transfmedvcu Posted January 11, 2007 Share Posted January 11, 2007 How do you interpret an ABO\Rh type when mixed field reactions are detected? A known B neg patient had to receive B positive rbcs. When the next sample is typed the Rh reacts 2+mixed field. Do you interpret as B Pos with a note as to why the Rh changed without changing patient's demographics to Rh pos or as B Neg and a note to explain the mixed field reactions. We currently interpret as Rh pos with a note "patient is B negative and has received rh positive rbcs and keep the pt's demographics as Rh negative. Link to comment Share on other sites More sharing options...
Seveets Posted January 12, 2007 Share Posted January 12, 2007 We would report out the type as B Neg with "internal" comments explaining the reactions.We wouldn't want to confuse any nurses or doctors (for that matter) with comments about reactions or changing of blood types Link to comment Share on other sites More sharing options...
bevydawn Posted January 15, 2007 Share Posted January 15, 2007 We had this happen just recently and we reported out the patients type as Rh pos, left the demographic type as Rh neg, and footnoted like crazy to explain the reasoning behind all the madness. Link to comment Share on other sites More sharing options...
msmc Posted January 15, 2007 Share Posted January 15, 2007 We also interpret as B neg but would footnote to explain the discrepancy Link to comment Share on other sites More sharing options...
rcurrie Posted January 17, 2007 Share Posted January 17, 2007 We would invalidate the current interpretation with a note saying the patient had been recently transfused with D+ cells. BC Link to comment Share on other sites More sharing options...
adiescast Posted January 23, 2007 Share Posted January 23, 2007 We also would report the D type as invalid and leave the permanent record as Rh negative. Link to comment Share on other sites More sharing options...
Liz0316 Posted April 6, 2008 Share Posted April 6, 2008 We would report as B neg, with an internal comment explaining the discrepancy. Link to comment Share on other sites More sharing options...
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