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pinktoptube

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Everything posted by pinktoptube

  1. How are name changes handled in your facility? Handled by registration and lab is notified via demographic print out. Does your policy indicate that the compatibility label always match the identifiers on your specimen? Yes Does a name change always require a redraw? Yes, it is the first or last name. Does your system process name changes automatically? Yes If you use an additional Blood Bank band, do you require a redraw so the Blood Bank band identifiers match the patient identification band after the name change? N/A Is your policy the same with Trauma? Yes
  2. To add to this, are there any hindrances for hospital A to perform the type and screens (and possibly computer crossmatch using hospital B's units) and hospital B (possibly tags) dispense/transfuse the units? I don't believe hospital B can perform any crossmatch without a physical sample on hand.
  3. Same format. Just curious Cliff, what do you do when your computers are down? (I'm assuming the procedure are electronic)
  4. Can't you just document it in your procedure that the chart will not correlate with the thermometer reading due to the sensitivity/time to change?
  5. Test systems have all 3 phases - preanalytical, analytical, and postanalytical. Anything that gives a technical result "Gel method, Tube method, Automation, Kits, etc...".
  6. Besides making your own blind samples, couldn't you use a sample previously tested and just take off the identifiers?
  7. I see. We've always used an electronic system or a two check system for sample acceptability, which meets Part 3. Something another site I worked at use to do was retyping a CBC tube or another main lab tube collected at a different time or by another phlebotomist.
  8. What standard are you referring to? I reviewed the 30th ed of the Standards and do not see a requirement for that the second type must be a second draw. Not sure where I missed this.
  9. Our LIS system creates a unique ISBT number for the pool, changes the product code to pooled open and the label prints out. We then label the pool with the printed ISBT label.
  10. We still perform Quarterly. Although per Serofuge manuf. instructions RPM is checked twice per year and CAP requirements is at least every 6 months.
  11. I haven't used aerocom tube systems, but the tubes systems I have used have been fine with transportation of blood components.
  12. Suggest using a slower infusion rate, aliquot (lower volume), or only transfuse if medically necessary? I'm curious how everyone is looking at handling this requirement.
  13. We performed a daily review on all returned transfusion record carbon copies and any missing information was highlighted on a copy. This was sent as an official occurrence to the nurse manager for follow-up. It took a little over of a year of this before we consistently received over 95% compliance.
  14. I don't. I was just told that they have always done this and it works (no reactions). I've never heard of this and wasn't quiet sure what to say...except why. I have been unsuccessful in my attempts to find a reference as to why this is not beneficial.
  15. I was wondering if anyone has heard of using a leukoreduction filter during transfusion on a component of leukoreduced apheresis platelets. I was told that this is being performed because it seems to reduce transfusion reactions to platelets.
  16. I also have my refrigerators set at 2-6C (if reagent refrigerator is down I need to move them somewhere). I contacted the FDA and AABB regarding storage of fecal samples in an ultra-low freezer with tissue products and they stated as along as they are on a separate labeled shelf that it is fine.
  17. Are you converting 0.8% cells to 3% for the tube method? Not quite sure what is meant by importance.
  18. Same as tbostock, for rule-outs we have a guideline on what is acceptable 1x and 2x.
  19. I've seen positive autocontrols with negative DAT's, just curious if anyone has seen positive DATs with a negative autocontrol? I have always performed an autocontrol first and if the autocontrol is positive then we go to a DAT.
  20. For those with a central temperature monitoring system, do you test the system by performing alarm activations? We currently have a central temperature monitoring system and perform alarm activations on a quarterly basis. I highly recommend doing this, there have been many times where we didn't know a sensor was malfunctioning until we tested it. How often does everyone else test the system? Our probes are calibrated annually and we perform alarm activation quarterly using the CTM.
  21. It has been added to our transfusion records.
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