Monica Hollaway

The technical manual does not recommend performing titers in gel. I would say at minimum before making a decision to use gel to perform titers you will have to determine how you are going to perform titers in gel. If you perform titers as stated in the technical manual how will you translate that to gel. Will you incubate in tube and then pipette to an Anti-IgG card? What about possible errors you are introducing by adding a step like that. You are also going to have to run some parallels to see how strong the difference is. My facility uses gel but we do not perform titers in gel. Hope this helps

Does anyone else feel like they are implementing a process they don't completely understand? The more I work with the ISBT the more I find I'm lost it seems. We have Cerner Classic and it does not seem that Cerner Classic will be able to accomplish what we need. We are a level one trauma center with a very active NICU and our process for making aliquots does not seem that is is going to be workable with ISBT. Does anyone else have suggestions, ideas, comments on how to make the higher ups realize that Cerner Classic while a good system we need to upgrade. Pat I don't know if you can help but I would love to email you a few questions and see if you have any insights. If you can help let me know and I will gladly email you. Monica

Help our printer that prints transfusion tags is dying. This printer is about 25 years old and I've been told to start looking for a new printer. What do others use and secondly any vendors that you all know of that I could contact? Any help anyone give would be appreciated. Thanks again for the help

Sorry to see you go. We will all miss your posts and it is sorry state of affair of how undervalued we are. I hope that you will on occassion pop on and say hi. Monica

Just took and passed the board and it was a very tough test. I went thru the distance program from GCRBC and that helped. I have the passing the SBB the first time book edition 3 and it still has typos but it can be useful. I read the technical manual, harmening textbook, standards, FDA/CAP/AABB guidelines. I highly recommend the Last Chance Review it is excellent and has a nice consise format.

We couldn't for the most part keep up with that supply of O negs. The ER has a fridge with 4 that they can use immediately. Then they call us for more. The massive transfusion protocol that is being developed would be starts with 4 units of blood, then 40 minutes later its 4 more units, 4 FFP, and 1 SDP, then 40 minutes later it would be 4 more units, 4 FFP, and depending on lab values may be another SDP, and a Cryo pool. And so on and forth for the extend of the protocol being in place. I think the biggest problem we have is our computer systems it makes it really hard.

I see your posts a lot on AABB Forums as well. Always interesting to read yours.

Our ER is pushing us hard for a trauma pack situation. They want specific sets of products every 40 minutes.

Was in SBB program and was looking for any interesting sites and stumbled across and loved it

Good luck with the SBB program. I finished the program in May 07 was unable to travel to graduation. It will definitely prepare you for the exam. I took the exam yesterday and passed and besides being thrilled it will be nice to relax for a bit. Can't relax too long need to make a poster for AABB. I loved the Gulf Coast program, Clare is wonderful!!!

Hello from Omaha Nebraska. I'm the new lead technologist in the transfusion service in a level 1 Trauma Center. Still trying to learn how to be an effective leader with good management skills

We follow the weekly flushing guidelines. We do not use the cell washers that much and have found that the weekly flushing is very important. Saline drying in ports and causing issues.