It Was Discovered That a Patient Who Was to Receive

question 1

Multiple Choice

It was discovered that a patient who was to receive two units of packed RBCs had an anti-Le^a circulating in his system. What would be the proper procedure?

• A) Anti- Le^a is clinically insignificant, and two units could be issued without further workup.
• B) Multiple units should be screened for Le^a antigen, and only two of the units negative for that antigen should be transfused.
• C) The two units do not necessarily need to be Le^a-negative but should be crossmatched through at least 37 degrees and crossmatch compatible before given
• D) The transfusion should be halted until specially screened units are flown in

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Definitions:

Sub-Bailment

A situation where a bailee (person who receives property) further entrusts the bailed property to another person, under a sub-bailment contract.

Original Bailor

The person who initially entrusts their property to another (the bailee) under an agreement for the property's temporary care or possession.

Gratuitous Bailment

An arrangement where personal property is temporarily transferred from one party to another without the expectation of payment, based on trust.

Monetary Reward

A financial benefit given as payment, incentive, or compensation for services rendered or achievements.