Time for another BTLP-TACT exercise – it has been a couple of weeks and the boss told me off for not getting on with it…
I was
presented with one case – a seventy-four year old woman going for surgery the
next day requiring four units of blood.
She
grouped as AB Rh(D) Positive with antibody screen positive in cells 1 &
2.
I requested antibody panels.
The IAT
panel was positive in cells 2 3 5 7 9 and the enzyme panel was negative in
all cells
This
looked very like anti-S but I couldn’t rule out anti-E or anti-Lua.. It
would have been good to have been able to see the screening antigram but the
software wouldn’t allow it.
I ruled
out anti-E as this antibody didn’t react by enzyme.
I selected
four S-negative units…
I got the
red light. Apparently the anti-Lua wasn’t there… had I been able to see that
antigram…
I’m taking
that as a green light…
The problem here is one I’ve encountered before. In reality I can see the antigrams for screen and panel at the same time. However in the simulator once I’ve said “positive” to the antibody screen I can’t see the antigram for it any more…
I need to rule stuff out at the point of doing the screen (which isn’t what happens in reality) or take screen shots (which is a faff).
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