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I just recently had a patient that had a warm-auto (non-specific) convert to mimic Rh specificty ©. I knew this was the only explaination because this patient had been antigen typed previously and was C+. We still sent it to our reference lab to be sure and transfused C- units.

Revisiting this. I now know that in order to get this to work you need to create an INPUT RULE in the BBK-BARCODE-TERM Dictionary. If there are any customers that have this working, can you cut and paste the rule you have defined? Thanks Tom

Thanks so much for the replies!

Hello all, Does anyone have any thoughts/comments about the practice of issuing type-specific blood to a patient (trauma) that has a historical record? For example, patient John Smith presents to the ED with a stab wound. His identity has been verified and is registered in our LIS and has the proper ID band on. Mr Smith has been seen before at our facility, having received 2 units of blood 2 years ago and is type A pos. The physician orders a T&S because the stab wound seems to be superficial. All of the sudden, the patient begins to bleed out and the ED asks for uncrossmatched, Emergency Release units. Mr. Smith is an A pos. Do you issue type-specific, uncrossed A pos based on the historical record or O neg until a blood sample can be obtained? Thanks for the help! Tom

Regular orders are placed by noon and then product is received via Fed Ex Next Day. A stat order can also be placed (for an additional transport fee) that will arrive within 12 hours.

We are getting ready to transition from ARC to General Blood, LLC which is a distributor for several large Community Blood Centers. The pricing and services are far better than what we are receiving with ARC, plus all the products are ISBT 128. www.generalblood.com

BUMP - I am also having difficulties. I have the CMVN Marker defined in the LIS Marker Dictionary with the proper ISBT 128 barcode (N0008). Meditech states that the only way to get this to work (as of now) is to edit the unit using the "Edit Unit" Routine, however scanning the barcode gives an "Undefined Entry" error. I am using C/S 5.64. Tom

We just discontinued doing all cord blood specimens this summer. We are currently only doing them on Rh negative and O mothers.

Even after the 45 sec spin I was not thrilled with the positive result compared to the Immucor kit, so we have decided to stay with Immucor.

Malcolm, what I would like to do is only eliminate doing LUI elutions routinely. We would still keep the procedure and do them on request from a physician. Of your institutions in England you stated 1 hospital still does them. Out of how many other hospitals are you referring to? Thanks Tom

Sorry to bring this thread back from the dead. Question: My pathologist and Lab Manager want me to provide them with references before we discontinue performing the LUI. For those that have discontinued this procedure, can anyone provide me a link or a reference? Thanks! Tom

Wow, problems from Ortho!!! Imagine that!

Hello everyone, This is Tom from South Charleston, WV. I am the Blood Bank Supervisor at Thomas Memorial Hospital, a 265 bed community hospital with a very active transfusion service. I look forward to using the forum and meeting new members. Thanks!