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Well, we require 2 blood types on a new patient; one on automation and the other by tube. That is why we saw a discrepancy.  Apparently it is also recommended to give washed RBCs to these patients.  As to what would occur if you gave AB......not sure.  We just restricted the patient to Group O Washed RBCs at the recommendation of the Reference Lab Medical Director.

Brenda Hutson, MT(ASCP)SBB

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  • Ok, and the winner from molecular testing is......cis AB!  (which was proposed by Monique).  I remember learning about that in Med Tech. training 30+ years ago....but can honestly say I have never com

  • If the reverse typing use the same A and B cells, then the differ between gel and tube are caused by the methods, otherwise, it maybe caused by low antibodies against B cells in tube method. To verify

  • So we sent this to our Reference Lab and they are still trying to figure it out. They ran additional B cells and those were also reactive, so likely not a Low.  Also ran mini-cold panel and A1 cells w

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Washed? Yikes! Hope the patient doesn't need too much transfusion support. That would be a good refresher for staff, though, unless you are (un)lucky enough to have other patients with this requirement more than once in a blue moon.

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