Thread by @TransfusionWM

#Onegoal Q2 of the day... who has the highest priority to receive D neg red cells? (apologies for shorthand!)

...aaand we have a correct answer! Yes, patients who already have alloimmune anti-D are the highest priority to receive D neg red cells. This includes neonates with passive anti-D from mum #blooducation

D neg children and those with unknown blood groups (M and F) should receive D neg blood, but a known D pos child can receive D pos red cells

Women over the age of 60 whose blood group is unknown can also receive D pos blood

R0 (cDe) sickle patients are D pos and should receive D pos (and C neg E neg, K matched) blood, unless blood which meets their (sometimes complex) requirements cannot be met with any other red cells. More on that later in the week!

Here is the @NBTC guidance on appropriate use of O D neg red cells. Essential #blooducation for #haemSpRs and others
transfusionguidelines.org/document-libra…

@NBTC In summary, the order of priority for patients to receive D neg red cells are (in descending order):
1.D neg patient with immune anti-D
2.D neg patients and patients with unknown blood group with child bearing potential...

@NBTC ...3.Children <18 years with unknown blood group in an emergency
4. As a substitution for patients with complex phenotypic requirements e.g. multiple alloantibodies where no other blood is available

@NBTC Here endeth my musings on O D neg for now... watch this space and please do add your thoughts! How are you making sure that #everybagcounts ? Are your transfusion team working towards #Onegoal ?