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Hello, we are moving to Epic in our province. My understanding is that Epic does not have a blood bank module. For those of you on Epic, who is your blood bank LIS provider that links into Epic and are you happy with the module. What are some of the pros and cons of your IT module? Thanks.
We get lots of grouping problems due to weak reverse. When we cannot resolve it at RT we incubate at4Cx60'. This leads to nonspecific reactions due to cold agglutinins. We set up a cold panel of 3 cell screen, A1 cells, A2 cells, B cells, and auto to find the specificity. Q1. If everything comes up positive at 4C, how do you resolve this? We call it NTD. Q2. Is there something else that we can do? We don't want to send samples for Geno? Q3. If you have to do cold auto adsorption, how do you remove IGM coating the RBC? Same reagents as you use for ZZAP? DTT? Q4. Most of the time these samples come to our lab for reference testing and we can not reproduce the initial results. The auto control becomes negative. The nonspecific cold agglutinins disappear. Initially, I thought it's due to cold auto adsorption but the cells are separated from the plasma. Any thoughts, what could be causing this? Antigen sites blocked? There is a lag of one week between the initial testing and the reference lab testing.
Fellow Blood Bankers, I am a SBB student working on my research project and was hoping you could help me by taking this short survey. Due to the nature of this survey, donor services are unable to participate. https://www.surveymonkey.com/s/ZMDFSLB Molecular testing has introduced a massive amount of information to Blood Banks, especially in regards to the D antigen and its associated variants. New research has led to many recommendations on how to interpret Rh(D) statuses with different populations. The goal of this survey is to obtain a consensus on how Transfusion Services are handling this information, and if they’ve changed their practices due to these findings. This information will help us understand what Transfusion Services are doing across the US, and to see if these processes can be standardized. Please feel free to forward this survey to other Transfusion Services so that we can get as much feedback as possible. Upon completion of the survey, you will be able to review the results of those that have completed the survey before you. Thank you in advance for your time.