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In our setting we decided with the hospital adm. that blood administration including watch for transfusion reactions requires specific periodic training of nursing staff. We are in the process of adopting an e-learning course that takes staff through the different scenarios with links to relevant background info. Nurses must pass the test prior to handling blood transfusions. The test must be repeated every 24 months. A management system reminds staff to renew the competency test. Kind regards, MD, Denmnark -
I would suggest that you try to establish the exact D status (deltions/DVI?) of the patient. Some of these patients may develop anti-D if transfused with D+ rbc - but most would not, and therefore it might be wasteful to use only D neg rbcs as a routine. (see AABB Tech Man 15. edit. p 323/4) Stener Bernvil MD, Denmark
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The rationale for irradiating leucodepleted blood products to be transfused to pregnant women is to protect the fetus from possible deleterious effects of immunocompetent cells from the donor. As soon as the the baby has been delivered, the mother will no longer need irradiated products. MD, Denmark