[Hello from IA]

Welcome Froggymork!

[Recommended minimum standards for hospital transfusion laboratories.]

Try this url:

http://www3.interscience.wiley.com/search/allsearch?mode=viewselected&product=journal&ID=122573960&view_selected.x=71&view_selected.y=4&view_selected=view_selected

[Happy Birthday to me]

Happy Birthday, Happy Birthday, Happy Birthday to you! And many more!!!!!

[Retesting of Reference Lab Results]

Having worked in both (Ref. Lab & Transfusion Service), some of the antigen negative red cells provided by the ref lab are based on historical data. Also, we did not return any adsorbed sera to the requesting hospital. The hospital should confirm antigen neg. status (just as with ABO and Rh negative requirements) and if necessary when adsorbed isn't available, transfuse "least incompatible". Document the reference lab results in the patient record.

[FFP Labeling And 24 Hour Outdate]

ANOTHER PLASMA QUESTION: At what time do you all start the expiration? From the time the frozen product goes into the waterbath or when it comes out?

[Second blood type for electronic XM]

We require a second tech to repeat ABO/Rh in tube (our initial testing is in gel). Lacking the availability of a second tech, we IS or IgG XM group O RBCs.

[Hello!]

Welcome to BBtalk! you will find much to learn here and many links to more resources. I'm a 3rd shifter and really enjoy it...most of the time.

[Altering blood or blood products]

Yeah, the "blame game" sort of inspection really makes you want to bend over backward to report these deaths & complications, doesn't it?? The agency needs to take a cue from kids--if you know you're going to get "punished", the natural human tendency is to hide the evidence!

MJ

I find it difficult to comprehend you actually "hide evidence". Ideally, we must document all mistakes and errors...how else do we learn and, thereby improve our services?

[Differentiating room temperature anti-M from AHG using gel]

It is important to remember if identifying anti-M in a patient undergoing open heart surgery to perform thermal amplitude studies to determine at what temperature IgM anti-M reacts. This is due to the patient being "cooled down" for the surgery and prevents problems with performing the surgery. With prior knowledge of the thermal amplitude, the surgeon can either alter his/her approach, or not cool down the patient as much.