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Our policy states that FULL crossmatches (through the IAT phase) are needed when a patient has an unexpected antibody, a history of an unexpected antibody or a positive DAT. Can someone talk me through or point me in the right direction (which Standard) to why a full crossmatch is needed when a patient has a Negative antibody screen but a Positive DAT ( most likely due to either a warm auto or drug induced -- patient has never been transfused.)
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I wonder why they would publish this list then, if it only refers to the requesting party and is not an updated procedural thing? To show all of us what could be??
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don't know about a consensus or about all factors but each unit of plasma contains around/about: >= 80 IU Factor VIII > 150 mg Fibrinogen Normal levels of vWF and XIII
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We have been following AABB in regards to the 24 hour out-date for Thawed FFP WITHOUT a variance -- glad to see the FDA has finally followed suit. That list of published variances is a list of APPROVED Exceptions and alternative procedures that have been in place since April 28th so NOW NO variances will need to be granted. We place a THAWED FFP label on top of the FROZEN label (no matter which product it is) which states the storage temperature and we change the expiration date and time. After the 24 hours, the product would be labeled as THAWED PLASMA for up to 5 days, but we do not offer this and would throw out any Thawed FFP after the 24hours has elapsed. We have never removed the name and license number of a facility from a product. Also all this will change so how once ISBT128 goes into effect.
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Direct Coombs Profile by Gel
Seveets replied to johna's topic in Immunohematology Reference Laboratories
We use the cards for IgG and tube testing for complement -
We always do an eluate.
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We have a Type and Band; whenever FFP is needed. Our Oncologist specialist was upset about type and band order for his patients that require a lot of platelets, so for that product a Band gets order (but the phlebotomist must first check with the blood bank to confirm that we have a known blood type) -- this works ok, except when red cells get added on and we run around trying to find a non-existent speciment tube.
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Our "Trauma Pak" is a bag with pre-registered identification, stamped "Trauma labs" order form, all tubes needed, and blood bank bracelet. Nurse/phlebotomist opens the bag and there's all the stuff needed. "STAT Trauma" is our overhead page that the trauma might be bloody and we rush a box of 5 O Pos to them.
