OkayestSBB

There is no reaction of any sort for us, the doctors informed us of the antibody. I ran some panels to see if there were any reactions but all were negative.

Im assuming, crossmatch compatible is acceptable?

I'm in the US, in Northern California. We have a very large Asian community.

Any thoughts on anti-mur? I have a patient that's delivering with it, and there isn't much in the technical manual concerning it. Thanks

We wait for medical director approval . If the physician can't wait he has the option to sign an emergency release form.

Hi Liz, The patient wasn't recently transfused but was having a c-section if I remember correctly. I get the that patient specific problems, everyone wants a flow chart but they don;t understand that some patients wont fit into that flow chart and their knowledge has to kick in. I'm stuck somewhere in between not wanting to do too much or too little, and not wasting time like Malcom said.

Thanks everyone just needed a little validation, I'm catching some heat for trying to get rid of that policy.

Do any labs perform weak d testing on Rh negative units, if intended for an Rh negative patient with Anti-D? We also obviously do a full crossmatch. We currently do this, and I just don't see the point when the blood supplier has to do the weak d in order to mark the bag as Rh neg. Just wanted to see if I was missing something.

At every facility I've work at they have been required to sign

Thanks for all the input. Malcom, I felt the exact same way. Karrie, ECHO said the same thing to me, and we too are having better results with our current lot. But what I made a stink about was that we have 2 ECHOs and the results weren't the same on the newer ECHO with the same lot of reagents which to me felt like an analyzer problem not a lot problem. Its too bad because three or four years ago, ECHO didn't have these problems, at least not like it is now. CMCDCHI, excellent point because I had no history on that patient, and I got her test results faxed from ARC where she had her testing done four days earlier and they called her negative most likely because they used gel or tube.

Thanks Karrieb61, that's a huge problem for me too. ECHO has been pumping out a lot of junk for us and I'm nervous its going to end up not being junk one day and disregarded. The people here don't trust the instrument and instantly repeat any positive screen in gel without running a panel. If the screen is negative in gel, they call it negative, their argument being "well if we didn't have ECHO then we would of called it negative." Super frustrating for everyone because I'm insisting on more work before calling it negative.

Point taken Malcom, and trust me with most of these patients I want to send them to the experts asap! So if you don't mind may I give you a scenario? ECHO all positive, gel all negative with a 2+ auto control, dat 2+, eluate was a panagluttinin, units were full crossmatch compatible. Should that patient be sent out?

Hi All! I'm a new user and I just love this site! Its really helpful. I'd like to pick your brains of when you make the decision to send out to a reference lab? I guess in particular with Warms and Colds. We are a small blood bank, we primarily use the ECHO and have gel and tube as back up. We don't do anything fancier then elutions. We always send out patients that are reactive with all cells, DAT pos etc. For example my current facility wants to send out all positive autocontrols, and DATs regardless of the activity in the panels. Any input is appreciated!