My question about if a doctor in doubt if this unit is bacterially contaminated or not and no time to do bacterial detection and this rare blood group for example how can he deal with this situation ( transfuse this unit and give the patient antibiotics medication ) or what can he do ?

I think we'd better drop it as wast or wait until there is time  to test it.

Why does he think it might be contaminated?  Good reason or not?

38 minutes ago, galvania said:

Why does he think it might be contaminated?  Good reason or not?

He suspects that this unit have been prepared in "open system " procedures ( during sampling or separation or other things )

If the MD has evidence that the unit has been opened and risks bacterial contamination - the unit shouldn't be used.  If the MD doesn't have evidence, he should be taught about the steps the blood bank takes to eliminate that risk.

If it is possible that the unit is contaminated, and is a rare group with no other unit to meet the patient's needs... it would be within his medical decision to use it or not.  If he chooses to use it, it might make sense to administer some prophylactic antibiotics.    But there are some very rapid tests for bacteria and it seems like taking the extra 10 minutes would be worth it to know for sure what the actual risk is before actually giving the unit.

18 hours ago, Smarty pants said:

If the MD has evidence that the unit has been opened and risks bacterial contamination - the unit shouldn't be used.  If the MD doesn't have evidence, he should be taught about the steps the blood bank takes to eliminate that risk.

If it is possible that the unit is contaminated, and is a rare group with no other unit to meet the patient's needs... it would be within his medical decision to use it or not.  If he chooses to use it, it might make sense to administer some prophylactic antibiotics.    But there are some very rapid tests for bacteria and it seems like taking the extra 10 minutes would be worth it to know for sure what the actual risk is before actually giving the unit.

Thanks

Discard the unit, to be on the safe side even if it's rare.if the doctor insists on transfusing it, do a quick bacterial detection kit.. and make sure that doc sign an emergency relasse form or any of your hospital form that indicate that he knows the risks 

1 hour ago, radwan1411 said:

Discard the unit, to be on the safe side even if it's rare.if the doctor insists on transfusing it, do a quick bacterial detection kit.. and make sure that doc sign an emergency relasse form or any of your hospital form that indicate that he knows the risks 

Agree 100%.  or want of either a better or more polite way of putting it, cover your own backside!

When the Transfusion Services becomes aware of such a situation, you have no choice but to demand unit be returned and discard it.