R1R2

Very interesting. I am glad we are not JC accredited anymore.

You will still need to keep a segment. Maybe you could keep them in a bag instead of keeping it with the patient sample.

There is no rational for that. You can crossmatch units when you do your other pretransfusion testing. Just make sure they have good outdates. We crossmatch 2 more units than requested, just in case

This may be the "perfect storm". Error when doing initial reytpe of the unit, a unit mislabeled as a group B by the blood center and crossmatched with a group B patient with a (probably) weak reverse. I am also thinking that the unit was not an A2B but a different subgroup. I asked if you were in the US because the error by the blood center may be FDA reportable.

When you say manual gel technique are you using IgG or buffer card or both? Do you do a repeat ABO on the unit when you receive it from the supplier in gel or tube or just a slide test before issue? Did this occur in the US?

I agree with Dr Pepper. This used to be an issue back in the day of non additive red cells. I have not seen a problem since we use red cells with additives.

I think it would work. Does you accession number print on your unit tags?

How long had the cord sat before you repeated the DAT in tube? did you also repeat it in gel? Like I said before, I would stick with one method. Did the MD do anything different in respect to treatment based on the repeat positive DAT? I also had difficulty correlating DATs on ProVue with manual gel, The discrepancies involved 1+ positive with ProVue and negative with manual gel. I did not investigate further so I do not do DATs on ProVue.

How was your validation of DATs on the ProVue. Did you note any discrepancies? I would stick with one method for all.

You can only do so much with the info you are given. Do the best you can, document when you find errors and let the appropriate department know.

http://www.fda.gov/BiologicsBloodVaccines/SafetyAvailability/ReportaProblem/BiologicalProductDeviations/ucm129721.htm#blcd I think you could use this one: RT-61-08 Compatibility {includes electronic or immediate spin crossmatch performed instead of full crossmatch, when required}.

This may be reportable to the FDA as well since AHG crossmatches were not performed.

What other possible reasons are there, besides a red cell antigen directed antibody, for a newborn positive DAT?

Hi all, Does anyone have a ProVue that can interface to 2 different laboratory information systems? I have a ProVue that interfaces to a LIS that is slowly being phased out and is being replaced with another LIS. I would like to switch the ProVue interface between the 2 LISs depending on the what LIS the sample is accessioned. I would run the samples in batches depending on the LIS accession. I have a serial port and it is a unidirectional interface. Thanks for your replies!

Hi suhu, How are you determining the temp of returned units? R1R2

Welcome!

We do not do full AHG crossmatches when only RHIG is identified.

Hi David, Do you still need a chart if temp is monitored continuously by the monitoring system, assuming that you can retrieve temp records from the monitoring system?

was CAP ok with your resolution to this deficiency?

I agree with John and I would have crossmatched the unit "real fast". I would report this error to the FDA as well complete a patient safety event.

For Transfusion Services - I think if you are getting extraneous or nonspecific reactions you should increase your rule outs to at least 2 homozygous (with exceptions, of course), but for the majority of workups I think one homozygous is perfect, especially with the sensitive methods most of us are using today. Also, IMO, ruling out on heterzygous cells is a waste of time and dangerous for some antibodies that show dosage. R1R2

I agree.

Does anyone not accept autologous blood into their transfusion service? Please reply with size of hospital and if you do ortho (hip in particular) surgeries. Thanks in advance!

I like the Credo coolers. We validated them for up to 18 hours at 1-6 C.

That's why they pay me the big bucks! NOT!!!