Kathy Garrett Posted December 3, 2009 Share Posted December 3, 2009 It has been many years since I worked in blood banking. What is the BB procedure for screening blood for Rhogam compability? I think we did a crossmatch that was part of the Rhogam workup.Thanks,Kathy Link to comment Share on other sites More sharing options...
AMcCord Posted December 4, 2009 Share Posted December 4, 2009 (edited) Long ago and far away (in another galaxy), there used to be a little vial of RhoGAM intended for crossmatching with your patient in the box with the syringes of RhoGAM. That was discontinued many years ago.Our workup includes Rh type, antibody screen (which I would like to drop), fetal screen and Kleihauer-Betke if the fetal screen is positive. Edited December 4, 2009 by AMcCord Link to comment Share on other sites More sharing options...
John C. Staley Posted December 4, 2009 Share Posted December 4, 2009 We actually did drop the antibody screen for postpartum RhIG if we had a negative screen on file for the current pregnancy. All we were doing was confirming the Rh on 90% of our RhIG requests, well that and a fetal bleed screen with positives sent out for flow cytometry. Link to comment Share on other sites More sharing options...
Kathy Garrett Posted December 4, 2009 Author Share Posted December 4, 2009 Thanks for the update. I still work as a Med. Tech. and was curious about only sending one EDTA for a Rhogam workup.Kathy Link to comment Share on other sites More sharing options...
L106 Posted December 10, 2009 Share Posted December 10, 2009 Long ago and far away (in another galaxy), there used to be a little vial of RhoGAM intended for crossmatching with your patient in the box with the syringes of RhoGAM. That was discontinued many years ago.Heah!.......I remember that galaxy!! Link to comment Share on other sites More sharing options...
John C. Staley Posted December 11, 2009 Share Posted December 11, 2009 Been there, done that, don't everrrrrrrrrr want to do it again.Makes you really happy to see advancements in the practice of medicine. Link to comment Share on other sites More sharing options...
adiescast Posted December 14, 2009 Share Posted December 14, 2009 We just do the fetal screen and confirm the Rh. If we don't have a type on file, we use the opportunity to get a type, but we don't charge for it. Link to comment Share on other sites More sharing options...
Dar Posted December 15, 2009 Share Posted December 15, 2009 I have an additional question relating to this topic. Our ED physicians want to be able to give RHIG based on previous records. A few years back, we caught a case of identity fraud because we did repeat the type while the patient was in the ED. I am hesitant to drop it because of this. The current CAP checklist says there has to be a type on file by a "CLIA licensed facility" and the AABB is vague, so I'm afraid that if this really gets pushed, I won't have a leg to stand on.... Thoughts???? Link to comment Share on other sites More sharing options...
L106 Posted December 16, 2009 Share Posted December 16, 2009 We are currently wrestling with this, too, with ED sometimes calling the Blood Bank tech and asking them to look up the patient's previous blood type. This makes me shudder! Some of you wouldn't believe the incidence of similar names, similarly-spelled names, or identical names (some even with very similar or identical birthdates!) I, too, discovered a case of identify fraud based on ABO/Rh test results. (This happened many years ago, but I am told that identity fraud / insurance card fraud is on the increase as more people in the US lose their insurance coverage.)I'm confused about why some of the ED docs are willing to take this liability risk in order to save the cost of the ABO/Rh test, especially in view of how much money I see being wasted by ordering so many unnecessary laboratory tests because they can't interpret the basic screening tests properly or all the elaborate tests they order to "cover their posterior." Link to comment Share on other sites More sharing options...
Dar Posted December 16, 2009 Share Posted December 16, 2009 Thanks! It's nice to know I'm not the only one that has an issue with this. Link to comment Share on other sites More sharing options...
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