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We also developed a flow chart to deal with gel anomalies. One time someone did a gel screen that was iffy and then had a negative tube screen and did IS XM. The patient came back days later with a delayed transfusion reaction and identifiable antibodies. So now protocol is gel screen, if positive, gel panel. If results are iffy, tube screen, but always gel XM.

Are you accredited by the Joint Commission? They have a reg that states the physician cannot restart a transfusion if a reaction is suspected.

Life Net also has a process where they cleanse and store. Shipped out directly from the OR, stored at Life Net, shipped back for re-implantation. That way, you are not a "procurer" and have less regulatory burden.

Revcos are reliable.

"When i say they brought it back to the blood bank, they walked into the blood bank but my tech did not take the blood, the nurse had the blood when he walked in, and it never left his hand and he took it back to the floor." Keep in mind that I am a cranky old Blood Banker, , but if that unit came back in someone's hands and had been spiked, I would not let them leave with it. Like the seagulls in the film "Finding Nemo" MINE!!! Beth

Yes SMILLER but that is talking about reissuing. At no time was this unit reissued. It was never returned to blood bank, so this would not apply to this situation. We would never have accepte this unit back under the current conditions of it being spiked. The nurse never handed over the blood when he walked down with it.

We purchased two ESCO deep freezers about half year ago. They are working great, absolutely no problems.

We have had the same issues and are looking at using gel as our backup instead of test tubes. We have found in a small comparison so far that most are negative in gel but we have found true antibodies in gel that were negative in PEG and LISS and that gave no apparent pattern with solid phase even with homozygous cells that turned out to be Fy, E antibodies. I have attached some literature comparing SP to GEL (one includes comparision to PEG). Cleveland Clinic_final.pdf ECHOSP 240.doc ECHOSP 263.doc

I would suggest your best option would be to contact other blood suppliers and see what they are willing to do for you. Most of us do not have the option of shopping around. I would love to get into a discussion about CFOs but I'm afraid Cliff would burn my membership so I think I'll refrain.