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comment_47493

Hi everyone!!

I wanted to get feedback on a scenario. I come from the school where if you run out of sample on a patient and still have testing to complete - the sample should have a type and screen performed on it and then you continue your testing and XM if needed. Does anyone know if this is stated as a must anywhere or does anyone do this or agree?

Thanks!!

Sarac

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comment_47494

If you are talking about a replacement sample, then I would ALWAYS perform at least a type and screen on it first (although possibly not the screen, if I already know that the screen is positive, as I would then go straight to antibody identification). You cannot tell from the colour red that it has come from the same patient, whatever the label on the outside may say!!!!!!!!!!!!!!

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comment_47495
If you are talking about a replacement sample, then I would ALWAYS perform at least a type and screen on it first (although possibly not the screen, if I already know that the screen is positive, as I would then go straight to antibody identification). You cannot tell from the colour red that it has come from the same patient, whatever the label on the outside may say!!!!!!!!!!!!!!

Yes this was also my school of thought --- the techs say they have always been able to get a new sample and continue on ... which I find scary ... am I right?

comment_47498
Yes this was also my school of thought --- the techs say they have always been able to get a new sample and continue on ... which I find scary ... am I right?

In my humble opinion - YES!

comment_47499

Not sure if there is a specific FDA reg or whatever for this, but I should think that most here would agree with Malcolm.

Scott

comment_47506

I always considered a new sample to be exactly that, a new sample. Occasionally we would steal a sample from Hematology that was drawn at the same time as our orginal sample but then we would still do at least a repeat ABO/Rh just to ease our paranoia. :disbelief

Remember, it's not paranoia if they really are out to get you!

  • 2 weeks later...
comment_47650

Yes. we always require type and screen. You need to make sure the sample is from same patient. We also do the screen as many time sick patients do gets lots of fluids and as a base line again we would repeat the screen...

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