Leaderboard

Correct We print an ADT label and place that on the requisitions, no handwriting. We hand write on the emergency release form. That is a two part form. We keep a copy and send the original to the requesting clinician. They sign and return - or we have a resident hunt them down to get signed and returned.

I am not familiar with using volume reduced platelets, but if the unit is not entered in any way, i do not see why the expiration would change. But this is a question for AABB. Scott

The daily QC testing that is being performed with the Ortho Confidence QC satisfies the requirement for COM.30450, "New Reagent Lot Confirmation of Acceptability" as long as the acceptability criteria is defined and the outcome of the results are recorded followed by supervisory review. This is the catch , you need to define what is acceptable result and have supervisory review.

We use HCLL. We have multiple sets of products in the fridge. We attach a blood product requisition to each. We can't pre-print the product info from HCLL onto the tag, but we can pre-print a 4x4 label with all of the product info and place that on the tag. When they call us, we require the patient name / MRN, even if it's a fake name / MRN, then we print a patient label and add that to the requisition also. Our Emergency release form is pre-filled out with the nit numbers, and we keep a bag of the segments from the units with each set, also pre-filled. That way we do as little as possible when handing out the cooler. We're a level 1 trauma center and get a fair number of trauma's or bleeders.

Dear God, you have my deepest sympathy. 1. Push the company to give details on their benchmark standards and where they come from. Chances are, you are not in the same boat. We had a similar problem here because our Micro and BB staffing for the weekends did not meet corporate standards (desires), but we were unable to cut staff because of the physical layout of our facility and the distance between the departments. 2. Your situation matches one hospital I know of, if you could contact them - University Medical Center, El Paso, TX. The Blood Bank is in the Main hospital and the main lab is way across the parking lot. They are a level 1 trauma center and a big surgical hospital, but the NICU is in a separate hospital next to them and did have it's own Blood Bank staff. 3. Do you have current FTE numbers that justify your current staffing? What is the difference in the "factors" in the staffing equations that are being used that lead to this new company coming up with their figures vs. your current FTE figures? Good luck. Patient safety arguments sometimes sway Administrations when nothing else will. If you can make a case for how dangerous it is for the staff of a Trauma center to be too little, too late - maybe it could help.

The thing is tkakin, that most examples of anti-C (anti-Rh2) are not; they are actually anti-Ce (anti-Rh7)! This is largely because almost every red cell that causes immunisation against the C antigen expresses both the C and e antigens as a result of having the RHCe gene, rather than both the C and e antigens as a result of having both the RHCE gene and the RHce gene (which is why both the DCE and dCE haplotypes are so rare). On the other hand, monospecific anti-e is comparatively common. So, your lady's plasma is more likely to contain anti-Ce and anti-e, rather than anti-C and anti-e. As a result, if, as yan xia suggests, you would undoubtedly adsorb out the anti-e, but you still would not know if the remaining antibody specificity is anti-C or anti-Ce (or, of course, a combination of the two). Anyway, the specificity really doesn't matter. The point is that, as you suggest, the individual titres of what ever antibodies are present are totally irrelevant. Normally, an antibody, such as anti-C (or anti-Ce) or anti-e, are not going to cause clinically significant haemolytic disease of the foetus and newborn, until the titre reaches 32, and it really doesn't matter whether the specificity of the antibody is anti-C, anti-Ce or anti-e. Your Pathologist should explain this to your OB doctor to get him or her off your back (actually, to be honest, your OB doctor should already know this, but hey, life ain't always like that!).

Maybe you can adsorb the anti-e with ccee cells, then to see if there are still reaction with Ce cells, then you can figure out if there are anti-C here.

This is the answer to your question: a current specimen. A historical blood type is not a current specimen!

https://www.fda.gov/downloads/BiologicsBloodVaccines/GuidanceComplianceRegulatoryInformation/Guidances/Blood/UCM425952.pdf This is in Draft status, but should be finalized this year. Once finalized, FDA will give 2 years for implementation. Transfusion services should not be mandated to make changes until some time in 2019 or later. There are some misstatements in some previous posts that should be clarified. PAS apheresis platelets can be stored up to 5 days and must have a "safety measure" test within 24 hours of transfusion if transfused on Day 4 or 5. The use of platelet additive solution does not confer any protection against bacterial proliferation. Plasma-stored apheresis platelets can be stored up to 7 days and must have a "safety measure" test within 24 hours of transfusion if transfused on Day 4, 5, 6, or 7. Pathogen reduced apheresis platelets can be stored up to 5 days and can be transfused up until expiration without additional testing.

Hi all, I admittedly have been absent from these forums for an extended period of time. It's good to see some familiar names on here! It's equally good to see some new names on here as well. I was was just reading through a forum and saw some posts that involved name calling and general disrespectful behavior. While I appreciate a good debate and a witty discussion of relevant topics, I find neither of those actions as fueling intelligent conversation. I considered calling out this individual in the forum, but then discovered that there was a way to report the post to the administrator. If you also feel that these comments are detrimental to furthering productive discourse, I would encourage you to use the Report feature. We, as a community, do not need to tolerate such behavior.

What unidentified antibodies??????????????????????????????????!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!