Liz

PS: I would dispose of it. I err on the safe side.

What David said is correct. If you know the time it spent and at what temp then you may accept that it be transfused to that patient and deduct the time from the 4 hours. This goes back to the question of why we accept only 30 mins out and back at the acceptable temp and yet allow up to 4 hours of transfusion time. Same concept. Thanks Dave, I had archived that one in my brain.

I have no news and did not allow it in the Bood Bank ..yet. Something to ask at the AABB meeting to the FDA and Standards meetings.

It is a Nursing unit item.

I agree, I was considering if just one crossmatch was positive

I just moved to all patients. You do not know when they will discharge the inpatients.

Positive Cxms and neg AbSc reasons: 1. low incidence antigen on donor cells. 2. Donors are (all) DAT positive 3. Homozygous expression on donor cells and hetero on screening cells for a given Ag 4. Delay between Cxm pos and neg, the interfereing "stuff" settled. 5. AbSc done in tube while gel Cxms more sensitive 6. Patient is weak D with a weak anti-D 7. Patient has excess proteins causing pos result in gel, these are washed away in the tube method. 8. Patient has antibodies against stuff in gel (cxm). >>> more?? I shall await your reply to the questions about what you did asked by the posters.

Just pulled it out, thank you I appreciate it.

Once thawed and not released immediately, the FFP is stored at 2-6 C then they transfuse them at 4C slowly as the RBCs. However, in TTP with FFP replacement this is a problem. what do you do, use a warmer? any other options? Thank you.

Great, do you have a reference please.

ok, pls send a f/up when you get the resuts. Thanks

So if I were you I would bring it up now with your Quality Officer, before, God forbid, something happens.

You do know that an open (spiked) bag can be kept for a maximum of 24 hours at the right storage temp. So having said that, beyond 24 hours if you culture the bag you may end up with a positive culture, while the bag actually did not transmit a bug to the nenate during transfusion.

How are the reverse strengths in gel? what does his CBC look like?

Group A with weak anti-B, or Strong subgroup A with weak anti-A1 and weak anti-B. How does it react with anti-A1 lectin?

Please send: Age and gender of patient, diagnosis, history, previous Blood Group?? thanks

I do apologise for the grammar and spelling again. Thank you for the replies.

i keep O negs for emergencies so thats what I send out. No time for gender and age. Disasters!!!!

yes i stand corrected.

NEVER!!!! O negative RBCs ONLY, no choice, no thoughts, no nothing.

Cliff why is that considered a dirty word? and went into****??

"did get not to coffe.." what!!! hahahahaah its early morning, the male of the hen (****) did not crow yet...ohhhhh i am drinking decaf oups!!!!

and by definition how much is in a pack? (it varies based on.. the request?) so no one divides the aphresis collect to suffice 2 patients (if 12 units) oh oh and so may i assume that you write the absolute # of plts on the bag and not # of units like 6 or 10 ( each unit represntiong .55 x 1o^11)? sorry fo spelling etc.... really did get not to the coffeee yet, i am so happy i am getting replies to this quetsion (question). THANK you all.. have a good Sunday and pls continue clarifying these facts to me.

do they use something like tje Atreus? I am working with a European govt now to write a standard National law, i understood that nearly all of Europe give a pool of 5 because the 5 actual have more plts than an apheresis of 6 because of the way they are collected from the Atreus (buffy coat).

so the dr transfuses what he needs and disposes of the rest?