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contminated blood unit


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If the MD has evidence that the unit has been opened and risks bacterial contamination - the unit shouldn't be used.  If the MD doesn't have evidence, he should be taught about the steps the blood bank takes to eliminate that risk.

If it is possible that the unit is contaminated, and is a rare group with no other unit to meet the patient's needs... it would be within his medical decision to use it or not.  If he chooses to use it, it might make sense to administer some prophylactic antibiotics.    But there are some very rapid tests for bacteria and it seems like taking the extra 10 minutes would be worth it to know for sure what the actual risk is before actually giving the unit.

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18 hours ago, Smarty pants said:

If the MD has evidence that the unit has been opened and risks bacterial contamination - the unit shouldn't be used.  If the MD doesn't have evidence, he should be taught about the steps the blood bank takes to eliminate that risk.

If it is possible that the unit is contaminated, and is a rare group with no other unit to meet the patient's needs... it would be within his medical decision to use it or not.  If he chooses to use it, it might make sense to administer some prophylactic antibiotics.    But there are some very rapid tests for bacteria and it seems like taking the extra 10 minutes would be worth it to know for sure what the actual risk is before actually giving the unit.

Thanks

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1 hour ago, radwan1411 said:

Discard the unit, to be on the safe side even if it's rare.if the doctor insists on transfusing it, do a quick bacterial detection kit.. and make sure that doc sign an emergency relasse form or any of your hospital form that indicate that he knows the risks 

Agree 100%.  or want of either a better or more polite way of putting it, cover your own backside!

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