19 July 2025 (Saturday) - BTLP-TACT Exercise

Time for a BTLP-TACT exercise. I was presented with two scenarios:
 

00064 – a thirty-seven year old woman in A&E needing two units of blood for an above knee amputation.

She grouped as O Rh(D) Positive with a negative antibody screen. I issued two units of O Rh(D) Positive K negative blood

09281 – a ninety year old chap in the cardiac unit needing group and save.

He grouped as A Rh(D) Positive; albeit a weak reaction in the anti-D. In reality this would go to NHSBT, but in this simulator? I can remember falling foul of this before, but I couldn’t remember what the simulator wanted me to say. I called the RH group indeterminate.

The antibody screen was negative.

 
I was right to call the weak Rh group indeterminate.

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