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    blood banker
  1. FDA 30 minute rule

    Wow. Are there published studies?
  2. FDA 30 minute rule

    I was thinking it was something older they were referrencing, but I need something more than, "I don't think that applies anymore." Because I tried already tried that I also told them RBCs wouldn't be in range at 30 minutes and would need to be temped. To which they wanted a hard number of how long-they seemed irritated when I explained it could vary on number of RBCs to temp of the room to so many factors.
  3. Thank You!

    Are there any study guides you'd recommend since you didn't attend a SBB program?
  4. How do you bill for plasma reduced or HCT adjusted RBCs? It's a very tedious process for our pediatric BB, but we're being told there is no billing code so it's billed and in turn does not get included in productivity
  5. We are working with nursing on their blood administration policy and the FDA 30 minute rule came up. Do you require nursing to return blood if not hung within 30 minutes and not in a temp. controlled container? Our current policy is to waste any RBC returned to the BB, so we encourage them to hang and complete within 4 hours of transfusion if something happens like losing a line. Are we in violation of the 30 minute rule? I tried googling, but didn't see much current information. Oddly, Nursing also seems to be under the impression the 30 minute rule means it can be returned and reissued later. We are in the process of updating the policy and validating infrared thermometers to allow us to return products if they are within transport temp.
  6. We used to use the J survey, but dropped it to only do the JAT survey. It was too crazy last year when J, JAT, and DAT surveys kept dropping at the same time. We will do split samples between our local network blood banks instead.
  7. We store our reagents in a blood bank refrigerator and I keep the range 2-6°C so it meets the needs for both blood products and reagents. It's been handy when one of the refrigerators has an issue-there's no questioning if items were stored at the appropriate range. When we have needed a back up refrigertor, not all of our reagents and products fit in one fridge and we move some of the reagents to heme and take temps every 4 hours.
  8. CAP TRM.30450

    Lily at CAP said it was only for the FS kits and daily QC is fine for everything else. When I called back in October with my list of questions, I got the feeling she thought we over interpreting many of the items
  9. CAP TRM.40250

    We added a note in our labeling policy what the truncated name would look like, ie a name more than 35 characters would be truncated at 35 characters and have a plus sign. We compare as much of the truncated name as possible, the unique BB identifier number, and another identifier like mrn or DOB.
  10. CAP TRM. 40670

    They also said they would update the wording in this standard in August, but for now to update our policy so we're in compliance.
  11. CAP TRM. 40670

    When we called CAP, we were told we could perform electronic crossmatches as long as our policy defined an ABO discrepancy as one that is unresolved. If we know why there is a discrepancy, we can do the EXM.

    I've been hearing "just a couple more months" on the card and antisera for at least a year, maybe more. I am very happy with them overall, but I cannot wait for them to have their full line available.

    We do our DATs in gel and there is an increase in positive reactions compared to tube. At times it's valuable and at times it's misleading. It just depends on the case, but I appreciate being able to automate the test and standardized the reading of the results.
  14. How many antibodies do you include in your method to method?