Baby Banker
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Baby Banker reacted to a post in a topic:
When do you use PRBC and when do you use whole blood? (And some other questions)
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O Pos vs O Neg red cells for emergencies
Baby Banker replied to Cathy's topic in Transfusion Services
I avoid giving O Pos to male trauma patients because if we give them an anti-D and they manage to show up as a trauma patient in the future, they are at grave risk of a serious reaction. I would note though that since I am in a pediatric institution, this is more likely to occur than in a general hospital. Thankfully, we have never been faced with having to use O pos for a female patient. There is usually not much delay in getting a sample; we generally go to type specific pretty quickly. -
O Pos vs O Neg red cells for emergencies
Baby Banker replied to Cathy's topic in Transfusion Services
I avoid giving O Pos to male trauma patients because if we give them an anti-D and they manage to show up as a trauma patient in the future, they are at grave risk of a serious reaction. I would note though that since I am in a pediatric institution, this is more likely to occur than in a general hospital. -
I use my Validation Environment.
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I use the FIN for my facility, the year, and a random number. I make a label using the stand alone HemaTrax software.
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How old is this patient? Newborns and geriatric patients may have weakened cell typing reactions.
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It is my understanding that if you use a computer system that is validated and has been set up with logic to recognize valid typing reactions (and reject others) that you meet this requirement.
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I agree with R1R2. Just be sure to rule out all the antibodies that the FDA requires that we screen for.
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We titer plts. Our cut off is 1:50.
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This is what we have always done, but I am in the process of rebuilding the verify type to include a serum type for just this reason.
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And we do aliquots in syringes and bags. We also reconstitute whole blood to a specified crit.
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We are a pediatric hospital with about 330 beds. That does not include the bascinets. We have a very active Heme/Onc program, as well as CV and neonatology, and Level 1 trauma service. Those are the services that use the most blood. We do stem cell, heart, liver, and kidney transplants.
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You could do a selected cell panel. Just make sure you cover all the antigens that are required in Canada. Here it is DCEce Kk FyaFyb JkaJkb LeaLeb P1 and MNSs, I think. Immucor has a 20 cell panel that has the upper ten cells are all D+, and the lower ten cells are D=. Cells 11, 12, & 13 can be used to screen for antibodies other than anti-D.
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We have dedicated blood bankers on each shift. This was suggested to us by an FDA inspector. We supplement with generalists on evenings and nights.
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Transfusion Service Computer Modules
Baby Banker replied to sandy90's topic in Computer Systems / Software / ISBT128
I forgot to mention that I am at a pediatric hospital which is a level one trauma centre, and we also do heart, kidney, liver, and stem cell transplants. We have a large Heme/Onc practice. We have just under 350 beds, I think.
