Cliff

We have two IH 1000. They are workhorses. They need service every now and then, BioRad has been great to work with.

I have not kept up on this technology, are there any FDA cleared options?

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Hi John, We bill them for the products. If the RBCs are retuned, there is 0 charge. No charge for any service or processing on our end. As I mentioned, we bill for all liquid plasma as it's not a product we transfuse in the hospital, and we don't want it returned to reduce the chance we use it in error. They bill for the transfusion. BMF is an unusual setup, they are a consortium funded nonprofit. We're one of the hospitals that funds them. Thanks

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We were the first to provide helicopter blood in MA. It was a long process, but we've simplified it as much as possible. Our primary supplier in MA is ARC. They would not perform the ABO / Rh retype for Boston MedFlight (BMF). The products come to us. We went with O Pos RBCs. We have our own donor center but are not licensed, so chose to get them irradiated from ARC as they will travel outside of the state. That was OK for a couple of years, then we started adding bases and liquid plasma. We contacted FDA and learned we were allowed to irradiate the plasma, so they now have that too. We worked very closely with BMF in setting up their program, they were the greatest bunch of people to work with. They have a blood bank fridge and freezer at each base and are using Credo coolers. We worked with them to perform validations on the products stored on the ground and air ambulances. All coolers maintain temp far past 12 hours. They swap out the coolers every 12 hours. We were concerned this might be considered storage more than transport, so they now monitor all coolers 24/7. They have Wi-Fi on the helicopters. They return the RBCs if they get too close to their outdate. The plasma we do not want back as we do not use this product in our hospital. They sell it to a fractionator. We've been inspected by TJC since we've gone live, and the survey went fine. We had a virtual inspection with FDA in July, no comment as of yet. AABB chose not to go out to any of the bases. They have transfused a lot of products making this a very successful program.

So many questions... Like @John C. Staley said, what is the scale used for? We have several in our lab. Some are for weighing whole blood or platelets, some are for making reagents. Different tolerances could be allowed based on the risk. What does the manufacturer claim it can perform at? We do daily QC on our scales. Four points, 20g, 100g, 200g, and 500g. We expect the 20 to be +/- 0.1g and the others to be +/- 1g.

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Clinical Aspects of Transfusion Reactions Clinical Aspects of Transfusion Reactions This question was submitted by forum member, Malcolm Needs. Any errors are those of the site admin, not Malcolm. Clinical Aspects of Transfusion Reactions.pptx Submitter Cliff Category BloodBankTalk Submitted 08/30/2021  

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HCLL since 2011 Epic since 2015 Nothing is perfect, but this is working for us. We're an 800+ bed level 1 trauma center with almost 50 ORs, a very active labor, level 1 NICU, transfuse 30+k RBCs a year and about 13k platelets. I'm not the most proficient at HCLL or Epic, but ask away.

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I feared the wrath of Malcom when I posted this. In the US, it is expected that we compare different methods to ensure the clinician is receiving the same result regardless of how we choose to get there. In our case, we perform molecular genotyping and serologic phenotyping. We select a few antigens to compare, keeping in mind the shortfalls you describe. Often, tasks must be performed for no other reason than to satisfy an inspector, and we do the best we can to ensure we add value to everything we do.

Can you give us more background? Is this for a particular accrediting agency? We are accredited by AABB and TJC and inspected by FDA. Every 6 months we do a method comparison. ABO, RH, ABS between tube and the instrument. All ABS methods in use. Molecular Ag typing and serologic. Is that what you are asking? Thanks, and welcome to the site!

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