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D.O.B.
HISTORY: ABO
Rh
Patient #
Sex
Primary Physician/Service
Diagnoses
Comments:
ABO Grouping
Date
Anti- AntiA
A
B
cells
ABO
B
inter
cells
p
Rh Typing
AntiRh
Wk D
(AHG)
CC
Antibody screen
Rh
contr
ol
IS
37O
AHG
CC
Interp
Comment
Initial
s
ASI
ASII
ASIII
ASI
ASII
ASIII
ASI
ASII
ASIII
ASI
ASII
ASIII
ASI
ASII
ASIII
ASI
ASII
ASIII
*Rh control (6% albumin, 1 drop pt. serum/plasma, other) is only used for group AB individuals (see Rh typing SOP)
Acceptable interpretations: Pos = positive, Neg = negative
Reaction grading:4+ = one solid agglutinate, clear background, 3+ = several large agglutinates, clear background, 2+ = medium agglutinates, clear to sl. turbid background, 1+
= small agglutinates, turbid background, w+ = tiny agglutinates, turbid background (weakest rxn observable macroscopically), ww+ = microscopic agglutinates, 0
= no agglutination, H = hemolysis, mf = mixed field
CROSSMATCHES
Unit status (Date/time)
Date
Unit
number
IS
37
AH
G
CC
Inter
p
Tec
h
Issued
Returned
to BB
Returned
to
inventory