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How would you have handled this?

carolynn
in Transfusion Services

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  • galvania
    galvania

    Dar all I was not suggesting that in general it is not necessary to crossmatch when antibodies are present. Nor was I suggesting that anyone ignore their SOPs, or that you need 1 SOP for patients wit

  • galvania
    galvania

    Well, what was the true patient risk here? You know the patient had an anti-D. I presume that at the time of identifying the anti-D you did a proper identification with your exclusions and inclusions.

  • Malcolm Needs
    Malcolm Needs

    I think I can shed some light on to why a serological cross-match should be performed once a clinically significant antibody has been detected. Once such an antibody has been made, it has been shown

comment_51420

Just an additional note for future practice; if when retrieving the PC, upon issue, you can see that the unit has been antigen typed then I would suggest investigating the patient record to see if they have a ruled-in corresponding antibody and then look at the crossmatch record itself to see if the Coombs crossmatch was performed. This usually doesn't take very long to do.

comment_51453

I agree with John and I would have crossmatched the unit "real fast".  I would report this error to the FDA as well complete a patient safety event. 

Ditto and ditto!

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