Feeling like death warmed up and with a brain
three quarters asleep I thought that now would be a good time to do a BTLP –
TACT exercise… because it would (hopefully)
give me a difficult case when I was feeling very much under par, and I could
learn an awful lot from the situation – with the added bonus that being a
simulation no one would be hurt if I stuffed up.
I wasn’t happy with what I was presented with.
I had presented with two cases. One a straightforward group and save. B Neg, no
antibodies, simples…
The other… four units required for a PPH. AB
Pos with positive antibody screen. Whilst the antibody panel came up and
anti-Fy(a) it did not exclude anti-Cw or anti-Lu(a). None of the units of blood
presented were Cw- or Lu(a)- negative, and the software did not allow for a
manual crossmatch which I would have done.
However the software told me I had everything
correct.
I’m coming to the conclusion that I have to
guess what the programmer is thinking about rather than doing what I actually
would do… because I can’t.
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