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PathLabTalk

Baby Banker

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Everything posted by Baby Banker

  1. In my opinion, you can run an antibody screen on the last wash instead of a full panel. Of course if the screen is positive, you'd want to run a full panel. I have never known the last wash screen to be positive.
  2. You may be able to find something on the Pediatric Trauma Society site. https://pediatrictraumasociety.org/education/Journal-Scan/2018/august.cgi
  3. I have it built into the computer system. It won't let you irradiate a PR platelet.
  4. There is a section in the most recent Technical Manual (20th Edition from 2020) on platelet transfusions in neonates and children. It begins on page 685.
  5. By the way, the AABB recently published a book on the validation and use of pneumatic tube systems to deliver blood products.
  6. We have a Central Transport Department that picks up most of our blood from the Blood Bank, even during MTPs (MTP=Massive Transfusion Protocol). We have a pneumatic tube system, but we don't use it for blood products except when sending them to our satellite lab in the CV unit. We don't have insulated carriers; I don't even know if that is an option, but the transport time is so short that it doesn't matter, and since it is going to another lab, we are confident that it will be taken out of the PTS station quickly and put into controlled temperature storage. When I worked next door (large university hospital) they started using their pneumatic tube system to send blood all over the hospital. This was 'suggested' by consultants as a way to save money. They have had some challenges, but overall I think it works ok. Our pharmacy uses the PTS, but I don't know what procedures they have in place to ensure the right drug goes to the right place. I know they have them; I just don't know what they are.
  7. What do you do with a syringe aliquot that is made from a unit that has had bacterial testing?
  8. I am at a pediatric hospital as well. I requested open codes for the LVDS components our suppliers will be sending us. After we irradiate them of course.
  9. O how I wish I could convince people here of that!
  10. Get to know your staff, but remember that you are not there to be their buddy.
  11. There can be back pain in an HTR, although there are LOTS of other things that can cause back pain. HTRs generally have multiple symptoms due to the severity of the reaction., and can actually be caused by other things than immune response.
  12. There can be back pain in an HTR, although there are LOTS of other things that can cause back pain.
  13. I agree. If you hold the unit up to a light, can you see platelet swirling?
  14. It is best from an operational standpoint to do the same thing every time. If you always do a second type on patients without a history, you won't forget to do one.
  15. We have dedicated staff. There were too many errors otherwise.
  16. We still use AB, but we are pediatric only, and we often don't know how big the patient is at the beginning of an MTP. Our thinking is that the smaller a patient is the easier it would be to give them too much anti-B, or at least enough anti-B to potentially cause problems.
  17. Yes, this does need to be reported. There are specific time intervals for reporting, I believe.
  18. I checked and we do not have a procedure for the LUI Freeze-Thaw technique any longer.
  19. IM injections of a viscous material are traumatic. This made IV Rh Immune Globulin IM injections less desirable for a thrombocytopenic Rh negative female being given Rh positive platelets.
  20. I was going to suggest that you check with the manufacturer. If you haven't already, look at the package insert.
  21. I wish we could afford BloodTrack.
  22. FDA inspectors have told me that they have jurisdiction over all transfusion services. They just choose to restrict themselves to sites that perform certain modifications (e.g. washing and/or irradiating).
  23. We do this as well. Instead of going to 24 hour plasma at the time of thaw, and then to five day plasma the next day, we go directly to five day plasma at the time of thaw. Any time you relabel a unit is an opportunity to mislabel a unit (product code and expiration date especially), and eventually someone will do that.
  24. The Lui Freeze Thaw method is good for demonstrating anti-A, anti-B, and anti-A,B from small samples. We used it to confirm that an infant had ABO HDN. I'm not sure if we still have a procedure for it. I work primarily with the Blood Bank Computer system now.
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