Antibody ID Policy/Process/Procedure

[goodchild]

One of my larger projects for the last few weeks has been to update our procedure for antibody identification.
 

Most of the individuals who have been involved in reviewing/validating the procedure seem pretty satisfied with it but some of the techs think it's too detailed in some regards and insufficiently detailed in others. I do have a habit of trying making very long procedures that cover as many bases as possible but at the same time I didn't want to make the procedure too rigid because antibodies don't always' follow the rules' and in some cases there's a lot of art and intuition to performing an antibody identification.

 

The procedure includes:

• Notification of caregivers of delay in testing/rbc availability
• Documentation requirements
• Acquiring transfusion history
• Process for performing full/selected cell panels
• Process for performing exclusion analysis (rule outs)
• Algorithms with suggested methods to perform in the event that the basic rule outs aren't enough and/or the autocontrol is positive.
• Probability
• What common antibodies should be ruled out with every AB ID and what to do if unable to rule something out
• How antibodies to low incidence antigens are handled
• How we handle antibody of undetermined specificity
• How/when to use expired panel cells
• Directions for IRL consultation
• How to determine the clinical significance of usually insignificant antibodies (anti-M)
• And a chart demonstrating the likely clinical significance of antibodies in transfusion/pregnancy

I'm curious if anyone would be willing to share their documented procedure. If anyone is interested in having a look at what we're working on, PM me.

 

Thanks in advance and happy Friday!!

[goodchild]

Anyone?

[jmm8427]

I messaged you!

[tburl]

I just sent you message with our SOP

[goodchild]

Thank you to everyone who messaged me. If anyone else is willing to send I'm always willing to read. Please feel free to PM me.

[Dansket]

Consider using flow charts to reduce the volume of text in the SOP.

[frenchie]

Thank you to everyone who messaged me. If anyone else is willing to send I'm always willing to read. Please feel free to PM me.

I would be curious to read yours Goodchild, I am just starting a new supervisor role and there is no SOP for QC, MTP, AB ID... so I have a lot of work to do!

[tbostock]

Does anyone have a good software for flowcharts, or do most of you just use Excel for that?

[Dansket]

I use Microsoft Visio.

[goodchild]

I also use Microsoft Visio. Frenchie I'll get back to you during the work week.