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kmmoton

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  • Country

    United States

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  • Occupation
    Blood Bank

kmmoton's Achievements

  1. In any of your facilities do you allow nursing staff to pick up blood bank products if they have food or drink with them? Is there a health and safety guideline that addresses this?
  2. The mom is O Neg with an Anti-D due to RhIG. The baby is B pos with a 3+ DAT. The physician orders an elution. The Anti-D shows up in the eluate and the A1 and B cells are both 3+ with the eluate. Are the reverse cells both positive simply because of the ABO incompatibility and how is this proven?
  3. Does anyone have any suggestions for books or guides that are good references for antibody identification or antigen and antibody relationships?
  4. I would like to know what's everyone's take on a patient with an Anti-Jsa. Do you have units screen or do you just XM Extend? Please explain your answer.
  5. My next question is would an elution be necessary to call this an auto Anti-Jka?? By the way, you guys are awesome with your answers!
  6. The patient has a weakly reactive Jka that is of course enhanced with Ficin. The patient's auto control is weakly positive. The DAT is completely negative. The patient hasn't been transfused since 2012. The patient's antigen typing is 3+. Advice please!!
  7. If a patient is classified as A2B, should their reverse A1 cells always come up positive or is it possible for the reverse A1 cells to be negative?
  8. The patient is a Latin American female. The auto control was negative. DAT is also negative. The patient is an oncology patient. She hasn't received IvIg.
  9. Patient's antibody workup 4 months ago revealed Anti-e and Anti-C. Patient's blood type is historically O Pos and is the same on the current specimen. Current specimen antibody workup appears to be an Anti-D and Anti-C. With a positive Autocontrol and a negative DAT. Explanations please!
  10. After an adsorptionx1. Do you add an equal amout of x1 plasma20 drops to 20 drops of red cells for the x2 adsorption or do you add 40 drops of adsx1 to 20 drops of red cells. What's your procedure?
  11. If you find that a patient has an antibody history from another facility, of course you honor that antibody, but do you actually put it into the patient's history so that it becomes a part of that patient's record or do you just put a comment? Also, is there an AABB or CAP standard that mandates that you DON'T enter this as a part of the patient's history?
  12. Recent question from a colleague at another facility: What is the rationale behind having a pre-admit specimen with a positive antibody screen recollected on the date of surgery? Especially if the patient hasn't been transfused or pregnant within the last 3 months. Is there a standard that supports having these specimens recollected? Does it deal with the integrity of the specimen?
  13. How do you all handle notification of surgeons if a heart patient has a cold antibody? Also, do you peform additional testing to identify the actual titer of the cold?
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