I’ve done six separate BTLP-TACT
exercises (ten individual cases) this month and *still* I’m
getting emails saying “you may need to complete further
TACT participations to improve your engagement target with the system”.
So I logged in again…
I was presented with
two more cases:
51898 – an eighty-nine year old chap with beta thalassaemia needing two units of bloodHe grouped as A Rh(D) Positive with a negative antibody screen. I selected two units of A Rh(D) Positive blood.54334 – a twenty-six year old woman needing two units of irradiated blood prior to a stem cell transplant. She grouped as O Rh(D) Positive, but with a weak D reaction. In this world that counts as indeterminate.The antibody screen was positive in cell 2 so I performed antibody panels.The IAT panel was positive in cells 2, 3, 5 and 6 corresponding to anti-E and anti-KThe enzyme panel was strongly positive in cells 3 and 5 corresponding with anti-E, and it was weaker with cells 2 and 6 corresponding with anti-K. I selected two units of O Rh(D) Negative K-Neg E-Neg irradiated blood
I got it right…

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