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Posts posted by Eagle Eye
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No one should discuss any CAP or API result before due dates. You should not discuss even you reported your results. You need to wait until CAP due date is over. This is really against CAP regulation to discuss here.
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Stat type and screen 60 mins
CORD 60 mins
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MTP is so simple using safetrace Tx. We issue known emergency release. We Always have MR# and even funny name for all trauma patient. So all our MTP packs has patient MR# and name. We send paper copy to document admin and we do not use anesthesia module to document admin as our state requires two verification for every unit.
My 2nd job has soft and epic
SOFT need to work on their system so we can use emergency release. Currently if there is no blood bank order you can not even issue emergency release that is really good workflow. All sites need to put pressure on SCC to fix this issue.
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Technical Manual is not standard so as long as you follow manufacturer recommendation you should be fine.
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On 6/12/2019 at 11:05 PM, sgoertzen said:
We're a children's hospital in the process of building Epic/Beaker/WellSky (Mediware HCLL) with Go-Live set for April 2020. We've bumped into a huge problem with Epic stating that our outpatient drawing area must use their Epic/Beaker outpatient product which does not allow for electronic (scanned) patient ID and there will also be no patient ID bands. We've been using electronic ID of patients and samples with our current system (MediTech), so losing this functionality would be taking a major step backwards for us - especially with our Pre-Op patients and their blood bank specimens. We don't want to have to go back to requiring 2 specimens collected at different times on all first time blood bank patients, and using no ID bands just sends up giant red flags to me as far as patient safety is concerned. Is anyone else experiencing "no ID bands and no barcode scanning of ID band vs. specimen label" in their outpatient areas? How are you dealing with this? This problem isn't related to SoftBank vs. WellSky so I'm hoping that I can get some advice from all of you Epic/Beaker users. Thank you so much!
We went live with Beacon (another module of EPIC) for our outpatient and we were told same. We insisted that we needed same build as our inpatient where we scan pt ID band and specimen label to document specimen collection. Our infusion clinic workflow (in Beacon) was changed to same as inpatient. I think with EPIC you need to know what is available there and insist that they accommodate your need. We insisted that if inpatient can do it why can't they do same for outpatient! They listened and changed the build for us....
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I think we have microscopic for all DATs...i guess to help in determining mixfield....
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Hi all,
Do you check microscopic reaction for all DAT?
Do you use Ortho/Immucor/Other reagent?
Do you receive specimen fro API/CAP for proficiency testing?
Is there a requirement to check microscopic reaction / mixfield reaction?
If yes, is this CAP/AABB/CLIA/other? \
Thanks
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On 10/16/2018 at 7:31 AM, Lecia Guill said:
1. How many beds in your facility? 510 level 1 trauma center
2. What is your TAT?60 mins
3. Is the TAT calculated from order to result or receipt to result? receipt to result
4. Who collects your specimens? RNs, phlebotomists, others? Both
5. Do you have any automation in your Blood Bank?Yes ProVue(2)
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No. You do not require FDA registration for thawed plasma. Thawed plasma is not FDA licensed product.
You do not need variance anymore for converting FFP to Thawed plasma and give 5 days shelf life .
- Patty and John C. Staley
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Congratulation Malcolm. Well deserved....
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two signature, and reaction for all unit and start time for first unit and end time for last unit.
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NO. Too many issues here.
If i am supervisor i would not be able to sleep at night.
1) why are you entering results manually? If vision is interfaced and someone is entering results manually, there should be a check pr report for you to see all manual entries.
2) also er check all manual entries by second tech. (As some one stated this is CAP and may be your STATE requirement.
3) Every WBIT must be investigated with RCA to fix the problem.
4) If you are in US some of these are report able errors to FDA and may be STATE.
5) Start documenting every issue immediately.
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The daily QC testing that is being performed with the Ortho Confidence QC satisfies the requirement for COM.30450, "New Reagent Lot Confirmation of Acceptability" as long as the acceptability criteria is defined and the outcome of the results are recorded followed by supervisory review.
This is the catch , you need to define what is acceptable result and have supervisory review.
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Is there a dutiable alarm?
Which model are you using?
I need one for the ref. we are storing derivatives but need high and low alarm.
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1-For neonate for example his blood group AB and mother A or B when he needs RBCs as mother blood group must we wash this unit to remove plasma from it or not and why ?
We use O Neg, <7 days, CMV-, leukocyte reduced, Irradiated unit but we only use it up to 48 hrs post irrdaitaion. (Base don internal study to show that after 48 hrs the amount of potassium is significantly high which can adversely affect particularly low birth weight premie)
2-For neonate which is better many aliqouts from one donor (the same RBCs unit ) or different aliqouts from fresh RBCs units ?
In our case it will be different donor as we do not have irrdiator. Please see answer 1.
3-For neonate which is better many thawed plasma from one donor ( the same plasma unit ) or FFP units from different donors ?
We use only fresh frozen plasma so it will be only 24 hrs from thawing. Our blood supplier gives in small aliquots so we may end up using same donor.
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On 4/26/2018 at 4:43 PM, sherif said:
explanation please ?
To detect any circulating IgG component of anti-A, anti-B or Anti-A,B.
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We run our old confidence and new confidence in parallel on the day of expiration date of current lot. (same for ALBA Q).
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Do you do lot to lot for QC kit? Actually parallel testing for QC, eg. ALBA Q, Confidence QC kit?
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Was elution done? Anti-c may be IgM!
(we do see this when reverse cells giving discrepancy due to (mostly) cells being M+/Lea+/Leb+ , some time c+.
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On 3/28/2018 at 10:58 AM, DEDE said:
We are also looking at a new cooler system. This does sound promising. Does anyone know what the largest size is? Our MTP cycles require 6 RBC and 6 FFP. We place these in the same cooler. Our trauma team requested we do this rather than using 2 coolers. We use Rubbermaid and Credo. The only issue with Credo is the time for conditioning the cool packs. We are a level one trauma center with 6 helicopters , so time is not on our side. We only allow the coolers to remain out for 4 hours because of the AABB standard (5.1.8.1.3.1) that temp shall be monitored continuously and recorded every 4 hours. If you consider your coolers as transport I guess they would qualify based on your validation. And on that note how do most of you classify your coolers (storage or transport)? Our last inspection we had to tell the inspector how we classified. I know the temp range is also different (1-6 storage and 1-10 for transport).
They have box for 12 units.
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This is a case we encountered while back.
Patient RH neg and antibody screen negative. No Rhogam given this pregnancy. at 26 week specimen shows 2+ to 3+ anti-D and ficin panel shows anti-E (heterozygous cells enhanced 3+ with ficin). Tube screen (LISS enhancement) negative. Repeat specimen after two weeks same strength with gel and tube week positive at AHG phase with 30 mins incubation.
It looks like allo but strength is same after two week and too many questions here?????
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can some one post a link or form for all users here?
there are two forms right? correct me if i am wrong...BPDR and adverse event?
Thanks
OrthoVision SOPs
in Equipment
Posted
Ask your manufacturer. They can send you word version of procedures and you change them based on your need.