kaleigh

You cannot use E2121 for all of them. Each of those frozen products have a corresponding thawed 24hour and a thawed 5 day plasma code of their own. You have to use those. We go straight from frozen to 5 day thawed so we only use those two. Here is a screen shot of our database.

Hello Kaleigh,
Per ICCBA, you will need to carry over the container attribute, therefore you cannot use E2121 for all of them.  You can use E2121 as the 5-day Thawed Apheresis Plasma code for E0869 and E1624 (the last two on your list). 
Below are the thawed codes you need.
E2121 = Thawed Apheresis PLASMA|ACD-A/XX/refg E5548 = Thawed Apheresis PLASMA|ACD-A/XX/refg|1st container E5549 = Thawed Apheresis PLASMA|ACD-A/XX/refg|2nd container E5550 = Thawed Apheresis PLASMA|ACD-A/XX/refg|3rd container I hope the above information helps.
Thanks,
Digi-Trax Corporation

Add some Dextran to a plasma sample, it should do the trick and will save you a lot of time and effort freezing and retaining samples etc.

Kaleigh, whenever we encountered a specimen showing nice rouleaux I would gather all the old lab specs on the patient, pool them and freeze aliquots to torment future generations of students. You could also have your buddies in Hematology be on the lookout for them as well.

I am a worker from/in the UK, but if TRM.40780 says, "Maternal RhIG candidacy assessment must include the identification of weak-D phenotype newborns", that is exactly what it means.  It doesn't say "should" instead of "must", and it doesn't say, "until you give up because you are bored, because you have never found one"!
Yes, such types are rare, but they do happen, and they can cause the mother to produce an anti-D (of sorts).  These antibodies are not usually particularly clinically significant in terms of further pregnancies - but the word "usually" is the important one in that sentence.
The only thing I would say is, WHEN you do detect a newborn who tests as weak-D positive, don't forget to test the mother too; she may also express the same weak-D type (but, depending upon your laboratory's policy, may not have been tested as expressing this type during the pregnancy), and, if she does, she doesn't need the anti-D immunoglobulin (which, remember, is a human-derived blood product, which may contain a novel blood-borne virus type about which we know nothing - YET).

Oniononorion, I would tend to agree with you that blood transfusion as a whole, and immunohaematology in particular, are always the "bridesmaid and never the bride" in terms of the amount of time devoted to the subjects in taught courses, however, i do have some sympathy with those trying to plan such courses, particularly the practical courses, even when attending a course at a Reference Laboratory, simply because some of the cases are so rare that it cannot be guaranteed that you would see such cases, even if you were in a Reference Laboratory for several weeks.

Oh gawwsh I wish we could count on school to teach us the intricacies of immunohematology but it seems these things are truly only taught by 1) loads of experience; 2) engaging with those who have loads of experience; and 3) reading seriously in-depth reference texts.
A bit off topic, but traditionally MLS schools teach immunohematology as one, one-semester course with lab plus clinical rotation. While the clinical rotation solidifies the theory a lot more than the class, I believe our graduates would benefit from a second “Immunohematology II” class covering practical basics such as the types of things similar to OP’s question and things related to more in-depth troubleshooting and discrepancy resolution, and in addition, advanced theory for selection of appropriate components for transfusion for problematic patient needs and emergency situations. Sorry for the slightly untimely ramble....but chemistry, hematology and microbiology get the dual-course treatment, BB should too.

Sadly, I don't (and, if I did, the seams would explode if I tried to put it on these days)!

Thank you so much for the powerpoint! And for the kind words.  
If you still have your t-shirt, you should definitely wear it! I would've been excited over that too! 

it reacts strongly.  +w would mean weaker reactivity.  (due to ag density on the particular cell I believe)

We also only tubed to certain floors. We sent a form with patient and unit  stickers with the unit that the person who removed the unit was supposed to time, initial, and return.  We called when tubing and they had 10 minutes for us to receive the form before we followed up.  If we tubed  to a floor, we had to have the form back before tubing for another patient.  To validate and to do QA checks, we sent a tech to each location  and tubed  an expired unit to each location with a temperature monitor. When we tubed, we called that tech and documented transit time and unit temperature on arrival.  Things happen even when we try our best.  One  time we tubed  a unit, got an order for another patient on same floor, received form for first unit back, tubed second unit - and nurse for first patient called upset because we had not tuned her blood. The nurse for the second patient had grabbed the unit for the first patient, signed the form without checking, returned the form, and started the unit on her patient, with two nurses signing off the bedside checks. 

Pneumatic tube systems generally have a way to set a priority based on location.  You should check to make sure carriers coming from the Blood Bank have the highest priority available.

The big thing is storage conditions and keeping the right temperature for each floor! My facility has 16ish floors, but we can only tube up to the 7th, otherwise products will get too warm on the way. So do bear in mind that tubing may not service every area