Rania

Greetings all, We have a Jehovah’s Witness patient who’s having surgery in a couple of days. Her Hemoglobin is constantly dropping and she refuses blood transfusion as treatment. I would like to know how other facilities deal with such cases. I need as many replies as possible... Thanks!!!

Hi all, Can anyone provide with any information regarding this topic "Converting A, B, and AB blood group to "O"? Thanks:)

Good day all, As we all know, the Kleihauer-Betke procedure is used to differentiate fetal cells in the maternal circulation. Our lab uses the Sure-Tech Diagnostic KB Fetal Hemoglobin assay kit. In which a smear is prepared, processed, stained and then examined under the microscope for cells. The Fetal/Adult RBC ratio can then be obtained with a simple equation. Our lab is considering switching from a subjective fetal screening procedure to an objective flowcytometry procedure. My question is: If we do switch to Flowcytometry, do we still have to do an initial fetal screening procedure before refering it to the Flow lab? Thanks, Rania:tongue:

Good day all, Can other hospitals share their policy/procedure regarding O Rh negative blood usage during emergency situations. Under what circumstances do you switch from transfusing Rh negative RBC units to transfusing Rh positive RBC units? Do you limit the number of Rh negative RBC units available for that patient before switching? Thanks, Ran

The blood bank that I work in is working on implementing a new BB system in the near future. Medicore, HCLL. Have you any experience with this system? Thanks

The Blood Bank Facility that I work in has a new policy concerning Donor Screening& Sickling test. Adapting to a cost containment program that has been recently developed, the Donor clinic nurse or blood bank technologist performs the sickling test from a fingerstick Specimen. For first time donors,we prick the donor's finger and collect 20 microliters of blood, place it in the sickling test reagent and read after 10 minutes. A heparinized microtainer is also collected from the same puncture site,sealed and centrifuged using a Microhematocrit centrifuge to get the Donor's Hematocrit. I am interested in knowing what other Blood Bank Facilities are doing regarding Donor Screening& Sickling test. Are there any other new cost containment ideas out there?!:tongue:

In our facility, we don't mark the donor arm or any thing. This is what we do, - Apply blood pressure cuff and adjust it to 40-60 mmHg while the donor opens and closes his/her arm and then select a site for venipuncture. - Release BP cuff and prepare venipuncture site with Frepp Sepp kit. - After preparing the site, wash hands and adjust blood pressure cuff to 80 mmHg and instruct the donor to make a fist. -The site must be touched again to repalpate the vein. Palpating the vein may be performed with a gloved finger or else repeat the cleansing procedure. - Then, insert the needle and release BP cuff to 60 mmHg. I hope this helps. Rania