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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