Units with postive AB Screen

[connies]

Does anyone have a procedure for transfusing unit with positive ab screens that they could share with me? Our previous blood supplier destroyed units with positive ab screens. The new blood supplier seems to send quite a few units with positive units.

Thanks

Connie

[Mabel Adams]

Anything other than anti-D?

If just anti-D, it is pretty easy to make sure they are given only to Rh neg pts and a note made that patient received it so any anti-D that shows up later in the patient will be known to be likely to be passive.

Other antibodies would be a bigger issue for me.

[csjuarez]

We discard the plasma products (FFP/Plts/Cryo), but use the Red Cells. The cells are labelled as ABSC Pos with the antibody ID, but since there is only a relatively small amount of plasma in a Red Cell product the only restriction is that it cannot be used for neonates.

[kate murphy]

We use quite a bit of AB pos units - We wash these units, unless they are going to someone with the same AB. They are considerable cheaper to purchase than AB neg units.