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April 2024 Challenge

Ensis01

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Everything posted by Ensis01

  1. Ensis01
    Why Lewis?
  2. Ensis01
    Agree with Malcolm. Our policy is antigen to any antibodies and the corresponding antithetical antigens plus C, c, E, e, K (and k if K pos). The full phenotype if we expect it to be useful.
  3. Ensis01
    I just answered this question. My Score PASS  
  4. Ensis01
    Talk to your IT people and get them to talk to the SoftBank people to determine exactly what they need and in what format and file type.
  5. Ensis01
    Those 25% that appear order abuse or CYA could just be physicians erring on the side of caution. Alternatively many ER departments have check-list protocols; when curtain symptom boxes are ticked orders are automatically generated (or required). It may be worth while seeing if this is the case.
  6. Ensis01
    In my opinion while this sounds convenient there may be a potential issue with the labels getting lost or forgotten especially if the situation is emergent and nurses are therefore busy.
  7. Ensis01
    If you can electronically issue blood I suggest just ensuring the patient has a current T&S. If you need to do serologic cross matches then as David said above; you decide. It may just depend on why they want blood on hold.
  8. Ensis01
    I would wash the red cells in saline and test the DAT (I have occasionally found stronger reactions). You can also try washing the red cells using cold Elu-Wash as that can help bind any weak antibodies to the red cells. In this case I would do an eluate including A1, A2 and B cells irrespective of the DAT results. Lastly I assume you can call the transfusion reaction irrespective of DAT results if hemolysis is evident in the post sample? The only hemolytic transfusion reaction I worked-up was clear cut and involved uncrossmatched blood given to a patient with history of an anti-Jk(a), against the BB tech’s advice. As Malcom stated above not many red cells were left, including the patient’s as the hemoglobin went from a 6 to a 3! I could not tell where the plasma ended and red cells begun.
  9. Ensis01
    28% sounds good to me, allows units to be blood type specific and gives time for antibody identification. I remember the frustration waiting for samples. I suggest asking the Dr how/if the question incorporates risk assessment for patient care and/or is it just financial.
  10. Ensis01
    The front and back label bar codes are identical. It maybe that when you bring the unit into your LIS system the double zeros and check digit at the end of the unit number are not used but when the vision scans the label for ABO conformation they are, thereby creating this discrepancy.
  11. Ensis01
    If you incorporate the main exceptions to policy into your SOP; it gives techs a clear path to follow if / when time is short or it is 3am. As you indicated it is hard to get O neg little c neg units (fresh or frozen).
  12. Ensis01
    We rarely had 10 O beg in inventory
  13. Ensis01
    I just answered this question. My Score PASS  
  14. Ensis01
    Sounds like I will prefer a good quality, fast black and white
  15. Ensis01
    Never yet seen a color photocopier at any place I have worked
  16. Ensis01
    I like the not black or red ink logic; all other colors clearly indicate an original document and not a photocopy. As long as it is permanent and waterproof any other color or shade of ink works. I personally like weird blues
  17. Ensis01
    I am curious to know if there is a correlation between the number of serological cross matches done and those blood banks that keep opened segments. I can see that for small facilities that do relatively few cross matches with generalist techs it makes sense to keep everything. I also see for large facilities it would take up too much space. I have done both practices (different facilities).
  18. Ensis01
    My Medical director wanted/authorized Rh pos to all during massive transfusion protocols. That made a huge difference in conserving Rh neg and especially Oneg.
  19. Ensis01
    Agree with donellda, with the addition that a “foray into manufacturing” is not to be taken lightly and will be resource heavy in time, training, paperwork, inspections etc. and so may not be justifiable for your facility.
  20. Ensis01
    I just answered this question. My Score PASS  
  21. Ensis01
    I just answered this question. My Score PASS  
  22. Ensis01
    I just answered this question. My Score PASS  
  23. Ensis01
    Nothing special; tape and permanent marker. Works best if draw dry and at room temp.
  24. Ensis01
    Finer the sand the better. Cat sand should be ok as long as not used
  25. Ensis01
    When temp increases to the threshold set point (usually 0.5’C off limit), everything gets moved to a different freezer or shipping containers with dry ice. If you get dry ice from your blood supplier your set point may need to be lower to give a transport buffer. If using containers the temp is monitored every four hours. In other words everything is moved before it goes out of temp so nothing is thrown out.
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