Course Outline
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- Describe the Various Red Cell Crossmatch Methods and Their Uses
- Define the common regulations and guidelines for crossmatching of red cells
- Crossmatch Requirements
- Crossmatch Requirements, Continued
- Crossmatch Requirements, Continued
- Which of the following organizations does NOT have a specific requirement for using antigen negative blood components if the patient has a clinically ...
- Define requirements for the computer crossmatch
- Computer Crossmatch Requirements
- Computer Crossmatch Requirements, Continued
- Computer Crossmatch Requirements, Continued
- Validation of the computer crossmatch can be performed by the software vendor using software at the vendor site.
- The FDA does not have regulations concerning the computer crossmatch.
- The computer (electronic) crossmatch can be the only crossmatch method used when the patient has clinically significant antibodies.
- Identify the Regulations for Crossmatching of Red Cells
- Identify the Regulations for Crossmatching Red Cells
- Compatibility Testing CFR
- Compatibility Testing CFR, Continued
- Compatibility Testing CFR, CLIA
- Compatibility Testing CFR, FDA
- Compatibility Testing CFR, Sample Retention
- CFR, Record Retention
- CFR, Record Retention, Continued
- CFR, Record Retention, Continued
- FDA Guidance on the Electronic Crossmatch
- More FDA Guidance on the Electronic Crossmatch
- Donor Unit Requirements
- Validation
- Validation, Continued
- Decision Rule Validation
- Decision Rules, Warnings
- A specimen collected four days previously can be used to crossmatch units for a patient that is currently pregnant.
- Positive patient identification is required when pretransfusion testing specimens are collected.
- Identify Accrediting Agency Requirements for Crossmatching of Red Cells
- AABB Requirements
- AABB Requirements, Pretransfusion Testing
- AABB Requirements, ABO
- AABB Requirements, Rh
- AABB Requirements, Continued
- Serologic Crossmatch
- Serologic Crossmatch, ABO Incompatibility
- Unexpected Antibodies
- Unexpected Antibodies, Continued
- Computer Use for Detecting ABO Incompatibility
- Computer Use for Detecting ABO Incompatibility, Continued
- CAP Requirements for Crossmatching
- CAP Requirements for Crossmatching, Laboratory Information System Validation
- CAP Requirements, Age of Specimen
- CAP Requirements for Crossmatching, Continued
- CAP Requirements for Crossmatching, Continued
- CAP Requirements for Crossmatching, Autologous Units
- CAP Requirements for Crossmatching, Computer Crossmatch
- CAP Requirements for Crossmatching, ABO and Rh
- CAP Requirements, Data Entry Verification
- CAP Requirements, Donor Unit and Recipient Information
- Joint Commission (TJC) Requirements
- TJC Requirements, Continued
- TJC Requirements, Continued
- TJC Requirements, Continued
- TJC Requirements, Continued
- TJC Requirements, Patient Identification and Specimen Labeling
- TJC Requirements, Specimen Collection and Labeling
- TJC Requirements, ABO and Rh Typing
- TJC Requirements, Continued
- TJC Requirements, Rh Negative
- TJC Requirements, Written Procedures/Policies
- TJC Requirements, Continued
- TJC Requirements, Continued
- TJC Requirements, Continued
- TJC Requirements, Continued
- TJC Requirements, Continued
- Commission on Office Laboratory Accreditation (COLA) Requirements
- COLA Requirements, Continued
- COLA Requirements, Continued
- COLA Requirements, Continued
- COLA Requirements, Continued
- COLA Requirements, Continued
- COLA Requirements, Continued
- If the gel crossmatch is used, there must be a second crossmatch performed that will detect clinically significant antibodies.
- All accrediting agencies listed in this course require there be a 37° C reading prior to the antiglobulin phase of the antiglobulin crossmatch.
- Which of the following reagents is required to confirm the blood type of a donor unit that is labeled Group A Rh negative?
- Which of the following is required by the College of American Pathologists for validation of the computer crossmatch?
- Select An Appropriate Crossmatch for the Scenarios Described
- Crossmatching Scenarios
- Scenario #1
- Scenario #1, Continued
- Scenario #2
- Scenario #2, Continued
- Scenario #3
- Scenario #3, Continued
- Scenario #4
- Scenario #4, Continued
- Fill in the blank:Group O red cells must be administered unless there is a previous result or a second specimen for this pretransfusion test: ____.
- The warm crossmatch should be considered when the patient has a current positive antibody screen and which of the following?
- References
Additional Information
Level of Instruction: Intermediate
Intended Audience: Medical laboratory scientists, medical technologists, and technicians. This course is also appropriate for medical laboratory science students and pathology residents.
Author Information: Suzanne H. Butch, MA, MLS(ASCP)CM, SBB, DLM is the Administrative Manager for Healthcare, Blood Bank & Transfusion Service at the University of Michigan Hospitals and Health Centers in Ann Arbor, Michigan. She holds a Bachelors in Medical Technology from the University of Michigan, a Masters Degree in Management and Supervision from Central Michigan University, and Certifications as a Specialist in Blood Bank, as a Quality Audit and as a Diplomate in Laboratory Medicine. She has edited books and written numerous book chapters and articles and has been invited to present numerous lectures in the field of computerization in the blood bank, automation and transfusion medicine.
Reviewer Information: Sheri Goertzen, MLS(ASCP)BB, CLS(CA), CQA(ASQ), has over 25 years of experience as the Supervisor of Transfusion Services at Valley Children's Healthcare in Madera, CA. She has almost 40 years of experience in transfusion services. She has been a presenter at AABB conferences and has served on several AABB committees as a contributing member or the committee chair.
Rory Huschka, M.Ed., MLS(ASCP), has over 20 years of combined experience as a medical technologist, technical supervisor, professor, and manager. He is the former Director of Medical Laboratory Science and Medical Laboratory Technician Programs at Brookline College. He is currently a Program Director at MediaLab, Inc. Rory holds a BS degree in Medical Technology from North Dakota State University and a Masters in Educational Leadership. Rory also holds a certificate in Lean/Six Sigma from Villanova University.