pinktoptube
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Everything posted by pinktoptube
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Same as cswickard, except for temp increase, we use an increase greater than 38C
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Same or QC material from Quotient or BioRad works
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Special Transfusion Requirements, such as Irradiate and antigen negative w/ antibody, are listed on our unit tag and record. Transfusionists are trained to review what is on the label/record with what is on the unit.
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Thank you Noelrbrown.
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Reviving this. We are trying to validate the Hemobioscience EluClear in gel method and we are seeing 1, 2, 4, however our last wash is clean (no hazy/grainy look, no appearance of hemolysis on the top of the gel). Any suggestions?
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1. At what temp do you call it a Febrile reaction? >/= 38C 2. Do you also use temp increase from the baseline? If so what is? No 3. Do you use other criteria with Temp increase for culture? If so what are they? Have symptoms related to sepsis (CDC defin); however it is our MD call to culture. 4. If you do have one, what is your definition for tachycardia (eg =>100 bpm?) do not define 5. Same with Hypotension, any numerical definition? do not define
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As the previous posters stated there isn't a requirement on the number. I reviewed every record each month for years. Probably 4 years ago I changed this to 10% of total transfusions for the month. Then about 2 years ago it was changed to at least 30 records each month.
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For units tested to find the antigen negative unit.
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Does anyone know if there is a requirement that Transfusion Service/Blood Bank personnel cannot work more than 12 hours in a row? I've never heard of this but was told our policy came about because of this unknown requirement.
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Does anyone have an eluate blind sample recipe for unknowns that will yield enough sample for an ID?
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We strive for 100% completion but have a threshold of at least 85%. Nursing has to part-take in corrective action planning when they fall below the threshold, this way they have ownership of documentation.
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saline expiration date
pinktoptube replied to KLCarter's topic in Immunohematology Reference Laboratories
Bringing this back... When a manufacturers states a product is accept for 1 month once opened. How do you calculate the expiration date? - Would it always be 30 days from the day opened? - Would you alternate between 30 and 31? - Would you could 4 weeks? - Do you count the date opened as day 1? -
We are looking at sending the transfusions outside of threshold to the chiefs of each specialty to review. However we do not know yet how we can confirm they are reviewing it. Currently we send them quarterly CT ratios.
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We only thaw plasma/cryo and rarely split RBCs and the FDA stated registration is not needed. When in doubt just ask them, they are always helpful.
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We do the same with the BioRad Poly. I also include a negative cell with QC (A1 cell), just to say it reacts with IgG coated cells and Complement coated cells but not with non-coated cells.
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Platelets acceptable return temperature
pinktoptube replied to jalomahe's topic in Transfusion Services
We take the temp and only will return to inventory if between 20-24C. We do not take the temp when they are received from the blood supplier since they validate their boxes for transport. -
I would say that depends on your manufacturer's instructions for QC.
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I'm at a 220 bed hospital, we have dedicated Transfusion Medicine technologists on all shifts. We have hired new grads, they are able to work successfully alone with proper training and the willingness to learn on their part.
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We have always kept the packing slip for 10 years as part of the traceability of unit, granted the information is entered in our LIS.
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Thank you
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which alarm are you using for the tissue? does it store/log alarms?
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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.
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Patient's sample drawn at one site and transfused at another
pinktoptube replied to TMGal's topic in Transfusion Services
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
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Mixed field observation is it for us.
