mld123
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Everything posted by mld123
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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.
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I am on the East Coast and we had a local company that would come in at my last job. It was Bio Calibration Company out of New Jersey. My current facility we calibrate them ourselves. It is usually a slow weekend job because it takes a long time. I would prefer to send them out.
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Thanks. That is what I was hoping to hear. I am going to pass this along to our LIS person. I will message you if I need a contact for her to call. Thanks again!!!
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I need help from anyone that has Sunquest. Our system was set-up in the 90's and our crossmatch grids still have IS, 37, AHG, and CC reactions required. It is set-up to enter Not Done - ND for the phases not tested. Billing has never been set-up for crossmatches and I am currently trying to figure out how to charge for IS vs. IGG crossmatches. Anyone have suggestions on how to bill per phase entered or how to split these out into only an IS phase being required and then a separate test being entered for the 37, AHG, and CC reactions if needed? Our LIS person does not think that I can separate these out into an IS crossmatch test and a Coombs Crossmatch test separately. I know I have seen this done at other facilities. Thanks if advance for any help.
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I wish we could do this. Our Red Cross will only bring in the necessary equipment to produce pathogen reduced platelets if a majority of hospital in the area are willing to purchase this product. So far no takers besides us.
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For antepartum we perform a quick blood type and issue the Rhogam prior to performing the screen. For post-partum - if we have a type and screen that admission we only perform the fetal screen and/or K-B prior to issuing the Rhogam. Our LDR usually only orders blood types upon admission, so in that case we would perform the screen prior to issuing the Rhogam as well.
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The IT department is not worried about the PC support. They are refusing to interface it and plug it into the network because of the Windows XP. All our other instruments in the lab are currently grandfathered in. The new Immucor ECHO version Lumena will be Windows 7 but it is waiting for FDA approval. We may be looking at purchasing something else if the FDA approval takes too long.
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We recently looked at Blood Bank automation and I had settled on purchasing the Immucor ECHO due to a variety of reasons. Once I put in my capital equipment request it was denied by the IT director because it was running on Windows XP and not Windows 7. Other then the Ortho Vision is there any other instruments running Windows 7 instead of XP? I recently heard it could be awhile until the new Immucor ECHO Lumena is through FDA approval. That is running a Windows 7 operating system. Thanks!!!
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I just bought Glycerin from Fisher recently and we just make a 10% solution ourselves.
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I hated the new format when I entered my DAT survey results over the weekend. I preferred the PDF file. I was able to save the results easier after I filed them.
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We are not currently sending out any patients for molecular testing. We accept 1+ as Scott indicated and anything weak would have a Weak D test performed.
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Just trying to find out if anyone is performing bacterial testing on their apheresis units in the Transfusion Service prior to issue. Looks like the FDA is recommending that even apheresis units that are cultured by the blood supplier have a rapid bacterial test performed prior to issue on day 4 and day 5 of the shelf life of the unit. Anyone following this recommendation? If so, what test are you using? I have used the Verax test before, but wondered if there are others available.
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I just validated a new freezer. Our Biomed performed the NIST to digital check, but I use 1C as acceptable.
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We just purchased the new Hemo-trac Blood Temp 6 indicators. This seems to be a new product from them. I have not validated them yet, but the procedure does not indicate that they require activation as Scott has indicated. These are different then the "flower" hemo-temp II indicators that people have used in the past. They are stored at room temperature and are activated by pressing on a button on the indicator. Then it is placed on the unit. I will let you know what I think of them after validation. I am hoping these can replace our Safe-T-Vue 6's.
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Immucor FMH RapidScreen ABO incompatibility
mld123 replied to labguru's topic in Transfusion Services
We always perform a Fetal Stain if the babies Rh is indeterminate due to a positive DAT. Agree with above. -
I worked at a hospital that used the D4 and D5 on the ECHO and then Ortho Anti-D on the bench because there were instances of the same thing occurring. If there was a ? for either D4/D5 on the ECHO or a physician reported a discrepancy we would run it in tube using the Ortho Anti-D.
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Continuing Issues with Ortho Gel Reagents and or Equipment
mld123 replied to SEBaker's topic in Transfusion Services
We are manual gel only also and have not had any problems. We also aliquot our screen cells into tubes so there is only enough out of the refrigerator to use during a 24 hour period. We were having issues years ago and this was instituted by the previous supervisor here. I know this is not possible on the instruments, so maybe it is something with the onboard reagent time being longer? -
Armband Expiration for Outpatient Transfusions
mld123 replied to MHiggins's topic in Transfusion Services
We use a Typenex bracelet that is placed on the patient at the time of the outpatient draw. They are instructed to leave that on until they come back for transfusion. The specimen is still only good for 3 days, but most times they come the next day for transfusion. When they pick up the blood, they have to use the Typenex # off the bracelet for our issue card. We would not allow someone to go home with an inpatient armband and then come back for transfusion as an outpatient. The armbands are removed as part of the discharge process. -
I actually tried this yesterday after contacting the company. It seems to work if you put the indicator on the unit with it placed on the cold gel pack you are going to use in the cooler. They also said not to activate it (snap it closed) until getting ready to place it in the cooler.
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So we recently validated and switched from the Safe-T-Vue 10 to the 6 for our OR coolers. I know there has been much talk about coolers being storage and not transport and I decided to switch to the 6. Our OR coolers are validated to maintain temperature between 1-6 C. We also use the Safe-T-Vues in case the OR decides to remove the units and leave them out for a while and return them to the cooler. The problem is, the 6's are really causing us issues with turning red as soon as we put them on the units prior to issue. We do not know when an OR issue is going to happen so cannot put the indicators on first and place the units back in the refrigerator. Does anyone have any other hints to using these indicators? We never had any issue with the 10's. Thanks!!
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Thanks Brenda. I am currently narrowed down to purchasing the Ortho Vision or the Erytra. The Erytra just seems so massive. We are a small hospital and going from Ortho manual gel to automation. The Erytra just seems to be a big step to me. I have used the Provue and ECHO at other places as well. What are you thoughts on the size? Did you have to modify your lab to accommodate the Erytra? Also, how are the gel card reactions compared to Ortho? Easier to read? Thanks for your input.
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When I came to my current hospital they were using expired panel cells. I got rid of the practice because of the QC issue and having to maintain a policy for when to use and not use expired panel cells. I am glad that I did because this issue looks like it is turning into a problem. So as of about 6 months ago, we do not use expired panel cells for any reason. I would rather give antigen negative blood for an antibody I cannot rule out or send the specimen out to the reference lab if we have multiple antibodies that cannot be ruled out. How did the CAP and AABB reps answer this question?
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Previous Supervisor at my hospital set-up Hematrax with a stand alone printer from Digitrax to print ISBT labels from Sunquest. Sunquest is now able to print directly to a Digitrax printer, but we were informed a different printer needed to be ordered. We ordered the printer and now Sunquest wants to charge us a huge amount of money for a printer server. Anyone else had this issue with Sunquest and printing ISBT component labels? Thanks, mld123
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Thanks for all the input. We are currently using Ortho Gel manual stations but we are looking at all options at the moment. I have used solid phase as well as gel instruments and know the pros and cons of each. I think we have it narrowed down to gel so either the Erytra or the Vision at this point. We are a small to medium volume lab so I am just trying to decide if the Erytra is just too big for us. Thanks again!!
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So we are in the process of looking for a blood bank instrument and I have seen demos of Immucor ECHO, Ortho Vision, Grifols Wadiana and Erytra, and Biorad Tango Infinity. I cannot find a lot of information on turn around times for these instruments above what little information I received from the vendors. Anyone have any feedback that uses these instruments? Approximate turn around times for Type/Screen, Panel, and Full Crossmatch? Also, if you have any good recommendations for instruments that you use. I am having trouble narrowing down to 1 as my favorite right now. Thanks, mld123
