R1R2 Posted November 12, 2013 Share Posted November 12, 2013 Does anyone's blood center or blood supplier perform donor retypes (from an integrally attached segment) for you? Link to comment Share on other sites More sharing options...
David Saikin Posted November 12, 2013 Share Posted November 12, 2013 You have to perform your own donor retypes when you accept rbc components into your blood bank - even if you draw your own donors. Link to comment Share on other sites More sharing options...
Dansket Posted November 12, 2013 Share Posted November 12, 2013 Does anyone's blood center or blood supplier perform donor retypes (from an integrally attached segment) for you? It is on my wish list! I suggested this to our local community blood bank, but no response as yet. Link to comment Share on other sites More sharing options...
R1R2 Posted November 12, 2013 Author Share Posted November 12, 2013 I can't find in any checklist that this test is required at the site where the crossmatch is taking place. The only requirement is that the test is performed on an integrally attached segment before crossmatch. Perhaps I am missing something? Link to comment Share on other sites More sharing options...
Auntie-D Posted November 13, 2013 Share Posted November 13, 2013 I can't find in any checklist that this test is required at the site where the crossmatch is taking place. The only requirement is that the test is performed on an integrally attached segment before crossmatch. Perhaps I am missing something?Which your immediate spin, tube crossmatch would cover Link to comment Share on other sites More sharing options...
pbaker Posted November 13, 2013 Share Posted November 13, 2013 The IS crossmatch does not confirm the ABO/Rh of the unit. That only tells you that it is compatible with your patient. Link to comment Share on other sites More sharing options...
dragonlady97213 Posted November 13, 2013 Share Posted November 13, 2013 This is a requirement in the AABB Standards for Blood Banks and Transfusion Services. From the 28th edition: Standard 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. Standard 5.12.1 Discrepancies shall be reported to the collecting facility and shall be resolved before issue of the blood for transfusion. Standard 7.1.1 and 7.1.2 apply. Hope that's helpful. Link to comment Share on other sites More sharing options...
cthherbal ☆ Posted November 14, 2013 Share Posted November 14, 2013 100% agree with David and dragonlady. Link to comment Share on other sites More sharing options...
Veejay Posted November 14, 2013 Share Posted November 14, 2013 I know we do re-type units for ABD from a segment integrally attached to the donor unit by way of a group check card on an analyser but have often wondered why we do this. Our blood is sourced from a licensed facility so why can't we "trust" their grouping if we trust their HIV, Hep, VDRL, NAT and so on? Link to comment Share on other sites More sharing options...
AMcCord Posted November 14, 2013 Share Posted November 14, 2013 It's not the test for blood group being rechecked so much as the unit labeling process. The recheck requirement started (pre-computer days) because the manual labeling process was a human being matching a donor bag, ABO/Rh label, and test results off of a worksheet with many results. This introduced a major opportunity for human error which would be catastrophic for a patient if indetected. If all donor centers were using a computerized process with scanned barcodes from start to finish, maybe it would no longer be necessary. Link to comment Share on other sites More sharing options...
tbostock Posted November 14, 2013 Share Posted November 14, 2013 Quick and easy enough to do, and even more important now that we use electronic crossmatching. In 25+ years I have only seen one unit labeled incorrectly. But I'd still hate to be that one patient who could have received it. Link to comment Share on other sites More sharing options...
DOGLOVER Posted November 14, 2013 Share Posted November 14, 2013 Since one cannot say that something will "never" happen or that it will "always" happen I think it is a good idea to verify donor units even if the donor system uses a computerized labeling process.We verify the ABO with A,B antisera for group O's and use A and B for the rest. We only confirm the Rh on Rh negative units. Link to comment Share on other sites More sharing options...
aafrin Posted November 15, 2013 Share Posted November 15, 2013 This is a requirement in the AABB Standards for Blood Banks and Transfusion Services. From the 28th edition: Standard 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. Standard 5.12.1 Discrepancies shall be reported to the collecting facility and shall be resolved before issue of the blood for transfusion. Standard 7.1.1 and 7.1.2 apply. Hope that's helpful.We do blood group from integral segment before issue always. Link to comment Share on other sites More sharing options...
Dr. Pepper Posted November 15, 2013 Share Posted November 15, 2013 Since one cannot say that something will "never" happen or that it will "always" happen I think it is a good idea to verify donor units even if the donor system uses a computerized labeling process.We verify the ABO with A,B antisera for group O's and use A and B for the rest. We only confirm the Rh on Rh negative units. We do the same as soon as we put the units in inventory. Our lIS is set so the units cannot be allocated until the retype is done. And I've also only seen one mislabeling (wrong Rh type) in 40 years - that was an autologous with a handwritten label. Shortly therafter our blood center figured out how to get a computer generated label for the autologous as they had been doing for their homologous units. Link to comment Share on other sites More sharing options...
tkakin Posted December 6, 2013 Share Posted December 6, 2013 Our supplier used to do it for us. We ran into some trouble with TJC, but it was accepted when we received a letter from AABB saying that it only matters that it was done. The next TJC they said no the transfusion service must do it. And oddly at the very same time our supplier stopped providing the service. Hmmmmm. I do think it is a very valuable service for the blood supplier to provide. Link to comment Share on other sites More sharing options...
R1R2 Posted December 6, 2013 Author Share Posted December 6, 2013 Our supplier used to do it for us. We ran into some trouble with TJC, but it was accepted when we received a letter from AABB saying that it only matters that it was done. The next TJC they said no the transfusion service must do it. And oddly at the very same time our supplier stopped providing the service. Hmmmmm. I do think it is a very valuable service for the blood supplier to provide.Too many inspection agencies, IMO. I would think that an OK from AABB would trump TJC. Link to comment Share on other sites More sharing options...
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