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@Kellimq As a sincere appreciator of process control and flowcharts, whoever designed that document is a genius and has my praise.

GD-CLN-900100.pdf Hi, We are a multidis non-trauma hospital, with a large (10,000 births/year) maternity hospital. We have found the use of Cryo in the first MTP pack to be advantageous in getting obstetric bleeds under control more quickly.

I think having only one is excellent (20+yrs AABB inspector/assessor). It never bothered me to not find any non-conformances (a very rare occurrence). I always dreaded my Summary sessions when the inspector would say: "I knew I'd really have to dig to find something in Dave's lab." That's not what it is all about. I have to agree with Cliff that since AABB went to an assessment vs an inspection the process has become more subjective and hence a bit more inconsistent. I always tell folks to be proactive for your lab - the assessor isn't always right, they have biases (which they should leave at home). Great job!

I've been through 7 or 8 now. My first was terrifying, now I'm OK with it. Between AABB, TJC, FDA, FACT, DPH and any other acronym you can mention, I've been through a lot of inspections / surveys / assessments. I do find AABB to be wildly inconsistent. I suppose that is part of the nature of peer assessors, but until this last assessment, we have always had an AABB employee as the lead. It really feels like they can't leave unless they find something. Rarely it's significant, often several small / trivial non-conformances, but never none. Our TJC and FDA are almost always without citations. FACT, we might get one small ding (they are ruthless if you've never had one). We've even had AABB, FDA and TJC in the same year. TJC = clean, FDA = clean, AABB = 20 non-conformances.

My favorite pre-assessment/inspection advice is; "They can't kill you and eat you. That's against the law." You did great. They will look and look and look until they find something. With only one easily corrected non-conformance, I would say you have nothing to worry about. Well done and congratulations to you and your staff.

Well I just finished my first AABB inspection. I'm so glad it's over! We did get 1 nonconformance (seems pretty minor and an easy fix) but everyone here is happy with that. So I'm guess I'll try to be happy too.

I agree Cliff, and it is the same in the UK (for certain of our inspectors). The more they have to dig, the more inappropriate is their non-conformance (usually), and the more ridiculous they look, as it causes so much resentment that, in the end, it is counter-productive (but, give them a clip board and a peaked cap, and many of them - Not all David Saikin! - get above themselves). If they did it fairly, they would have a MUCH better result themselves, if only they realised, but hey..........................

Hi GoodChild, in my previous life I was Process Control Manager for the Australian Red Cross Blood Service...I hear you

One non-conformance? You should be hugely excited, very proud of your staff and yourself, and, in addition, getting yourself around the outside of a very large glass of champagne! Well done!!

We have the Meditech computer system and can enter "L" as the interpretation of a XM. This means that it is "least incompatible" and can be issued to the patient in the computer. We discuss the situation with the doctor and give him/her the options. The doctor must sign a release form prior to transfusion. :movingon::movingon::boogie::boogie::boogie: