Most hospitals automatically order DATs on O moms with A or B babies. But not O+ babies with O- moms.
I'm reading through the forum and it seems some hospitals do not automatically order the DAT for these O+ babies and there's no quick way to link the infant to the mother in the lab (as they are different patients) to see if there's Rh incompatibility. It falls under the doctor's scope to order the DAT. But we had a case where the doctor forgot to order the DAT with an Rh incompatible baby.
Are DATs reflexively ordered for O-neg moms with O+ babies at your hospital? If not, how do your labs deal with this situation?
How do you link the mother and infant patient records when they have different medical record numbers? What LIS do you use? At ours, the OB nurse is supposed to handover that information to the neonatal physicians. This step was missed.