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Is your pathologist in charge of all of the labs in question? If so, it should be relatively simple (depending on the initial cooperation of the pathologist/director) to come up with criteria. Once he or she signs off on a set of standards, it will be your job, as a coordinator, to get all the techs on board with it. Start by sitting down with your pathologist and find out what they feel should be submitted. Then write up a preliminary policy. Keep in mind that it needs to be comprehensive but straight-forward enough so as not to boggle the techs at the various facilities that will have to follow it. (Ours only takes a few pages -- we also have it boiled down to a single-page "cheat sheet" that is posted in Hema areas.) Then take it back to the pathologist for final approval/revision. Follow up with the associates. If some of the techs are under other managers, make sure you get buy-in from them before you start education. Scott
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Confirming Weak A or B by adsorption elution
Carina replied to Carina's topic in Transfusion Services
Thank you Malcom very helpful. We will do the same Incubate 4C, perform Lui elution. Incubate at room temperature and test against A1-, B-, and O -cells. I was unable to log in the website for a while, hence the long response time. I changed my personal data, which created the minor issue. -
you could have a look at these: http://www.islh.org/web/consensus_rules.php 1-s2.0-S1516848417300981-main.pdf 2014 Laboratory Guidelines.pdf arpa.2011-0535-oa.pdf 1516-8484-rbhh-36-03-00219.pdf Criteria_for_Blood_Smear_Review.pdf
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Welcome NikkiHCLS.
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Welcome hmh.
- Yesterday
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Hello NikkiHCLS, Welcome to PathLabTalk. Please feel free to browse around and get to know the others. If you have any questions please don't hesitate to ask. NikkiHCLS joined on the 06/18/2018. View Member
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Hello hmh, Welcome to PathLabTalk. Please feel free to browse around and get to know the others. If you have any questions please don't hesitate to ask. hmh joined on the 06/18/2018. View Member
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We do the same. We also offer to do a blood type at no charge if the parent(s) want to bring the baby in to the lab in 6 months or so in order to get an accurate blood type.
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If the MD has evidence that the unit has been opened and risks bacterial contamination - the unit shouldn't be used. If the MD doesn't have evidence, he should be taught about the steps the blood bank takes to eliminate that risk. If it is possible that the unit is contaminated, and is a rare group with no other unit to meet the patient's needs... it would be within his medical decision to use it or not. If he chooses to use it, it might make sense to administer some prophylactic antibiotics. But there are some very rapid tests for bacteria and it seems like taking the extra 10 minutes would be worth it to know for sure what the actual risk is before actually giving the unit.
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hmh joined the community
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He suspects that this unit have been prepared in "open system " procedures ( during sampling or separation or other things )
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Same here!
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and I still don't understand why they thought that this patient was polyagglutining anyway!
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Emergency Release of Group A FFP/FP in Meditech
jnadeau replied to jnadeau's topic in Transfusion Services
Sorry but the "Help" content at the Emergency Issue for Products prompt says that the system references this prompt only if the patient has no current blood type - if the patient has a blood type history that would normally be considered incompatible with group A FFP the system puts a hard stop on it. -
lucky you if you know who the father of the baby is!!!!! Minefield!!
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Why does he think it might be contaminated? Good reason or not?
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NikkiHCLS joined the community
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I think we'd better drop it as wast or wait until there is time to test it.
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At my hospital we manually enter Type and Screen results....
Eagle Eye replied to paddleking's topic in Transfusion Services
NO. Too many issues here. If i am supervisor i would not be able to sleep at night. 1) why are you entering results manually? If vision is interfaced and someone is entering results manually, there should be a check pr report for you to see all manual entries. 2) also er check all manual entries by second tech. (As some one stated this is CAP and may be your STATE requirement. 3) Every WBIT must be investigated with RCA to fix the problem. 4) If you are in US some of these are report able errors to FDA and may be STATE. 5) Start documenting every issue immediately. - Last week
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My question about if a doctor in doubt if this unit is bacterially contaminated or not and no time to do bacterial detection and this rare blood group for example how can he deal with this situation ( transfuse this unit and give the patient antibiotics medication ) or what can he do ?
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Welcome Ranju.
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