http://www.pathlabtalk.com/forum/ Blood Bank Talk, blood, blood bank, bloodbank, forum, blood donor, donor, SBB, donation, immunohematology, antisera, red cell, ISBT, ISBT 128, quality, quality control, computer, reference, transfusion, transfusion service, recruitment, donor recruitment, job, blood bank job, bloodbank job en Sat, 19 May 2012 19:09:09 GMT vBulletin 60 http://www.pathlabtalk.com/forum/images/misc/rss.png http://www.pathlabtalk.com/forum/ http://www.pathlabtalk.com/forum/showthread.php?6270-Group-A-subgroup&goto=newpost Sat, 19 May 2012 10:26:09 GMT I am interested in knowing how everyone tests and reports A subgroups. We only use an anit-A1 lectin and if the patient is negative, we report the... I am interested in knowing how everyone tests and reports A subgroups. We only use an anit-A1 lectin and if the patient is negative, we report the patient as A2. It seems to be a common practice with our surrounding hospitals. Would is be more appropriate to report the patient as just an A subgroup vs specifically A2? I realize that A2 is the most common and the others are less so. ]]> Transfusion Services lab217 http://www.pathlabtalk.com/forum/showthread.php?6270-Group-A-subgroup http://www.pathlabtalk.com/forum/showthread.php?6269-Colorblindness-visual-inspection-and-documentation-of-rbc-prior-to-issue&goto=newpost Fri, 18 May 2012 14:34:45 GMT What are the rules for those that may be colorblind and being able to document the visual inspection of a red cell prior to the unit being issued? ... What are the rules for those that may be colorblind and being able to document the visual inspection of a red cell prior to the unit being issued? Has anyone had this experience in their lab and how do you document their competency if allowed to perform this task?

Are we allowed to exclude those people based on 21CFR part 606.2(c) "Persons whose presence can adversely affect the safety and purity of the products shall be excluded from areas where the collection, processing, compatibility testing, storage or distribution of blood or blood components is conducted." ]]> Quality tcoyle http://www.pathlabtalk.com/forum/showthread.php?6269-Colorblindness-visual-inspection-and-documentation-of-rbc-prior-to-issue http://www.pathlabtalk.com/forum/showthread.php?6268-Rhogam-for-Outpatients&goto=newpost Thu, 17 May 2012 19:12:31 GMT We have a nurse midwife who has just opened an office adjacent to our hospital. When she needs Rhogam for the 28 weeks gestation dose she brings an... We have a nurse midwife who has just opened an office adjacent to our hospital. When she needs Rhogam for the 28 weeks gestation dose she brings an order to us and we give it to her. On most patients we have already done an Rh type in house but on a few they are going on the results from the state health department. My question is, do we need to have an Rh type done on the patient in house? and is there a certain time period that the Rh type should be done in relation to the patient getting the dose? ]]> Transfusion Services flaminredfirebird http://www.pathlabtalk.com/forum/showthread.php?6268-Rhogam-for-Outpatients http://www.pathlabtalk.com/forum/showthread.php?6267-Donor-Questionnaire-s&goto=newpost Thu, 17 May 2012 17:02:40 GMT Hi, do anyone has Meditech CS 5.56 and have the donors questionnaire's workig properly ? Because right now we move to version 5.56 and in the older version the questionnaire's were working good but now we can't use them they simply don't work. Thanks for the help!:) ]]> Computer Systems maristgo http://www.pathlabtalk.com/forum/showthread.php?6267-Donor-Questionnaire-s http://www.pathlabtalk.com/forum/showthread.php?6266-Hi!-From-Ponce-Puerto-Rico&goto=newpost Thu, 17 May 2012 16:54:34 GMT Hi! Again my name is Maribel Santiago and i"m MT since 1987. Right now i'm working in the implementation of Meditech cs 5.56 at my work. I been reading all your posts and i think they are helpfull for me, thanks for that.:D ]]> Introductions maristgo http://www.pathlabtalk.com/forum/showthread.php?6266-Hi!-From-Ponce-Puerto-Rico http://www.pathlabtalk.com/forum/showthread.php?6265-How-it-identify-Anti-Cw&goto=newpost Thu, 17 May 2012 16:10:34 GMT We recieved a specimen on an Rh negative patient who had recieved RhIg. Her antibody screen was positive, but did not match a pattern for anti-D. A... We recieved a specimen on an Rh negative patient who had recieved RhIg. Her antibody screen was positive, but did not match a pattern for anti-D. A panel was run. The cell yielding the stronest reaction was Cw positive. Everything else was ruled out except the (passive) anti-D. I could not find a Cw positive, D- cell on any panel. I could not find references in the Technical Manual to the prevalence of the Cw antigen being present on D- cells. Is Cw always on D+ cells? Thanks. ]]> Immunohematology Reference Laboratories kirkaw http://www.pathlabtalk.com/forum/showthread.php?6265-How-it-identify-Anti-Cw http://www.pathlabtalk.com/forum/showthread.php?6264-Donors-with-active-asthma&goto=newpost Thu, 17 May 2012 14:35:14 GMT Just wondering what other blood collecting facilities do for potential donors with active adult asthma? Do you defer the donor? Are there any... Just wondering what other blood collecting facilities do for potential donors with active adult asthma?

Do you defer the donor? Are there any exceptions to this defer, like exercise induced asthma?

Thanks:p
Stephanie ]]> Donor Services spavlis http://www.pathlabtalk.com/forum/showthread.php?6264-Donors-with-active-asthma http://www.pathlabtalk.com/forum/showthread.php?6263-Re-enter-of-a-unit-once-it-has-been-transferred-out-of-facility&goto=newpost Thu, 17 May 2012 11:34:14 GMT Is it necessary to re-type a unit if you are re-entering it back into your sytem. Example: We received a unit and re-typed it. Then transferred the... Is it necessary to re-type a unit if you are re-entering it back into your sytem. Example: We received a unit and re-typed it. Then transferred the same unit out for irradiation, then it was sent back to us, so we re-entered into computer system. On re-enter, our system did not reflex a re-type as it recognizes it as already here. Comments.... ]]> Computer Systems Angie Redd http://www.pathlabtalk.com/forum/showthread.php?6263-Re-enter-of-a-unit-once-it-has-been-transferred-out-of-facility http://www.pathlabtalk.com/forum/showthread.php?6262-IgM-in-Crossmatch&goto=newpost Tue, 15 May 2012 16:53:34 GMT Hi A pateint with macrogloubulinaemia, and has a strong IgM in his blood which didnt go with prewarmed tube method, I cant find compatible... Hi

A pateint with macrogloubulinaemia, and has a strong IgM in his blood which didnt go with prewarmed tube method, I cant find compatible blood,, all the tests show strong agglutination even before adding AHG reagent,, we dont have DTT reagent to remove IgM from the plasma,,we transfused the patient with uncompatible but Rh group matching blood units a week ago and afraid that the patient developed alloantibodies,,, any ideas to how to remove IgM from the plasma:(:(:( ]]> Hot topics Halima http://www.pathlabtalk.com/forum/showthread.php?6262-IgM-in-Crossmatch http://www.pathlabtalk.com/forum/showthread.php?6261-inexplicable-reactions-on-Ortho-VRA168-cells-8-amp-10&goto=newpost Mon, 14 May 2012 14:26:15 GMT Is anyone else getting reactions with cells 8 &/or 10 on Ortho 0.8% panel A exp. 5/29/12 that don't fit any antibody specificity? We have had two patients do this lately. One has anti-D but the other has no identifiable antibody and screen cell 1 was positive along with these panel cells. They are both listed as Bg neg. Neither patient reacts with cell 9 which is listed as Bg pos. ]]> Transfusion Services Mabel Adams http://www.pathlabtalk.com/forum/showthread.php?6261-inexplicable-reactions-on-Ortho-VRA168-cells-8-amp-10 http://www.pathlabtalk.com/forum/showthread.php?6260-Hand-Held-Tube-Sealer&goto=newpost Mon, 14 May 2012 14:21:55 GMT We are looking for a used hand held tube sealer. Does anyone have one that they are not using? Or does anyone have suggestions about where to get... We are looking for a used hand held tube sealer. Does anyone have one that they are not using? Or does anyone have suggestions about where to get one? We are trying to get our donor program up and running. Still waiting for capital equipment approval for the heat sealer. Any suggestions would be appreciated! ]]> Equipment Sherry Quintey http://www.pathlabtalk.com/forum/showthread.php?6260-Hand-Held-Tube-Sealer http://www.pathlabtalk.com/forum/showthread.php?6259-Caveat-Question&goto=newpost Mon, 14 May 2012 12:31:49 GMT We came across a report from a reference lab (not a BB specialty lab, and not one we routinely use ourselves), that had this comment after the... We came across a report from a reference lab (not a BB specialty lab, and not one we routinely use ourselves), that had this comment after the results for a negative prenatal type and screen:

"This test is intended as a screen to detect those IgG antibodies implicated in hemolytic diseases of the newborn. It does not routinely detect IgM antibodies and thus is not suitable for screening for irregular antibodies prior to transfusion."

We are debating why this lab thinks that this disclaimer is necessary. I have an idea, but I wonder if anyone else has any thoughts.

Thanks, Scott ]]> Transfusion Services SMILLER http://www.pathlabtalk.com/forum/showthread.php?6259-Caveat-Question http://www.pathlabtalk.com/forum/showthread.php?6258-Daily-reagent-QC-question&goto=newpost Sun, 13 May 2012 02:16:36 GMT We use the Galileo instruments for routine testing, and manual methods for backup and problem resolution. I have a question regarding daily QC. Is... We use the Galileo instruments for routine testing, and manual methods for backup and problem resolution. I have a question regarding daily QC. Is it required to perform daily QC on the ABO reagents by manual methods if the same reagents (lot #'s) are QC'd daily on the instruments? ]]> Quality suhu http://www.pathlabtalk.com/forum/showthread.php?6258-Daily-reagent-QC-question http://www.pathlabtalk.com/forum/showthread.php?6257-patient-with-anti-Kell-and-something-else-that-appears-to-be-more-strongly-expressed-in-a-D-positive-background&goto=newpost Sat, 12 May 2012 02:00:54 GMT i've spent the evening working on a patient demonstrating an anti-Kell antibody. she is O positive, with a negative autocontrol and negative DAT. she also has a cold auto-agglutinin but it isn't very strong. 2 of 5 Kell negative O positive units were IAT-XM incompatible. expanded Ab I.D. panels (D pos and D neg) were tested and we still haven't resolved what this other ab is. in the D negative panel, the reactions of the Kell negative "positives" are much weaker than those demonstrated by the D positive Kell negative cells. (+/- "equivocal" vs. 3+). the transfusion service manager has not approved further work up since we've 3 IAT-XM compatible Kell negative units available and the patient isn't likely to need transfusing. any thoughts of what this other ab could be would be greatly appreciated...i need the ammo in my campaign to gently encourage reconsideration of having this worked up, further.



b.:frown: ]]> Immunohematology Reference Laboratories BrianD http://www.pathlabtalk.com/forum/showthread.php?6257-patient-with-anti-Kell-and-something-else-that-appears-to-be-more-strongly-expressed-in-a-D-positive-background http://www.pathlabtalk.com/forum/showthread.php?6256-Grand-Rounds!&goto=newpost Fri, 11 May 2012 21:47:15 GMT Poll: Does your Transfusion Service have a program resembling rounds? How does it work and do you have a mechanism in place for helping all shifts... Poll: Does your Transfusion Service have a program resembling rounds? How does it work and do you have a mechanism in place for helping all shifts benefit from it?

We have a solid continuing education program thanks to a great coordinator but don't have something like grand rounds. I'm thinking about suggesting it as a way to help everyone in the lab learn from unusual, extraordinary, less common cases or even deviations (especially new technologists). We have about 35 technologists in our Transfusion Service over three shifts and since we're located near a couple of universities with CLS programs, technologist turnover seems relatively high. There are four new techs starting this summer.

I trained in a micro lab that had daily grand rounds - in that case it was set up to benefit medical residents - and I think that it helped a great deal to contribute to a team-oriented, educational work atmosphere in which everyone was an equal participant. In that case, an MD led the grand rounds through each "station" with each technologist in micro who would present any interesting cases from that day (if they had any). Afterwards, the same MD would quiz the group rotating through with questions about that bug (or similar bugs) usually present - both medically and in the lab. They also had weekly rounds just for pediatric cases in which the residents reviewed all of the cases from that week as a group with their attendings. They invited any micro technologists who wanted to attend who brought up the physical plates as well. (Credit here should be granted to the attendings who clearly felt it was important for the residents to have at least a general understanding of culture.)

As you can imagine, both forms of rounds really opened up an excellent line of communication between the residents, attendings, and technologists. All participants seemed to have a good understanding of the other side's role in patient care. And I have no doubt that their patients benefit from that kind of open communication. The laboratory itself rarely has openings but when they do, graduating technologists who have trained there are quick to snap them up and I'm sure that that is thanks at least in part to rounding.

I'm not sure that something similar involving direct patient caretakers is really possible in Transfusion where many areas of the hospital are "frequent flyers" but perhaps a lab-centered format that just involved our senior technologists and/or medical directors would still have a great impact as far as expanding communication is concerned.

I'd love to hear from those of you who currently use similar programs in your place of work - how it's structured and what kind of impact you think that it's had. ]]> Education Annadele http://www.pathlabtalk.com/forum/showthread.php?6256-Grand-Rounds!