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mld123

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mld123 last won the day on May 1 2016

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  • Occupation
    Blood Bank Supervisor

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  1. mld123

    Complement QC with Poly IgG

    I use a Poly reagent by Immucor that states you must perform QC using the IgG coated as well as complement coated check cells. We QC the poly reagent with both cells once per day of use and then when we perform patient testing we only us the IgG coated cells to QC the negative results.
  2. mld123

    Sunquest Unit Tags

    Thanks for your feedback. I am trying to get the Patient Transfusion Requirements from the BAD file to print on the tag. We already have the unit attributes on our unit tag. I guess we could use the Comment field to add it if it is not available from Sunquest to put on the Unit Tag. Thanks for the suggestion.
  3. mld123

    CAP TRM.41350

    I know this is an old thread, but I just posted a similar question to this. I interpreted the Transfusion Requirements to be the Patient needs Irradiated, CMV neg, etc. Our LIS Sunquest does not have this available to add to the unit tag that I can see. Anyone using Sunquest able to update their system generated tags?
  4. Any Sunquest users figure out how to comply with new CAP regs to include Special Transfusion Requirements on the Unit Tag form? It seems to me in reviewing the Sunquest manual that the field for Patient Transfusion Requirements is not an available field to add to the Unit Tag. Is this correct? How are you getting around this new requirement? We have always printed the Unit attributes on the tag but never the patient transfusion requirements (Irradiated, CMV neg, HgbS neg, etc.).
  5. mld123

    Cord Blood Testing

    We have a Cord Blood Hold order that is generated by the floor and the specimen is received on that. We keep the specimens for 10 days like all other specimens in case the doctor orders a Cord Blood Evaluation which is the Type and DAT order.
  6. mld123

    Workflow for 2nd Blood Draws

    We always get the second sample for surgeries because we have had instances where blood was needed quickly and a second sample was not able to drawn because the patient was not in a position where the arm was available. We find they stick the patient while setting up the IV and draw them then.
  7. I find that Gel screens are positive and tube are negative when there is either a Cold Antibody or Rouleaux. Sometimes the gel finds an HLA that may not be picked up in tube either. In all 3 of these cases, they are more of a nuisance then anything else.
  8. mld123

    Workflow for 2nd Blood Draws

    1. For Pre-Ops, when do you get that 2nd specimen? We get the second specimen on the morning of surgery. They collect a pink top on every surgery case in the morning if we need it or not. 2. For Outpatients, when/ how do you obtain that 2nd specimen? The second specimen is collected on the day they come in for transfusion. The outpatient cancer center collects it first thing when the patient comes in. 3. For Inpatients they want to transfuse, what is the protocol? We call and request a second specimen if we need one. We first look for a CBC that was drawn at a separate time to save the patient from being stuck again. 4. Do you require it just be a different time of draw, or does it also have to be a different phlebotomist? We require it to be drawn at a different time. We prefer a second phlebotomist, but do not require it. Another thought - We are looking into getting a special sized pink top tube to send to the floor when we need a second specimen collected. We have recently noticed that the floors are drawing two specimens at once and labeling them with a different draw time. This was recently noticed in our LDR and ER locations. Nurses denied it, but we had people physically witness this.
  9. mld123

    Infrared Thermometer

    At another hospital I worked at we used an infared thermometer I believe from Market Lab or Fisher. It was so inexpensive that we would just order a new one when the calibration ran out. About 1 every 2 years. It cost almost as much to have it recalibrated as a new one did so we just ordered a new one so we would not have to ship the old one out. Come to think of it, it would be beneficial to have 2 of them and have them recalibrated at different times during the year so you always had one.
  10. Hello Everyone, I am wondering what everyone does for specimen collection requirements as far as identification of who drew the specimen. We currently have Sunquest and use Tech Code or if someone does not have a Tech Code we use full name on the tube. We enter the name in as an Order Comment so that we could trace back who drew the specimen after it is physically discarded. Is anyone use initials only and how would you trace this back to who drew the specimen? Do we need to be able to trace it back after the specimen is discarded? Maybe I am making this more complicated then it needs to be. Thanks for your help. mld123
  11. mld123

    Monoclonal Control

    We use monoclonal control and use 1 drop of Anti-D and 1 drop of Monoclonal control.
  12. Here is my worksheet as well if anyone wants it. It may look a little funny because I had to convert it from a PDF file. We take the controls from the new lot and test on the old and controls from the old and test on the new lot. We do this at receipt of the kit. Fetal Screen Lot to Lot.docx
  13. mld123

    CAP TRM.30450

    I was told by CAP when I contacted them that this applies to Kits only in Blood Bank. We perform lot to lot on Fetal Screen Kits only, but we do not perform Elutions. I believe the Elu-Kit would require a lot to lot if you perform that testing.
  14. mld123

    Jehovah's Witness Transfusion Policy

    At a previous hospital I worked at we had a policy and they were only accepting Cryo product and nothing else. They would just not sign the consent for blood if they did not want to accept blood products.
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