Eagle Eye
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Everything posted by Eagle Eye
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Glycerol Solutions
Yes. 10% glycerol will freeze. We use 50% propylene glycol for freezer.
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FDA reportable Question
Please let us know the outcome. Thank you
- retirement
- Blood Bank staff
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Transfusion reaction culture
Our pathologist gets called for every reation after the work up compelted for transfusion reaction other than hives. Based on temp. rise pathologist orders culture on bag and/or patient. Our microbiology department is closed at nigth so we keep the bag in ref. if the pathologist want to order culture on patient, that need to be doen ASAP.
- Thank You!
- Issuing blood in Cerner with e-XM
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Cord Blood Testing
we test all cords. We get ~100 to 120 cords per month...
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Getting samples drawn during MTP
we have very active level I trauma center... all our trauma docs knows very well that we need a sample and invariably the sample get drawn for all out trauma protocols. Sometime few minutes late to blood bank but we issue type specific almost >95% of the time. Only few cases where the patients BP was so low that they could not draw specimen and we had to use O RBC and AB plasma that was several years ago....
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Bacterial Testing - Apheresis Platelets
If you are using PAS platelet you do not have to perform bacterial testing on day 4 and day 5. We do not want to bring verax in house so we will use PAS platelets...
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Secondary Bacterial Testing for Platelets
PAS ---we do not need to do testing ...but can not be extended to 7 days.. I thought there was a limitation that supplier could not collect 3 bags?
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Prewarm Technique
we do not use potentiator with prewarm...
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platelet availablility
Level I trauma center...1.5 hrs from supplier, do not get credit...Keep minimum two on hand....
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ED Stat Lab
Were you able to show them associated cost of running lab (including QCs, PT, competency, staffing) Vs ER puts their act together and give you good specimen (basically fix pre-anlaytics before switching analytic). We went through this and with 1) the cost we provided to run the lab and 2) improvement in TAT for Ed specimens ....we avoided going to your route... Actually reporting mis-match historical blood type due to WBIT was big help..
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Moved Again
Congratulation David BUT you can not retire from here! We need and love your input...
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Ortho Vision and MTS gel method
Agree. We do not extended incubation or do not allow re-spinning of cards with weak reaction!
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Advice on SafeTrace & Epic & Vision
I agree with you David. When it comes to validation data involving EPIC...there is always this answer which i do not agree and i can see as a blood banker we do not agree with it was done...:show us the document , if you it is not documented it is not done, right!".......BUT some fights are not worth... Let the STATE or FDA or... cite them and then it will change...
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Ortho Panel Cells -Quality Assurance
we select Fya neg and Fya double dose cell to run with the dilution...to meet package insert requirement....
- Breaking the SoftBank interface
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TEMPERATURE CORRECTIVE ACTION
I agree with Dansket. Change your process. We used to have lots of spike son our charts and documentation inventory? We have electronic system now and everytime the temp. goes to 5C, we get a call and tech is required to check all temperatures and add comment in computer.....guess what the ref. does not alarm at all...the tech changed the process ...they closed the door early enough to the temperature does not even go to 5C!
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Secondary Bacterial Testing for Platelets
Is this a regulation now and do we require to do this on day 4 and day 5?
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Ortho Panel Cells -Quality Assurance
1:4 dilution of anti-Fya on the day of putting into use and on the day of expiration...
- Combine or not?
- Antigen typing on recently transfused patient
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Anyone using the Vision (new Ortho analyzer)?
when I interfaced ProVue to cerner classic...it was a pain and took long time. make sure the names matches as it is require din Vision, DI and cerner Milennium. middleware requirement is based on LIS system. Cerner needs DI. I thought soft doesn't need DI to connect to ProVue it may be different with Vision.