Incompatible crossmatch due to warm auto or htla

[Winter]

This is the form we use. One of our docs has requested that we change the wording so that he doesn't accept full responsibility. He told me he was willing to split the responsibility 50/50 or so, but doesn't think it is fair that he accept 100%!

RELEASE.DOC

[AMcCord]

Thanks for sharing Deny and Winter! (thanks button doesn't work...)

[3cardmoe]

Just curious... When a patient has a 'probable HTLA' is it necessary to provide phenotypically matched units? Even when clinically significant antibodies are ruled out?

[Malcolm Needs ☆]

It depends what you mean by phenotypically-matched units, and on the underlying pathology of the patient.

[Rh-fan]

Just curious... When a patient has a 'probable HTLA' is it necessary to provide phenotypically matched units? Even when clinically significant antibodies are ruled out?

What do you meen with "probeble HTLA", is that only weak reactions and a high titer, or do yo have more info.

If most allo's are ruled out then we would only select for RhCcEe and K compatible.

Peter

[Mabel Adams]

I am curious what proportion of us have some way of documenting the doctor's notification of the need to or responsibility for giving incompatible blood in the presence of autoantibodies so I am going to try to post a poll in the poll section. Please vote--even all of you that usually just lurk and don't usually post.

[3cardmoe]

Yes 'Probable htla' as in weak reactions with a high titer and everything has been ruled out. And phenotypically matched for Rh's, K, Fy's, Kidds, MNSs. I think it's a bit overkill but I'm curious to know what other institutions routinely do.

[Malcolm Needs ☆]

I think that is TOTAL overkill. We would transfuse Rh and K matched only (and, of course, ABO!!!!!!!!!!!!).

[Rh-fan]

When you have ruled out. ABO, Rh and K is enough for us.

Peter

[mollyredone]

I know this is an older topic, but here is a copy of our high risk/emergency release form.  When it is emergency release for the ED, we are not as picky about getting it back, usually give it a day.  When we know there is a problem with a warm autoantibody or non antigen typed units for an antibody patient we require the form be signed before issuing any units.       HIGH RISK TRANSFUSION & EMERGENCY RELEASE FORM.doc

[mollyredone]

I know this is an older topic, but here is a copy of our high risk/emergency release form.  When it is emergency release for the ED, we are not as picky about getting it back, usually give it a day.  When we know there is a problem with a warm autoantibody or non antigen typed units for an antibody patient we require the form be signed before issuing any units.       HIGH RISK TRANSFUSION & EMERGENCY RELEASE FORM.doc