Nursing verifications done at bedside before transfusion
Here we have a list of requirements that the tranfusionist completes by checking off that they performed the task. This is on the transfusion tag that is attached to the unit. 2 of the items are Verify Interpretation of Crossmatch Tests if Performed and Verify Special Transfusion Requirements. Inspectors have been ok with these.
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Gkloc got a reaction from SbbPerson in Nursing verifications done at bedside before transfusion
Here we have a list of requirements that the tranfusionist completes by checking off that they performed the task. This is on the transfusion tag that is attached to the unit. 2 of the items are Verify Interpretation of Crossmatch Tests if Performed and Verify Special Transfusion Requirements. Inspectors have been ok with these.
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Gkloc got a reaction from jtrick in Separate room for Blood Bank Department
There is no hard rule that Blood Bank has to be in a separate room. The whole lab here is in the same room, including the Blood Bank.
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Gkloc got a reaction from SbbPerson in Separate room for Blood Bank Department
There is no hard rule that Blood Bank has to be in a separate room. The whole lab here is in the same room, including the Blood Bank.
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Gkloc got a reaction from SbbPerson in Newborn Positive DAT
I did forget to mention that I did do this prior to performing the eluate and testing against the Father's RBC's. I was able to find 8 low frequency antigens (Dia was included) but they all came out to be negative. Unfortunately that was all the low frequency antigens I could find on the panels that we have available here.
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Gkloc reacted to AMcCord in Newborn Positive DAT
Just another thought (and I'm sure you also considered this), we see a positive DAT which doesn't seem to make sense a few times a year that is resolved by washing the cells an additional 3-6 times or by obtaining a capillary specimen on baby.
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Gkloc got a reaction from jayinsat in Newborn Positive DAT
I did forget to mention that I did do this prior to performing the eluate and testing against the Father's RBC's. I was able to find 8 low frequency antigens (Dia was included) but they all came out to be negative. Unfortunately that was all the low frequency antigens I could find on the panels that we have available here.
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Gkloc reacted to Neil Blumberg in Newborn Positive DAT
If the baby is not anemic and has no evidence for hemolysis, I'd just leave it at that. There are variant plasma antigens that can elicit antibodies and these can be hard to identify using red cell serologic techniques. If the eluate is negative against panel red cells, this is high probability. Perhaps mom is sensitized to a paternal immunoglobulin variant and these immune complexes are adhering to red cells. There are no standardized tests for such anti-plasma protein antigens, to my knowledge. Not very satisfying, but the clinical findings are the most important issues here, not the serologic issues.
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Gkloc got a reaction from Malcolm Needs in Newborn Positive DAT
Update - We got a specimen from the father and ran an eluate from the Cord Blood with the fathers cells. The results of this were negative. We also found out that the mother gave birth in 2019 and the Cord Blood Workup for this infant was also O Rh Positive with a positive DAT.
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Gkloc reacted to Malcolm Needs in Newborn Positive DAT
I agree with both Bet'naSBB and jayinsat in that it is probably an antibody directed against a low prevalence antigen. The problem with identifying the specificity of such an antibody is that there are so many! To make certain that it is not a "fool's errand", it might be worthwhile trying to get a sample of blood from the putative father, if he is available and/or known. As the baby is, like the mother, group O, there is a 50% chance that the father will also be group O, in which case it is simple to see if his red cells can be sensitised by a maternal antibody. If he is not group O, everything is not lost as, as jayinsat suggests, an eluate from the baby's red cells should be clear of all anti-A and/or anti-B.
If the putative father's red cells are compatible by all methods, either there is another explanation for the positive DAT, or he is not the father (or both).
The other thing that springs to mind is that, even if there is an antibody directed against a low prevalence antigen, as you have not identified a specificity using your standard panel, and should the baby develop a clinically significant case of HDN (it is too late for HDF) and require a transfusion, acquiring crossmatch compatible blood, suitable for the baby, should be a simple task.
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Gkloc reacted to jayinsat in Newborn Positive DAT
There could be a number of reasons for this. My first thought is mom could have an antibody against one of the low frequency antigens (Cw, V, Diego, Bg, etc). If you really want to figure it out, you could perform an eluate on the cord blood and a select cell panel on the mom's plasma. You will need to run the cord eluate against that select panel as well.
Of course, by select panel, I mean finding panel cells that are positive for the low frequency antigens.
That's my thoughts
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Gkloc reacted to Bet'naSBB in Newborn Positive DAT
?? Maybe mom has an antibody to a low incidence antigen that could not be detected with routine testing ??
That would be my first thought, at least.
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Gkloc got a reaction from BldBnker in Lookback processes - who notifies the patient?
Here the Medical Director or designee is the one responsible for contacting the patient's physician. If the patient's physician refuses to contact the patient, our Medical Director or designee will end up having to do it.
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Gkloc got a reaction from David Saikin in Lookback processes - who notifies the patient?
Here the Medical Director or designee is the one responsible for contacting the patient's physician. If the patient's physician refuses to contact the patient, our Medical Director or designee will end up having to do it.
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Gkloc got a reaction from jayinsat in Lookback processes - who notifies the patient?
Here the Medical Director or designee is the one responsible for contacting the patient's physician. If the patient's physician refuses to contact the patient, our Medical Director or designee will end up having to do it.
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Gkloc got a reaction from Ensis01 in Lookback processes - who notifies the patient?
Here the Medical Director or designee is the one responsible for contacting the patient's physician. If the patient's physician refuses to contact the patient, our Medical Director or designee will end up having to do it.
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Gkloc got a reaction from John C. Staley in Lookback processes - who notifies the patient?
Here the Medical Director or designee is the one responsible for contacting the patient's physician. If the patient's physician refuses to contact the patient, our Medical Director or designee will end up having to do it.
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Gkloc got a reaction from JeanB in Blood Bank Lead - Any advice, tips, ?
I would familiarize yourself with whatever regulations your lab is accredited with (AABB, CAP, TJC). That helps get you an understanding of what needs to be done and why.
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Gkloc got a reaction from R1R2 in Blood Bank Lead - Any advice, tips, ?
I would familiarize yourself with whatever regulations your lab is accredited with (AABB, CAP, TJC). That helps get you an understanding of what needs to be done and why.
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Gkloc got a reaction from AMcCord in Blood Bank Lead - Any advice, tips, ?
I would familiarize yourself with whatever regulations your lab is accredited with (AABB, CAP, TJC). That helps get you an understanding of what needs to be done and why.
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Gkloc got a reaction from jayinsat in FDA Guidance - PLT Bacterial testing
The Cerus Intercept system for pathogen reduction does this.
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Gkloc got a reaction from jayinsat in FDA Guidance - PLT Bacterial testing
Yes you are correct, if you use pathogen reduction you would no longer need to irradiate platelets.
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Gkloc got a reaction from Likewine99 in Stat Centrifuge
We use the STAT Spin Express 4 here which allows us to centrifuge our specimens for 3 minutes.
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Gkloc got a reaction from BloodbankZ in Stat Centrifuge
We use the STAT Spin Express 4 here which allows us to centrifuge our specimens for 3 minutes.
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Gkloc got a reaction from Dansket in Stat Centrifuge
We use the STAT Spin Express 4 here which allows us to centrifuge our specimens for 3 minutes.