bblover

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It is showing pretty strongly (3-4+) on Echo.

Just wanted to follow up on this very interesting case. This patient was seen by our facility again beginning of July, anti-FYA still showing. A week later she was seen at the other facility in our system and her antibody screen was negative there. We both use solid phase. They have Neo by Werfen/Immucor. We have Echo by werfen/immucor. It is really perplexing. Has anyone seen anything like this? I mean both instruments are similar, I thought only difference was size.

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We do not have Meditech anymore, but when we did, we would create a worksheet in BBK worksheets. At first it seemed complicated but it worked out well in the end. Specially because we did not have to save paper QC for inspectors. I would just download a file to my desktop daily.

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Does anyone know of any research done on this topic, or any Journal articles?

Several units of blood and plasma, in fact an MTP was called. Patient was actively bleeding.

Thanks for all your input

Has anyone seen the antibody screen become completely negative after a patient was transfused with plasma and platelets. We saw a patient the other day in the ED with positive screen and Anti-FYA. Received uncrossmatched blood and plasma and was transferred to another facility. Later they performed a type and screen on the patient and it was completely negative. Both our facilities use solid phase testing. Wrong blood in tube was ruled out. Thank You

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Over the weekend the overnight shift received a Type and Screen, later the patient received blood. They did get a positive screen, but they were able to rule out all antibodies. When I followed up on the patient, I found out that the patient had history at another hospital in the area, not in our system. When I called the hospital, the patient actually had received blood at that facility earlier this month and had developed Anti-JKb and little c. Obviously, blood we gave to him was not tested for those antigens. Is that an FDA reportable error? This is first time something like this happened with me as a supervisor. I notified the patient's care team, immediately. Other than that is there any other documentation I should be doing. I would really appreciate any input from all the experienced folks in this group. TIA

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