Jump to content

how to link a neonatal transfusion to the testing done on the mother?


lalamb

Recommended Posts

WE rarely transfuse babies. Have a current situation where mom = A pos (R1R1) and has a current and known anti little c.

Mom is being induced tomorrow - have ordered up 2 units of ag neg blood for mom, and 1 unit of O pos, little c and big E neg blood for baby, just in case. (ordered O pos as baby is expected to be Rh pos, and O neg , little c neg is rare, per ref lab).

We will crossmatch baby's unit against mom's plasma.

Our policy doesn't say how to "band the baby"...just says get a banded specimen from the mom and crossmatch her plasma to the pedi unit. How do others link the recipient-baby to the mother?

Link to comment
Share on other sites

WE rarely transfuse babies. Have a current situation where mom = A pos (R1R1) and has a current and known anti little c.

Mom is being induced tomorrow - have ordered up 2 units of ag neg blood for mom, and 1 unit of O pos, little c and big E neg blood for baby, just in case. (ordered O pos as baby is expected to be Rh pos, and O neg , little c neg is rare, per ref lab).

We will crossmatch baby's unit against mom's plasma.

Our policy doesn't say how to "band the baby"...just says get a banded specimen from the mom and crossmatch her plasma to the pedi unit. How do others link the recipient-baby to the mother?

It looks like you don't have NICU unit. In our case, we just go to the babies computer chart to check the mother.

- - - Updated - - -

WE rarely transfuse babies. Have a current situation where mom = A pos (R1R1) and has a current and known anti little c.

Mom is being induced tomorrow - have ordered up 2 units of ag neg blood for mom, and 1 unit of O pos, little c and big E neg blood for baby, just in case. (ordered O pos as baby is expected to be Rh pos, and O neg , little c neg is rare, per ref lab).

We will crossmatch baby's unit against mom's plasma.

Our policy doesn't say how to "band the baby"...just says get a banded specimen from the mom and crossmatch her plasma to the pedi unit. How do others link the recipient-baby to the mother?

It looks like you don't have NICU unit. In our case, we just go to the babies computer chart to check the mother.

Link to comment
Share on other sites

Correct - we have no nicu. It seems strange to issue a unit to a patient (baby) and the baby isn't banded / linked to the pretransfusion specimen.

Newborn Screen still needs to be done even though pedia unit was crossmatched with the moms plasma.

Link to comment
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now
  • Recently Browsing   0 members

    • No registered users viewing this page.
  • Advertisement

×
×
  • Create New...

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.