24 October 2018 (Wednesday) - What Do You Do ?

This question appeared on the Facebook “Blood Bank Interest Group” page today:

For those female patients that are Rh negative and have a positive antibody identification due to passive D (Rhogam administration during pregnancy), what is your policy for crossmatching compatible RBC units? Do you do immediate spin/GEL/AHG? And do you always set up a unit on that patient to have ready to go during their current hospital stay or wait until a unit is ordered? Thank you for your input!

An interesting discussion ensued. Some people really do have a blanket policy on having two units crossmatched on everyone with a blood group antibody purely because they have got a blood group antibody…

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