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FLOWCHART

START

RECEIVES REQUEST,
CHECK DETAILS

PATIENT
IDENTIFICATION AND
SAMPLE EXTRACTION
CENTRIFUGE
PATIENT SAMPLE

SAMPLE HEMOLYZED?

YES

NO
COLLECT
PATIENT RED
CELL

COLLECT DONOR RED CELL


FROM BLOOD UNIT THAT
MATCHES PATIENT BLOOD
TYPE

WASH PATIENT
CELL 3 TIMES
WITH NSS THEN
PREPARE RED

WASH DONOR CELL 3


TIMES WITH NSS THEN
PREPARE RED CELL

PERFORM
BLOOD TYPE
(TUBE)

PERFORM
BLOOD TYPE
(TUBE)
BLOOD TYPE
MATCH?

NO

YES
PS VS PC (AUTO)
ON TUBE
LABELLED 1
ADD 2-4 DROPS
SERUM AND 1-2
DROP PATIENT

PS VS DC (MJR)
ON TUBE
LABELLED 2
ADD 2-4 DROPS
SERUM AND 1-2
DROP DONOR

CENTRIFUGE
(30 SECONDS)

CENTRIFUGE
(30 SECONDS)

(+) POSITIVE
REACTION

(+) POSITIVE REACTION


YES

NO
ADD 4 DROPS LISS AND
CENTRIFUGE FOR 30
SECONDS
(+) POSITIVE
REACTION

YES

ADD 4 DROPS LISS AND


CENTRIFUGE FOR 30
SECONDS
YES
(+) POSITIVE
REACTION

NO
NO

INCUBATE AT 37
C FOR 10 TO 15
MINUTES THEN
CENTRIFUGE
FOR 3O
SECONDS

INCUBATE AT 37
C FOR 10 TO 15
MINUTES THEN
CENTRIFUGE
FOR 3O
SECONDS

(+) POSITIVE
REACTION

(+) POSITIVE
REACTION

YES

YES

NO
WASH 3 TIMES WITH
NSS
BLOT RIM DRY AFTER
EVERY WASH

NO
WASH 3 TIMES WITH
NSS
BLOT RIM DRY
AFTER EVERY WASH

ADD 3 DROPS AHG AND


CENTRIFUGE FOR 30
SECONDS

ADD 3 DROPS AHG AND


CENTRIFUGE FOR 30
SECONDS

(+) POSITIVE
REACTION

(+) POSITIVE
REACTION
YES

YES

NO

NO

EXAMINE UNDER
MICROSCOPE

EXAMINE UNDER
MICROSCOPE

WITH CELL CLUMP OR


AGGLUTINATION

WITH CELL CLUMP OR


AGGLUTINATION

YES

YES

NO

NO

INDICATE THAT
POSITIVE AT RESULT
FORM

PREPARE RESULT
FORM AND AFFIXES
SIGNATURE
REPORT AS

INCOMPATIB

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