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May 2024 Challenge

Gerald

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Everything posted by Gerald

  1. Gerald
    Thank you everyone for your input. It's appreciated.
  2. Gerald
    Our hospital has defined our 2 identifiers as Name and DOB. Our lab and hospital are both Joint Commission inspected and they have indicated that if the middle initial is present on the registration it has to be on the specimen used for crossmatching. Their revised standard QSA.05.07.01 (effective 07/01/11) says that the following has to be on the label of a specimen used for crossmatching: 1 The recipients full name 2 The unique identifying number 3 The specimen collection date
  3. Gerald
    We are having an issue at our hospital caused by editing of patient names by our Admissions Dept. The usual scenario is our specimen label prints out with the patient’s name with no middle initial. We draw the patient matching the information on our specimen label to their hospital armband: full name, date of birth and med rec number. Admissions then edits the patient’s name by adding their middle initial. At this point in time the name on our specimen (no middle initial), the Typenex band and their hospital band does not match their registration (with a middle initial). Any crossmatch labels printed at this time will have the name with the middle initial. We require everything to match 100% so we redraw the patient and complete a new crossmatch. How would you handle this situation? Would you redraw the patient? Thanks
  4. Gerald
    Currently our hospital lab departments, except the blood bank, have a "Lead Tech" in charge. The blood bank is under a "Blood Bank Specialist". For the 19 years i have worked here the "BB Specialist" has been 1 pay grade above the "Lead Tech". HR has now made the lead tech the same paygrade. I am trying to get them to raise the "BB Specialist" paygrade 1 level because I feel that the additional responsibilities and issues that I have to handle every day justifys this. I have to write a new job description to start this process. Does anyone else have a situation similar to this? If so would you be willing to share job descriptions of both "Lead tech" and "BB Specialist"? I'm having a hard time getting this down on paper.
  5. Gerald
    We have a ProVue and use Alba Q-Chek. We are seeing a decreased reactivity with the Reverse B cells on the ABD Rev gel card. We used to get 3+ to 4+ but now we're getting 1+ to 2+.Is anyone else seeing this happening?
  6. Gerald
    Franklyn, Where do you find this requirement for Illinois?
  7. Gerald
    Monique, Could you please forward that SOP to me also
  8. Gerald
    Monique, Could you please forward that SOP to me also
  9. Gerald
    We use a 3 part preprinted form. The upper left 1/4 of the form is blank and this is where MT is formatted to print the patient and unit info. The 3rd part of the form is card stock and the upper left 1/4 is perforated. This section is torn off and attached to the unit a plastic tag from a Tachit gun. Part 1 and 2 of the form had preprinted areas for id, vitals and transfusion reaction instructions. We are CS 5.54.
  10. Gerald
    We require that 2 people id the patient at draw time. One of the 2 has to be an RN. Our specimen label prints with a line for the person drawing and a line for the RN witness to sign. It states that the specimen was drawn properly according to our policy. There is also a list of 5 items that cover the id steps spelled out in our policy. Each must be marked as yes. If any are not checked or if either signature is missing the specimen is rejected and must be drawn over. We place a barcoded armband on the patient and a barcoded label that matches on the specimen tube. They use this number along with name, dob and mr# to id the patient at transfusion time. This system works very well for us.
  11. Gerald
    You can add specimens onto the Provue when it's running, we do it all the time. You do not have to wait until the incubation is done. One of the reasons we chose gel was because the same reagents are used both automated and manually.
  12. Gerald
    We are rotating 2 sets of cells at 12 hours on the ProVue. We were rotating at 24 hours and seeing the false positives. Since switching to 12 hours I haven't seen any of the false reactions. We qc each set because our Joint Commision standards says that each open vial must be qc'ed each day. We store our cards at room temp and only spin them if they appear to need it.
  13. Gerald
    I was rotating the cells at 24 hours. I'm now rotating at 12 hours and I haven't had any issues since.
  14. Gerald
    When you use the buffer cards, it should be 50ul RBC's and 25ul antisera. Take a look at the following link: http://www.cbbsweb.org/enf/2005/gel_phenotype.html
  15. Gerald
    I have called Ortho 3-4 times in the last 2 weeks. I was told that there has been other calls about this. I've had 5 occurrences on the current lot#, 4 on the 1st lot# we got after the reformulation. Another question has come up in relation to this. Is it acceptable to qc 1 set of cells each day or does each set that's being rotated on the same day need qc done? I know different lot # would need to be, but what about if it's the same lot?
  16. Gerald
    This seems to be directly related with how long the screen cells have been at room temp. All 5 of the positives that we have had with our current lot# were negative when repeated with a new set of cells (same lot#). They were also negative with our panel.
  17. Gerald
    We have a Provue so the cell management becomes a lot harder because it reads the barcode on the reagent bottle. Anyone running a Provue having these issues and how are you handling it? Thanks
  18. Gerald
    How are dealing with the false positives? I don't want to have to get out a new set of cells every time I get a pos screen. We had 4 false pos reactions on cell 2 on our previous lot. Pos absc cell 2 and negative in the panel. Now just this morning I got a positive in cell 1 that repeated neg with a new bottle of cells of our current lot number.
  19. Gerald
    We only do Weak-D testing on Rh negative babies with Rh neg mothers for the same reasons as "donellda".
  20. Gerald
    I need some guidance. We are Meditech Client server and beginning a version upgrade, 5.4 SR2 to 5.54 SR6. This is a version upgrade so I'm debating how much I have to validate. When we went from 5.3 to 5.4 I validated the same as I did when we moved from Cerner to Meditech (a total system validation). Is this necessary or is it overkill? All opinions are welcome.
  21. Gerald
    Hello, I'm the blood bank lead tech of a 180 bed rural hospital in south central Iliinois. We are located quite literally in the middle of a cornfield between 2 towns. We have been doing gel testing for the last several years. I'm currently completing the training of our techs on the Provue which has been live since the beginning of the year. We are suppplied by a community blood center that is located about 40 miles from us and tranfuse around 2,000 units a year. I have never posted before so this is all new to me.
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