3cardmoe

Hello All, We currently have a patient in our facility that we've had to send off to our reference lab for an extensive workup. I believe the final say is that the patient is a Dc- and has an allo-anti-e. The family has a very dated piece of paper from 1977 with some phenotyping performed on family members. The technologist who worked it up was a Judy A Tessel, who has many papers published and has been credited for her work in a number of textbooks. On the paper was another name, Ms. S Hines. We are trying to find out where these two may have worked together so that we could reach out to that specific laboratory. We're pretty sure our current patient was involved with the original study done by Tessel. Anyone familiar with these two? Thanks in advance!

Hello All, We currently have a patient in our facility that we've had to send off to our reference lab for an extensive workup. I believe the final say is that the patient is a Dc- and has an allo-anti-e. The family has a very dated piece of paper from 1977 with some phenotyping performed on family members. The technologist who worked it up was a Judy A Tessel, who has many papers published and has been credited for her work in a number of textbooks. On the paper was another name, Ms. S Hines. We are trying to find out where these two may have worked together so that we could reach out to that specific laboratory. We're pretty sure our current patient was involved with the original study done by Tessel. Anyone familiar with these two? Thanks in advance!

Thanks for sharing this flowsheet. At the left hand bottom there is a box to document the elapsed time. What are your requirements for returning products? 30 minutes rule? If so, has your site 'validated' this rule?

If a patient comes through the emergency department and a request for RhIg has been placed, we would issue the RhIg regardless of whether we have a type on file. They sometimes place an order for a blood type but we have no requirement for this to be done. The nursing units and the laboratory have different IS systems and so the floors may actually have a blood type somewhere in the patients file (for instance like prenatal workups) and we would not know.

I cant' speak to the regulatory requirements, but we do 'satellite' blood banking. We keep stock inventory at the small site and all samples come to our site for testing. We then perform testing and print unit tags off at their printer at the small site. We also keep pretagged O neg emergency release units at the small facility too. The techs at the smaller site simply tag the units and issue. Our night shift is responsible for rotating product to manage inventory effectively.

Currently, we have a set of preemie twins who require multiple platelet transfusions. Testing was performed on a maternal sample and it was discovered that mom has HLA antibodies. The neonatologist (in conjunction with our Medical Director) has recommended that the neonates receive crossmatch compatible platelets (compatibility testing being performed with moms sample). Since our blood supplier's policy states that crossmatches are 'good' for 7 days we are requiring the mom to come back in and get additional samples drawn to send off to the blood supplier each week. Of course this brings up a lot of questions in the department. Its been difficult getting the mom drawn since she's no longer an 'active' patient with her OB and she's technically not a patient of the neonatologist. Also, how can we properly bill since we're using moms sample to perform testing to provide product for babies? Just in general, how would your facility handle a situation like this?

We use Sure-Tech and haven't had any issues. We store the reagents in a controlled environment of about 23C. And we stain for 3 minutes. We also make controls each time we run patient samples.

Awesome feedback, thanks!

My apologies for referencing an old post, but is there anyone willing to share what plan they have in place for a disaster in the blood bank specifically. For instance, if there were a disaster within the department and/or the blood bank was not functional? Thanks in advance!

We've been having issues with cells 1 and 3

We use coolers for transport between sister hospital to hospital. We also use coolers for our OR.

Could someone please explain this to me: -Panagglutination in a gel panel (W+ to 1+) with a negative autocontrol -A tube screen with PeG was performed. Immediate spin was negative and 2 of the 3 screening cells were weakly positive at Coombs. Again, a negative autocontrol at IS and Coombs The sample was sent off to the reference lab and they called a Cold Autoantibody. If a Cold Autoantibody was suspected, would we not expect it to show at immediate spin? Especially since it followed through to Coombs? Or at least would we call something in addition to the Cold? Any insight would help!

Just out of curiosity....how many of you issue antibody cards to your patients?

We extend our PAT samples no more than 14 days and we don't recollect unless the date of surgey is outside that range. Per protocol we set up two units for a T&S that is positive so personally for me I find it beneficial to find out ahead of time if a patient has a positive screen to avoid any surprises and delays when the patient is on the table.

If we receive an order that has special attributes that is not currently in the patients permanent demographic then we follow up with a phone call to confirm that this is in fact what they need. Once we get confirmation we add that attribute to the patients demographics so that each time an order is placed (maybe by a physician who doesn't know the patient needs irr, cmv etc) it will flag that we need to give the patient special units. These attributes can be taken out at the request of the physician as well.