[Temperature Monitoring]

Thank you

[Temperature Monitoring]

On 4/18/2018 at 10:33 AM, SMILLER said:

Over the years we have tightened our monitoring of temps in the BB to include requirements from various regulators.  For example, we store room temp tissue for OR and have been recording temps from a thermometer there, but just recently we added an alarm to the side of the cupboard where it is stored.

In general, we check all alarms and temps for the various refrigerators, platelet rotators, freezers, etc. and record them once a day, documenting that the charts match the readings match the thermometers.  All of our freezers and refrigerators are also monitored automatically by a computer system in engineering as a back-up.  Also, everything is checked quarterly against calibrated thermometers.

Scott

 

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

[Platelets for CABG]

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. 

[Patient's sample drawn at one site and transfused at another]

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? 

[Vendor and Supplier audit]

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

[AABB 5.30.1]

Mixed field observation is it for us.

[Validation of Other Manufacturer's Reagent Red Cells for Use in Manual Grifols Gel]

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

[FDA Reportable Events]

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. 

[Stop transfusion if crossmatch expires after issue but before whole unit in?]

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.

[Autocontrols run with Ab Screens of Patients with Clinically Significant Ab]

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

[BLOOD BANK COMPETENCIES]

On 10/1/2017 at 6:36 PM, EAB81 said:

So when you guys say for each method-- your techs are actually doing the physical work up? I'm asking because before I took over as BB Super, we were just getting panels already filled out with reactions, and we ID'd the AB. I'd like for all of us BB techs to be proficient as possible, but I don't think the previous method worked out real well. Any suggestions are much appreciated.

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

[BLOOD BANK COMPETENCIES]

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

[Antigen Typing Alternate Proficiency]

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

[Infrared Thermometers]

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). 

 

[Antigen Typing Alternate Proficiency]

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

[Alarm for Reagent Refrigerator]

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.

[MRN vs FIN]

Medical Record number and date of birth here.

[Antibody Screen before Issuing RhIg]

On 3/23/2017 at 7:59 AM, BankerGirl said:

It would seem that we are in the minority in that we perform a type and screen prior to ANY RhIG administration.  Hmmm.

Same.

[Nurses performing high complexity testing]

Does this mean we get a pay increase? I wouldn't mind making a nurse salary.

[Return and Reissue of components]

7 hours ago, jalomahe said:

At our facility We dropped the 30 minute rule completely and go completely by appearance and temperature for all products regardless of whether they were issued in a cooler or not.

We do the same. Since we QC our temperature indicators and know that red blood cells can become out of range as early at 10-15 minutes at room temperature, we will quarantine anything that is suspect (i.e. a red blood cell unit that comes back and the temperature hasn't changed over a period of time) for manager or pathologist judgement for return or discard.

[Ortho Panel Cells -Quality Assurance]

7 hours ago, exlimey said:

Are you suggesting that one tests every panel cell every day of use ?

Maybe test a cell of the panel and rotate it each day of use.

[Ortho Panel Cells -Quality Assurance]

Why can't they just be treated like the screening cells? Run a positive and negative control day (same that you use for the screen) of use.

[Secondary Bacterial Testing for Platelets]

I didn't think it was a regulation yet...

[D Molecular Testing]

Only send out if immediate spin is negative and weak D test is positive. 

[Interpreting "weak" results on MTS cards.]

I have this issue also. The guide doesn't give a weak reaction as a result. I always go by if it's a pellet with a few "specks" it's negative....why search for zebras.