kriti Posted January 5, 2011 Share Posted January 5, 2011 I am curious as to how many folks perform the fetaldex or kleihauer betke test, whatever you want to call it, in the Blood Bank as opposed to in hematology. Link to comment Share on other sites More sharing options...
David Saikin Posted January 5, 2011 Share Posted January 5, 2011 Isn't fetaldex a test for sickle hgb? I do the KB in blood bank. Link to comment Share on other sites More sharing options...
rravkin@aol.com Posted January 6, 2011 Share Posted January 6, 2011 We used to do FMH Screen and K/B testing in BB. Our facility has discountinued it's L&D department. I have to say however, that outside of the K/B test being a staining procedure I have grown to see the impracticality of performing the staining in hematology when the information is most useful in BB; what BB doesn't have sinks, and BB techs don't know how scan slides and count cells? Link to comment Share on other sites More sharing options...
dcubed Posted January 6, 2011 Share Posted January 6, 2011 We do the FMH screen in the blood bank. If the FMH is positive we take the sample to hematology where they do the KB stain.BTW David S, the fetaldex is a kit for doing KB stain, sickledex is for HgbS screen Link to comment Share on other sites More sharing options...
David Saikin Posted January 7, 2011 Share Posted January 7, 2011 Thanks - I knew it was something-dexdsWe do the FMH screen in the blood bank. If the FMH is positive we take the sample to hematology where they do the KB stain.BTW David S, the fetaldex is a kit for doing KB stain, sickledex is for HgbS screen Link to comment Share on other sites More sharing options...
khalidm3 Posted January 7, 2011 Share Posted January 7, 2011 We do not do FMH screen in Blood Bank it is in Haematology. We do not observe RhoGam administration also. It is considered as a drug and pharmacy dispense it on prescription. I remember TJC has included it in the drugs? Please Comment Thanks Link to comment Share on other sites More sharing options...
Frances Haas Posted January 7, 2011 Share Posted January 7, 2011 We do the FMH and the KB in Blood Bank. We also issue the RhoGam. Link to comment Share on other sites More sharing options...
EDibble Posted January 7, 2011 Share Posted January 7, 2011 :oWe do both Fetal Screen and KB in Blood Bank. We also issue the Rhogam. Link to comment Share on other sites More sharing options...
adiescast Posted January 10, 2011 Share Posted January 10, 2011 We do the FMH screen and take it to Hematology for the KB stain if positive. Pharmacy handles the RhIg. Link to comment Share on other sites More sharing options...
hunb Posted January 11, 2011 Share Posted January 11, 2011 How many Fetal screens do you have that are positive annually? We only have a handful each year and our L&D dept. delivers about 40-50 newborns month. Our reflex method on positive fetal screens is Flow cytometry for Hemoglobin F and it is performed by our reference lab. They are located 1 1/2 hours from us and even on weekends we have next day reporting. Also, Pharmacy dispenses our Rh-IG to Labor and Delivery. Link to comment Share on other sites More sharing options...
skopti Posted January 11, 2011 Share Posted January 11, 2011 We do Fetal screen in the blood bank and send to Hematology if KB (Fetaldex is needed) Link to comment Share on other sites More sharing options...
dcharland Posted January 12, 2011 Share Posted January 12, 2011 What is your promised Turn around Time for KBs? We have begun accepting KBs from outside hospitals who are demnding a 4hour TAT which is just about impossible especially on night shift. Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted January 12, 2011 Share Posted January 12, 2011 What is your promised Turn around Time for KBs? We have begun accepting KBs from outside hospitals who are demnding a 4hour TAT which is just about impossible especially on night shift.Unless these other hospitals are sending in their specimens close to the 72 hour mark (which is their fault), what is their justification for requiring a 4 hour TAT???:confuse::confuse: Link to comment Share on other sites More sharing options...
John Hansen Posted January 12, 2011 Share Posted January 12, 2011 We do the KB stain in blood bank Link to comment Share on other sites More sharing options...
L106 Posted January 13, 2011 Share Posted January 13, 2011 We do the FMH screen and take it to Hematology for the KB stain if positive. Pharmacy handles the RhIg.Same here. Link to comment Share on other sites More sharing options...
L106 Posted January 13, 2011 Share Posted January 13, 2011 How many Fetal screens do you have that are positive annually? We only have a handful each year and our L&D dept. delivers about 40-50 newborns month.Good question....it made me go pull up our data. We have about 30-35 births a month. We did 73 FMH Screens in 2010 and had no Positives. (In the past, we usually have 1-3 Positive FMH's a year.) Link to comment Share on other sites More sharing options...
L106 Posted January 13, 2011 Share Posted January 13, 2011 Unless these other hospitals are sending in their specimens close to the 72 hour mark (which is their fault), what is their justification for requiring a 4 hour TAT???Probably because they discharge the patients so soon after delivery (often around 24 hours.)Donna Link to comment Share on other sites More sharing options...
BSIPHERD Posted January 13, 2011 Share Posted January 13, 2011 Unless these other hospitals are sending in their specimens close to the 72 hour mark (which is their fault), what is their justification for requiring a 4 hour TAT???:confuse::confuse:Our medical center has both trauma and OB patients. The KB's we do because of a positive Fetalscreen (rosette test) are not stat. However, all the ones ordered to determine possible fetal bleed are STAT. Most of these are traumas or OB patients when doctors are worried about a fetal bleed in a high risk OB patient.We would prefer not to do them - it's not a great test, but don't have a choice.We do testing for other hospitals - except we will NOT do KB's stat for anyone other than patient's registered at our medical center. We only have a limited number of techs trained in this (Consultation Techs who do Blood Bank problem workups), and if one is not working (middle of the night, weekend evenings), they would have to be called in. Link to comment Share on other sites More sharing options...
Malcolm Needs ☆ Posted January 14, 2011 Share Posted January 14, 2011 Thanks Donna and BSIPHERD. Link to comment Share on other sites More sharing options...
rravkin@aol.com Posted January 14, 2011 Share Posted January 14, 2011 BSIPHERD,Why are there only a limitted number of techs trained in a procedure that your facility offers 24/7 for traumas? It would make sense to train all of your BB staff to perform this procedure. The primary problem with K/B staining is the lack of use of the procedure; when it is used more readily it is not that difficult. I have turned around K/B staining results within an hour to two hours; and I thought two hours was too long at times. The K/B stain procedure is not difficult you just have to practice it like any manual procedure. Link to comment Share on other sites More sharing options...
BSIPHERD Posted January 14, 2011 Share Posted January 14, 2011 BSIPHERD,Why are there only a limitted number of techs trained in a procedure that your facility offers 24/7 for traumas? It would make sense to train all of your BB staff to perform this procedure. The primary problem with K/B staining is the lack of use of the procedure; when it is used more readily it is not that difficult. I have turned around K/B staining results within an hour to two hours; and I thought two hours was too long at times. The K/B stain procedure is not difficult you just have to practice it like any manual procedure.We did 31 KB for Fetal Bleed last year. We have more techs than that who perform blood banking. Performing less than one a year of any manual test does not keep you competent. Plus I'm sure man of the techs who perform it would disagree with you about it being an easy test to master.We would love to pass it on to Hemo, but can't get anyone else to love (or at least not hate) the test either! Link to comment Share on other sites More sharing options...
KKidd Posted January 15, 2011 Share Posted January 15, 2011 (edited) We stopped performing the KB stain a number of years ago due to low volume and being able to maintain competence. They are now sent to a hospital about 1hr 15 min up the road. They have a TAT of 4 hours. I can't actually remember when we had one performed due to a positive fetal screen. The ones that are ordered are part of a Placenta Previa workup. Often, the patient has been dischargeed by the time we have the results.:peaceman::wave: Edited January 15, 2011 by KKidd can't spell Link to comment Share on other sites More sharing options...
Frances Haas Posted January 17, 2011 Share Posted January 17, 2011 We average about 1 FMH per day and some of those are sent in to us. Of those, We had about 9 positive last year. We did 76 KB stains last year with about half of them positive. We don't have the staff to do them on the night shift. KB stains are not offered stat unless the woman is in a trauma situation. Link to comment Share on other sites More sharing options...
DPruden Posted January 17, 2011 Share Posted January 17, 2011 We do both Fetal Screen and KB in Blood Bank. We also issue the Rhogam. We also do a fair amount of KB stains on Rh positive patients from the ER, the doctors are looking for evidence of a fetal bleed. Link to comment Share on other sites More sharing options...
MAGNUM Posted January 18, 2011 Share Posted January 18, 2011 We use the rosetting fetal screen from immucor, and if positive send the kb out to our bb reference lab. Link to comment Share on other sites More sharing options...
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