Eagle Eye

We do have same problem like MAry. We use typenex band so we require new specimen if baby need transfusion.

We have Referig. in OR but thinking to get rid of it. Eventhough we have referig in OR, some time in emergency situation they take cooler directly to room and after emergency is over they tend to forget about the cooler. We use to waste lots of unit like that. We use a form to track the unit once it leaves the blood bank. OR staff needs to write the time they place unit in the referig, the time unit is taken out of referig, the time unit return to referig(if not transfused) and time unit return to blood bank. We also require date and signatures.

We do same as adiescast. We have one policy for HCV & HIV lookback. I have one question for you. Do you have one template letter or do you take case by case? eg. % risk if donor was typed confirmatory positive on subsequent donation.

I thinl I was not clear. We would only perform autoadsoption if patient is not recently transfused.

We issue pool of 10 cryo. Our liver team ususally orders pool of 20.

How do you know that patient was never transfused? Our patient population keeps moving in near by hospital. I would try doing autoadsorbtion once and if there is no alloantibody present, I would issue best compatible unit.

Cerner classic users.......How are you dealing with all the product codes??

Cerner classic users, I need your help. How do you order transfusion reaction in the LIS. DO you order all the test on post specimen or you have two seperate test --one on Pre and pne on Post??

We do not convert FFP pheresis to 5 days because they are consider open system. Which computer system do you use? WHen I validated 5 day plasma in our LIS, I seperated FFP pheresis and FFP. If you log in FFP pheresis computer automatically gives you 24 hrs expiration and for FFP you get 5 day expiration(I have it set at 120 hrs). I added all product code related to pheresis under FFP pheresis and all 18201 goes under FFP. ALL our tech must use barcode reader to log in the products. We have been using 5 day plasma for more then two years. I performed several audits and didn't find any problem. Couple of time tech logged in ped FFP under FFP but tech thawing ped FFP notified me and I corrected them in the LIS(before issue).

Before you use the gel for antigen typing you will need to validate the process. I know someone who did a little project on donor antigen typing. As long as you use AHG reacting antisera you will be able to reroduce the same result as tube technique. It is going to be cheaper...as the cost of antisera goes up gel method is cheaper then tube technique because you are using 1/2 or 1/4 of the antisera comapre to tube method. Also you have less operator error because you have a prinout(if you are using SA reader). Only probelm you will encounter is when you have positive DAT on the donor. You might see 1+ typing for donor unit by gel and negative by tube. But in that case you can compare your antigen typing to positive control or run DAT on donor unit and call it positive or false pos or neg. You will encounter the same problem with the patient if you are going to decide to use gel for patient phenotyping. I believe that you need to run patient's DAT as control everytime you use gel for phenotyping.

How do you do that in cerner classic. When you print the form with unit # ...you do not have patient's name on it. Is that correct? I figure you would have unit type and expiration date on the form. Can you please write here where do I go to print this form. DO I need to build in BB3 or is already there and we are not using it?? Thank you in advance.

Hi, Chris, You know that this is an adaptive test. They give us 10 question and determine our level 400 or 450 or 500 etc. Then you will be given question according to yuor level. If you were at 400 level initially you would get 400 level question...if you answer it correct the next question will be higher level. Question will become harder until you answer it incorrectly. If you answer is incorrect you will get same level question again and again you answer incorrect the computer will pull easier question. SO my assumption is if your questions are becoming harder and harder you are most likely to pass the exam (if you do not go back and change too many answer). You need to answer less answer correctly to pass the exam if they are higher level question. By the way the test is setup in such a way that you can not fool the computer if you start answering all question incorrectly to get easy exam ...computer will figure out that and will switch to non adaptive test. Mabel you are right ...I had some questions reagarding antigens ...I am trying to figure out that my answers were correct or not. ANyway Thank you.

I took my test last week and I pass my SBB. I took it first time. Chris, please do not get upset and please fill out form again. Everything is fresh in your mind right now study little harder and give it a try again. Few tips: Are you good in lab math? Because I know I needed to use my calculator so many times. ALso you need to read your questions..I started reading fast and at first I picked wrong answer and when I read it again I realized that my answer was wrong. Read again and got it right. Chris, on your letter do you have total score/ maximum you can get? I just wanted to figure out my percentage. Thank you. ANd go for it again.

We do almost same as OPUS104. We specified in our SOP that (only for ELukit and Fetal screen) We must use component from same kit.

I had same question came from the floor last week. I recall my boss saying 24 hrs but I didn't want to give her incorrect info so I told her to call my boss. My boss is at AABB..I can ask her for any available reference (not before Nov 7th).

How do the try to get the bubble? I will try to watch ProVue on monday.

We give gel-compatible units for all anti-M reacting in Gel. We also perform tube method screening and prewarm it out to make sure they are cold. I belive some cold antibody do react in gel eventhough they are IgM.

I am not aware of such thing. I don't think you can really do that. You may develop a bubble during pipette or you may not. As far as I know gel is suspended in low ionic strength solution. If you look at the card there is some liquid above gel layer. If you think logically it is better not to have bubble!!!!!!!!!!! I may be wrong but just a thought:) .

Kelly, It is very important how you label them. DO you call it thawed plasma or not? We do not use plasma frozen in 24 hrs but we use regular FFP but call it thawed plasma from the time we thaw it. We label our thawed plasma by crossing out the word fresh frozen and writing thawed WHat was the citation? DId they cite you guys for labeling or not calling thawed FFP for first 24 hr and thawed plasma after that????

How about RH/weak D testing for patient/transfusion recepient? How about we discuss case study or a interesting patient once every week?? How about massive tranfusion protocol? is it working or not? Incident error reporting/QA issues ...How everybody handles them? How to handl QA issues/non compliance issues without being the bad guy??? I think any time after 9:30 should be OK. once our kids go to sleep. Is there anyway you can archive your caht session???

Sorry I can not get all the information as I am home with my Son. I will try to get the info next week.

Wow! Welcome. WE would really benefit from your expert comments.

We do not give thawed plasma(5day) to our ped patient. We get ped pak from supplier. In my computer system once we modify ped pak it has only 24 hrs expiration. All our thawed plasma can not be divided in the LIS(one tech found a way around and did it once but since then we educated our staff and we do not divide our thawed plasma) All others get same product. Thawed plasma was approved by transfusion comm. We keep 8 units (O, A & Bs) thawed all the time and keep rotating. Most of the time all the patient get thawed plasma which has atleast 2 days left on it.

What is FACT? (may be a stupid question but to me no question is a stupid question!!!!)

I have seen a flow chart/kind of algorithm on the back of transfusion reaction workup form. I do not recall which hospital uses it. If someone has the chart plaese can you send me one??? You can send me an e-mail. Thank you in advance.