tgambill

Hi everyone, Recently, we had a patient who came in for routine pre-natal work-up. Her ab screen was positive and the id panel had reactions on every cell, but the strengths varied greatly, with a positive autocontrol. Dat was 3+ IgG, comp negative. Reference lab gave me a final result of warm AIHA, with a negative fetal bleed test. My question is that since this antibody is IgG, should we expect HDN? Also, if anyone knows, how would you treat this patient? Should we be doing any other tests? Any input is appreciated.

I was hired a several months ago to replace the blood bank supervisor. I had to learn the policies of this lab and meditech, pretty much on my own. From what it sounds, we haven't been updated in quite awhile. However, I cannot be sure since I am so new to meditech. If this is what I have to look forward to in a new update, I will definitely have my hands full.

Thank you for your response. I am not too much concerned about it being a lot of work, it only took me 10 minutes to enter in my current panel. And yes, it gives you a list of possible antibodies to rule in/out. However, I beleive in the "use of all available systems/tools" and thought this would be a neat tool to aid in antibody identification. I don't think it was ever intended to be more than a tool in our arsenal. Once again, thanks, as I said, I am interested in all responses, good and bad.

Does anyone out there use the cell panel in meditech to assist with antibody identification??? I am interested in both positive and negative remarks.

Our OB dept. sends cord blood in an purple EDTA tube and a red 7ml tube (both are plastic).

Everyday place I have worked required ALL tubes to be labeled. I hae the unit re-types set up so that when the units are entered, the re-type is ordered and a label prints automatically. Our labels consist of one bar coded label and 2 smaller labels with the information but no barcode. I have instructed the techs to use these labels, and write A, B, and D on the labels to make it easier for them. So far, everyone likes this idea.

I am a new blood bank supervisor and thought I would check here to see what everyone is saying about panel qc. the last place i worked did not any panel qc, but this place does an anti-D positive control on cell 1 and a negative control on cell 1 every time the panel is used (but they only do it on the "in-date" panel and not on the panel they use for selected cells). the CAP checklist say all reagent cells must be checked for reactivity and specificity each day of use. this has me completely confused. i am not sure what I am qc'ing. if I use anti-D, ok, great I know that my D antigen is on cell 1, but this really doesn't tell me anything about the other cells or antigens. Any thoughts/input would be appreciated.

i have heard that either way is difficult.

I am in the same boat too, although much more recent, only 3 months in. i knew beofre accepting the position that the blood bank needed a lot or work. however, it seems that it would be better to bull-doze and re-build it. some days i am so over-whelmed but then take a look at what i have accomplished so far. I took the job as management and a new hire, so I have had some personnel issues along with all the problems. being the "new kid" isn't very easy sometimes.

blood bank handles all clerical checks currently

Hi Barbara, At your convenience, can you email me a copy of the review. Even though I already have my SBB, I think it would be a good reference to have on hand for those little things I may forget through the years. My email is tgambill@egcc.org. Thanks! Tina

H gene is required! Without H, a person (hh) would be Bombay and not have the H chain produced and therefore regardless of what other genes are inherited, there would be no place for the antigens to form.

If you are in the SBB program, I imagine you are with the Gulf Coast one, then you will do well on the exam. As for a research project, talk to your program director who can give you some ideas. Try to come up with something that would apply to your facility. Talk to your pathologist and see if he/she has any ideas that might help you. I know the program is not easy, but study hard. I did it 2 years ago and am so glad I did (even gladder that it is now done, lol). Good luck