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Seveets

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Everything posted by Seveets

  1. 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
  2. Seveets

    HLA match Fee

    Seveets replied to wcarter's topic in Billing

    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
  3. Seveets
    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
  4. Seveets
    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.
  5. Seveets
    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.
  6. Seveets
    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
  7. Seveets
    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.
  8. Seveets
    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.
  9. Seveets
    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
  10. Seveets
    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
  11. Seveets
    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/
  12. Seveets
    Ran into this: http://antibodycheck.com/index.html
  13. Seveets
    Thank you AMcCord your steps are exactly what our new procedures are.
  14. Seveets
    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??
  15. Seveets
    I love the shoe box with index cards.
  16. Seveets
    What are people's next step when Gel manual panels don't point you to an antibody? Send out, tube testing, something else? We had mysterious results in both Panel A and B. We were able to rule out all major antibodies. The techs then went on to perform tube testing which were completely negative. A fully compatible unit was transfused. I had my suspicions and repeated with a newer sample and found anti-Jka. I don't feel comfortable that we went from a sensitive method (gel) to a less sensitive tube test method with no real reasoning other than to try and get rid of the positive results. What are other people doing after strange gel results?
  17. Seveets
    As a follow-up, I believe the sample was not made up to the right pH There are some at my facility who only add buffering until the first sign of a blue color or what they see as a permanent blue -- looks more yellow to me. It happen again with what I call a yellowish eluate. The tech perform the survey and called 4+ results but to me they were of a strange mixed field variety. I saw the color and added about two to three more drops to get to a beautiful light blue color. Retested and all but 3 of the positive results went away. Result was an anti-K
  18. Seveets
    I have searched for any regs dealing with someone coming to the lab and doing a hand-off. I can only find regs/standards about double id ing the patient and two people actually hanging the blood. Can not find anything to help back me up about nursing staff coming to pick up their own blood.
  19. Seveets
    Yes, we use Medtech to issue the blood. It does the usual: date,time,checks ABO compatibility,looks to make sure a type and ABS are done, shows us patient's history, we tell it the units are ok, who is transporting it, etc. We do not have a pneumatic tube system. For the most part, the one blood banker must leave the lab and deliver the blood him/herself. Our problem is the double checking routine. We seem to be glazing over when doing it. I feel like our crossmatch tags have too much information on it but since it is being used as part of the medical record Standards tell us that that info must be there. Specifically my question is what kind of check off list are people using to document that two people reviewed all information. Is it something in the computer, one sheet of checks per unit, a signout log, etc.?
  20. Seveets
    Hi, I'm wondering if people could share their procedures/policies about issuing blood products. We are a small 125 bed hospital with a very powerful nursing staff (if they don't want to do something - they don't do it) so having a hand off with them is out of the question. We have a loose procedure of double checking the computer work, the unit and the transfusion tag with a co-worker (who may or may not be a blood banker). Do people out there (in the lab) double check every thing including expiration dates? I would like to streamline and eliminate some things so that we can concentrate on the most important ones. How is it done where you are?
  21. Seveets
    http://www.unitedbloodservices.org/HH/isbt-product-labeling http://www.unitedbloodservices.org/regulatory-requirements.asp#bsicenters
  22. Seveets
    For American Red Cross facilitites go here: http://www.newenglandblood.org/professional/isbt.htm the last file is what you are looking for
  23. Seveets
    Anyone hear anything new about the variance requirement for ISBT or for keeping THAWED FFP for 24 hours?
  24. Seveets
    I heard they were cleared but you must set up an appointment and go over everything with them. If you hear more or decide to go this route Please keep us informed.
  25. Seveets
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