Gerald

Thank you David

25 uL anti-C3b,-C3d, 50 uL 0.8% patient cells? Do you incubate before spinning? Thank you

Thank you

David, How are you doing the anti-C3b,-C3d in manual gel? Thank you

Would you mind sending me a copy also? I'm not sure why my previous post appears to be a link. Thank you, Gerald

http://Would you please send me a copy also? Thank you

We have been seeing this for quite a while involving numerous different lot numbers. Gerald

Does anyone have a possible explanation of this? Thank you, Gerald

We are seeing rouleaux fairly frequently that appears in one screen cell and not the other, and in some of the gel panel cells the same way. This is in a Ortho IgG gel card ran on a Vision analyzer. The Rouleaux is verified in tube under the scope. We normally run a PEG tube screen and panel on these patient's and they are almost always negative. Why would this appear in some cells and not in others? Thank you.

We have an Ortho Vision and we're seeing "?" on virtually all of our antibody screens. The Vision's camera shows some cells hanging just above the cell button. If you look at them manually we wouldn't have even questioned them as being positive. I have ran 4 different lot numbers of IgG cards during the last 2 weeks and see no difference in any of them.

We have seen it once in a while out in the 5-6 month range with Ortho Gel. Gerald

I went to training last week and we are doing the setup right now. I'm very impressed. We are Meditech CS 5.6 and have had a Provue for about 9 years. Gerald

Our Helmer cellwasher system flush requires a bleach solution. The ProVue also requires a monthly disinfection that uses bleach.

Thank you all for your responses.I really appreciate it.

No, the blood center is not passing on the fee to us.

Our blood supplier is wanting to send us some short dated irradiated units (Plateletpheresis, RBCs) as regular inventory. We do not get orders for irradited units units very often. We would have to be able to give these units to patients who do not have an order for irradiation. Is there any problems with doing this? We would not pass on the additional irradiation fee to the patient. Thanks, Gerald

Dansket, Yes, we are planning on implementing electronic crossmatching. I'm about halfway through the validation process. Thank you for describing the scenario that produced the typing problem. I'll run through it and see if it is behaving the same at our site.. Thanks Gerald

We are in the middle of doing the same upgrade. What was the exact scenario that you were able to enter the wrong blood type? Thanks

The issue is not simply getting a negative screen from the Provue. The antibody screen interp has to be set up as a T type test in Meditech for the Provue interface to work. The electronic crossmatch function in Meditech requires a negative antibody screen interp to proceed with an electronic crossmatch. This antibody screen test has to be a ABS type test, it will not work with a T type test. So the question is how to get from a T type test result to a ABS type result? I could manually result a ABS type test but would much prefer the result coming from the interface.

We are in the process of validating Electronic Crossmatching as a part of our upgrade to Meditech CS 5.66. I have ran into a problem with how the Provue interface transmits antibody screens. The antibody screen has to be set up as a "T" type test. For Meditech to do the required checking of screen results it has to be built as a "ABS" type test. Has anyone figured out a way around this? If anyone has, I would really appreciate some input because I'm not sure how to attack this. Thanks

I'll be there. I'll pay that evening if that's ok. Gerald

I'll be there.

We use Symbol model# LS4278

They can include Panel C to input the untreated panel result. The price will vary by the combination of panels you want and if it's more than 1 manufacturer. They can also include antibody screen cells.

I did involve registration all along but apparently not the one person in the dept I really needed to talk to. I was at a meeting today on a totally different subject and talked to him afterwards. I asked him why just recently they decided to require that the middle initial be added to the registration 100% of the time, even when it was in the middle of the patient's admission. I was somewhat surprised when he told me it was someone from the blood bank who said that's the way it has to be! So it appears I caused my own problem even though I never told anyone to do that. He was amazed that changing 1 letter could cause such a potentially big issue. He told me that they would no longer be adding or deleting any middle initials during an admission. That one's solved so now I 'll just wait and see what the next problem will be that I unknowingly cause myself. Thank you for all the comments.