bblover

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

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.

AGREED - and killing the patient in some circumstances!!!!!!!!!!!!!!!!!!

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

Thanks for all your input

Thanks for all your input

Maybe that doc is thinking of conserving the Os. 

If u are performing patient testing, then u need to have your competency assessed.  No way around that requirement.  

former management was a huge proponent of OVERKILL - so we have:
REES system for doors and internal temps (temps are compared weekly to "manual" temps to assure all are within acceptable range)
Document temp of "built in" digital readout daily (High and low alarm checks quarterly)
have separate, digital thermometer probes measuring top and bottom temps, documented daily calibrated annually
AND, last but not least, a global tracker that shows temp and stores info so if there's any question, the logged info can be downloaded and printed. calibrated annually
no one will ever be able to say we weren't tracking our temps! 

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It is standard 5.1.2.4: The laboratory shall evaluate the comparability of test results obtained using different methods, instruments and if applicable testing sites. This shall be performed twice annually.
  We use old CAP samples or known patient samples with antibodies. Test them on the analyzer and with PEG on the bench. 

It is standard 5.1.2.4: The laboratory shall evaluate the comparability of test results obtained using different methods, instruments and if applicable testing sites. This shall be performed twice annually.
  We use old CAP samples or known patient samples with antibodies. Test them on the analyzer and with PEG on the bench. 

Found a form on AABB website, under commendable practices. I will attach it here.
risk-assessment.pdf

We do not use enzyme treated cells when trying to detect or work up cold agglutinins.  No reason to enhance their reactivity in vitro.  If they are not detectable by routine LISS at body temperature or antiglobulin methods they are not of clinical importance.

I was involved in one very unusual case (Win N, Needs M, Rahman S, Gold P, Ward S.  An unusual case of an acute haemolytic transfusion reaction caused by auto-anti-I.  Immunohematology 2011; 27 (3): 101-103.  DOI:  10.21307/immunohematology-2019-182.  

This was caused by the unit being removed from the storage fridge and immediately transfused.  If I remember correctly, however, because of the reaction, blood was put through a blood warmer on the ward as a precaution after this.  I doubt very much though that it would be something that would be done on a regular basis.

THANKS for sharing the valuable info

No, you are giving group O, D Positive red cells to these patients; not anti-D.  Of these patients, 15% of the White patients have the potential to then become immunised and may produce anti-D themselves, but better that than dying.  However, not all such recipients will produce an anti-D, as it is well-known that when blood is given in a situation where the patient may be exsanguinating, the patient is less likely that normal to make such antibodies.  Even if they do go on to make anti-D, as they are male, the chances of the anti-D affecting a future pregnancy are zero, whatever the WOKES may say these days.

We have been doing this in the UK for at least a decade, and we have not experienced many problems with either male or female (over 50) patients.

The best solution is to get a smart fridge.  I worked at a busy hospital where they had one we used to store blood in it, daily. It looked a lot like the following picture. We used to put blue tags on O Positive and Pink tags on O negatives. The nurses did not have to think too much, just to grab the units with blue tags for boys and pink tags for girls.