Posted February 16Feb 16 comment_92792 Our hospital is very small and we use Meditech. Our providers order cord blood work ups on all babies regardless of the mothers Rh typing. They say it is because they do not want to miss one. I can appreciate that. I was wondering how other Meditech users manage the ordering of cord blood, so that a baby of an Rh negative mother does not get missed, and allow babies of Rh positive mothers to not routinely be tested? I asked Meditech and they could not help me. Thanks in advance
February 16Feb 16 comment_92798 I wonder if your providers have ever thought of looking at their patients SYMPTOMS, rather than costing a fortune by using a tick box method for ordering tests????? Of course, I fully realise that this is a suggestion that can only be put forward to your providers by your Pathologist, as doing so yourself would probably get you into deep trouble. Edited February 16Feb 16 by Malcolm Needs I forgot the last bit!!!!!!!!!!!!!!!!!!!
February 16Feb 16 Author comment_92802 Thank you for you advise. Mr. Needs. I was hoping for something that is built into the system that could manage this.
March 3Mar 3 comment_93039 We have a hold sample that is ordered by the patient care area. It is built so it pulls the birth parent's hospital number, bloody type, and antibody ID (if present). This can only be done if the birth parent and newborn are linked at registration. From here we decide if the cord sample needs to be processed - resulting a Y reflexes the required tests. There is something else built in the test somehow that automatically orders the testing if the birth parent is Rh Negative. Otherwise, the Y orders the testing.
March 3Mar 3 comment_93041 2 hours ago, AuntiS said: We have a hold sample that is ordered by the patient care area. It is built so it pulls the birth parent's hospital number, bloody type, and antibody ID (if present). Did you mean that AuntiS. I fully confess there were times when I did!!!!!!!!!!!!!!!!!!!!!!!!!!!
March 4Mar 4 comment_93052 20 hours ago, Malcolm Needs said: Did you mean that AuntiS. I fully confess there were times when I did!!!!!!!!!!!!!!!!!!!!!!!!!!! Haha no. But it fits!
March 4Mar 4 comment_93053 20 hours ago, Malcolm Needs said: Did you mean that AuntiS. I fully confess there were times when I did!!!!!!!!!!!!!!!!!!!!!!!!!!! The birth parent caught my eye more than the bloody type did!!!!
March 4Mar 4 comment_93063 Our hospital prefers to use the term birth parent instead of mom/mother. I've been making a conscious decision to try and use the more inclusive terminology
March 4Mar 4 comment_93064 4 minutes ago, AuntiS said: Our hospital prefers to use the term birth parent instead of mom/mother. I've been making a conscious decision to try and use the more inclusive terminology With all due respect (and I KNOW this has NOTHING to do with blood transfusion) I can't see how "birth parent" is more inclusive than "mom/mother". By definition, it must exclude the dad/father, as they cannot be a "birth parent", but it also excludes other women, who may be related to the baby, such as grandmothers or, indeed, step-mothers. Surely, only a mom/mother can directly be a birth parent, and, in terms of the need for anti-D immunoglobulin, only her blood group is relevant?
March 19Mar 19 comment_93311 We have meditech. We type all moms in labor/delivering. We have a reflex rule built to order a Fetal Screen if the mom is Rh negative. We type all babies, but only do a fetal screen to determine RhIg on RH neg moms and Rh Positive babies. If baby is Rh negative the fetal screen is canceled by Blood Bank
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