JOANBALONE

Yes, it would be safer to give her RhIG.

Did you know that washing removes all the antigens too! JB

A few years ago, we called an OB doctor and told him his patient, who just had a baby, had an anti-c. "Thanks for the info" he said "but I already knew that.". He went on to say that he had been monitoring this lady for months (using a different lab, of course). We said it would have been nice to get a heads up in case she needed blood. He said that if things got bad that they would just ask for O negs. JB

I am surprised that no selected cells were tested. Does your SOP suggest running selected cells? I would have put the warm auto theory on the back burner when the DAT was tested and found to be negative. Perhaps some one out there has a good antibody ID sop that they can share? JB

1 homozygous 1 homozygous and 1heterozygous 2 homozygous anything goes

Welcome to BBT irshadaad. JB

I have to agree with shelleyk482. Initially, I was opposed to this software, but after using it I began to like it. First, it double checks my rule outs. I can see exactly how many tiimes Jka was ruled out on a homozygous cell (I can sleep better at night). Second, when I need to run select cells I can easily search for them from the same program instead of searching through piles of old panel antigrams. I know people who have worked exclusively in a blood bank for years and still can't get the ruling out part. This is a great help to them. JB

Back to the original post, we would perform AHG crossmatch using antigen negative blood and mom or infant plasma.

I disagree about using the old sample. The SOP is there to avoid senariios we haven't even thought. Such as, the doctor telephones that he needs emergency release on Joe Blow, little did you know he was talking about Joe Blow's roommate. Things are crasy during emergencies. Unless we have no group O blood on the shelf I will give group O even if the sample is just 1 second expired. The computer system we have will not allow me to use the old sample unless I jump through hoops, and I am getting old. We have the luxury of having plenty of group O blood on the shelf, giving a few O units to a non-O person is not a big deal. Usually the docs can get a sample to me in just a few minutes and type specific blood can be issued a few minutes later. To me the big deal is not giving someone group O blood when they are not group O, the big deal is the antibody screen. By the way, I once had a truama roll into the ER, the docs want two units O negative emergency release. One of my associates looked up his history and he had an anti-e. All of a sudden the docs were willing to wait for crossmatched blood.

I think it is something called HIPPA

Hi everyone, We assign a 4 hour outdate for all platelet aliqouts removed from single donor pheresis platelets based on the type of transfer bag we are using. There is a little blurb in the Technical Manual about this. I have read that there is not only a miximum volume that platelet pheresis bags can hold but also a minimum volume that must remain for proper platelet function. For those of you who remove aliqouts from single donor pheresis platelets do you limit the amount of volume removed?

Hi everyone, I am looking for examples of reaction strength, i.e. 1+, 2+, mf, in gel and tube. We have charts in the laboratory but I would like to include examples in the SOP. Does anyone have examples to share? Thanks, JoanBalone

Hi I just read that a 66 year old British woman gave birth. We have no policy in writing stating an age in which we would give RhD+ red cells. We handle situations on a case by case basis. We also get the medical director involved.

We use the Provue and it will not interpret ABO/RH mixed field reactions. However, the technologist may change or accept the results before sending the results to the LIS. Once in the LIS the technologist may still change results or make an interpretation of ABO/Rh based on mixed field reactions and pt transfusion history. I, personally, accept what the Provue is seeing and then make and interpretation of ABO/Rh in the LIS based on previous patient ABO/Rh history and transfusion history.

Hi everyone, I am interested in how hospitals transport platelets and red cells outside of their facilty to another hospital or to a department outside of the hospital . Our blood products are walked outside a short distance from our hospital to a department outside of the hospital and in the future we may ship, via driver, from one hospital to another. I would like to know how you have validated your containers for outside temperature extremes (like below 0°F and 100°F) and your transit times. If your transit time is very short do you even validate your cooler? Do you include a data logger or other device with each shipment to monitor transport temperature? I am just starting this project and may need to ask more questions later.

We are a level 1 trauma center, 600+ beds. We use gel routinely; tube is an alternate, back-up method. We had concerns at first, but have since grown to like it.

In our hospital, it all depends on when and how the units were issued. If units were issued before the patient was entered into the system or before a sample was received in the blood bank we wait until TAS testing is complete, allocate the units, electronic crossmatch them and then back issue them with the time the units actually went out the door. We include a comment such as "xmatch completed after issue" Units issued under a current blood bank sample accession number in which TAS testing is incomplete are issued with the code EREL. After TAS testing is complete and the sample qualifies for electronic crossmatch we then put in a code for the crossmatch result basically saying that the units are compatible, i.e. the tech over rides the electronic crossmatch. Any future units allocated under that accession number will then qualify for electronic crossmatch.

Hi everyone, Weak D testing on prenatals and Rh negative females of child bearing age is not required. Weak D testing is only required on red cells of donors and infants when determining if mother is RhIG candidate. The current Technical Manual has a nice little explanation about D typing of donors and patients and why D typing on all patients is not required. JB

If this is the first time we are seeing this patient our medical director would like us to do an eluate.

Does anyone have any information about the protien neutralization test to test the last wash when using EluKit? We may start to do this test but can not find any information about it.

I Am Interested In How Institutions Backup Patient Information To Be Used During Computer Down Time Or Crash.