Time for another BTLP-TACT exercise…
The software (eventually) provided me with two cases:
63591 – A four-year old boy with haemophilia requiring group and save
He grouped as O Rh(D) Positive with a positive antibody screen (positive in all three screening cells).
I requested antibody panels.
The IAT panel was positive in cells 1 3 5 6 9 10. This could well be anti-E and anti-Fy(a) but could well also have anti-Cw and anti-Lu(a)
The enzyme panel was positive in cells 3 and 5 – that’s the anti-E
15698 – A twenty-four year old chap with beta thalassaemia requiring two units of blood for the next day
He grouped as A Rh(D) positive with a negative antibody screen.
I selected two units of A Rh(D) Pos blood for him
I got the red light – apparently the blood group of the second case was uninterpretable? It is a shame that I can’t go back to see it.
I suppose most people would keep quiet about having got it wrong and wouldn’t mention it.