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LaurelMae

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  • Gender
    Female
  • Location
    Tucson
  • Occupation
    Hospital Laboratory Technical Supervisor
  • Real Name
    Laurel

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  1. I have worked with the CA1500 for 12 years now. It will handle your work load just fine but it is an archaic instrument and the software is horrible. Just a couple of examples: You have to manually register all your reagents (it comes with a barcode reader but it doesn't work for the reagents). Also you can only have one lot calibrated at a time so you cannot get the new lot ready when it is convenient (D. Dimer and Xa). I have always wanted an IL Top, I think they are the best in Coag right now but if you are limited to Siemens I would go with the new CA2500.
  2. Hi Dan, You are correct, I think she favors this because of what you said. Also, she stated in the webinar how (as we all know) difficult it can be when you have interference from an extremely high WBC count to remove that plasma accurately. So yeah, not just lipemia. It can also be used for Icterus and High WBC interference too. Is there any possible way you would share that Hemoglobin correction procedure with me? If not, maybe you could cite the references. I already have a plasma/saline replacement and hemoglobin blank procedure. Thank you, Laurel
  3. Hi Scott, The webinar https://www.sysmex.com/crc/Webinars/Pages/LearnMore.aspx?WebinarID=75&Upcoming=0 says it is based on a constant ratio (2.98) between the MCV and MCH. You are correct this formula can only be used if the MCV is normal. Laurel
  4. Does anyone use the simple math equation for correcting hemoglobin due to interference from lipemia, high wbc or icterus? I saw the webinar from Sysmex "Letting go of the Rules of Three" and that was the first I had heard of it. Currently we are doing a plasma blank or plasma replacement method. I have tested the math in parallel with the other two methods and it is good. My problem is I cant find a reference to cite other than the webinar. There is a source on the screen shot "Pathology, 1991 (23)". I searched the Journal of Pathology for 1991 and still cannot find it. Does anyone have a procedure for this? If so do you not report the MCHC and MCH when you do the correction? corrected hemoglobin=(mcv x rbc)/(2.98x10) Thanks in advance for any input.
  5. The citation was exactly what Dr Pepper says. The checklist item was TRM.41000 Transfusion Protocol. And just to keep you updated we will not be changing our policy, it was shot down by the Nursing Quality Director because Lippincott Nursing standards state the Blood must be hung within 30 minutes. This makes no sense to me. If you have up to four hours to infuse then what is the difference in what time it starts. Of course Nursing trumps Lab again. No disrespect to Nurses.
  6. Sorry about the bad link. I am having difficulty pasting here. It is on page 9 in the circular.
  7. The Circular states "It is undesirable for components that contain red cells to remain at room temperature longer than 4 hours". If you are using a validated cooler to transport the blood then it would be from the time it is spiked. www.aabb.org/tm/coi/documents/coi113.pdf
  8. We were just cited by CAP for this very thing. Our Hospital administration policy states that the blood is to be hung 30 minutes after leaving the BB and transfused within 4 hours from leaving the blood bank. We are now revising the policy to state the blood must be hung as soon as possible and transfused within four hours from leaving the Blood Bank (we do not use coolers).
  9. Welcome to the forums lmae1264 :)

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