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In UK Discussing Red cell specification to issue to D neg females under child bearing age K Neg is standard requirement but what are the recommendations for also selecting rr units to avoid anti C or anti E sensitation in rr recipients. Would you just give rr to all D neg whether rr or not

anti-K NOT detectable in Enzymes in Neutral cards - is detectable in IAT and IAT enzymes is there an explnation why NOT reactive in neutral cards - this is not an isolated incidence but occuring on patient and External QC samples

http://hospital.blood.co.uk/products/hepatitis-e-screening/ NHSBT have a good educational page which is useful

Thanks for link have circulated to our depts staff I think its really good , Free as well

Universal irradiation since 2000 see http://www.kawasumi.jp/testsite/english/juji/report/GVHD_04.pdf and yes no TA - GVHD since implementation though it has caused problems with potassium levels - some cases used a potassium depletion filter which I had never heard of till now

Thanks Mabel Something new learned today , all blood irradiated in Japan presume then that all transfusion GVHD is zero ?

Indeed it is , like every Church has a Bible every Transfusion lab has a Mollison must see if it is available on Kindle ( and others )

Thanks Malcolm Good reading , wonder if he was named Patrick because he was born on St Patricks day 17th March

We currently do it every month - not aware of recommendations in UK Also document any alarms as they occur ie door open too long as that is a test in itself

I agree with Mabel check daily to see if bag groups not mixed up and also in expiry date order check visually each bag on receipt and when issuing but not at other times

I am sure the London Olympics will throw up a few unusual cases as well for you to have fun with

Less than 7 days usually they can come in a month before if they like but I would still want another sample less than 7 days pre op

We try to use up open vials up as quickly as possible and put an in use expiry date of 6 days on them , if not used up by end of 6 days we bin them as we focus on using up opened vials rather than opening up a second set of vials we don't usually have a problem we use Diamed cells Have used both ortho and Diamed cards / cells over the last 20 years and I know which one I prefer - Diamed

I think some bacterial infections cause these mimicking red cell antibodies

Our transfusion lab issue human albumin solution to the wards , some is returned unused sometimes days to months after issue. we have started to discard these returned bottles as we don't know how they have been stored on the wards ie they may have been out of temperature control which for our albumin is 4-25oC or even tampered with ( unlikely but you never know) Is anyone else discarding these on return ? or do you put them back into stock Our discard rate has gone up recently so we are tring to limit what we issue

Presume you have phenotyped patient as they themselves may be r'r or r"r and that solves one problem Selection of blood will be the same anyway CDE (-) I guess you are worried about infant ?

Never heard of cpd online and we don't do e-ksf at work I do use the IBMS CPD one and though I would not describe it as appalling it could be a lot better - no attachments allowed and having to find the correct codes for the cpd are annoying, if you forget to change the default date you have to email them to change Will look into the cpd online

Good programme on the BBC in the UK recently- "Frontline medicine " covers major Haemorrhage unsure if you can watch BBC iplayer outside UK but for UK users link is here http://www.bbc.co.uk/i/b017ld83/

Is there official guidance on retention of request forms for transfusion in the BSQR etc We are not yet scanning them though this this is something we have been looking into How long is long enough in years to keep hard copies which have not been scannned scanning them retrospectively would be difficult as some have multiple barcodes on

Agree 100% I think it would be considered unusual to do this in UK

I am in the UK so I don't know about CAP or AABB but black is the colour of choice in patients notes as it photocopies / scans better than other colours Only black is allowed on wards though in lab may sometimes see a bit of blue as well as black of course

Back in the 80s when they were returned to the lab we had occasions where they were returned in the internal mail !

Until recently retained used bags on the wards 48 hrs now discard them as clinical waste when transfused, never have to go back to them , reactions are usually immediate and the bag still available We are not allowed to store samples and reagents in same fridge ( CPA stipulated this) can't believe mhra allow used bags in same fridge as samples / reagents ( esp reagents ) you must have got them on a good day

Have to agree with Malcolm definite IMMUNE anti-D , no way would it be 7.6 iu/ml 3 days post injection we had to test patients bloods at 28 weeks before issuing anti-D, never found a positive screen but we had to do it Obviously had a sensitising episode since April , you would be surprised how many have falls , bleeding etc and don't report it to midwifes , even had some reported to midwifes who then did not realise mum would need anti-D also had the Kleihauer was negative did not think she needed anti-D error

We reject any discrepancies - no exceptions , no sob stories accepted - patient difficult to bleed etc etc reject 5-6% samples received every month