R1R2

I don't think you would need to take it to coombs. Do you not perform cord blood testing?

Way to make us feel bad John. You are a lucky man.

You could enter a patient safety event. This may get someone's attention.

Do you not get a sample because the patient expires? That is usually the case here in Chi Town. When this happened in the past, I remind the ED staff that we have only so many units of O blood and if they had a couple of these MTPs going at the same time, we may run out of O if we can't change blood type.

I agree with exlimey, perhaps validate that your instrumentation can perform antigen typing with antisera that requires AHG phase or uses AHG cards.

Most programs will not ID the antibody. They are just a tool for the blood banker to use during ID. In my experience, most blood bankers, including SBBers could not tell the difference between an anti-D+C and either an anti-C+G or anti-G, anti-hrB, rather than anti-C+e or anti-hrS, rather than anti-ce (anti-f) IMO (sad but true).

Is the other hospital performing a crossmatch with maternal specimen?

I have used and liked this one- http://www.antibodycheck.com/

There are some nifty antibody id programs out there, like Antibody Check, that can aid in the identification of abs. I think this would be a great tool for generalists.

You could use bottled water (gallon size). Did you try vinegar? Not sure if that is kosher for plasma thawers but it works in my dishwasher.

I assumed your screen was negative. What was the panel results of the positive antibody screen?

possible anti A1?

On of the plus sides of the CMS announcement that BS in nursing is equivalent to a degree in biological sciences is that it is a lot easier to find a BSN to help me perform POC competency assessments.

Have a great lab week! We rock!! Go Cubs!

Congrats David.

They may balk at all the work - competency , qc, education requirements etc involved with non waived testing. Best wishes.

I can't answer your first question and agree with you to dx additional incubations for weak reactions.

Agree with TCOYLE. Make is short and sweet

Perhaps it is not a false positive KB but rather a "false negative" flow? One of the reasons for false negative KB is incompatibility between mom and baby. If specimen for flow was allowed to sit for a while, could it be possible that baby cells were destroyed by mom's antibodies?

Would it be acceptable to issue in the LIS and then tag the unit? Would that be breaking any regulatory requirement?

Always sent the bag by placing it in another zip lock type bag. A lot of our bags came back to the Blood Bank with the administration set still connected so we would seal the tubing and send the bag.

Can you copy and paste the exact requirement?

How much or what kind (waived or non waived) cheesy POC testing is currently going on in the ED?

Agree with John. We would want to know that we had a negative screen on her at one time during her current pregnancy before RHIG administration. History from another facility was acceptable. If time was an issue, we would issue RHIG and continue with screen.

Not to hijack the topic but does your label print after you issue in the computer or before?