Management of Rh-negative girls or woman of childbearing age transfused with one or more Rh-positive RBC units

A blood bank supervisor in Montana wants to know what others do if an Rh-negative girl or an Rh-negative woman of childbearing age is transfused (intentionally or by mistake) with one or more Rh-positive RBC units. The inquiring colleague points out that AABB Standard 5.20 states that "The transfusion service shall have a policy for Rh immune Globulin prophylaxis for Rh-negative patients who have been exposed to Rh-positive red cells." However, the inquiring colleague would appreciate knowing how others apply the AABB Standard to the situation described in this query.

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