KB stain

[Eagle Eye]

See poll.

I can not create Poll without creating topic!

[David Saikin]

Blood Bank

ASAP, usually

KB in BB & Generalist (all my techs are generalists)

[NancyC]

Done by the BB (ordered as misc. Heme test) - all float techs are generalists and only a handful kept competent to read (currently 5 techs), all stain slides. TAT = 24 hours.

[Eagle Eye]

Please rsepond to my poll. Thank you

[Teristella]

I answered the poll. We do them in blood bank (heme won't touch them) and of course the docs want them super stat because they're only done for traumas... we keep 'trying' to 'fail' the CAP survey but they make the range so wide it's basically impossible.

[David Saikin]

I could not enter the dots on your poll.

[tbostock]

If our fetal bleed screen is positive, we send out to a reference lab for Flow Cytometry for fetal erythrocytes.  We stopped doing KB years ago.

Usually done in 72 hours.

 

[Eagle Eye]

On 1/22/2016 at 2:13 PM, tbostock said:

If our fetal bleed screen is positive, we send out to a reference lab for Flow Cytometry for fetal erythrocytes.  We stopped doing KB years ago.

Usually done in 72 hours.

 

How about abdominal trauma cases? they usually need results STAT...

 

[tbostock]

On Saturday, January 23, 2016 at 4:34 PM, Eagle Eye said:

How about abdominal trauma cases? they usually need results STAT...

 

Yeah, I know.  It's a problem.  I've brought this up multiple times.  It's one of those things that nobody cares about until it happens and then they'll be yelling.  Usually for trauma they just want confirmation of a bleed because that is the 1st indicator that the baby is in trouble; they're not worried about the RhIg issue just yet.

[David Saikin]

13 minutes ago, tbostock said:

Yeah, I know.  It's a problem.  I've brought this up multiple times.  It's one of those things that nobody cares about until it happens and then they'll be yelling.  Usually for trauma they just want confirmation of a bleed because that is the 1st indicator that the baby is in trouble; they're not worried about the RhIg issue just yet.

If the patient is Rh negative you could just give Rhogam.  We will do a rosette test if the pregnancy is 12 weeks or longer along.  Usually in a trauma they are looking to see if the placental circulation is compromised.