Reputation Activity
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LaurieD got a reaction from Ensis01 in Positive crossmatch at immediate spin with compatible antiglobulin phaseHi Mabel,
I agree. We do expect staff to be able to explain that the reactivity is truly due to a cold before applying prewarmed technique. In the case of an O patient that we suspect has a cold reactive antibody, we would perform the IS phase of a tube screen.
Again, thanks for the responses. I find this message board extremely helpful
Aloha- Laurie
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LaurieD got a reaction from John C. Staley in Positive crossmatch at immediate spin with compatible antiglobulin phaseHi all,
Thank you for your responses. I guess I should have mentioned that the antibody screen is negative. I actually had forgotten about anti-Vel and P,P1Pk (shame on me), but wouldn't we see a positive screen if either of those were present? I guess we could perform cold panels in this situation, to try to identify a specificity. @exlimey, poor Blood Bank of Hawaii actually does not have a reference lab currently (no staff), our larger facility in Honolulu (where my office is) actually performs more complex antibody testing than anyone else in the state. Our small facility on Hawai'i Island would actually refer any testing to us- if we are unable to tackle the situation, we would send to the ARC in California. We would definitely suggest a blood warmer for transfusion in this situation.
Again, thanks for your responses! I usually just read through and look for guidance in all the posts, first time actually posting.
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LaurieD got a reaction from exlimey in Positive crossmatch at immediate spin with compatible antiglobulin phaseHi all,
Thank you for your responses. I guess I should have mentioned that the antibody screen is negative. I actually had forgotten about anti-Vel and P,P1Pk (shame on me), but wouldn't we see a positive screen if either of those were present? I guess we could perform cold panels in this situation, to try to identify a specificity. @exlimey, poor Blood Bank of Hawaii actually does not have a reference lab currently (no staff), our larger facility in Honolulu (where my office is) actually performs more complex antibody testing than anyone else in the state. Our small facility on Hawai'i Island would actually refer any testing to us- if we are unable to tackle the situation, we would send to the ARC in California. We would definitely suggest a blood warmer for transfusion in this situation.
Again, thanks for your responses! I usually just read through and look for guidance in all the posts, first time actually posting.
