Jump to content
April 2024 Challenge

Carrie Easley

Members
 View Profile  See their activity

  • Posts

    131

  • Joined

  • Last visited

  • Days Won

    5

  • Country

    United States

 Content Type 

Everything posted by Carrie Easley

  1. Carrie Easley
    Agreed! Mine too.
  2. Carrie Easley
    Yes. Our OR nurses document every four hours. If the cooler temp reaches 6 degrees C, they call and request a new cooler with fresh blocks. We have quite a few cases that easily exceed four hours. We also put temp indicator stickers on each unit to make sure they weren’t left out of the cooler. We validated at RT, Trauma Bay (warm extreme), and CV surgery suite (cold extreme). We did those for both maximum (6 units) and minimum (1 unit). Message me if you need more specifics!
  3. Carrie Easley
    We don’t charge.
  4. Carrie Easley
    I may be wrong, but isn’t washing the reason for your 24-hour outdate. Irradiation itself doesn’t abbreviate to 24 hours.
  5. Carrie Easley
    1. Day of surgery. 2. When they arrive. Since most of these patients are oncology patients, we usually have a historical type. If the second type will cause a delay/upset we will just use type O for this visit. Our system will reflex an immediate spin XM. 3. The verification type is generated by blood bank if we do not have a historical type and packed cells are ordered. The patient is not charged for the testing. If we have a hematology specimen from a different phlebotomy event, we will use it for the confirmatory ABO/Rh (but not for compatibility specimen). If not, it goes for a collection. If it’s someone unlikely to be transfused, but physician wants blood on hold, the tech may select O until the next scheduled phlebotomy. 4. We prefer different phlebotomist so that two different people have identified the patient with consistent results. 5. Type O is a hard stop without two types in our system.
  6. Carrie Easley
    Our fetal bleed screen kit (Immucor Rapid Screen) is only approved for postpartum testing with known infant type. Antenatal bleeds and losses > 20 weeks require a KB in our facility. Which screening kit do you use?
  7. Carrie Easley
    We use an Erytra, but enter all QC into SoftBank. We do not print daily QC records or maintain a paper maintenance log. It’s all on the analyzer. I print a one-page summary monthly to show my review.
  8. Carrie Easley
    We pull two segments upon delivery. One for retype, one in the event of a delayed reaction. We keep them for two months. The only units that we get back are actual suspected transfusion reactions.
  9. Carrie Easley
    We have an Erytra and one manual station for back-up. It’s rarely used since our analyzer is so reliable, but when we use it it works great. The gel is clearer and easier to read than our previous MTS cards. Not sure what you mean about the “spinner”...our centrifuge just holds gel cards. The incubator, however, holds tubes and gel cards. Perhaps there has been a change since we went live last February?
  10. Carrie Easley
    I called my rep to see who covers your area...I'll keep you posted. We absolutely love our Erytra
  11. Carrie Easley
    Here's the one our entire lab uses. Validation Plan and Results Review.docm
  12. Carrie Easley
    https://www.uptodate.com/contents/prevention-of-rhesus-d-alloimmunization-in-pregnancy?search=RhIg pregnancy termination&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1 We do a K-B after 20 weeks if we don't get cord blood. A single, full dose if < 20 weeks. Here's one of the sources I found.
  13. Carrie Easley
    I’d love a copy of the SBB review! Thanks.
  14. Carrie Easley
    Great idea!
  15. Carrie Easley
    I don't have any specifics on how much is too much...only that we switch to type-compatible as soon as we possibly can. Are you already using Type A liquid plasma?
  16. Carrie Easley
    I sent you some info
  17. Carrie Easley
    New Blood Coolers.docx
  18. Carrie Easley
    We validated Quotient panel cells for use in Grifols DG gel. It’s nice to get more rule-out’s/in’s while still using the same method.
  19. Carrie Easley
    We haven't, but I can't say that it's been an issue. Have you seen that as a problem?
  20. Carrie Easley
    The only reason that we still put indicators on units sent in coolers is to verify that the units were not removed from the cooler for an extended period of time or that warm plasma was not inadvertently placed in the blood cooler.
  21. Carrie Easley
    P9044. Our supplier provided it when they brought it in.
  22. Carrie Easley
    We are using Normosol-R. Some facilities are already just using a saline flush post transfusion rather than using a bag of saline.
  23. Carrie Easley
    We have the interchange table on liquid plasma (never frozen) built to allow emergency issue to all & unknown types. Our other plasma products require AB for emergent use. As far as I know, there is no way to restrict by patient location. We had to do extensive education w/ the bankers on when it is & isn't appropriate to utilize. Hope that helps!
  24. Carrie Easley
    We have done gel DAT's (anti-IgG) in both Ortho & Grifols systems. They work on the analyzer or in the manual system. It's in their IFU's.
  25. Carrie Easley
    We only perform an eluate if +DAT can't be explained by an ABO incompatibility, known maternal antibody, or circulating RhIg. We will perform at physician request. but I don't recall that ever happening. We only routinely perform cord blood testing on Rh negative moms & those w/ clinically significant antibodies. Occasionally a pediatrician will request a cord DAT if a mom had a previously affected infant.
×
×
  • Create New...

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.