Orders for Rh Immune Globulin

[EDibble]

:boogie::boogie::boogie:We do the baby's cord first. If Rh neg, weak D neg, we put a comment on the chart that the baby is Rh neg and mom does not need Rhogam. If baby is Rh pos, we have the floor order a "post partum Rhogam workup" which includes Type and Rh, Antibody Screen, Fetal Screen, and the Rhogam unit. If the Fetal Screen is positive, we order a KB, which Blood Bank does not Heme. We then give out the correct number of Rhogam units based on the fetal / maternal cell ratio.

We here in the Blood Bank determine the number of doses of Rhogam to give. We also do a KB during pregnancy for any trauma to the mom. Prenatal doses are almost always given in the office, after we have done the Type and Screen here.

[macarton]

We do KB in Blood Bank. We also order the RhIG in BB & issue it from there after doing the Fetal Screen or KB.