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Auntie-D

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Everything posted by Auntie-D

  1. Auntie-D
    Surely anything is going to be more compatible for the patient than their own cells
  2. Auntie-D
    They're not going to die from that though - a DHTR may occur, but there have been cases where Kpb+ units have been transfused without any shortening of the red cell lifespan. They may have unpleasant clinical manifistations that the clinicians can deal with at some point but this is a better option than exanguination. Stick them on iron, B12, folate and erythropoetin and they will produce their own red cells pretty sharpish - hopefully quicker than the transfused cells are destroyed with a DHTR. As long as the clinicians are aware that it is going to happen, they can deal with it.
  3. Auntie-D
    Absolutely! I sometimes feel a bit uncomfortable about doing groups on whole blood where the patient has a low Hb - and I know it will still react properly. I wouldn't risk it for anything that could result in prozone.
  4. Auntie-D
    We do the same for phenoypically matched blood but our policy is <14 days for top up (we always give fresh blood to transfusion dependent patients) and <5 days for exchange transfusion. Pbaker - we phenotype any patient that is transfusion dependent for two reason. 1) so they don't develop a Rh/K antibody and 2) so that if they do develop an antibody it makes finding suitable blood a lot easier when you already know their phenotype.
  5. Auntie-D
    We use the 7.5ml. We will accept the 4ml on children and 1.2ml on neonates. All the tubes are fine on our analysers for automation. We are the local centre for haemoglobinopathies so most samples are 7.5ml due to some patients having complex needs. The nurses prefer them too as they are easier to write on. On good point is that you can put a barcode label on without obsuring any patient details or the cells - handy for manual testing.
  6. Auntie-D
    Or leave the tourniquet on for ages whilst they get themselves organised and the patient's arm is going blue...
  7. Auntie-D
    We've been using them for years (over a decade) without issue - 5th largest hospital in the UK
  8. Auntie-D
    If we can't identify the antibodies off the panel and enzyme, we have a 2nd panel with a further 11 cells. Occasionally we have used the 3 cell D-neg screen too. Usually these 28 cells (plus 11 enzymes) will give us the answer. But then we send all of ours away to our reference centre for confirmation, so it doesn't really matter...
  9. Auntie-D
    I know of one BBer who chills their Red Bull on a night shift in the ultra deep freeze. ETA - it's not me and I no longer work there.
  10. Auntie-D
    Adding the link to this http://europepmc.org/abstract/MED/21905581
  11. Auntie-D
    I can tell a Hb of less than 8 when it is unspun too...
  12. Auntie-D
    My understanding is in the UK nothing should be stored in a fridge containing blood products. Any other fridge is fine but reagents must be stored above samples and there should be a dedicated quarantine area for unvalidated reagents.
  13. Auntie-D
    Damn I've been offline and missed it - at least I know I wasn't the culprit...
  14. Auntie-D
    You are aware that if you run out of B or AB units it is perfectly acceptable to give group O? You are competent enough to know that?
  15. Auntie-D
    My view is that the OP clearly doesn't understand transfusion science. The worst that is going to happen is they might develop a clinical insignificant antibody - so what? So what if it is even clinical significant? If they ever come in needing blood again - then you worry about giving antigen negative blood. Hell - I've given O+ blood to an O- WOMAN of CHILD BEARING AGE in a massive haemorrhage situation. And do you know what? She didn't develop an anti-D! The patient is group B - exactly how many units do you think you will have access to that are antigen negative for every antibody the patient has any possibility of developing? You are going to severely limit your donor pool. The patient in question may not ever need a transfusion again - you are worrying about a miniscule maybe. I seriously think you are overthinking this but not actually grasping the concept.
  16. Auntie-D
    We don't wash - I can't remember the last time we had an issue with a cord sample (other than mislabelling).
  17. Auntie-D
    We do the same as David
  18. Auntie-D
    Data loggers are great - especially when linked to an alarm. They also allow you to tell to the minute, how long the temp has been out. Just stay away from Comark - there are others with much better functionality out there (if your internet is down they don't work)
  19. Auntie-D
    We wouldn't waste them - we would use them on a low need baby. We also transfer packs between the main, and satellite hospitals, to make sure they don't get wasted. We wouldn't use one on an adult though.
  20. Auntie-D
    But it would be more of a shame to give a child an antibody due to unnecessary increased donor exposures. I'm not sure about in the US, but in the UK we allocate all 6 units to one baby so they are only exposed once. If the medics suspect only one unit is needed, then we will give the excess units from other babies if that makes any sense?
  21. Auntie-D
    If you fold up a piece of roll you can 'wipe' the top of the stain before staining to remove the gold top - it gives you cleaner slides.
  22. Auntie-D
    In the UK a paediatric unit is 45ml and we do a 6 unit split pack. If you are only doing a 4 unit split pack, then wouldn't the volume lost be more than that? (275ish/4 = 70ml ish)
  23. Auntie-D
    Surely the medics are transfusing to symptoms and not to numbers?
  24. Auntie-D
    My mind went haywire here and I started wondering why a blood bank book might have sticky pages?? Bad D!
  25. Auntie-D
    What about case studies being posted (anonymised of course) with action took, outcome and follow up? To allow others to learn from procedures followed in real life. The other thing I would like is for you to bring back the Zoo Keeper game!! I was at the top of the leaderboard...
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