Liz

Well, his plasma is reacting with the A cells in the reverse grouping.

hello Malcolm, The AHG was polyspecific. The forward blood group is 4+.

Male patient case of ALL typed A pos in the past. Last night he typed as A pos but with 2+ anti-A. Anti-A1 Lectin is reactive. The Ab Id showd anti-K, but the AbSc is not typical for anti-K. AC and DAT neg. Crossmatched Opos Kneg cells and it was incompatible. Anti-K rarely reacts at room temp, right? We are eluting the RBC reagent cells after the pos reaction to see what the Ab it is. These A cells are K neg. But what difference will it make? since the Ab screen was not helpful, would this be helpful? Hope I was clear in my explanation. Thanks

I agree Dave.

As John would say: keep it simple and when they want to NOT follow the policy they will not follow the policy.

That is interesting to know, thanks.

Informed consent is required for tissue transplantation as it is for blood transfusion and stem cell tranplants and the admitting doctor is in charge of this. Definitely it is a TJC requirment and may already be covered. No need for the BB Med Dir to sign after the admitting physician or his/her MD-designee (fellow/resident) has signed that s/he did the required.

ok I'll go back to sleep now. I am very upset because i caught a discrepancy, so one of the tubes was wrong >>>>> forgive my anger, while I shall not forgive sloppiness.

To prevent sticking the patient twice: You can have 2 people identifying the patient and signing to that effect prior to the draw. I must comment that tubes sent to the rest of the lab should be well labelled just like the BB tubes and that the second ABO test (if you have 2 draws) is just as serious as the first!! come on of course it is, and if you get a discrepancy you need to get a thrid one. This is serious business! Lives are at stake, and depend on our accuracy.

I agree! I am the third grouch!!!

No separate consent required, this is signed for upon admission with all the other meds, in one nice document that no one ever reads.

It is not on the AABB Univ. Donor Questionnaire. What is the rational?

One quick point: NOT bacterial contamination but proliferation IF previously contaminated,... more later....

AABB no longer allows this "30 min rule" to apply. They want temps taken anytime a product is returned.

What?! excuse me, please explain...

Who cited you AABB, CAP or both and was your def lack of temp verification upon return, or did they actually follow a unit?

Subtle I like it!! Thanks Cliff.

I feel very strongly that the Medical Director/Pathologist must approve and assume accountability/responsibility and document that s/he is infromed to remove the responsibility from you and other BB staff. You may call her/him/or delegate and get the ok by phone and document that.

Every two years now by the laboratory director or designee as per CAP new regs.

It means burnt by fire. No relation to fever here.

We have a newborn sample that gave clear negative results with anti-D and the ant-DVI+ and confirmatory test but gave +1 with the tube method. Why is that? thanks Mom is D neg and I did advise a postpartum dose of RhIg. 4th gestation.

For those who perform drives to collect platelets by apheresis: what are the logistics, are these pre-screened donors? Thanks.

"Whole Blood Storage: 1-6 C. If intended for room temperature components, then store at 1-6 C within 8 hours". "Whole Blood Transport: Cooling toward 1-10 C. If intended for room temperature components, cooling toward 20-24 C" So, you have 8 hours after the draw to store at 1-6 C. The unit doesn't know if you will remove the platelets so it doesn't harm either way. HOWEVER: Regulatory and quality requirements dictate the postcollection temperature and time in which the blood must be transported. "..... Some centers use cooling plates that provide rate-controlled cooling toward 20 C. ..........If platelets will not be prepared the WB is generally placed in a storage environment that contains ice." You do need to make sure that during those 8 hours you have a temp between: 20-24 C. So, final verdict: although I check the temperature and I do not use any cooling device as I am within the 8 hours and its winter and my temp is 20-24C Q-Controlled: I know that you would be more comfortable going for the temp controlled cooling plates for 1-10C or 20-24C. and have a Happy New Year!!

3 days, nothing changes.

Daily and that includes at issuance.