Any suggestions on meeting new BBTS std. 5.18?

 

std. 5.18 

 

Special consideration for Intrauterine transfusion

 

The blood bank or transfusion service shall have a policy regarding intrauterine transfusion including a mechanism to ensure that the fetal transfusion and fetal blood type, when performed, is differentiated that from mother.

We do get a fetal sample pre-transfusion when the 1st intrauterine transfusion is performed.  We will perform ABO/Rh and DAT.  The testing is ordered on the mother and is charted in a separate chart section "Fetal PUBS sample" in the Electronic Medical Record.  The tests are named Fetal ABO/Rh and Fetal DAT to distinguish from mothers results. Pre and Post-Transfusion Fetal CBC results go in the same chart section.  The bigger challenge is the actual transfusion as it currently is crossmatched to the mother and when transfused it charts as a regular transfusion to the mother.  We are currently working on adding a result that states "Fetal Transfusion" that will chart immediately below the unit DIN for the Fetal transfusion unit. That was the best we could do to meet this requirement and we are hoping it will suffice. 

Anyone doing an FMST on the fetus sample? 

What is an FMST?

What is an FMST?

 

Taking a guess, Fetal Maternal Screening???

 

Typically the fetal testing serology readily differtiates the sample for from maternal, e.g. the DAT is typically strongly positive when the Mom is allo-immunized.  We would do a Kleihuer-Betke stain if the fetal cells don't test as expected.

Taking a guess, Fetal Maternal Screening???

 

Typically the fetal testing serology readily differtiates the sample for from maternal, e.g. the DAT is typically strongly positive when the Mom is allo-immunized.  We would do a Kleihuer-Betke stain if the fetal cells don't test as expected.

Sandy - thanks for the idea!