Well, it’s
been a few days since I had a go at the BTLP-TACT, so I sparked it up. I was
presented with one case – a twenty-seven year-old woman in maternity needing
four units of blood.
The sample
was completely unlabelled, so I rejected it. And I got the thumbs-up for doing
so. Flushed with success I had another go.
I was
presented with one case – a sixty year old woman needing two units of cryo for
vitamin K deficiency.
She grouped
as A Rh(D) Positive with a negative antibody screen, but with no more clinical
information given I wasn’t going to waste valuable cryo when an injection of
vitamin K would do the trick.
I got the
thumbs-down. Apparently there was a labelling error. I didn’t spot it. I
suppose that’s why two people check when we do this at work.
And so
with one pass and one fail, I went on to see what two out of three would be. One
more case – a ninety year old woman needing two units of blood.
She had
an indeterminate ABO group but was Rh(D) Negative. The antibody screen was
negative so I selected two units of O Rh(D) Negative.
And
having got two right out of three I called that a day.
No comments:
Post a Comment