Donor Unit ABO/Rh confirmatory test result entry in Meditech

[Dansket]

US standards require transfusion services to perform serological testing on red cells obtained from an integral donor tubing segment from cellular blood components to confirm the correctness of the ABO/Rh container label prior to transfusion. 

 

Units labeled Rh Negative must be tested with anti-D, but not Rh Positive units. Units labeled A, B or AB are tested with anti-A and anti-B and units labeled group O may be tested with anti-A,B only.

 

Meditech standardly allows for a single test to document the above serological test results.  This test is automatically ordered when a cellular blood component is logged into the system.  For example, when an OPOS unit is logged, user is presented with a test requiring results entry for anti-A, anti-B, anti-A,B and anti-D despite a serological testing protocol using anti-A,B only.  If an ABPOS unit is logged, again, 4 tests (anti-A, anti-B, anti-A,B and anti-D) must be resulted in some manner even though unit was tested with anti-A and anti-B only.

 

This has been bugging me for years, but I finally figured out a way to configure Meditech so that if an OPOS unit is logged, only anti-A,B is reflexed; if an ABPOS unit is logged, only anti-A and anti-B are reflexed.

 

To accomplish this requires creation of 3 different Order Groups, a T type test with Auto Result, a PRE type calculation using the keyword "bsp bt" and profile tests with T tests configured with anti-A, anti-B, anti-A,B and anti-D according to your testing protocols.

 

If you are an interested Meditech user (I'm currently using C/S ver 5.66), please private email me via PathLabTalk.

Edited June 11, 2014 by Dansket

[swede]

Dan,  

This is great, I have built all my tests and calculations and now have it working for OPos, Oneg, ABABPos, and ABABNeg.  

 

Now I am working through a solution to factor in our other facility that is a smaller hospital that only has ABD gel cards, so they retype all donor blood with ABD.....

 

Thank you very much for sharing....your directions were excellent!

[marvy1]

We are eventually planning on retyping all our units when we move to electronic xm (I'm in Canada so it is a requirement to retype only for electronic xm). When we do start, it would be nice to have it set up like you have it, so I would appreciate getting any info you have on doing your set up.
 

Edited June 23, 2014 by marvy1