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MaryPDX

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MaryPDX last won the day on January 31 2018

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    Oregon
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    Medical Technologist

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  1. We have been using WB for traumas for a few months. Ours are low titer (from ARC) and we have set up our system to allow WB to be given to any type. Also, we are allowed to give type specific red cells afterward. We can give any amount necessary while they are in Trauma/Massive Transfusion Protocol status. We limit this to adults only. Males and Females 45 and > get O+ Females <45 get O= (they can be given Rh Pos with Pathologist approval) These WB products are collected using a system from Terumo (allows leukoreduction, but spares platelets). When the product has
  2. The units we will be getting are leukocyte reduced.
  3. Correct. We start the first week of July 10 O+ and 10 O=
  4. I just answered this question. My Score PASS  
  5. We've been doing it for over 15 years (from the time we had Ortho's gel cards). Whatever validation was recorded, it's from eons ago and I wasn't involved with that one. I would imagine it was similar to the validation done with the DAT method in gel cards (from my other post in that section)
  6. Yes it correlated very well. As far as the Grifols DC card (DAT card), I've heard early 2018, but I haven't seen anything yet from FDA that it's licensed.
  7. Yes. We have 2 Erytras, so T&S, ABID, xm (AHG ones, not IS), unit retypes...
  8. We use Immucor cells in Grifols gel cards and they work fine. (we use them for additional rule outs when necessary, not the first line of the ABID.)
  9. Did a total of 20 tests (combination of QC and patients). Ran the C3 test manually (tube method, which was our standard SOP), and in the buffer gel cards. Results of testing using both methods were recorded on paper for the Pathologist, Manager and our Technical Coordinator to view. They all had to sign off on the new method before the procedure was updated. Procedure of buffer gel card method: 1. Bring your reagents, QC and patients to room temperature. 2. Make a 0.8% red cell suspension (of QC and patients.) 3. For QC, you will need a POS, NEG and a control well
  10. We bill for all crossmatches performed.
  11. Here they order EMERRGENCY blood in EPIC, which prompts the pager to go off. If they order a massive transfusion, the LIFT team also get activated (dedicated people that will run the products from here to where patient is located. Floors still call us to give us a heads up that they are placing the order.
  12. Our facility hasn't started CD47 yet, but anticipate that may happen in 2018. I've been dredging through the internet to find anything, which is how I found the NY blood center pdf. Besides the use of Immucors Gamma-clone IgG antisera (for antibody screens), I haven't seen anything mentioned on how to avoid it. I was thinking along the line of using Platelets (which have cd47 on them) to remove the antibody, but have seen nothing regarding if anyone has tried this. The search continues....
  13. http://nybloodcenter.org/media/filer_public/2017/10/04/2017aabbpostervelliquetteserological_observationsfinalcp246.pdf Apparently, weakly pos to negative DATs are common. Because the antibody covers cd47, the body sees the lack of cd47 and targets the cell for destruction.
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