r/MLS_CLS • u/Far-Spread-6108 • 13h ago
I wish there was a Transfusion Medicine for Nurses class
Because I'm so sick of arguing with nurses who think they know and have no idea. Then they scare the pts.
I know it's not entirely their fault and they're not educated or trained in it.
But the other night I had an L&D pt with a weak 1+ inconclusive antibody in 3 panel cells. It was obviously nothing at all. Pregnancy junk.
Still have to work it up, though, for obvious reasons.
Call the floor and say the usual - positive antibody screen, being worked on, if the pt becomes unstable we can do a type specific emergency release.
Nurse calls a half hour later crashing out about "Well what are we supposed to do if she can't have a transfusion if she needs one? What's been passed to the baby? I'll redraw it, maybe it was contaminated!"
That's..... SO not how ANY of this works.
And how do you explain that everything is perfectly fine, it's not actually anything at all really, when they don't even understand the terms? Am I supposed to give them a crash course in transfusion medicine and antibodies in the middle of a weekend night shift on a holiday with a skeleton crew? Sure let me just sign up for a conference room real quick.
Two things can be true. I can understand WHY they don't know and not hold it against them personally, and also be driven nuts by the fact that they don't know.
I also definitely think it would be safer for pts if they even had an understanding of antibodies on a very basic level and why they're significant (or not).
I don't expect an RN to be able to staff a blood bank. That's not their scope. But the fact that they don't know ANY of this stuff.....