Ensis01

The LIS has to have all the different product codes you may use entered so it can log and track them in your inventory. Discuss with your supplier as you will probably never see most potential products (it is a REALLY long list). The Dr however should only be able to see the basics RBC, platelet, plasma, cryo and be able to add extra requirements like LR, irradiated, washed etc. I suggest having special products like washed, platelet crossmatchs in a sub menu (or at least harder to get at).

Considering how often inpatients get stuck I am not sure they would notice the 2nd check especially if appropriate CBC tubes are looked for and used.

Upright: so you can read the unit number plus the segments can be kept tidy to avoid getting tangled with each other, and observe hemolysis.

I just answered this question. My Score FAIL  

Did you test the eluate against DAT negative patient cells?

They should have, or create a policy to replace/reattach the armband. Get your pathologist and QA involved.

My main concern would be the cold ambient temp in the OR.

I would say it depends; if you need to do extra testing to resolve a discrepancy that is billable. if the instrument did not give a result due to QC failure (due to a hemolized sample for example) and you used tube then not billable. It should however be noted that I do not do billing.

My experience is that When a patient is being transferred from another facility with cross matched RBC or other products; infusion should have started by the time they leave the ambulance. Products not being infused are discarded unless they have correct transfer paperwork, I.e. for antigen neg units. Crossmatching process begins again. To put it another way if you know the patient is coming; the other facility Dr. Orders enough products to cover the journey. If the patient is a hard work-up get all information and transfer antigen negative units. If worked up at a reference lab: Reference labs have a form that will allow transfer of results though receiving facility do not always accept these results.

Try 4 drops plasma and incubate for 30 min at RT, include an auto control.

That seems wrong on several levels, or is it me?

So when you find the discrepancy, do you test for weak D and if that resolves the discrepancy add a comment and move on?

Get the lab director to talk to the pathologist to determine if the photos are to help techs identify a skiptocite or if the photos are for review.

Either CAP or AABB provide a Titer for intra (and inter) lab comparisons.

Do you get many inquirys about about discrepant results from hospitals/Dr offices that only do IS?