Julie Anderson

Hello, For those who pH test their BB saline, what do you use? Our BB saline is from Cardinal health and is unbuffered. We bleach the lines bimonthly, and after this maintenance, the pH of the saline is verified. We are using Hydrion pH test paper (Micro Essential Laboratory). However this was on their web site. :( ( Can I use Hydrion pH Paper to test the pH of NaCL solutions? pH paper will not work well in NaCL solutions. The salt will "hold back" the pH indicator dyes and pH readings will most likely be inaccurate. https://www.microessentiallab.com/help.aspx Thanks so much for any responses. Julie

Hello, Would you be willing to share your SOP for the Vision with Lake Health (me) in Lake County , Ohio? Thanks for considering Julie.anderson@lakehealth.org

Thank you all for your input. We do get the ABT survey from CAP. I think it will be helpful to see results of titer surveys on the Vision vs tube methodology Titers will not be on our Vision test menu for quite awhile! Julie

Hello, We are in the process of validating our Ortho Visions and have run a couple of antibody titers in parallel with tube testing (saline, 37 C incubation, IgG). We understand that gel is more sensitive, but today's testing on a patient with little c was an 8 fold difference. Does anyone have any experience with antibody titers on the Vision. Thank you for your time. Julie Anderson

Was reading this feed and it eased my anxious mind!. Does everyone store transfusion reaction work ups in a similar fashion? (10 years then dump). Or do you store Transfusion Reaction Workups indefinitely? We use Sunquest and like Cerner, the info is stored permanently. However, a joint commission standard states that a healthcare organization must store info in a way that it could be accessed if the system was to fold and close. I guess we back up at an offsite location?

Thanks, That is what I'm going to do!

Hello, Reviewing my AABB checklist with no time to spare! Standard 5.30.1 states, "Interpretation criteria shall be established to prevent the mistyping of an Rh-negative patient as Rh positive due to exposure to Rh-positive red cells." Would this be observation for mixed field? What does everyone else do? Thanks so much for any response. Julie Anderson Lake Health

Thank you all so much! Awesome responses! Humorous as well! Very good point about shaking the tubes to examine for agglutination. Some techs will shake too hard. I also am worried about Gel to tube method comparison. I think I'll stick with RH antibodies with PEG. Julie

Thank you all. Your responses are greatly appreciated!

Hello, We use tube testing for DAT's and as back up to Gel for antibody detection and ID. We use Biorad anti IgG and polyspecific. We have always examined DAT's microscopically and tube testing at AHG (LISS and ALBUMIN). The package insert for BIORAD state that "microscopic examination is not recommended." I am looking into switching to IMMUCOR anti IgG and Poly whose package inserts just state that an optical ais may be used for examination but does not refer specifically to microscopy. I'm not sure if elimination microscopic examination on DAT's and tube antibody detection and ID is a good idea. Does anyone have any advice or insight? Thanks so much. Julie Anderson

Hello, I was wondering if those who tube blood products perform semi annual validations after the initial validation of the pneumatic tube station? Julie Anderson Lake Health