STANDARD COMPETENCIES:

 

 1. Evaluate patient specimens for acceptability according to labeling and specimen requirements.

 2. Explain and apply the basic principles of immunology including altered immune responses as they

    relate to serology and immunohematology testing.

 3. Identify the processing responsibility of blood bank work including the need for exact technique void

    of shortcuts and the recording of legible, permanent, and accurate information.

 4. Describe the characteristics and genetics of the ABO and Rh systems and resolve ABO discrepancies.

 5. Describe the characteristics and genetics of the additional blood group systems and discuss how to identify

    antibodies using techniques including but not limited to:  panels of cells, adsorptions, and elutions.

 6. Perform and analyze ABO and Rh typing, direct and indirect antiglobulin testing, and identification of antibodies.

 7. Perform pre-transfusion and compatibility testing and evaluate for safe product dispensing.

 8. Evaluate results of blood bank testing as they relate to potential and documented transfusion reactions.

 9. Describe the pathophysiology and laboratory investigation of transfusion reactions, autoimmune hemolytic anemia

    (AHA), and hemolytic disease of the newborn (HDN).

 10. Perform immunohematology procedures to evaluate the possibility of HDN and AHA and propose treatment options including

     calculating correct RhoGAM dosage as indicated by testing.

 11. Describe the appropriate pre-and post-transfusion testing associated with donor selection and preparation of components.

 12. Discuss principles and procedures associated with HLA matching.

 13. Monitor and evaluate quality control and quality assurance, maintenance, and corrective action for the blood bank laboratory.

 

 

 

 

 TOPICAL OUTLINE:

 

 I. Immunology

       a. Genetics

       b. Basic Principles

       c. Routine serological techniques

 II. ABO Blood Group Systems

 III. ABO Typing

 IV. Serum/Cell Grouping

 V. Rh Typing

 VI. ABO Discrepancies

 VII. Rh Blood Group Systems

 VIII. Direct / Indirect Antiglobulin Test

 IX. Other Blood Group Systems

 X. Antibody Screens Antibody Identification (Panels)

 XI. Compatibility Testing

 XII. Transfusion Reactions

 XIII. Elutions and Adsorptions

 XIV. Hemolytic Disease of the Newborn and Autoimmune hemolytic anemia

 XV. Blood Donor Selection

 XVI. Preparation and Phlebotomy

 XVII. Blood Component-Preparation and Therapy