Seveets

Hi, We use Immucor Gamma's Fetal Bleed Screening tests and the package insert recommends drawing the sample as soon as possible after one hour of delivery. In our real world we drawn them routinely the next morning

We also have a HLA matching charge using code # P9052. We have this as an additional charge added to the platelet charge (if someone remembers). For irradiation charges we have that built in to the cost of the product. for irradiated PC we use P9040 for irradiated PLTs we use P9037

We will do blood cultures x2 on the patient and culture the blood bag with grams stain if the transfusion reaction includes the patient temperature going up + 3.5 degrees

1. I wonder if you could use the Set/Reset Crossmatch Not Available menu to reattach the unit if it expires. We would not keep units crossmatch on a pre-admit patient but instead would crossmatch that day if needed. 2. Since technically the OE/NUR side did the original ordering (pre-admit testing) would they feel the need to add on to it. I guess if the patient went sour they would. We are a very small hospital and they would probably call us and we would do the add-on. I worry about changing the add-on hours as they would represent a global change that would impact on all patients. You might find yourself canceling and re-ordering (on a new specimen) all kinds of blood bank work.

I have'nt looked into this but under the knowledge base there is an article about what you want it to do. It is number 28135 or if you do a search for Expire AND hours it will be at the top. Lets us know if you figure anything out.

Hi all, Just wanted to get a feel about what your policy is when it comes to donors and tick-borne diseases (Lyme, Ehrlichia, Babesia) A quick google shows that most places defer the donors while sick but after treatment is over gladly take them back. Thank you

If no history we retype the same specimen with a different tech and different reagent (gel and tube). BUT all blood bank patients are identified by two people at the time of draw and both people initial the tube.

Hi, We started doing DAT in gel almost a year ago. We call the gel portion of the test a sensitive "DAT screen". The gel is a combination of the IgG and c3. If negative the test stops there. The positives reflex to both the IgG portion in gel and the C3 test in tube. We result as either positive for the complement portion, positive for the IgG portion, positive for both or negative. The docs are suppose to understand that the screening is more sensitive and a final negative is not out of the question.

Hi there, Any updates for this topic. I just finished the CAP checklist and this is the biggest question I have unanswered. Mabel - did you revise your protocols? Care to share? I'll take anything? Thanks all

Ortho-Clinical already have their antigrams electronically. www.eantigram.com and combined with http://www.rowny.com/AntigenPlusAbID.html all the work is done for you

Our last BB supervisor (she's gone now and we don't have a replacement) decided to get a microwave. It's supposively already bought, but we haven't seen it yet. http://plasmathaw.com/pages/1/index.htm http://www.arkbio.ca/

Ran into this: http://antibodycheck.com/index.html

Thank you AMcCord your steps are exactly what our new procedures are.

UPDATE: The powers that be and shall remain nameless have agreed to try the whole alien idea of having an actual RN leave and come to the lab to pick up blood. I think I have a usable double check form for all the important information BUT what kind of form should the nurse bring down with her? I would imagine it should include the patient's name, medical record number, and perhaps the patient's blood bracelet number and what type of product they want. Does anyone using MEDITECH have this form and how to get it??

I love the shoe box with index cards.