NicolePCanada

Ortho wants their money, get those machines delivered. I need a plan. Can anybody help me? Who knows if IT can make it communicate with Cerner. Help please.

My favourite John Judd quote from a University of Michigan Symposium I heard him at. "Phenotypically matched RBC units for a corpse is not a medical breakthrough." If the patient needs blood get them blood, worry about the rest later. RIP John Judd

Does anyone have a good procedure for exchange transfusions? Ours is ok but does not take into account hematocrit and potassium levels. How do I test this after I have manufactured the product? Thanks.

I don't disagree Cliff. In Canada, it is a little different and it totally comes down to initial cost.

Thank you all for your responses. We will be sticking with the Gel Methodology. Nothing in my being wants to switch to solid phase. Just waiting for RFP, because at the end of the day, it doesn't really matter which one I want, but which one is the cheapest.

Sending out a question to all my blood bank peeps. Who has what? Likes, Dislikes? We currently have a Provue. A very reliable machine for 13 years, with outstanding service. It is almost time to replace. I need your expertise and opinions on what you use. Thanks in advance.

I meant a Canadian thing to not do it.

@AuntiS Must be a Canadian thing.

We stopped doing LUI freeze eluates a very long time ago. If Mom has no clinically significant antibodies and there is an ABO incompatibility between Mom and infant, it is pretty clear the cause of the Positive DAT on the baby. There will be no difference in the treatment of the baby if we did the LUI freeze. Our report goes out as Possible ABO incompatibility, no further testing indicated. Regardless, in Canada we don't bill anything, it is covered by our healthcare benefits. My point is that other than a way to bill the patient, it isn't a clinically significant test.

Our DTT procedure is send it to a reference lab. I can't help out with this one. Sorry.

Hello cthherbal, We are about to Go Live with Cerner Millenium. So for the reports, to me, look like **** for what I need to report out monthly to Canadian Blood services. What reports are you running to manually extract this data? Thanks, Nikki

This doesn't necessarily speak to your topic of how to get them to order irradiated properly or how to make sure the techs notice it, but I attached the link to the National Advisory Committee Guidelines for when Irradiated blood is required. This is Canadian, but interesting information, none the less. https://www.nacblood.ca/resources/guidelines/downloads/Recommendations_Irradiated_Blood_Components.pdf

I'm signed up and I can't wait. We are implementing electronic issue in April of 2021. Malcolm you rock!

Since we opened this topic back up........I was simply going to stop using LISS rather than validating a new type. We never use it anyway. If we can't solve it we send it to Canadian Blood Services. Is there a good reason why we should keep it? Malcolm?

Malcolm Needs, You do not disappoint. As soon as I saw this post re-emerge, I was just going to log in and answer for you. I tell so many people there is no place in the Blood Bank for a microscope. I love Issit's comment that "it causes more problems than it solves". Thanks for your sharing of knowledge.