ER

russianbear · Mar 15, 2017

I don't think we would skip that step, which I was I said "In non-emergent situations we still crossmatch even if we're absolutely sure of the patient's blood type".

You have a lot to learn yet. And you will learn these things in nursing school. In a trauma if the patient needs blood you begin infusing oh negative. Prior to that, however, you would have drawn blood it to type and screen. Once those results are in you than administer the same type of blood. Antibodies, etc.

Editorial Team / Moderator · Mar 16, 2017

You have a lot to learn yet. And you will learn these things in nursing school. In a trauma if the patient needs blood you begin infusing oh negative. Prior to that, however, you would have drawn blood it to type and screen. Once those results are in you than administer the same type of blood. Antibodies, etc.

MunoRN is an experienced nurse.

russianbear · Mar 16, 2017

MunoRN is an experienced nurse.

Based on those questions, that's difficult to believe.

Editorial Team / Admin · Mar 16, 2017

Based on those questions, that's difficult to believe.

I don't think you're reading his posts correctly.

Editorial Team / Moderator · Mar 16, 2017

Regardless, we do not only use O negative for emergency uncrossmatched PRBC transfusions. Here is some info about using O positive, and when to use O neg: http://hospitals.unitedbloodservices.org/pdfs/New-Standard-Transfusion-Care.pdf

CX_EDRN · Mar 16, 2017

Based on those questions, that's difficult to believe.

Not really, he's saying the exact same thing I said. And I am also an experienced nurse... And if he wasn't, the way you're reacting certainly wouldn't be the way to "teach" him the right way. I had some time on my hands and looked through some of your posts... All I'll say is that you had a lot of support when you were struggling not that long ago- maybe you should pass that forward a bit.

russianbear · Mar 16, 2017

Not really, he's saying the exact same thing I said. And I am also an experienced nurse... And if he wasn't, the way you're reacting certainly wouldn't be the way to "teach" him the right way. I had some time on my hands and looked through some of your posts... All I'll say is that you had a lot of support when you were struggling not that long ago- maybe you should pass that forward a bit.

Tough love. Tough love.

MunoRN, RN · Mar 17, 2017

You have a lot to learn yet. And you will learn these things in nursing school. In a trauma if the patient needs blood you begin infusing oh negative. Prior to that, however, you would have drawn blood it to type and screen. Once those results are in you than administer the same type of blood. Antibodies, etc.

I guess I wasn't clear, so again, in an emergent situation where we don't have a current crossmatch we give O negative blood, we would not give a patient a different type based on the patient or family telling us what the patient's blood type is before the crossmatch is done, which is what the OP's question was. Maybe you could clarify what you're disagreeing with.

russianbear · Mar 17, 2017

I guess I wasn't clear, so again, in an emergent situation where we don't have a current crossmatch we give O negative blood, we would not give a patient a different type based on the patient or family telling us what the patient's blood type is before the crossmatch is done, which is what the OP's question was. Maybe you could clarify what you're disagreeing with.

How is this a question? We would NEVER give blood other than O neg without having a type and screen. PERIOD. Doesn't matter who tells you the patient's blood type; the family, the patient himself, our orange president, nobody.

CX_EDRN · Mar 17, 2017

I really wasn't going to reply to this anymore but oh man... I cannot for the life of me figure out what issue you have with his posts, his information is accurate. And for the record, we do have it in our policy that we can give males O positive blood in an emergent situation if O neg is unavailable for whatever reason (ie multiple traumas). I've personally never done it, and have only given O neg. But it is in our policy and we are a highly respected trauma center in a major market. For whatever that is worth.

russianbear · Mar 17, 2017

I really wasn't going to reply to this anymore but oh man... I cannot for the life of me figure out what issue you have with his posts, his information is accurate. And for the record, we do have it in our policy that we can give males O positive blood in an emergent situation if O neg is unavailable for whatever reason (ie multiple traumas). I've personally never done it, and have only given O neg. But it is in our policy and we are a highly respected trauma center in a major market. For whatever that is worth.

Because I cannot wrap my head around how someone could even ask if we ever give blood because a family member tells us the patient's blood type. As if we would ever bypass type and screen except for emergencies.

shenique12 · Mar 18, 2017

No, that is the reason why uncrossed blood is given by the blood bank which is usually Onegative