Leaderboard

We do not send qc across to MEDITECH. The qc is maintained on CD Rom with weekly backup and on the ECHO hard drive in between backups. Not worth the hassle of maintaining QC databases in MEDITECH when the ECHO is a perfectly acceptable database.

I have seen at least 1 delayed mildly hemolytic transfusion reaction due to Dia. That's is how it was discovered. Antibody screens were repeatedly negative pre and post. DAT postitive (IgG) post transfusion reaction. 1 cell positive on panel that was Dia positive. A few more Dia positive cells run from expired panels to confirm. Now we transfuse AHG compatible PRBC'S as antisera for Dia is not available in the USA right now to antigen screen. Not that we would antigen screen anyway because giving AHG compatible PRBC's is our protocol for these low frequency antigens.

What brand/model of Cell Washer are you using? I would replace/clean/bleach all the tubing from the saline container to the dispense nozzles in the cell washer. I would clean/bleach all the nozzles in the washer.

Just to clarify, we do not titer our A plasma. It was considered but we decided not to. Been using A FFP emergently for years (that's our facility linked earlier) without problems. It definitely helps preserve your AB inventory. And we did not apply for a variance. I think we may have done some studies and found very low anti-B titers anyway so didn't need to continue. I suspect our rationale includes the generally low anti-B titers we saw, the lower prevalence of group B and AB in the population as well as the generally low number of B antigens on group B and AB red cells. All that said, we are titering our group O platelets for anti-A, and if its over 200 the platelet is tagged "transfuse to group O only." And we're working on a new whole blood for trauma protocol, it'll be group O only and we'll test the anti-A and anti-B titers. I don't recall what our cutoff there will be.

KKidd what about the patient history lookup do you not like, or what would you prefer? I'm personally a fan of the Meditech history lookup and how it's linked to the master patient index so we can identify possible duplicate medical record numbers.