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    Lead tech MLT transfusion medicine

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  1. Does anybody know if there is documentation or requirements anywhere indicating the length of time a sample is good for on an Rh Negative pregnant woman who requires her 28 week RHIG injection? We have always said the injection must be within 14 days, but as with many other things, I'm not sure if there is a scientific reason for this or if it is one of those "That's the way it's always been things" Thanks for your time
  2. NicolePCanada

    Gold Medal.

    I'm very glad you shared this wonderful news with us. We may have never met but you have helped countless people including me in my short time as a member of this forum. I am very excited for you and hope to one day be able to meet you in person. Congratulations! Please don't ever leave this forum, it wouldn't be the same without you. Nikki
  3. NicolePCanada

    ABO Retype

     This is the Canadian Standard: A little vague....... To provide ABO- group-compatible red blood cells, there shall be at least two determinations of the recipient’s blood group on record: one from a current sample and the second from the recipient’s previous records;   testing of a separate sample collection; or retesting of the same sample where positive patient identification technology was used at the time of sample collection. Note: Positive patient identification technology refers to a computerized system that uses a barcode, radio- frequency identification (RFID), or another electronically readable element on a patient’s identification band to confirm identity.
  4. NicolePCanada

    IgG vs AHG

    Poly Specific AHG is less expensive.
  5. NicolePCanada

    ISBT in Toronto

    I eat cookies as much as possible AuntiS. Wish I could have been at ISBT.
  6. NicolePCanada

    ISBT in Toronto

    And if you were going to be there Malcolm, I would have changed my plans around and driven 4 hrs to Toronto, just for the opportunity to shake your hand and the ability to say, "I met Malcolm Needs"
  7. NicolePCanada

    transfusion reaction post draw

    Always the BIG question. Was it drawn properly? I think you answered your own question there.
  8. NicolePCanada

    FDA 30 minute rule

    To further confuse the issue the National Advisory Committee in Canada has now said that as long as the unit of blood is returned within 60 minutes, temperature doesn't matter. This is from the Canadian Society of Transfusion Medicine Standards 5.8.7 Return of Blood Components and Blood Products Blood components may be returned to the TS inventory if the following conditions have been met and documented: a. visual inspection of the blood component is acceptable b. the bag is intact, including ports c. at least one sealed segment of integral donor tubing is attached on red cell components. Alternately, an identified segment must be available to the transfusing site. d. the temperature of the blood component is acceptable or the blood component has not been out of the controlled environment for more than 60 minutes from the time of issue (per occurrence, not cumulative).10.10.2/10.10.5/11.4.7 We find this standard rather vague. What is the acceptable temperature and what would standards for our Quality Audit (like your AABB audits) consider a controlled environment? From what I have learned this was a very rigorous testing process at extreme high and extreme low temperatures and there was never any bacterial issues if the unit was returned to the refrigerator within 60 minutes regardless of the temperature of the unit upon 'return'.
  9. NicolePCanada

    Crossmatch Billing

    I'm so glad I live in Canada. We don't bill for anything, we just do it.
  10. NicolePCanada

    Cold Agglutinin Panels

    Thank you Malcolm. I knew you would come through on this one. I am going to find that book straightaway.
  11. NicolePCanada

    Cold Agglutinin Panels

    I have to ask because we are getting pushback from our Pathologist about the clinical relevance of this very outdated test. Does anyone still perform Cold Panels to identify and determine the difference between Anti-H, -IH, -I, or do you just call it a cold antibody, warm the plasma and call it a day? Does anyone know anything about a hemolytic cold antibody? Thanks in advance.
  12. NicolePCanada

    TRM.42750 Storage Unit Alarms

    We have a helmer freezer and the suggestions in the manual for maintenance is to test high and low temperature alarms quarterly. Our low limit is -35 Celsius and our high is -20 Celsius. The alarm limits can be set at the facility.
  13. NicolePCanada

    Flow Cytometry for FMH determination

    We do a rosette test that screens for Fetal Maternal Hemorrhage and if that is positive send it for a Kleihauer. That cuts down on the amount of Kleihauers you would do. The test takes 15 minutes to perform, you just have to draw a new sample from the Rh Negative mother one hour post delivery of all products of conception.
  14. We do the screen and the panel right away if there is enough eluate to go around, however our policy also states that if the DAT results have not changed from previous time and no new antibodies have formed, an eluate does not need to be performed. We have a lot of cancer patients on weird meds that mess with the DAT so it would be a supreme waste of reagent to do it over and over to achieve the same "All cells reacting, no specificity" results.
  15. NicolePCanada

    An Enigma (for me)

    Sorry I see you did the Room temp screen and it was negative. Forget my previous comment.

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