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mld123

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Everything posted by mld123

  1. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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.
  15. 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.
  16. 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.
  17. 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.
  18. 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.
  19. We purchase commercially available Fetal Stain controls by Sure-Tech. It works well for us.
  20. 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.
  21. I would agree. I would report to the FDA.
  22. 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.
  23. 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.
  24. 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!!
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