MaryPDX

The only way I'm aware of is DTT treating the screening cells used.

This is correct. Verax is not licensed for PAS platelets.

Our Zebra printers go through Hematrax print server (from Digi-Trax). We didn't have to do anything to adjust the size (it does that automatically). At least that's how I remember it. It's been awhile. Next time I'm at work, I'll try and print out the configuration label. Hopefully it will help.

We use the rad source x-ray irradiator as well. Allows you to irradiate 6 products at the same time. It takes 280 seconds to irradiate. Even though you have to periodically replace the cathode ray tube, that 280 seconds never changes (unlike cesium based irradiators).

We use electronic xm.

RC-Aid is another program. http://www.rcaid.net/

Yes

We do the same, plus thalesemia and Dara patients.

We don't get the false positives with Grifols like we did with Ortho. IMHO

Level 1 trauma center with large surgical, heme/onc and BMT programs. 20 min from supplier, 20 plts for stock (average)

For red cells, we switch to ABO specific once we've processed a T&S (and a confirmation type on a second sample when not type O). We do that as long as we can (don't want to waste O cells on a non O if I don't have to). If the patient is Rh neg, and we had been using Rh pos during the massive, we don't switch back to Rh neg until the massive situation is over.

We switched to 2 cell screens when we went to gel about 15 or so years ago.

Same here.

In Epic, there are 2 orders that need to be placed for inpatients, a prepare order and a transfuse order. The prepare order tells us what they want and how much. The transfuse order tells us they want us to send the product (and it allows them to scan the product they're giving into Epic). Both orders (as well as all test orders) print out on a network printer in the blood bank. We have a pneumatic tube system, so the products get tubed to the proper location. For orders that need to be sent in a box of ice, we use our hospitals transporters.

We do. We also have Erytra and wadiana. Our cord blood samples are collected in either purple or pink edta tubes. All specimens get spun when received. If a cord sample needs to have testing performed, any clots are removed with applicator sticks and respun prior to testing.

We use Epic and it updates when blood products are ready. It shows the kind of product, unit number and status (available for issue, issued, returned to stock, or transfused). The floor is required to look this up themselves. We only contact the floors during system downtimes or if a location does not have epic access.

Grifols wadiana and Erytra use windows 7.

Wonder what will be required for PAS platelets? Verax can't be used on PAS platelets, so we avoid getting those when possible.

We didn't. We now have 2 Erytras. Had the first for about 1 1/2 years, the second we just got.

Our facility was involved in the that study. As a result, in a massive the first box issued is 4RC and 4FFP (which we always have ready to go) thereafter it's 6RC 6FFP and 1u Platelets. We keep ahead with this until the massive is called off.

Grifols TAS people were onsite to go through their validation of our Erytras. This is simply just making sure that the instrument is functioning properly (hardware and software). They had a book with the scripts they follow while our technical coordinator did the actual button pushing. As far as training goes, 2 of our people went to Grifols for training. They were responsible for completing the correlation studies and training the rest of the techs Correlation takes longer and may involve your medical director (or the primary person responsible at your facility that makes the decision as to how many specimens need to be run make a test method valid.

Correct. This is our protocol. Females <45, or whose age can't be determined (or if the sex is unknown) start with O neg red cells.

From Grifols LinkedIn site:

I know it's happened, but the number doesn't seem to be very high. (I'm going strictly on memory and not actual numbers). The problem with that is, most of these type of people tend to be traumas, not the chronically transfused people you see often. Once they've been discharged, we may not see them again or it may be years later. It may sound crass, but for it to be a problem, they need to survive the event which is causing them to bleed to death. Developing an antibody (ANY antibody) is the least of their problems.

The blood type should appear mixed field if an Rh neg person receives Rh pos blood (the opposite is also true). If we've never typed the patient before, we consider them Rh neg until the type can be verified (contacting hospitals where the patients been recently, etc). Our facility has used O Pos red cells for males and females >45 years of age for as long as I can remember. Our department doesn't issue patient cards, at least not that I've ever seen.