yaya Posted July 11, 2006 Share Posted July 11, 2006 can any one provide me with his sop for the following:Rh immunoglobulinmassive transfusion for those patients with alloantibodieslife saving transfusionand i will be so thankfull Link to comment Share on other sites More sharing options...
yaya Posted July 13, 2006 Author Share Posted July 13, 2006 any comment please Link to comment Share on other sites More sharing options...
donellda Posted July 13, 2006 Share Posted July 13, 2006 For massive transfusion for patients with alloantibodies are you referring to an emergency release situation? Link to comment Share on other sites More sharing options...
mwlister Posted July 13, 2006 Share Posted July 13, 2006 I would not write a separate procedure for Massive Transfusion. If you feel you need to address this I would include a section in the Massive Transfusion Procedure. I assume you would know what allo-antibodies are present at the time or could complete a work-up before the bleeding episode subsided. If a transfusion was life threatening I would transfuse emergency release units first and reserve antigen negative units when the bleeding episode was subsiding. Most of the incompatible RBC's would bleed out and you could replace the hematologic deficit with compatible units.Rh Immunoglobulin: You should have a general policy for candidates who qualify. You should also have policies and procdures for pre-natal, post delivery, and invassive or traumatic conditions during pregnancy. A seperate policy for Rh negative recipients recieving Rh positive blood products (i.e., platelets). I would review the CAP checklist. Hope this helps. MWL Link to comment Share on other sites More sharing options...
yaya Posted July 14, 2006 Author Share Posted July 14, 2006 thanks all ( BloodBankTalk & BloodBankTalk ) that was really helpful yes i mean emergency release during this situation. but can any one explain for me or refer me regarding the process of recieving specimen from antinatal clinic for those with Rh negative and what is the system for follow up Link to comment Share on other sites More sharing options...
mwlister Posted July 14, 2006 Share Posted July 14, 2006 thanks all ( donellda & mwlister ) that was really helpful yes i mean emergency release during this situation. but can any one explain for me or refer me regarding the process of recieving specimen from antinatal clinic for those with Rh negative and what is the system for follow up Is the Clinic part of your healthcare setting? If the clinic is off site and is not a part your hospital I would require the patient to be registered by your hospital and specimens drawn by your staff. I would not take any specimens drawn by an outside facility for Rh eligibility studies or administration of Rho-Gam. I hope I understood your question and this will help. Thanks, MWL Link to comment Share on other sites More sharing options...
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