calynn
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Everything posted by calynn
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We use gel for both Types and Screens (several thousand tests/month) and I have never noticed any difference, nor have I had comments/complaints from my other techs. When the Tecan is doing the pipetting, there are not always 'air gaps' and this seems to make no difference as to the outcome.
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Reagent pricing increases-Immucor and Ortho
calynn replied to conwaysbb's topic in Transfusion Services
And to add insult to injury, try ordering extra red cell reagents out of cycle. Too bad if you have an extra busy month (more platelet crossmatches than usual, temporary increase in type and screens). Neither company is necessarily able to send you any in the middle of the manufacturing cycle. Too bad for patient care! -
To add to ChrisH comment. We purchased a Jewett freezer 2 and one half years ago and had their service people in regularly for months after (no easy task to get hold of them, either). It still does not work well--fans ice up regularly and several of the drawers have broken on their tracks. Quite frankly, I would never buy anything from Jewett again.
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We will give random A units to patients with Anti-A1, but we crossmatch them first-- through the IgG phase. If the crossmatch is compatible, we give the unit. If not we will give O. We've had no problems doing this, and I can only think of one patient who was incompatible with random A units. He did fine with O's.
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Perhaps the larger question is "Why did CAP come up with this?" It stands to reason in my mind that if you're using a more sensitive test, you will get stronger reactions--and this is what you should be looking for. And, no, we couldn't get consistent results, either, with diluted Ortho QC antisera, so we've given up for the time being and just do the QC with the undiluted antisera. At least WE know the cells are ok.