Reputation Activity
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Baby Banker got a reaction from Mabel Adams in Whole Blood Compatibility Testing
Bring back minor crossmatches?
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Baby Banker got a reaction from John C. Staley in Whole Blood Compatibility Testing
Bring back minor crossmatches?
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Baby Banker got a reaction from John C. Staley in Dilute a RBC?
We do this occasionally, but we use plasma instead of saline. We use the formula mentioned above. We use RBCs diluted to a specific hematocrit when we have a patient who does not have the blood volume to safely prime an apheresis or dialysis circuit.
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Baby Banker reacted to Neil Blumberg in Transfusing O positive RBCLR to O negative
This is why all transfusion services need experienced/trained physicians. It's a clinical decision weighing the risks of not transfusing urgently vs. the risks of alloimmunization. And the risks of not having Rh negative red cells for patients where such products provide important safety (girls and women <40-50; patients with anti-D).
Obviously the issues in alloimmunizing a male patient, particularly an older patient, are very different from a woman or girl with the potential for future pregnancy. If not terrifically urgent, requires a discussion between the practitioner responsible for the patient and the transfusion service physician. I've certainly made decisions independently and only informed the patient's physician after the fact, when the maintenance of Rh negative red cell supply has been a priority. Hard to write a procedure that covers all possibilities, so one would have to be broadly written, and probably kept it short on details, since these are so variable.
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Baby Banker reacted to Bet'naSBB in Transfusing O positive RBCLR to O negative
We have it written in our policies.....based on what our Medical Director wants. He'd much rather transfuse Rhpos and the patient live than NOT transfuse and have them die.
His philosophy is that we can deal with the anti-D later - (IF it develops - which it often does NOT). There's nothing you can do with a dead patient.
We transfuse OPos LTWB to ALL our adult (or >50kg) MTP trauma patients. If an Rh neg patient is bleeding - but not MTP, our policies allow us to switch to Rh pos after a designated # of Rh neg units have been transfused to conserve Rh neg inventory.
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Baby Banker reacted to Malcolm Needs in Transfusing O positive RBCLR to O negative
Was the physician happy for his/her patient to expire if there was literally no group O, D Negative blood available, or, indeed, to condemn some other patient to death if, for example, they were exsanguinating and also had an anti-D???????
RIDICULOUS!!!!!!! NOT you, the physician.
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Baby Banker got a reaction from AMcCord in Cold stored platelets and a happy BBIS
Maybe you could make a Product Group for it. I did that with Octaplas.
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Baby Banker reacted to Malcolm Needs in Patient hx
I would be wary of relying on enzyme-treated red cells, as a negative reaction could be due to the cognate antigen being denatured by the particular enzyme used.
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Baby Banker got a reaction from Kelly Guenthner in Antibody identification art or science
The answers are given at the end of each case study.
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Baby Banker got a reaction from applejw in Blood administration
Aliquots will warm even quicker than that due to their smaller mass.
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Baby Banker got a reaction from applejw in Antibody identification art or science
The answers are given at the end of each case study.
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Baby Banker got a reaction from John C. Staley in Blood administration
Are there still two ranges: one for storage and another for transport? I've always thought that was ludicrous.
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Baby Banker reacted to Ensis01 in Emergency Issue / MTP
While I understand the convenience of making MTPs and emergency release a paperless process. I regard the physical signature a good reminder that issuing uncrossmatched blood must not be taken lightly.
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Baby Banker got a reaction from John C. Staley in Aliquot bags and syringes
We send both syringes and bags through the tube system.
We have a special cap that we use for syringes for which it is obvious if someone has taken it off. That is to prevent partially used syringes from being accepted back into stock.
That was an issue for all syringes, not just the ones sent through the tube.
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Baby Banker got a reaction from SbbPerson in Mismatch Kidney Transplants and Titers
That's still a significant number of A subgroup kidneys to give B patients.
Patients who are type B and need a kidney transplant usually have to wait years, and sometimes die because no type B kidney is available.
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Baby Banker reacted to exlimey in Mismatch Kidney Transplants and Titers
This is fascinating stuff. A lot of science, learned the very hard way, with a heavy dose of art. I don't envy those having to make these calls.
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Baby Banker got a reaction from David Saikin in Mismatch Kidney Transplants and Titers
I don't know what the titer is for incompatible kidney transplant, but for hearts they prefer less than 1:4, but there are other criteria as well. If the patient is less than 12 months old, they don't worry as much about the titer.
I think they won't consider a patient who is over 2 years old.
Again though, that is for hearts.
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Baby Banker got a reaction from exlimey in Mismatch Kidney Transplants and Titers
I don't know what the titer is for incompatible kidney transplant, but for hearts they prefer less than 1:4, but there are other criteria as well. If the patient is less than 12 months old, they don't worry as much about the titer.
I think they won't consider a patient who is over 2 years old.
Again though, that is for hearts.
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Baby Banker got a reaction from Ensis01 in Mismatch Kidney Transplants and Titers
That's still a significant number of A subgroup kidneys to give B patients.
Patients who are type B and need a kidney transplant usually have to wait years, and sometimes die because no type B kidney is available.
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Baby Banker got a reaction from exlimey in Mismatch Kidney Transplants and Titers
That's still a significant number of A subgroup kidneys to give B patients.
Patients who are type B and need a kidney transplant usually have to wait years, and sometimes die because no type B kidney is available.
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Baby Banker got a reaction from applejw in CAP ALL COMMON CHECKLIST COM.04250
That is, in large part, why we HAVE different methods.
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Baby Banker got a reaction from Malcolm Needs in CAP ALL COMMON CHECKLIST COM.04250
That is, in large part, why we HAVE different methods.
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Baby Banker reacted to DebbieL in Facility location on SOPs
My previous boss always said they had to come up with new rules to justify their jobs.
When they can't find the "low hanging fruit" because we all try hard to do the right things and follow the rules, they start digging deeper and come up with stupid stuff. As long as they keep coming up with new rules, they keep their jobs.
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Baby Banker got a reaction from jnadeau in Facility location on SOPs
I could not agree more. I believe that, if unchecked, some of the accrediting agencies will eventually regulate themselves into irrelevance.
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Baby Banker got a reaction from Cliff in Facility location on SOPs
I could not agree more. I believe that, if unchecked, some of the accrediting agencies will eventually regulate themselves into irrelevance.