Lab 2 type and crossmatch PDF

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Summary

type and crossmatch answer key...

Description

Lab Activity #2 - Type and Crossmatch Sample ID

Forward Grouping >B >D 0 4+

>A 4+

D Ctrl 0

Reverse Grouping A1 Cells B Cells 0 4+

Blood Type A positive

AFU 2756

Antibody Screen

IS

37 Degrees

AHG

Check Cells

SC I SC II SC III Auto Control

0 0 0 0

0 0 0 0

0 0 0 0

2+ 2+ 2+ 2+

Donor Unit # W2020 17 169770 00 3 W2020 17 224202 00Q

IS 0 0

37 Degrees -

AHG -

Check Cells 2+ 2+

Antibody Screen Results Negative

Negative

Crossmatch Results Compatible Compatible

Performed By: r Date: 01/17/2018 Time: 2.30pm Comments: Antibody screening and Autocontrol is negative and both the donor units are compatible.

Sample ID John Milton

Forward Grouping >B >D 0 4+

>A 4+

D Ctrl 0

Reverse Grouping A1 Cells B Cells 0 2+

Blood Type A positive

MRN 139283

Antibody Screen

IS

37 Degrees

AHG

Check Cells

SC I SC II SC III Auto Control

2+ 2+ 0 1+

2+ 3+ 0 2+

2+ 2+ 0 2+

0 0 2+ 0

Donor Unit # W2020 17 178995 00 R

IS 2+

37 Degrees 3+

AHG 3+

Check Cells 0

Antibody Screen Results Positive

Positive

Crossmatch Results Incompatible

W2020 17 187654 00 G

0

0

0

2+

Compatible

Performed By: R Date: 01/17/2018 Time: 2.30pm Comments: Antibody screening and autocontrol is positive. Auto/Alloantibody of IgM/IgG suspected. After working on the screening panel sheet, the suspected antibodies are Anti-D, Jka, Leb and N. Needs to be identified and confirmed with another screening panel and phenotyping done for both patient and donor so that antigen negative unit can be crossmatched and transfused.

Crossmatch Requisition ISU Student Laboratory

Patient Name: R Patient MR#: AFU 2756 Diagnosis: Anemic (GI bleeding) Transfusion History: None

Patient DOB: 6/5/19 Patient Location: Pocatello, Idaho Physician: Dr. Jonah Smith

M

F

X

Patient History checked by: Sally Thomas Patient Specimen checked by: Sally Thomas Patient specimen was verified for acceptability and proper labeling (complete patient name, DOB, presence of two staff identifiers, and R#)

Patient ABO/Rh: A positive Donor Unit #: W2020 17 169770 00 3 Crossmatch Results: Compatible MLS Name: R

Antibody Screen Results: Negative Donor Unit ABO/Rh: A positive Component Type: Packed red cell Crossmatch Date: 01/17/2018

We verify the patient’s name, DOB, MR#, ABO/Rh are correct and compatible with the above donor unit. We verify the physical acceptability of the above unit. Releasing MLS: R Unit Nurse or Representative: S Date:01/17/2018 Time:3.00pm

Crossmatch Requisition ISU Student Laboratory Patient Name: R Patient MR#: AFU 2756 Diagnosis: Anemic (GI bleeding) Transfusion History: None

Patient DOB: 6/5/1986 Patient Location: Pocatello, Idaho Physician: Dr. Jonah Smith

M

F

X

Patient History checked by: Sally Thomas Patient Specimen checked by: Sally Thomas Patient specimen was verified for acceptability and proper labeling (complete patient name, DOB, presence of two staff identifiers, and R#)

Patient ABO/Rh: A positive Donor Unit #: W2020 17 224202 00 Q Crossmatch Results: Compatible MLS Name: R

Antibody Screen Results: Negative Donor Unit ABO/Rh: A positive Component Type: packed red cell Crossmatch Date: 01/17/2018

We verify the patient’s name, DOB, MR#, ABO/Rh are correct and compatible with the above donor unit. We verify the physical acceptability of the above unit. Releasing MLS: R Unit Nurse or Representative: S Date: 01/17/2018 Time: 3.00pm

Crossmatch Requisition ISU Student Laboratory

Patient Name: John Milton Patient DOB: 11/12/1998 Patient MR#: 139283 Patient Location: Pocatello, Idaho Diagnosis: Head Injury – uncontrolled bleeding Physician: Dr Leonard Paige Transfusion History: 2 weeks back (patient known to be thalassemic)

M

F

X

Patient History checked by: Joy Mclaren Patient Specimen checked by: Joy Mclaren Patient specimen was verified for acceptability and proper labeling (complete patient name, DOB, presence of two staff identifiers, and R#)

Patient ABO/Rh: A positive Donor Unit #: W2020 17 178995 Crossmatch Results: Incompatible MLS Name: R

Antibody Screen Results: Positive Donor Unit ABO/Rh: A positive Component Type: Packed red cell Crossmatch Date: 01/17/2018

We verify the patient’s name, DOB, MR#, ABO/Rh are correct and compatible with the above donor unit. We verify the physical acceptability of the above unit. Releasing MLS: Unit Nurse or Representative: Date: Time: Note : Unit was incompatible and not issued. Repeat crossmatch with another unit and release compatible unit.

Crossmatch Requisition ISU Student Laboratory

Patient Name: John Milton Patient DOB: 11/12/1998 Patient MR#: 139283 Patient Location: Pocatello, Idaho Diagnosis: Head Injury – uncontrolled bleeding Physician: Dr Leonard Paige Transfusion History: 2 weeks back (patient known to be thalassemic)

M

F

X

Patient History checked by: Joy Mclaren Patient Specimen checked by: Joy Mclaren Patient specimen was verified for acceptability and proper labeling (complete patient name, DOB, presence of two staff identifiers, and R#)

Patient ABO/Rh: A positive Donor Unit #: W2020 17 187654 00 G Crossmatch Results: compatible MLS Name: r

Antibody Screen Results: Positive Donor Unit ABO/Rh: A negative Component Type: packed red cell Crossmatch Date: 01/17/2018

We verify the patient’s name, DOB, MR#, ABO/Rh are correct and compatible with the above donor unit.

We verify the physical acceptability of the above unit. Releasing MLS: R Unit Nurse or Representative: S Date: 01/17/2018

Time: 3.10pm

Please refer to the “Emergency Release of Uncrossmatched Blood” procedure to answer the following questions: 1. In your own words, state the principle of the “Emergency Release” blood and list the main requirements over a regular transfusion. In an emergency situation, when the need of transfusing blood products outweighs the risks associated with transfusing incompatible units, “Emergency Release” protocol is followed. This implies that the blood products are released without performing standard pre-transfusion testing but necessitates the proper documentation of the need and release of the unit. Compatibility testing is done after the release and any incompatibility is notified immediately. 2. According to the procedure, list the requirements for the units selected for transfusion. The number of type O red cells that is requested for the release depends either as indicated by the requesting provider or the guidelines as follows:  Males > 12 years of age and Females 50 years or older – O positive (if negative for AntiD)  Children...