Reputation Activity
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Eagle Eye got a reaction from Malcolm Needs in Gold Medal.
Congratulation Malcolm. Well deserved....
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Eagle Eye reacted to Malcolm Needs in Gold Medal.
I am enormously honoured to announce that I am going to be awarded the Gold Medal of the British Blood Transfusion Society at their Annual Scientific Meeting in Brighton this year. It is awarded to an individual for their exceptional and long standing services to the Society and to the practice of blood transfusion in the UK. Sorry if this sounds egocentric, but I am very excited.
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Eagle Eye reacted to tcoyle in ABO Retype
Agreed! From the 31st Edition of the BBTS Standards:
Standard 5.14.5 Pretransfusion Testing requires two ABO group determinations and cites Standard 5.14.1 as the precursor. 5.14.1 states the ABO group shall be determined by testing the red cells with Anti-A and Anti-B reagents and by testing the serum or plasma for expected antibodies with A1 and B reagent red cells....
TRM.40550 Forward/Reverse Typing Phase II
For each patient, red blood cells are tested with anti-A, anti-B, anti-D, and serum/plasma is tested using A1 and B reagent red cells.
NOTE: The ABO/Rh type of the patient's red blood cells must be determined by an appropriate test procedure. Tests on each sample must include forward and reverse grouping.
CAP and AABB are in agreement.
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Eagle Eye reacted to Ehowell66 in ABO Retype
Hi folks,
Currently when a patient does not have a prior blood type on file, we will collect a second specimen (drawn at different time, different person). The forward type is repeated and resulted as the second type. This was set up before I became supervisor. Recently a CAP inspector told me she thought all ABO/Rh typing's needed a forward and reverse done. How do you do your retypes? Based on TRM 40550 it seems the retype would need a reverse typing as well, thoughts?
Thank you
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Eagle Eye reacted to AMcCord in MTP with EPIC
How do we survive without a BBIS? Well, it takes a boatload of paperwork and even more time to deal with the paperwork. We've never had a BBIS, so we don't truly know what we're missing (though I have a vivid imagination, did work with a BBIS validation years ago, and I am soooo looking forward to getting SafeTrace Tx up and going - I have been the squeaky wheel for years pushing for a system and they finally said YES ).
We've given as many as a thousand units of red cells a year with paper records, though we are currently down to 700ish with patient blood management taking effect. I track products with an Access data base and we had a DOS data base before that . We use report forms built into our LIS - the LIS we are using now and what we were previously using. These are strictly reports, nothing more. All other documentation of testing, etc. is on paper. Prior to that (and not so many years ago) we typed our reports on a typewriter - I kid you not! Our entries in the LIS are made manually from drop down boxes, a minimal number of free text boxes and using barcode scanners for DINs and product codes. We have rules in the LIS to remind staff about required testing. All entries are verified by a second tech and are further reviewed at a later point by myself or a designee. Old school, but it works. The pertinent information passes from our LIS to EPIC, so BPAM works. I wish we were going to use the SafeTrace blood admin module, but that decision was made for us.
I stress to every nurse that I talk with about patient ID that the information that BPAM is checking is a manual entry, so is not a guarantee of anything. If something doesn't look right, they are instructed to stop instantly and contact us. The 2 person bedside check of armband and unit tag/bag information that we were doing prior to BPAM is still critical. And our medical director and I meet every new nursing hire for a pep talk in Blood Bank about patient ID, transfusion safety and MTP/emergency release.
We pass Joint Commission, CLIA and CAP inspections w/o issue and transfuse our patients safely because I am a well known, absolute DRAGON about following procedures and doing things right! (Did I mention that I can't wait to get SafeTrace up and running ??? )
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Eagle Eye reacted to Malcolm Needs in MTP with EPIC
You are by no means alone John, but (I THINK) most of these acronyms are to do with Information Technology (IT) than actual blood confusion!
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Eagle Eye reacted to John C. Staley in MTP with EPIC
Wow, out of the business for a couple of years and I don't have a clue what most of the acronyms in this thread mean!!
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Eagle Eye reacted to David Saikin in Complement QC with Poly IgG
I have never seen that interp for polyahg requiring IgG and C3 sensitized cells. It seems to me that the final sentence of referring to TRM.40200 allows the use of the IgG sensitized cells to document the reactivity of your poly reagent. I know I am not the only one who interprets this. I will f/u w CAP on this.
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Eagle Eye reacted to galvania in RH TYPE ON CORD BLOOD SAMPLES
lucky you if you know who the father of the baby is!!!!! Minefield!!
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Eagle Eye got a reaction from AMcCord in At my hospital we manually enter Type and Screen results....
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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Eagle Eye got a reaction from BloodBanker80 in CAP TRM.30450
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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Eagle Eye got a reaction from BloodBanker80 in CAP TRM.30450
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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Eagle Eye reacted to Malcolm Needs in Cord Blood DAT
I know what you mean Jermin. I have had problems, on occasions, convincing midwives that we do need to test samples from pregnant ladies at 28 weeks of pregnancy and also, more worryingly, convincing them that we need to regularly test samples throughout the pregnancy when a pregnant woman has an atypical antibody known to cause severe HDFN.
I always wonder why some of them (a small minority, thank goodness) think that they know more than the experts (the people who work in transfusion science, and doctors who work in transfusion medicine), when none of us (I hope) would claim to be experts in their particular field.
END OF RANT!
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Eagle Eye reacted to jnadeau in Blood Transportation to Floors
Clear bags - blood products are not considered a biohazard (I thought - if my memory serves me correctly on this "Friday where have you been?!!)
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Eagle Eye reacted to DebWerner in Blood Transportation to Floors
Clear bags, for sure. If I'm a patient getting a transfusion, I do not want to see a biohazard bag containing the blood that they are going to give me. Opaque bags can get placed on a nursing station somewhere and tossed to the side because folks do not know that there is blood in there!!
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Eagle Eye reacted to SMILLER in Transfusion line flushed with saline
Someone reminded me that saline is used to keep the line open until it is certain that there is not going to be any need for it --- like in the case of a delayed transfusion reaction. (Although I do find the theory that the last few mls of blood are in reality Super Cells more intriguing.)
Scott
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Eagle Eye got a reaction from BloodBanker80 in CAP TRM.30450
Do you do lot to lot for QC kit? Actually parallel testing for QC, eg. ALBA Q, Confidence QC kit?
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Eagle Eye reacted to Malcolm Needs in Temperature Monitoring
I sometimes think that management monitor the temperature in many of the laboratories where I have worked by seeing how many of the staff faint. If it is more than 50%, it is regarded as too hot. Anything less than 50% and it is okay!!!!!!!!!
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Eagle Eye reacted to SMILLER in gel card quality control
Good point about some antigen typing antisera not appropriate for gel QC.
For our QC, we do indeed use a kit that is appropriate for gel. We dilute down the anti-sera from the Ortho Confidence QC system (same one that we use for ABO reagent QC), which has anti-D and anti-c IgG.
Scott
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Eagle Eye reacted to R1R2 in gel card quality control
I think because Rh antisera is usually not IgG and will agglutinate with cells in buffer cards so it is really not QCing the IgG activity in your IgG card.
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Eagle Eye reacted to Marilyn Plett in Rh positive donor, negative for CEce
Please discuss the importance of donation with this donor, and register the donor with the American Rare Donor Program. I remember having a pregnant patient with anti-Rh17. I believe there were only a couple of units available nationally. If I remember correctly, we had to resort to autologous donation, iron, and EPO.
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Eagle Eye reacted to BankerGirl in Meditech Electronic Transfusion Records
I have found most of the standard blood bank reports useless for transfusion review. I don't specifically remember data mashed up and becoming unreadable, but it is difficult to do a proper review with the multi-line reports that they give you. I had my NPR writer develop a transfusion review report for me which pulls all of the data I need in a semi-colon delimited format. I download this report, export it into Excel, and then each transfusion is on its own line with headings that I can sort any way I need. This has been a lifesaver!
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Eagle Eye reacted to Malcolm Needs in Low prevelance, Jka antibodies and crossmatching
I can see no reason why you should not transfused D Positive red cells.