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Julie Shannon

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Everything posted by Julie Shannon

  1. We ship to our other database and they receive it from shipment. The unit is in SI status until they do the receive. Most likely this doesn't work with your configuration or Mediware would have suggested it. We are a combined multi-site/multi-facility setup.
  2. We are also a multi-site Ref Lab and transfusion service. We have used Mediware since 1998 and it very effectively suits our setting. It is very configurable according to your needs. We started with hemocare and the current product if HCLL. If we do a patient search, it displays all pts who meet the search criteria. If that pt is not "admitted" to your location, you click "register" and the information is pre-populated. You are able to see antibodies, instructions, antigen profile at the time of the search.
  3. Another possibility would be the IgG4 component on the rabbit blend IgG used on the gel cards. This would only hold true if the tube testing was performed with a different source of IgG. We have seen that in our reference lab setting. We prove this by repeating our tube testing using the Ortho IgG.
  4. That is exactly what we are investigating as of today. Just asked for a sample cube from a different source. What a pain! We surely would know right away if we had a contaminated cube on board.
  5. The requirement doesn't indicate that it is checking adequate washing (that would be cell washer QC). This seems to be something stated on the box by the manufacturer - seems like it is to be sure the saline isn't giving false positives (contamination).
  6. We are using S/P Cat # B3158-1 and there is a statement on the cube saying that a negative control must be run daily at Coombs. One issue is that we have 12 washers and rarely would each be used in a calendar day. But - since we do not log the station but rather the QC rack, we can't prove that a station is NIU. We work in circular pods with lazy susans so we generally share reagent racks. Second issue - what is a suitable negative control? I am thinking just a negative DAT should be sufficient? Maybe one drop of a reverse or screen cell? I am stumped on exactly how to implement this so I figured I would ask the subject matter experts.
  7. we are also HCLL users. Our xm tag prints on a laser printer - we have the "xm form" triplicated on one page. We load our printer with perforated paper - print and retain one copy and attach the other 2 to the unit with a plastic tie tag. I can fax you an example if you want. We are a transfusion service located in a blood center ref lab.
  8. We are an AABB IRL and we often change individual reagent lots mid-day. We just do as described, click the line we want to update, click TEST and update just that line, save and verify. We have never had any issues with that precess. We also do not use GEL but I wouldn't think that matters. We have never had suport issues - they seem to be very quick to respond. We have been live since 2006 and have few issues at this point. You are right - very uswr friendly.
  9. We use Mediware HCLL and every minute, updated pt data goes to an Automated Patient Backup which lives on a separate PC in the lab. We can look up name, dob, SS#, antibodes, ABO/Rh and the last ABS change. We do not see pt location or actual test results. There is most likely other info there but I am writing this without getting up to check - lazy day I guess.
  10. I would like to respond since I am a senior tech at the IRL who did the ID on the patient in question. Of course, we follow the AABB IRL guidelines when identifying a specificity. The patient in question also has anti-E, -S, -K and -Fya in addition to the –Cw, -V and –Dia mentioned previously. This patient has made all of the commonly encountered allo antibodies that we would expect with his phenotype. He has a history of GI bleeding and has had multiple episodes at various local hospitals dating back to 2005. We often fill his requirements from our Ro phenotyped inventory due to his antibody history. As can be assumed, most of our Ro donors are either African American or Hispanic and therefore it is not unlikely that the patient has been exposed to the V and Dia antigens. Since the patient does not require C negative units, exposure to the Cw antigen is also not unexpected. As we test this patient in the future, we will likely identify other antibodies to low incidence antigens as these happen to be on selected cell panels. I would imagine that other reference lab staff would agree with me that we do not identify these specificities as a whim. Once identified, we are faced with having to decide how to handle them every time we get new requests for red cells. Julie
  11. sorry for the delay - i dropped off the earth for a while I guess. Yes - exceptions are a big pain. In Hemocare, we were able to turn off the ones that we weren't concerned about. At least they are graded so when time is short, we are sure to review the critical ones first. I will try to log on more often.
  12. well, it took us over a year from training to go-live. we also were hemocare users. It just takes time to build the tables and mapping but as more sites are implementing, I think support is improving. We only have 2 sites at this time. There were only 2 of us working on it and for the last few months we were almost full time concentrating. Data conversion went quite well - isues were easily resolved. The nice thing is that we were able to use hemocare for donwtime so we still could print tags.
  13. it might also be some sort of DAT neg auto antibody. You might want to try autoadsorption just to see if it might work.
  14. we decided not to label our reagents as a label would be difficult for the small vials (C3 check cells for example). We also decided to only nter one vial of each lot#. Otherwise, we would have to add a label to each vial (1,2,3...) and would have to update the status each time we open a new bottle. I'm not sure if we will decide to change that some day but for now we will do it the easy way. We are a reference lab so we made our specimen lables with just Name, case# and specimen# (written and barcode). It's working very well so far. Hope this helps.
  15. we are live with HCLL - one month yesterday. It was forever gettying there but so far so good. I was the project manager and work with one other tech to configure the system, validate and write SOPs. I would be glad to answer specific questions if you have them. We are an AABB IRL with an active transfusion service for some of our smaller local hospitals.I am very pleased that we went with HCLL - we were hemocare users for years.
  16. We have used Hemocare for 6+ years. It's windows based and very user friendly. I work in a large multisite AABB Reference lab and we also are the transfuion service for some hospitals and dialysis units.
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