JOANBALONE

For those that use Elukit - the IFU addresses this nonspecific uptake phenomenon. The package inserts suggests washing 4 times with saline instead of working wash solution. Has anyone tried this and did it work?

Is the mom a surrogate? Are the blood types of baby and mom correct? JB

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Hi everyone, For BBs that are CAP accredited: TRM.40651 Autologous Unit Crossmatch Phase I For autologous units, a crossmatch procedure is performed (either serologic or electronic) to detect incompatibility. JB

Welcome to BBT.

Hi Mabel, A good source would be your own hospital blood administration policy and transfusion reaction policy. Your training document should mimic you policies and procedures.

Some hospitals dedicate one unit to one baby, some assign multiple babies to one unit and yet others assign no babies to any unit. There is no requirement to assign units to babies. Some hospitals do not give only fresh (less than 5 or 10 days old) aliquots either. Again, no requirement that only fresh units should be given to babies. Our hospital wasted many aliquots when we assigned only one baby to one unit. We changed our policy and now waste very few. We will use the unit until outdate. We also use only group O units for all of our babies.

I am not aware of any requirement of rotating platelets for any amount of time before transfusing.

Hmmm...maybe you could negotiate a little with your medical director. If I read your post correctly you perform AHG crossmatches on every patient except urgent requests. This may not be required if you patient antibody screens are negative. Those AHG crossmatches are a lot of work. I agree with Likewine99, 4-6 may be too many to work on at one time. 2-3 samples at one time are manageable. Sounds like you may need automation.

You're such a cowboy John (would love to add a smiley face but have no clue).

Hi yaya, I have read accounts of this actually happening in remote areas in which group O blood was not available. They first tried switching plasma types and then blood types. I am not sure how this turned out for the patient (I think the patient died from injuries). It must have been a very desperate situation to try this.

Hi newBB, I have never had to face this problem. We usually use all our pediatric units and have plenty of normal, adult size unit to go around. However, even if we had several small, pediatric units soon to expire we would not use them for an adult. Is it possible to manage your pediatric stock better so you are not left with a lot of small units? Some hospitals will remove a small amount from a regular unit for a baby and continue to use the remainder for an adult.

Yes, we accept verbal orders for emergency release blood. We will follow up with a form for the doctor to sign.

It could be a low titer anti C reacting only with double dose C positive cells. The cell used to titer the antibody was probably single dose (heterzygous) C positive.

Hi newBB, I am not sure I understand your question: "i have a question also in case of shortage of blood . can i pooled several diffrenct units of PRBC to make up adult unit . but i do the xmatach seperately before i pool them ." What do you consider an adult unit? What volume of units do you have? Can you elaborate a little? thanks, JB

Yes. Review your manufacturer's instructions for use and run proper controls. Antisera that use the IAT method would not be a good choice if your patient has a positive DAT.

Some trauma centers prepare emergency release blood ahead of time to minimize delay in transfusion. A generic name such as "Emergency Release" (and no mr#) is printed on the TARs, unit tags and Emergency Release form. Patient ID specifics are obtained later.

Never with red cell transfusions. It is fine with plasma products such as FFP, platelets and cryo.

We encourage the use of preprinted labels for BB specimens. We also use a special BB armband and have a second specimen policy.

Hi msdesoki, Post again when you figure this one out.

Hi msdesoki, You may want to consider the possibility of multiple abs or an antibody to a high frequency antigen. If you have access to antisera you can phenotype her red cells. Perhaps this will give you a hint as to what antibody she can make. JB

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Hi Terri, I am having a hard time finding that CFR reference about thermometers. Do you know the exact number? Tanks JB

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I would not be worried about putting a name to this antibody if you have ruled out everything according to your SOP. This happens quite frequently especially with some lots of screening/panel cells. Do you have a antibody identification code such as "All clinically significant antibodies ruled out"? I would give AHG compatible units though. JB