Urgent Request, Unexpected Antibody, No Previous Workup

It is the middle of the night, you only have one blood bank technologist on duty, an urgent request for 6 units of packed PRBCs from a bleeding patient is received. You have units, you have the specimen, but also the unfortunate luck that the antibody screen is positive. There is no previous transfusion history and no previous results. What do you do? They need the blood YESTERDAY!!! The Transfusion Medicine Consultant is called and tells the staff not to release any RBCs until the workup is complete.

The following is taken from my Powerpoint presentation based on this incident. The intended audience is basic-level blood bank technical staff and the clinicians involved in the case:

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s