pinktoptube

which alarm are you using for the tissue? does it store/log alarms?

I have the same struggle. We are actually required to keep one in stock at all times. Due to the one time we didn't have two for a heart case, one surgeon now always orders two. We discard about 10 -15 a month even with transferring the ones we can out.

Is one hospital performing the T&S and crossmatching, then sending the blood to the transfusing hospital? Or is the sample collected at one hospital and sent to transfusing hospital for testing?

Attached is what I use. Our tissue team leader actually goes to the manufacturing sites and writes a summary on acceptability. TTS-PPM-FORM-035-B Supplier Review Form.doc

Mixed field observation is it for us.

Would these need an IQCP since you are not using them according to the manufacturer's specifications?

I believe it would need to be reported. The unit was issued with an error. It also doesn't hurt to just submit it since the FDA will let you know if it didn't need to be reported.

As long as the unit is being transfused I don't see why you would stop the transfusion. The crossmatch at the time of dispense was still valid. I've never been questioned on this, maybe others have.

We don't. We only run an autocontrol if there is new reactivity.

Each tech physically performs a gel ABID and a tube method ABID.

Everyone performs ABID twice a year at my facility. One using the gel method and the other using any tube method.

I'll have to look into it. We do not stock all antisera for antigen typing.

We only accept returned RBC's if the temperature is acceptable. We take the temperature using an infrared thermometer (which we found to read about 2C warmer than the actual internal temperature of the unit).

That is what every hospital I have worked at used for Antigen Typing proficiency.

I am interested as well in a stand alone monitor. I really didn't like the proposed need for alarm checks on reagent refrigerators in the draft 31st Standards.