Virginia Posted June 1, 2010 Share Posted June 1, 2010 Is anyone still putting "Type & Rh Confirmed" stickers along with the date on blood products received from your blood center? Now that these data go into the computer, the stickers do seem superfluous. Link to comment Share on other sites More sharing options...
Deny Morlino Posted June 1, 2010 Share Posted June 1, 2010 We still honor this practice. Link to comment Share on other sites More sharing options...
SRMC BB Posted June 1, 2010 Share Posted June 1, 2010 We stopped putting stickers on units several years ago. Our LIS (Meditech) is set up to automatically order retypes so they do not go to available status until the retype is done. There is no standard that states a stickers has to be on the bag, just that the retype done. Link to comment Share on other sites More sharing options...
Mary** Posted June 1, 2010 Share Posted June 1, 2010 We also discontinued the stickers a few months ago. Their was no value added by using them. It was just tradition. Link to comment Share on other sites More sharing options...
AMcCord Posted June 1, 2010 Share Posted June 1, 2010 We still do it, but we do not have a Blood Bank computer system. Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted June 1, 2010 Share Posted June 1, 2010 Just as a matter of interest, and I genuinely do not know the answer to this, in the USA, do you have to check all the antigens that are sent to you by your blood supplier (by that, I mean, if they sent you blood that is Jk(a+b-), do you have to perform Kidd typing)?If so, from where do you get all the typing reagents "just in case"?If so, what happens in the case of a rare unit, such as a Lan negative?If not, why do you have to type the ABO and D status on every unit?In the UK, the various Blood Services (the NHSBT, the WBTS, the SNBTS and the NIBTC) all guarantee that the ABO and D typing is "correct" and will take legal responsibility if they float a bloomer.:confused::confused: Link to comment Share on other sites More sharing options...
Deny Morlino Posted June 1, 2010 Share Posted June 1, 2010 Malcolm,From the 26th AABB Standards:5.12 Serologic Confirmation of Donor Blood ABO/Rh (including autologousunits)Before transfusion, the ABO group of each Whole Blood and Red Blood Cellcomponent and the Rh type of such units labeled as Rh negative shall beconfirmed by a serologic test from an integrally attached segment. Confirmatorytesting for weak D is not required. 5.12.1 Discrepancies shall be reported to the collecting facility and shall beresolved before issue of the blood for transfusion purposes. Link to comment Share on other sites More sharing options...
adiescast Posted June 1, 2010 Share Posted June 1, 2010 So that would be no, we are not required to retype other antigens when the blood center sends units labeled as antigen negative. I know there are hospitals that do it anyway. We do not.In terms of the original question, we stopped using retype stickers several years ago. I still have a roll in case we have an extended downtime and units have to be typed while the computer is down. We have not had to use it yet. Link to comment Share on other sites More sharing options...
KAllen Posted June 1, 2010 Share Posted June 1, 2010 We no longer apply ABO/Rh type confirm stickers, and we no longer confirm antigen typings. I wish we no longer had to re-type supplied units for ABO / Rh. Link to comment Share on other sites More sharing options...
AMcCord Posted June 2, 2010 Share Posted June 2, 2010 Some blood centers supply antigen negative units based on historical type. Some transfusion services prefer to recheck the type in that case. (We have huge medical malpractice lawsuits over everything and anything here, so that drives a lot of what we do.) It is not uncommon for larger hospital labs to stock 'routine' rare antisera such as anti-Jk(a). However, one cannot recheck for antigens to which one does not have antisera (such as anti-Lan)- kind of crazy, isn't it? Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted June 2, 2010 Share Posted June 2, 2010 However, one cannot recheck for antigens to which one does not have antisera (such as anti-Lan)- kind of crazy, isn't it?Yep!!!!!:D:D:D Link to comment Share on other sites More sharing options...
Virginia Posted June 2, 2010 Author Share Posted June 2, 2010 Thanks for all the good input. We shall be happy to give up all of that scribbling on stickers. Link to comment Share on other sites More sharing options...
adiescast Posted June 2, 2010 Share Posted June 2, 2010 Some blood centers supply antigen negative units based on historical type. Some transfusion services prefer to recheck the type in that case. (We have huge medical malpractice lawsuits over everything and anything here, so that drives a lot of what we do.) It is not uncommon for larger hospital labs to stock 'routine' rare antisera such as anti-Jk(a). However, one cannot recheck for antigens to which one does not have antisera (such as anti-Lan)- kind of crazy, isn't it?We do recheck antigens if the blood center has relied on historical type. (obviously not if it is a very rare antigen...I have not run into them wanting to send us a rare that wasn't tested, but maybe they just don't mention it for those...) Link to comment Share on other sites More sharing options...
L106 Posted June 2, 2010 Share Posted June 2, 2010 We no longer apply ABO/Rh confirm stickers on the donor units, and we no longer confirm special antigen typings that have been done and labeled by our donor collecting facility.(However, what AMcCord says it true. Some areas of the country are more "lawsuit-happy" than other areas.) Link to comment Share on other sites More sharing options...
Eagle Eye Posted June 4, 2010 Share Posted June 4, 2010 Just as a matter of interest, and I genuinely do not know the answer to this, in the USA, do you have to check all the antigens that are sent to you by your blood supplier (by that, I mean, if they sent you blood that is Jk(a+b-), do you have to perform Kidd typing)? At my hospital we confirm most of the regular antigens(except Lan, U, those rares) though this is not required.If so, from where do you get all the typing reagents "just in case"?From our supplier(immucor, Ortho etc.)If so, what happens in the case of a rare unit, such as a Lan negative?We do not confirm.If not, why do you have to type the ABO and D status on every unit? According to AABB BBTS (Transfusion Service) standard 26th edition:5.12 Serologic Confirmation of Donor Blood ABO/Rh (including autologous units)Before transfusion, the ABO group of each Whole Blood and Red Blood Cell component and the Rh type of such units labeled as Rh negative shall be confirmed by a serologic test from an integrally attached segment. Confirmatory testing for weak D is not required.5.12.1 Discrepancies shall be reported to the collecting facility and shall be resolved before issue of the blood for transfusion purposes.In the UK, the various Blood Services (the NHSBT, the WBTS, the SNBTS and the NIBTC) all guarantee that the ABO and D typing is "correct" and will take legal responsibility if they float a bloomer.Too bad we can not do this in US.:confused::confused:My reply in different color and bolded. Link to comment Share on other sites More sharing options...
Eagle Eye Posted June 4, 2010 Share Posted June 4, 2010 Oooooops....I read Malcolm's post and replied to it without reading all other posts.ANyway we do not apply sticker as our Computer system doesn't allow us to dispense unit if confirmation is not done. Link to comment Share on other sites More sharing options...
Likewine99 Posted June 12, 2010 Share Posted June 12, 2010 We do the same as L106. I guarantee you will not miss the stickers. Link to comment Share on other sites More sharing options...
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