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Posts posted by Eagle Eye
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On 9/9/2017 at 8:05 AM, rravkin@aol.com said:
Is there a way to ask the FDA directly? Does the FDA offer accessible public information as to the specifics of what is and is not reportable?
Please let us know the outcome. Thank you
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Congrats...
I still have long way to go unless i win big jackpot!
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Level 1 trauma center( we do all except irradiation from the list of items initial post). ...dedicated blood banker.
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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.
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Congrats..Mine was 11 yes ago but most of the questions you indicated...i had similar...had few more for HLA and paternity questions, CCI , PRA and standard question(particularly component QC).
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I do not think it is a good idea to dispense before the unit is ready to be picked up...
Inventory reconciliation will be mess...unless you dispense only several units/day...
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we test all cords. We get ~100 to 120 cords per month...
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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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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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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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Level I trauma center...1.5 hrs from supplier, do not get credit...Keep minimum two on hand....
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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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Congratulation David BUT you can not retire from here!
We need and love your input...
- Malcolm Needs and MaryPDX
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Agree.
We do not extended incubation or do not allow re-spinning of cards with weak reaction!
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On 3/31/2017 at 11:19 AM, David Saikin said:
I recently dealt with an upgrade to Epic/Beaker: I found the validation to be sketchy when it came to integration with the blood bank system (HCLL). A bigger problem was the time it took BBIS results to populate in EPIC. I also found that there were inconsistencies in training and actually program development for the Nursing on line transfusion: ordering and infusion, esp w the operating suite. If I had not left I was tempted to report to the FDA. Was unable to have access to the intersystem validations. I was told they were done but from the way the systems interacted I wanted to see the actual data . . . not forthcoming. I know folks who love EPIC/Beaker - my situation may have been an anomaly . . .
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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On 3/20/2017 at 7:51 AM, exlimey said:
Continuing my earlier thread: That approach doesn't check those cells that are Fy(a-).
we select Fya neg and Fya double dose cell to run with the dilution...to meet package insert requirement....
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Anyone out there using SafeTrace has this problem?
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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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Is this a regulation now and do we require to do this on day 4 and day 5?
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1:4 dilution of anti-Fya on the day of putting into use and on the day of expiration...
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POOL AT THE THE BEDSIDE BEFORE TRANSFUSION WITH NOTE TO "POOL INTO PRIMARY BAG BEFORE TRANSFUSION"...ELIMINATING EXTRA STEPS FOR BLOOD BANK STAFF.
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How do you perform antigen typing on recently transfused patient?
Do you use monoclonal reagents for antigen typing for recently transfused patient? Explain the reason for using monoclonal reagents?
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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.
Glycerol Solutions
in Transfusion Services
Posted
Yes. 10% glycerol will freeze.
We use 50% propylene glycol for freezer.