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!!