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Eagle Eye

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  1. Like
    Eagle Eye got a reaction from BloodBanker80 in Validation/Correlation help needed!   
    If you use a diluted 3% panel for routine gel testing and want to validate it's performance/stability for 1 week...How many days or specimens would be required? 
    Please check manufacturer package insert. I know Ortho insert is 24 hrs. If you are extending days against package insert, you should validate with all kind of specimens and include worst cases. And definetly, you should run every day and in parallel with reagent prepared per package insert.
    Eg. you can run X number of specimens (Pos and Neg) with freshly diluted cells (up to 24 hrs expiration) and diluted cells you are trying to validate. Make sure to document reaction strength and any missed reaction. I would try to make sure there is no variability in procedure. (tech to tech variation).
  2. Like
    Eagle Eye reacted to cam1987 in Automation Daily QC Documentation   
    We check it off on the Maintenance log and document review on the log.  Since you cannot run the Echo unless the QC passes and the QC is on the instrument or archive disks, we never felt the need to print off the paper and keep it. 
  3. Like
    Eagle Eye reacted to R1R2 in Gel and tube discrepancy in antibody screen   
    There is no required number of samples to use for method comparison.   I would suggest 1 pos, 1 neg for Rh and antibody screen and pick your samples wisely - a nice strong K or anti D to eliminate those pesky (expected) discrepancies between different methodologies and required corrective action.     
  4. Like
    Eagle Eye reacted to galvania in Gel and tube discrepancy in antibody screen   
    Every 6 months????  Why?  what are you hoping to prove?  What do you do if there is a discrepancy as above?  Switch methods??
  5. Like
    Eagle Eye reacted to pinktoptube in Vendor and Supplier audit   
    Attached is what I use. Our tissue team leader actually goes to the manufacturing sites and writes a summary on acceptability. 
    TTS-PPM-FORM-035-B Supplier Review Form.doc
  6. Like
    Eagle Eye reacted to AMcCord in Vendor and Supplier audit   
    Suppliers Evaluation Sheet.docx
     
    This is what we use. Nothing fancy.
  7. Like
    Eagle Eye reacted to AMcCord in FDA 30 minute rule   
    Exactly this. We own the blood, so we make the policy. We give them 15 minutes for returns with the proviso that the unit has not been spiked and the temp is less than 10C (which it usually isn't) or it is not returnable for restock/reissue. If the temp is too high, they are given the option of taking it back upstairs to try to give it within 4 hours of checkout. If the transfusion has been cancelled, we take it and discard it. If we discard it, it becomes an occurrence report that hospital quality and nursing management see.
    In actuality, the temp should probably be less than 6C, since that is the required temp for storage. I've almost got my medical director convinced to make blood non-returnable - you've got 4 hours to give it once checked out...period. We do require them to have everything, and I do mean everything in place before they check out a unit, then they have 15 minutes to start infusion. That time is policed by nursing and they are all very aware of it. We waste very very few units of blood because of returns, usually because the patient suddenly decides to refuse or the patient's condition changes very unexpectedly. It's taken us quite a few years to get to this point, but it was worth the struggle. It's pretty well ingrained now.
  8. Like
    Eagle Eye got a reaction from Eman in Proficiency Testing   
    We have the same BUT we decided to use production as what if!...
    It is very easy to block billing by just creating a code at interface level.
    We also use teo patient to stock in ER and OR and again we hav eit blocked at interface so it does not generate any transactions.
  9. Like
    Eagle Eye got a reaction from MOBB in Eluates on babies with positive DATs   
    we do not do eluate for the positive DAT on cord if it is due to ABO incompatibility and mother's antibody screen is negative.
    We do an eluate if CORD DAT is positive and mother has positive screen.
    We also do an eluate when CORD DAT is positive & there is no ABO incompatibility & mother has negative antibody screen and mother doesn't have history of antibody........We had a case like that almost 10 years ago where I was new tech and the DAT was very weak positive, I repeated it for my supervisor and my supervisor also repeated it before sending out to reference lab.........The ID was anti-Goa. Subsequently father was tested and father tested Goa+.
  10. Like
    Eagle Eye reacted to KKidd in confirming blood types on products   
    We stopped using the labels about 8 years ago.  We place the untested units in a designated shelf.  After testing they are moved with the available units.  We use Meditech and have a hard stop that prevents using untested units.
  11. Like
    Eagle Eye reacted to John C. Staley in FDA reportable events   
    Ann, on the flip side I bet there is a lot that gets reported that doesn't need to be reported for fear of getting caught not reporting something.  Unless the FDA has improved their information in the past few years, a lot of what they say leaves a great deal of room for interpretation.  
  12. Like
    Eagle Eye reacted to Malcolm Needs in Cord cells vs. DTT   
    The answer is then, don't use a microscope (see Peter Issitt - over and over and over again).
  13. Like
    Eagle Eye got a reaction from Eman in Proficiency Testing   
    We use production as we wanted to mimic real patient. Only difference...the order is not coming from EPIC. we record specimen in safetrace.
    We use same last name all the time and we have it blocked at interface level so billing is not generated.
  14. Like
    Eagle Eye reacted to John C. Staley in CAP TRM. 40670   
    Malcolm, you make me laugh.  Just like a bull dog, once you get hold of something you just can't let go.  I think the moto from a place I once worked is appropriate. "An exercise in futility is better than no exercise at all!"  
  15. Like
    Eagle Eye reacted to Malcolm Needs in CAP TRM. 40670   
    They obviously do!  Patty, PLEASE do not think I was getting at you.  As you will guess from John's post above, this is (just) one of my pet hates.  It was nothing personal!
  16. Like
    Eagle Eye reacted to Malcolm Needs in CAP TRM. 40670   
    If you have sorted out what is causing the unusual reaction pattern, then it is no longer a discrepancy.  However, I would still not perform an electronic cross-match, AS THERE IS NO SUCH THING (a computer does not, and never has, performed a cross-match).  I would, however, perform ELECTRONIC ISSUE.
  17. Haha
    Eagle Eye got a reaction from John C. Staley in Quarterly Alarm Checks   
    You know what i had brain block!!
    I was thinking about digital/electronic timer....and panicked as we validate them every six month.....Oh thank GOD!
  18. Like
    Eagle Eye reacted to kate murphy in Massive Transfusion Protocol   
    Outside of the BB, there is the College of Trauma Surgeons and the Joint Commission.  Both require a policy.
  19. Like
    Eagle Eye got a reaction from MOBB in Validation of Other Manufacturer's Reagent Red Cells for Use in Manual Grifols Gel   
    We include a step in our method corelation (twice a year) where we run Ortho gel panel (0.8%), Tube panel (immucor 3%) and Immucor gel panel(dilute immucor to 0.8%). Our method was correlated almost 20 years ago!
  20. Like
    Eagle Eye got a reaction from Carrie Easley in Validation of Other Manufacturer's Reagent Red Cells for Use in Manual Grifols Gel   
    We include a step in our method corelation (twice a year) where we run Ortho gel panel (0.8%), Tube panel (immucor 3%) and Immucor gel panel(dilute immucor to 0.8%). Our method was correlated almost 20 years ago!
  21. Like
    Eagle Eye got a reaction from Malcolm Needs in BloodBankTalk: Clinical Aspects of Transfusion Reactions   
    I just answered this question.


    My Score PASS  
  22. Like
    Eagle Eye reacted to simret in Neonatal Exchange-FDA Registration   
    Yes you do! In accordance with 21 CFR 607.21, you must register and list the blood products you manufacture ( when you reconstitute, you are manufacturing a new product = whole blood ( new ISBT #) for commercial distribution every year between October 1 and December 31 and you must update your blood product listing every June and December. I hope that helps.
    Simret
     
  23. Haha
    Eagle Eye reacted to Malcolm Needs in To BB (ASCP) or Not   
    Good Lord!  Is this possible for anyone?????????!!!!!!!!!!!!!!!!!  
  24. Like
    Eagle Eye reacted to jalomahe in Proficiency Testing   
    I may go to the extreme but when we receive surveys all of the "patients" are registered in the computer and the appropriate tests ordered. The vials can then be labeled with barcoded patient/test labels and can be scanned. I also enter the "donor unit" into our inventory and print donor unit label for the specimen and place the DIN label on the vial. This way everything is done in the computer just as it is with a real patient. When the tech has completed testing they can print their results from the LIS and if need be I can always go back and look at the results.
  25. Like
    Eagle Eye reacted to John C. Staley in multiple health facilities using one specimen   
    I'm fairly certain the chat could last well into adult beverage time.  Once that started the stories will get even better!  
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