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mld123 last won the day on May 1 2016

mld123 had the most liked content!

About mld123

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    Advanced Member

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    Blood Bank Supervisor

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  1. Monoclonal Control

    We use monoclonal control and use 1 drop of Anti-D and 1 drop of Monoclonal control.
  2. 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
  3. 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.
  4. 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.
  5. TRM.42750 Storage Unit Alarms

    The Helmer i-series freezers come with an automatic alarm check for high and low settings. The freezer itself when the alarm check button is pressed warms and cools the probe to a temperature below or above the setting to get the alarm to go off. This does not however show a spike on the chart recorder because only the temperature probe is adjusted (not the chart recorder probe). Manufacturer's instructions state to test the high and low alarm quarterly.
  6. Rh Control

    I just recently switched from 6% albumin to Immucor's monoclonal control. I validated it by running a certain number of Rh Positive and Rh Negative patients performing Weak D testing as well. We also tested it with our Daily QC because we used the 6% albumin as our negative control. I really debated about the necessity in validating a Control product but decided just to perform a short validation just in case anyone ever asked.
  7. I have used Safe-T-Vue 10 and 6 versions. We had an extremely hard time getting the 6 version from turning red to say it was out of temp. We moved to the Hemo-Trac 6 indicators and we love them. They can be stored at Room Temp and work really well. We get them from Fisher.
  8. Tracking Transfusion Orders

    We went a few years ago to Physician's only ordering blood products for definite transfusion. So our only units that are crossmatched that we do not routinely use are either ER patients or OR cases that we set blood up for the procedure. After the procedure the OR cases have to get a transfusion order placed in our Hospital system. We do not have a Type and Crossmatch order - only a Type and Screen and we guarantee that blood will be available if they need it crossmatched in less than 15 minutes. The physician orders a Type and Screen and then when blood products are needed an order is placed for that. All transfusion orders are separate in our system. It took a long time for the physicians to get it and every once in a while we get a doctor that wants blood "on hold" or a "Type and Cross" order. We just explain how to order what they want and it works fine.
  9. Kleihauer QC

    We purchase commercially available Fetal Stain controls by Sure-Tech. It works well for us.
  10. CAP Alternative Assessments-Help!

    Thanks for posting this. It looks like the RBCAT survey is new for this year. I agree - we should ask for the ungraded antigen types to be removed from the J Series then because it is a waste of time and money if we have to order the RBCAT survey anyway.
  11. FDA reportable Question

    I would agree. I would report to the FDA.
  12. Sunquest Billing - Irradiation

    Thanks Stephanie. I am going to pass your information along to our LIS person. I love the idea of building the credit for irradiation which credits the irradidated RBC and then bills for the LR RBC.
  13. Sunquest Billing - Irradiation

    According to CMS, you cannot bill for the irradiation CPT code when an irradiated product P Code is available. At least that is what I am being told by my billing people. That is how I was originally going to set it up to charge the irradiated and cmv negative units at issue with the pop up box by charging the irradiation or cmv negative CPT code. I may just use the pop up box anyway because the only other option is to credit every irradiated/cmv neg unit transfused that was not ordered for that patient and then manually bill for the correct product. We keep irradiated products on hand for our oncology outpatient transfusions and if not needed we transfuse them to someone else.
  14. Sunquest Billing - Irradiation

    Anyone using Sunquest have any information on how you have set-up charging for irradiated products that are not specifically ordered on a patient? We have irradiated red cells that we will transfuse to patients that were not ordered for irradiation. We would then need to manually credit the irradiated product and charge the non-irradiated product. Can you give me insight into how you did this easily in Sunquest? Thanks!!
  15. Extending specimens past 3 days

    Our facility has a similar process to DebbieL. We have a form that is filled out on the day of PAT collection where the patient verifies they have not been tranafued or pregnant in the last 3 months. Patient and Nurse both sign it and it comes with the specimen to the Blood Bank. We will take specimens 14 days from the date of surgery and will extend them 3 days past that date. If the patient is pregnant, transfused, or has an antibody they are required to come in 1-2 days prior to surgery to have another specimen drawn and an armband is placed on them to remain on when they are admitted. We have not gone to 30 days but I have worked at other facilities that have.