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Found 3 results

  1. I've been in blood banking for about 15mos now, and have interests in IRL later on in my career. One thing I still have yet to wrap my brain around are adsorptions, and I've only performed a het. twice. Conceptually, they are not covered much in the MLS program at university (they barely even mentioned an eluate) and I've been told at my lab that one day the science of adsorptions will just "click." Autologous seems to make a bit more sense; it's using a pt's own cells to remove an autoAb from pt plasma, then manipulating that plasma to test for allos. However, heterologous testing is trickier, especially in the sense of picking the correct phenotypically expressed cell lines. You have R1R1, R2R2, and rr, but within each of those are an additional R1R1, R2R2, and rr tested? Even the worksheet I've seen has blocks of color all over it and just looks foreign. Are there any resources or particularly helpful explanations some fellow blood bankers can help me utilize to figure out these guys? Sometimes a peer explanation reduced to colloquialisms and less jargon help it stick. Thanks in advance!
  2. What is your procedure for a random cell that is reacting and not accoutanted for? Our testing capablity is limited with simple ABID. I am still trying to figure out a happy balance for us for sending things and not sending things to a reference lab. I know at where I used to work we didnt sent a lot of those one random cells for further investigation. Would just assume low incidence or HLA(if postitive on the extended) and be done giving IgG XM. But I did not know what I know now and knowing what I know now...makes things harder sometimes!! haha Is it more important with the pregnancy patients. How about with patients who have been transfused ever? Talking with red cross they would confirm the HLA by treating with something that destoys the antigen to show no more reactivity So wondering if write the procedure say: 1. any unexplanable cell and patient pregnant and or transfused hx must go to reference lab even if all commonly encountered are ruled out 2. any unexplanable cell and pt not pregnant or transfused and all commonly encoutered are ruled out give IgG xm Thoughts, ideas appreciated, thank you!!
  3. Does anyone know of any standards that require repeat of special antigen typing that was performed by a reference lab. At this time, the facility I work at will repeat any special antigen typing that was performed by the ARC and then documents this information in the computer system (and on paper) and places their own special antigen stickers on the units in addition to the tag attached by the ARC. Any info would be greatly appreciated! Thanks!
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