donellda
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Everything posted by donellda
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Our expiration for thawed FFP is 24 hours. I remember expiring it in 6 hours about 10 years ago but I don't remember when we changed it to 24 hours.
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Hi! Welcome to Bloodbanktalk! I can't help you with software but I do want to say Hello:wave:
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If you are able to volume reduce, I think that would be your best option if you do not have ABO compatible platelets. I would not be too concerned with giving an ABO plasma incompatible platelet to an adult but neonates do not do well with the same situation. I am not a fan of the whole volume reducing procedure and luckily we do not have the necessary equipment so if we need such a procedure done we rely on one of the other hospitals in our system.
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I remember using a Clay Adams 2000 and having problems with the lids. We have a 2002 here right now that the lid that has a broken lid.
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We test our platelets for bacterial contamination by testing the pH. Any platelet that tests at a pH lower than 6.9 we consider not suitable for transfusion. We test each platelet individually before we pool them. I tend to use randoms due to cost. We are mostly a trauma hospital so donor exposure is not an issue for us.
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Hi and welcome to Bloodbanktalk! I have spent some time in New Orleans a few years ago. I can't imagine what you and the people of Lousiana have endured with Katrina. I'm glad you were able to find us.
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Antigen typing by gel methodolgy
donellda replied to donellda's topic in Immunohematology Reference Laboratories
Thanks Kathleen! I think that since most antisera (AHG) are done without LISS, the saline would be the way to go. -
Hi Bettie! Welcome to Bloodbanktalk!
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We usually keep O cryo instock because AB cryo is very hard to get. If we know ahead that a patient is going to use a lot of cryo we may bring in some of his/her own type but in our facility we never know what products are going to be given until it's time to give it. (We deal with a lot of traumas)
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The only pipetter that we use is one for a rapid HIV test and currently we calibrate it every 6 months.
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The South Street hospital is closed but he may be at one of the other London hospitals. I'm pretty sure that I have met this guy before. I think he is a friend of someone that I work with. If it's the same person, I think he is at St. Joseph's hospital in London now. Hopefully the email address will get your message to him.
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Hi! Welcome to Bloodbanktalk! Working that third shift can be challenge in itself. I did it for several years myself. There is a lot of knowledge to be shared here so I sure you will learn a lot.
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You are welcome:)
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Currently we do an IS crossmatch but I believe the electronic crossmatch is coming:)
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This is the poll that Mary proposed the other day: When the antibody screen and history are negative do you: a. Perform a tube immediate spin crossmatch b. Perform a buffered gel crosmatch
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Here is a link to a post that Cliff did a few months ago on how to create a poll. http://www.bloodbanktalk.com/forum/showthread.php?t=1534&garpg=4
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Our system will most likely be switching to gel in the near future. I am a former gel user when I worked for another health system and I loved it. Our system Blood bank manager asked me if we did antigen typing by gel methods when I used gel. We did not but I don't see any reason why it couldn't be done. Does anyone use gel for antigen typing?
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Passing the SBB: How Do I Not Get Crushed Again?
donellda replied to jhaig's topic in All other topics
I agree that it is best to try to write as soon as possible while everything is still fresh. I wrote in 2000 and I had to wait to my results in the mail. I'm not sure which would be worse, seeing it on the screen or waiting for a week for the results. I just remember the second time thinking that they made a mistake because the score was exactly the same, 376. Anyway, you know what to expect now so maybe it make things a bit easier for you. -
Why don't you do an internal validation with some expired units of blood. Put you Safe-T-Vue or Hematemp on the units and expose them to different temperatures to check the reaction. Your quality person would love you for it. I have used both the Safe-T-Vue and the Hematemps and I much prefer the Hematemps. The Safe-T-Vue is very sensitive and can change at the point that you are applying it to the unit. The Hematemps are much more stable. They do require activation before use but there are activation incubaters available that you can keep a certain activated and ready for use when needed.
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New user and AST post Rhogam question
donellda replied to gmeversole's topic in Transfusion Services
I took AST as antibody screen test and MFH as maternal fetal hemorrhage. There are some interesting points here to ponder! -
Passing the SBB: How Do I Not Get Crushed Again?
donellda replied to jhaig's topic in All other topics
Sorry to hear about this Chris. It is a very difficult test to pass. I wrote it twice and got exactly the same score both times. From my performance report the first time, I decided to focus on the area I did not do that well on when I wrote the test the second time. I did well in that area and messed up on the sections I did well on the first try. I think they should take both my exams and combine them to make one passing one:p. I am not so sure I want to try a third time either. Good luck with whatever you decide to do. -
New user and AST post Rhogam question
donellda replied to gmeversole's topic in Transfusion Services
Hi! Welcome to Bloodbanktalk! We pretty well have a set protocol for administering Rhogam to our patients. If the antibody screen is still postive from the most recent injection of Rhogam, we still get post partum specimen (if baby is Rh positive) for a fetal screen. If the fetal screen is negative we administer one vial. If it is positive we send it for a fetal hemoglobin stain to determine if more additional vials are required. Maybe there is someone who can answer the rest of your questions. -
That's weird. Someone at work asked the same question. I always thought that it was about 1 to 2 hours but I have no documentation to say so. I know to measure post transfusion platelet recovery, the platelet count is measured 1 hour post transfusion.
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There is a float option in the chat room which should allow you to read posts at the same time. The chat room is relatively so we haven't had a chance to use it as it was attended. I think that Cliff wants to start having scheduled chats at some point to discuss different issues.
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Welcome to Bloodbanktalk!