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Everything posted by Eagle Eye
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Do you know a place where I can buy barcoded pool label(for pooled cryo)? -
Pre-Admit Patients and Blood Bank Samples/Armbands
Eagle Eye replied to JClausen's topic in Transfusion Services
Our pre admission policy require to put typenex band on patient's hand. We use the same typenex band if patient is schedule for the surgery with in 72 hrs. In other words the specimen has to be <72 hrs old. Most of our preadmission testing is done two weeks before surgery. According to our Pre admission testing policy, on the day of surgery we need to get the specimen atleast two hour before the surgery for all same day surgery. (exceptions are multiple antibodies, warm autos etc) -
we use typenex band and only require for red blood cells. We do require ABO-RH type done on each hospital admission for FFP and other components.
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All of us using thawed plasma (FFP to THPLS) need to change product code and also need to add our facility ID???? I am working on barcoded label for ped syringe as per FDA reg but did not think that I would need same for thawed plasma!!!!!!!!!!
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ProVue uses ID-MTS Gel system so that is one instrument. You need to compare ProVue, Galileo and Tango. ABS 2000 and ProVue are different level instrument. Tecan and ABS 2000 are at same level and ProVue and Galileo are at same level. I can get you the cost of the gel cards...may be tomorrow. One of you guys have to give her the cost of the Immucor reagents.
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Any traditional tube reagent(AHG) can be used to validate using IgG gel card to perform extended antigen typing. Traditional tube anti-sera need to be vaidated at your facility since reagents are manufactured for tube technique. It is going to be lot cheaper because the amount of anti-sera used for gel testing will be 1/2 to 1/4 compare to tube technique. (1 drop~50microL, gel technique require only 25 microLof anti-sera).
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Guidelines for Pneumatic Tube Delivery Systems: Validation and Use to Transport Blood Components List Price: $25.00Member Price: $20.00Many hospitals and transfusion services are now using pneumatic tube delivery systems as a means of delivering blood products faster and more efficiently. To ensure product safety and the maintenance... May be this will help you. Book is available @ www.aabb.org
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Barcoded label for split or pooled products
Eagle Eye replied to Eagle Eye's topic in Transfusion Services
Mary, Send me your e-mail address, I can send you electronic copy of weekly report 3/31/06. -
Recently we encountered a patient who is C+ and patient has clear cut anti-C in plasma , AC negative & DAT negative. no transfusion as per info from the patient. ANy idea , waht is going on here?
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Thank you. I discussed my protocol with my boss and she suggested the same thing and now I am going to validate unwashed against X3 washed. I am going to try to include cold antibody or roulex if I find one. Thank you again.
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Our SOP require to wash donor segs X3 before making a suspension. I know our tech do not wash 3X. Some may be washing X1. My concern is when we hav inspection and inspector is observing they have to wash 3X. I want to switch from 3X to 1X. DO you know any literature regarding that? SInce our SOP says to wash X3 I need to validate new procedure that is to wash only once before making suspension. I am planning to do 20 immediate spin crossmatch using X3 washed cells and X1 washed cells. Any other thought????
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That is a good question. We get a order for type and screen. We rarely get an order where we have patient coming in frequently just for plasma, where we should do only ABO-RH. May be I need to look at the STAT.. how many time patient comes in just for plasma products. Thanks
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We also require current type and screen (atleast once each hospital stay) before issuing FFP. At least ABO/Rh completed prior to issue of FFP. We do have typenex band system, we require new specimen every 72 hrs. If antibody screening is pending and there is an emergency, we release type specific with emergency release sigend by the physician ( checked off as type specific before the completion of test).
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Who performs therapeutic apheresis?
Eagle Eye replied to bmarotto's topic in Donor Services and Donor Recruitment
We outsource the TPE procedures. Usually RN from the facility comes in to do the procedure but it's schedule through the blood bank. We get a order and ...we call the company and schedule the procedure. Don't we need a RN license to perform TPE?? -
New barcode requirement(FDA) is effcitive April 26,2006. As per AABB Association Bulletin #06-03...." all blood and blood components including autologous units collected within a hospital and to all aliquots, syringes and pools..... We do not collect at our facility but we have ped aliquot and pooled products. I am wondering how others are dealing with this requirement. We use pooled cryo label which has product code with barcode label which goes on pool product but other information is not barcoded. Our syringe do not have any barcoded information. Please give me your input... Thank you in advance.
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We had a case last week. We use gel testing: panel A 4 out of 11 cells are non reactive(different strength 1+ to 3+). PAnel C untreated almost same result. Panel C ficin treated 10 cell reactive (neg cell is e-) with different strength of reaction, 1+ to 4+. 19 units were compatible(by gel- provue and manual gel). Later all unit tested e+. We order e- units from blood center and all were compatible. Autocontrol negative. Please give me your input on this case. THank you.
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we send our unit to near by hospital for irradiation. After irradiation they have to write their number or put somekind of sticker, Is that true?? In this type of cases supplier is still same as original???
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We have separate referigerator for specimen and quaratine product. For frozen product, we do not have RBCs so some time if we need to quarantine a FFP or CRYO we label it and put it one of the self. I think if you use same freezer with product segregated it should be fine unless somebody use that product inadverantly ....you will have to find other options. Most of the LIS would allow you to put unit in qurantine status so if the techs are using computer before relesing any product it would falg that unit is quarantine.
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Patient transported autologous blood
Eagle Eye replied to Cliff's topic in Donor Services and Donor Recruitment
Would you belive that the blood is being transported by person other then any blood center is ok??? In this case patient's own blood so may be it's ok....but during transport you donot know what could happen? SOme blood center do export blood from outside of USA...why can't your blood center arrange that with CBS??? -
Is anybody using barcoded label for the spilt product? Is anybody using barcoded label for pooled product? If yes, how do you capture that product code for pooled product in the computer(cerner classic)?? Thanks
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We draw a line on fresh frozen and write thawed.
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We are in process of developing massive transfusion protocol. We have MTP pack #1,2...etc. Once the attending initiate the protocol we will start stnading pack every 15 mins. May be one of your nurse/resident/physicians woked at other trauma center and they may be using trauma pack.
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Hi, All gel user (using ABD monoclonal & Reverse grouping cards), What do you use for Rh type method on comprehensive CAP surveys(JA, JB, JC)? 1) column agglutination testing 2) D control not run; control not required by method 3) Other, specify in use of other section
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No time required on the specimen label. CAP made that change in october 2005. REVISED Checklist Questions Effective 10/06/2005 TRM.40230 Phase II Are all blood samples used for compatibility testing labeled at the time of specimen collection with the patient's first and last name, unique identification number, and the date of collection?
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CPT code for E-crossmatch is 86923 effective 1-1-06.