Baby Banker

I was going to suggest that you check with the manufacturer. If you haven't already, look at the package insert.

I wish we could afford BloodTrack.

FDA inspectors have told me that they have jurisdiction over all transfusion services. They just choose to restrict themselves to sites that perform certain modifications (e.g. washing and/or irradiating).

We do this as well. Instead of going to 24 hour plasma at the time of thaw, and then to five day plasma the next day, we go directly to five day plasma at the time of thaw. Any time you relabel a unit is an opportunity to mislabel a unit (product code and expiration date especially), and eventually someone will do that.

The Lui Freeze Thaw method is good for demonstrating anti-A, anti-B, and anti-A,B from small samples. We used it to confirm that an infant had ABO HDN. I'm not sure if we still have a procedure for it. I work primarily with the Blood Bank Computer system now.

It has been eons since I did one of these, but I don't remember using albumin. I looked at a couple of procedures online, and it was not listed as a reagent.

I've been active in blood banking for a while, and I've seen just a few of these. Most of the ones I have seen involved two units being swapped. The first one I remember was an AB unit that was labelled as an O. The unit had come in as part of a shipment for our neonatal stock; when we retyped it, we found that it was actually an AB.

And it is a whole lot easier to say. By the way, the U stands for Underwood; this is the name of one of the early patients identified with a partial D.

I am told that they work best in environments with moderate to low turnover.

We keep blood on the nursing unit when we have an ECMO. It is in case of emergency decannulation. It is tagged for the ECMO patient and kept in a blood refrigerator on the nursing unit. We check the temperature in the refrigerators every day.

The Blood Bank Guy might have something. https://www.bbguy.org/podcast/

We give Hb S negative rbc components to known sickle patients.

we have SafeTrace Tx. I built modifications for Pgd tested plts that changes the product code and expiration dates of the tested plts.

I might add that the patient was Filipino.

We had a patient with anti-Jk3. We were able to find units for him once the blood supplier started looking at Polynesians and Pacific Islanders.

Polynesians/Pacific Islanders.

Polynesians/Pacific Islanders.

I THINK THE CLOSEST THING IS ANTIGEN TYPING.

It does occur, but what we see more often is a negative screen and about a quarter to a third of the units incompatable by Coombs crossmatch. These patients get transfused about once a month, so we still do AHG crossmatches on them.

This is a long shot, but if your patient is black and transfused often, it could be ant-Jsa or anti-V/VS. We see that not infrequently with our sickle cell patients who are on a chronic transfusion protocol.

We stick with O until we get a second type.

I think ICCBBA may release some information on 1 April. They are, of course, operating under the same sort of constraints as the rest of us.

I asked the blood bank manager and director if I need to put these codes in our computer system; I have not heard back from them.

Our system does not allow us to pool across product types, so we treat a reconstituted whole blood unit as two units (RBC and plasma) in one bag. We label with both product codes and both DINs.