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BloodBanker80

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Everything posted by BloodBanker80

  1. BloodBanker80
    If you are looking for a job as a dedicated blood banker, come check out all that we have to offer! Our busy Transfusion Service provides for a diverse patient population ( i.e. NICU, ECMO, Sickle Exchange, Maternal/fetal). We have 3 positions open! 1. Full time: nights/12 hr shifts 2. Part time: days/ .5 FTE 3. Student: PRN Visit https://nortonhealthcare.com/careers to apply!
  2. BloodBanker80
    Bringing back this old post Would anyone be willing to share their current policy that meets AABB standard 5.7.4.5? We wash cells using the COBE cell washer. Thank you!
  3. BloodBanker80

    Hi Heather!  I saw an old post of yours about QC for the COBE cell washer.  I was wondering if you would be willing to share your current policy?  We are looking to revise ours.  My email is Christy.mudd@nortonhealthcare.org.

     

    Thank you!!

  4. BloodBanker80
    We are revising our mass casualty/ disaster plan. The computer system we use (Sunquest) is not ideal for Emergency Release of products because if you use it, it automatically collects the TS specimen. We are keeping the E-Release/Mass Casualty on downtime. Does anyone use unit tags that are carbon copy? This seems like it would be the next best process in chaos to keep up with who is getting what. We do use carbon copy transfusion records - but in mass casualty situation would rather use just the unit tag. Also, how would your facility handle physician signatures for uncrossmatched blood? Any advice is greatly appreciated!
  5. BloodBanker80
    Thank you!
  6. BloodBanker80
    Good morning all, I can rationalize the need for this, but is there a regulation somewhere stating (other than specific manufacturer instructions) that it is required to take internal temperatures of freezers for comparison to digital readouts? We have 2 older freezers that have user manuals that aren't very helpful. One is for FFP/Cryo less than/-18C and the other for Tissue less than/-70C. They do have chart recorders and digital temperatures that we record daily. We take internal temperatures on our Refrigerators and Platelet Incubator... so what about the Freezers? Having trouble calibrating an internal thermometer +/-1C of the NIST at that low of temp. We ordered new digital NIST certified thermometers and they were reading 2-3 degrees from the digital readout. Any input is greatly appreciated - I'm completely done with these freezers at this point haha. Thank you!
  7. BloodBanker80
    Thank you for sharing! I was wondering if anyone can help with this situation: Mom: Anti-D and Anti-c Neonate: Positive DAT - Eluate Anti-D and Anti-c If we result the Eluate as anti-D and anti-c on baby, this will require AHG XM/ honoring of antibodies (Dneg/cneg transfusions) well passed neonatal time period. How does anyone else result this to reflect these antibodies as 'passive' or temporary? Thank you for any feedback!
  8. BloodBanker80
    Yes, that helps! Thank you
  9. BloodBanker80
    Did you ever start using the QC module in Cerner? We are looking into it now
  10. BloodBanker80
    I'm bringing this post back .. What did you come up with for the infrared thermometers? I'm looking into this as well, would these be considered electronic as in CFR 606.60 Equipment Frequency of calibration required monthly? Thank you Electronic thermometers Monthly.
  11. BloodBanker80
    Yvette - We use a ice/barrier/product/barrier/ice to validate ours. Coolers are kept at room temperature. We validate with minimum number of product and then the maximum number of product that the cooler will be used for. Is this a new process or are you revalidating a current one?
  12. BloodBanker80
    Thank you Scott!
  13. BloodBanker80
    Thank you SO MUCH for the feedback!! We perform QC on the 3% (tube method) upon arrival - did you dilute the entire panel every 24 hours for use? Or only do so when needed... how did you decide which specific antibody to use as QC? We will only be diluting as needed, mainly for select cells/rule outs.
  14. BloodBanker80
    Thanks Scott! Currently, ED shows up with a 'Tag number' that is then used as the patient's Financial Number (or visit number). I'm not sure at what point they are given an actual medical record number/name. We do not have a refrigerator in ED - so we release a lot of coolers before the patient arrives. The Tag Number is currently being used as an identifier on the specimen tube (which is OK per CAP in trauma situations, strangely.....) Which LIS do you use? Do you wait and print unit tags once product is requested or are they pre-labeled with all info except patient?
  15. BloodBanker80
    Help!! We are revising our emergency blood release process (including MTP).. For those of you who are CAP - how do you comply with this in emergency situations? I've gotten some feedback in a few posts, but nothing that we can use to work for us as of yet. It seems trauma specimens only require one identifier, but products need 2. I've also included a response from CAP regarding my inquiry. Thank you for any feedback "For blood products, even for trauma patients, there must be two identifiers as stated in TRM.41350. Typically emergency rooms use pre-defined "temporary" patient identification numbers that are later merged with the real patient medical record number once established. The CAP does not dictate the process for the temporary identifiers as long as the facility keeps them unique for the patients in question." Thank you for your inquiry, Lilly Petkovic, MT(ASCP)SBB Laboratory Accreditation Program
  16. BloodBanker80
    I'm bringing back an old post here ... If you dilute a 3% panel cell to 0.8% is there any additional QC you perform? It is stated that the diluted cell suspension is stable for 24 hours - is this sufficient? Thank you!
  17. BloodBanker80
    Interesting! I really like these systems. How do you prepare your units for Massive Transfusion/Emergency Release Sets prior to patient arrival? We are looking for a way to pre label (without handwriting) as much as possible before the call comes in. We are AABB/CAP/FDA........ Oh my!
  18. BloodBanker80
    Do they have a website? I've tried google and didn't have any luck? Thank you!!
  19. BloodBanker80
    Thank you for the suggestions! I wasn't able to find anything yet... I'm looking for the transfusion record printed paper that gets issued with product (and has a peel off sticker to apply to the unit of blood/plasma/platelet). I'll keep digging on those sites to be sure I didn't overlook something
  20. BloodBanker80
    Excellent information! We do try to use the product as soon as possible, but outdate at 24 hours. You bring up an interesting point, when we combine a 'double bag' into one... the expiration has to be changed to 24 hours. Although we don't routinely do that ahead of time, we wait until the nurse is here to pick it up.
  21. BloodBanker80
    Thank you for the feedback! We also use Cerner, so I'm very appreciative of any further assistance you can provide. We switched to Cerner one year ago, so we are trying to find the best way to incorporate it into our process. Going off assumption from your post: You have units allotted for emergency with segments pulled but do not actually label them until emergency room/OR would call and say they need them or show up with the name/MRN. You will Dispense using your emergency process then attach the printed labels? Once you have dispensed, and the dust settles (patient identity is known and specimen received), you go into Correct Inventory/ Emergency-Dispense function and merge it with that patient? Question: Do you keep the emergency consent form with you, pre labeled with unit numbers - or does the courier picking up the units bring it already signed?
  22. BloodBanker80
    We are looking for a new vendor to provide our transfusion product forms/labels that are FDA approved to adhere to the component. Any suggestions are greatly appreciated! Thank you!
  23. BloodBanker80
    Kate - This is a similar idea we looked at after observing the process performed at another trauma center. It seems the major difference is you handwrite the number, whereas they go ahead and dispense in their system to this fictitious name/number at the time of pickup. Nursing personnel attach patient labels to the tags at time of transfusion. Do you all keep a list of already registered special ER-#### to use from? Or do you have like 5 that you use over and over? Which LIS do you have? We use Cerner, trying to figure out the best way to preprint those product tags.... Also, do you use your Emergency Release form with the units so it's already pre-labeled with the units - then have it returned with physician signature? Thanks! Christy
  24. BloodBanker80
    No luck They conveniently left that product out haha ! thank you though!!
  25. BloodBanker80
    Good point... I should blame FDA then haha. Thank you!
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