Baby Banker
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Everything posted by Baby Banker
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2rd determination of recipient's ABO
We either get a sample from Hematology or have a second sample drawn. Retesting the same sample twice does not rule out pre-analytical errors.
- Patient says she needs blood stored in glass not plastic
- Patient says she needs blood stored in glass not plastic
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M antigen and antibody
Children frequently make anti-M that reacts at Coombs phase. This is usually without known sensitization. I saw this in a text book years ago, but have seen it in real life many times during my 36 years of pediatric blood banking.
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CAP Alternative Assessments-Help!
We use API. It is cheaper but you don't have as much time to do them.
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Eluate testing? Screens first or straight to a panel?
In pediatrics we often struggle to get an adequate sample, so most of the time we go directly to the panel.
- Computer Crossmatches and Revised CAP regs
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2 Mysteries
Never mind. I just read it again.
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2 Mysteries
Unless I'm missing something, the first case could be caused by maternal anti-B.
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Antibody Titers Gel vs. Tube
I think Johns Hopkins does titres in gel. We looked at it a few years ago for our isohemagglutinin titres, but decided to stay with tubes.
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Frequency of T&S for inpatient antenatal patients
We don't titre because we don't have anything to do with the mother's care, but I know the hospital down the street tracks the titre. As for the panel/screen, I take the antigen profile and circle all the required antigens. Then I select a cell that is homozygous for each one. I sometimes have to use cells from other panels or screens. I know the rule is that you can substitute two heterozygous cells for one homozygous cell, but I never do that if I can help it.
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Frequency of T&S for inpatient antenatal patients
If you know she has anti-E, you can probably put together a custom screen of E negative cells. That screen would only be positive if she developed another antibody. Be careful that you cover all the antigens that the FDA requires. That list used to be in the Technical Manual. I think it is D, C, E, c, e, M, N, S, s, P1, Lea, Leb, K, k, Fya, Fyb, Jka, Jkb.
- RadTag vs Radsure irradiation labels
- RadTag vs Radsure irradiation labels
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X-Ray Irradiators
The Blood Bank Manager and someone from Biomed have trained to be able to do some repairs. There is not a recurring cause of downtime.
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X-Ray Irradiators
We have one of each. The Rad Source is much more reliable. Also, it has it's own water supply which is recycled, so you don't need a water hook up, and it requires only a 220 power connection. Another plus is that it can irradiate 60 mL syringes. We're a pediatric hospital, so that is important for us. The company has been very responsive to the few issues that have come up. Having said that, no x-ray irradiator is as reliable as a cesium irradiator. They have a lot more working parts, so there is a lot more that can go wrong with them. Even though we have two x-ray irradiators, we have had them both down at one time.
- Pediatric Transfusion
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FFP thawing with no hot water
Thawing in cold water would probably cause the cryo to precipitate.
- Titre or Wash
- Billing for neonatal aliquots of leukoreduced CMV-negative irradiated apheresis platelets
- Billing for neonatal aliquots of leukoreduced CMV-negative irradiated apheresis platelets
- Sending Blood In A Pneumatic Tube
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Anyone using the Vision (new Ortho analyzer)?
We have had a terrible time with the DI product, Instrument Manager. The Lantronix box has failed twice (the network guy didn't plug it into a surge protector), and the mapping is a pain, even with direct help from DI.
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Return of unused red cells
Most CAP and AABB inspectors know how ridiculous the differentiation between storage and transport is without a time limit for transport.
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LIS/HIS Downtime procedure
We have an SOP for when our system is down. The staff are trained on the other various scenarios, but there is no SOP. For example if the HIS is down we get paper orders. If the registration system is down, we can still use SafeTrace for any patient that was registered before the system went down. Any new patients have to be done on our down time records. If both the HIS and registration systems are down, we can still use SafeTrace for any patients registered before the down time began, AND we get paper orders.