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Showing results for tags 'adsorption'.
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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!
Hi All Hypothetical Senario Female patient unknown transfusion history with mycoplasma pneumoniae what exclusions and further testing would you perform ? When would you perform a titre ? Reactions greater than 3+. If emergency units required with titre greater than 64 what is your protocol ? Thanks
As I'm sure everyone else is doing, we are trying to find ways to cut costs. We are a medium sized hospital (<400 beds) in a rural setting without a trauma designation. Annually, I look at supplier contracts including reference lab testing. We currently do our own antigen typing and primary and secondary antibody ID panels but do not keep an enzyme panel nor do we do adsorptions, although we do perform elutions. Most of my staff are generalists and at least half of them are MLT's. I am curious to know the size of your institution and how much, if any, of your serology you send to a reference lab. We are seeing more complex patients (in volume, not necessarily complexity) and I am considering bringing in enzymes and adsorptions. Please give me your thoughts. Thanks!