vdvictory

On my last inspection in 2007 I marked this one N/A because we are a smaller hospital that does not manufacture. I received a Phase I for it because things like transposing numbers and forgetting a Date/Time Thawed Plasma sticker are reportable according to my last AABB inspector.

Can anyone give me any info on validating rare antisera (AHG) for use in gel? I would like to initiate this to try to save $$$.

The patient in question was actually negative for JKb and M. The nightshift tech performed the antigen typing wrong.

Not sure how antigen typing was done if the "procedure was followed" and the nightshift tech still got wrong results. Tthe patient was indeed Jkb-, M-. I pulled out the first 4 units of blood in our refrigerator and prewarm tube crossmatched them....compatible. I also gel crossmatched them.....2 out of 4 were 2+ positive. It's hard to say what the tech would have actually done if time permitted. Would they have prewarmed like they had indicated to the day shift tech? Or would they have antigen typed like they said when questioned about it?

What do you think? Patient has a positive gel antibody screen. Gel panels are suggestive of JKb and M (showing dosage). Night shift BB tech antigen types patient as positive for JKb and M. So it can not be Jkb and M. Night shift BB tech does a prewarmed tube antibody screen that is negative. Day shift arrives....BB Tech informs next shift that they would have had prewarm crossmatched units ready if they'd had more time. Day Shift BB tech starts from scratch....Panels are a clear cut JKb and M showing dosage....Patient is JKb and M negative. Day shift BB tech gel crossmatches units that are antigen negative. When questioned the nightshift tech said that they had followed procedure for antigen typing and when they got positive it threw them off. Said they would not have given blood without antigen typing units because it couldn't be ruled out on panel. Was this patient in danger????

How about letting the nurse that comes to BB to pick up the blood, log in and verify while the BB Tech is checking the unit out to her. Then only one nurse would have to do it on the floor before it is hung. There is no way I would allow what they are asking....would they really check once they got back to the patient's room???

Did you do a gram stain and culture of the blood bag?

We currently use the Orho Rh Control, but it costs >$1000 a box. We are considering making our own out of 22% Albumin. Can someone who already does this please explain a few things for me? How often do you have to make it up? Is it daily or until it is used? Do you QC it daily...if so what do you use for the Lot # and expiration date? Thanks for your help?

When you dilute it yourself what do you use for the expiration date? Does it have to be made every day or can it be used until it is all gone? What do you use as the lot number? We currently buy Ortho Rh control that is more than $1000 a box so we want to change to making our own. Thanks for your help!!!

We currently do not have any computer system. It will be at least 18 months until ours is implemented. We are using a 3 syringe set to sterile dock to the unit, but will only be taking off the amount needed and leaving the other syringes attached until we have another order for blood. So each aliquot will be in a syringe, just not all made at one time. We will not be splitting a syringe any further.

I am the blood bank supervisor of a 150 bed hospital with no current BB computer system. We are in the very early stages of implementing a hospital wide system that will include BB. We are opening a NICU. We have everything set-up except for the labeling of the aliquot. We receive all of our blood products from a local supplier and haven't modified any components prior to this. We receive product code E0311V00 (AS-1 added, leukocytes reduced, from 450 mL CPD Whole Blood) the biggest part of the time. Occasionally we received pheresed E4532V00 (1st) or E4533V00 (2nd). My question is....when product code E0311V00 is split into neonatal aliquots does the product code simply change to E0311VA0, E0311VB0, etc.? Or is it more complicated than that? Would it become E0291VA0 which is AS-1 added, Divided, from 450mL CPD Whole Blood? I have been looking at the pre-printed Shamrock Labels which is just too confusing. When the ISBT 128 labeling started last May all we had to do to get ready was to make sure all of our forms would accomodate the longer unit #. So this is all new to me. Any suggestions would be greatly appreciated!!!

Sorry, I meant to start a new thread not reply to this one.