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May 2024 Challenge

Cliff

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Posts posted by Cliff

    Pre-op samples - 1 month prior to surgery

    in Transfusion Services

    Posted

    I would appreciate hearing the details of your process for performing pretransfusion testing 30 days prior to surgery-negative antibody screen and no recent transfusions.

    How do you manage the armband? Does that patient retain it or is it kept in patient registration until day of admission.

    On the day of surgery do you collect a 2nd sample for repeat T&S or just ABO/Rh?

    Do you store the plasma frozen or liquid.

    Are they filed alphabetical or according to draw date?

    We currently collect samples for presurgical patients no more thatn 7 days. Our orthopedic group wants to implement a new process where the patients have the pretransfusion testing performed with the CBC etc. which is done 1 month prior to surgery.

    Anyone willing to share the details of their process would be very helpful.

    kelliott@swmedctr.clm

    How do you manage the armband?

    We do not have a unique blood bank armband, and they are not required to keep the hopsital armband on when they are not in the hospital.

    Does that patient retain it or is it kept in patient registration until day of admission.

    Neither, they are re-idnetified by admitting when they arrive and the armband is generated at that time.

    On the day of surgery do you collect a 2nd sample for repeat T&S or just ABO/Rh?

    Neither.

    Do you store the plasma frozen or liquid.

    Liquid.

    Are they filed alphabetical or according to draw date?

    Draw date. We maintain almost 10,000 samples, that's a lot of fridges just for samples, so there is a point to consider.

    User titles

    in Transfusion Services

    Posted

    Hello Christopher,

    These are nothing more than a fun way to designate who has been making posts. As you noticed, you went from a junior member to a Member. There are other categories that are assigned by me, such as donellda's Moderator title. The others are assigned by the system once you reach a certain number of posts.

    0 - 29 posts = Junior Member

    30- 99 posts = Member

    100+ posts = Senior Member

    Another special category is Seasoned Posted. With this classification you gain a few extra forum privileges, such as you can create your own page about yourself at this site, and you are listed on the Forum Leaders page. You need to be registered for at least 30 days and a total of 150+ posts.

    Implementation of ISBT 128

    in Computer Systems / Software / ISBT128

    Posted

    Somebody correct me (please) if I am wrong but the Written Implementation plan is only required if your facility is accredited by AABB.:confused:

    I don't believe you are wrong, therefore no correction is in order.

    This is a requirement for AABB accredited facilities. However, many of us purchase from suppliers who will be moving toward ISBT 128 and it would be wise to have a plan in place.

    Here is a comment from FDA: Currently, two types of machine-readable label types are recognized by FDA: FDA recognized the use of Codabar (a specific bar code symbology) in 1985; and FDA accepted the use of ISBT 128, version 1.2.0, in 2000.

    5 day plasma, one more time

    in Transfusion Services

    Posted

    I don't want to open a can of worms but does the label adhesive have to be FDA approved? I admit we have designed some of our labels and printed them on Avery label stock and have had no problems when used on refrigerated or RT products. We have not used them for frozen products. Any thoughts here?

    Well, as you suspected there are requirements, and the FDA makes them all so easy to find.

    I uploaded a document to the FDA files section, Guideline for the Uniform Labeling of Blood and Blood Components. In particular you'll want to read the bottom of page 64, V-II 4 f.

    I strongly advise against applying an Avery label directly on the blood product. In the past I had contacted UAL about some special labels they were going to print for me, and they told me they were not approved for direct blood bag adherence. I'd always ask that question of any label vendor, you'll be surprised which ones can't be directly applied.

    Expiration and use of Pedi Irradiated RBC's

    in Transfusion Services

    Posted

    What are the hassles and expense of purchasing an irradiator for a 400 bed hospital?

    Thanks, MWL

    Hmm, not sure.

    You need a license for the radioactive material, that should not be too tough.

    You need training for the staff, and equipment validation. Again, something you should be able to easily handle.

    I guess you'd want to change you policies in several places, still pretty simple.

    Mostly what you'd need is a lot of money. We have two, and our new one was between 150,000 and 175,000, not sure of the cost.

    Benchmarking

    in Education / Quality

    Posted

    I am thinking of developing a benchmarking section for BloodBankTalk.

    Is anyone aware of a site currently available for this? If so, then perhaps I won't reinvent the wheel.

    Would you be interested in this for an option?

    Would you be interested in helping me develop it?

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