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This document outlines the procedure for testing the presence of the D antigen on red blood cells using low protein anti-D reagent. It provides details on the equipment, reagents, controls, and testing
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How to fill out Rh(D) Testing (Including the Weak D Test) Using Low Protein (Monoclonal) anti-D (Tube Method)

01
Gather all necessary materials, including low protein monoclonal anti-D reagents, test tubes, saline solution, and patient's blood sample.
02
Label the test tubes with the patient's details to avoid mix-ups.
03
Add 2 drops of saline solution to a test tube.
04
Add 1 drop of the patient's sample to the saline in the tube.
05
Mix the sample gently and incubate for 5-30 minutes at room temperature.
06
After incubation, add 1 drop of low protein monoclonal anti-D reagent to the test tube.
07
Gently mix the solution and incubate again, typically at room temperature for another 10-30 minutes.
08
Centrifuge the tube according to manufacturer recommendations to separate the cells.
09
Examine the tube for agglutination; a positive result indicates the presence of Rh(D) antigen.
10
If weak positive results are observed, perform a Weak D test to confirm.

Who needs Rh(D) Testing (Including the Weak D Test) Using Low Protein (Monoclonal) anti-D (Tube Method)?

01
Pregnant women to determine Rh status and avoid Rh incompatibility.
02
Individuals receiving blood transfusions to ensure compatibility of Rh factor.
03
Newborns suspected of Rh incompatibility for proper management.
04
Patients who have a history of Rh sensitization.
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For example, your blood type can be A positive or A negative. The 'positive' or 'negative' shows your 'Rhesus factor' (RhD), which identifies if you have a protein known as 'D antigen' on the surface of your red blood cells.
Weak D represents a D phenotype where due to reduced D antigen expression on red cells, the antigen is not detected by routine techniques (spin tube method). However, the demonstration of this weakly expressed antigen can be undertaken by prolonged incubation and the use of anti-human globulin.
Rhesus (Rh) blood group with variable expression of D antigen is one of the complex systems in immunohematology. Weak D antigen is a phenotype where the D antigen is weakly expressed on red blood cells, and this antigen cannot be detected by routine methods.
Individuals with a weak D type 1, 2 or 3 are not at risk of forming anti-D and therefore can be managed safely as RhD-positive, i.e. can be transfused with RhD positive red blood cells (RBC) and do not require perinatal Rh immunoglobulin (RhIg).
Blood tests If you're RhD negative, your blood will be checked for the antibodies (known as anti-D antibodies) that destroy RhD positive red blood cells. You may have become exposed to them during pregnancy if your baby has RhD positive blood.
Whether someone is RhD positive or RhD negative is determined by the presence of the rhesus D (RhD) antigen. This is a molecule found on the surface of red blood cells. People who have the RhD antigen are RhD positive, and those without it are RhD negative. In the UK, around 85% of the population are RhD positive.

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Rh(D) Testing is a blood test used to determine the presence of the Rh(D) antigen on red blood cells. The Weak D Test is a specific test to identify weak expressions of the Rh(D) antigen. Using Low Protein (Monoclonal) anti-D (Tube Method) enhances the sensitivity of detection, allowing for accurate results even in cases where the antigen is present in low amounts.
Healthcare providers and blood banks are typically required to file Rh(D) Testing results. This includes hospitals, clinics, and laboratories that perform blood typing and Rh(D) testing as part of patient care or blood donation processing.
To fill out the Rh(D) Testing form, include patient identification details, the testing method used, results of the Rh(D) typing, observations from the Weak D Test, and the name and signature of the technician who performed the test. Ensure that all sections are accurately completed and legible.
The purpose of Rh(D) Testing is to determine a patient's Rh(D) status, which is critical for blood transfusions, pregnancy management, and preventing Rh incompatibility between mothers and infants. The Weak D Test specifically helps to identify individuals with weak expressions of the Rh(D) antigen.
The report must include the patient's identification information, the test results for Rh, the Weak D result, the date and time of testing, the name of the conducting laboratory, and the signature of the technician or medical professional who performed the test.
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