NicolePCanada

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

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

Not only is it possible, but your supervisor has done exactly the right thing.  They other techniques are a complete waste of time and money that tell you precisely nothing of any worth.

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

Having had the opportunity to have worked with all 3 of the aforementioned machines, I'd say beyond any doubt that Biorad is light years ahead of Ortho. You get definitive results with Biorad, not the untold and innumerable false positives using Ortho reagents and products. I don't remember having any major downtime issues with Biorad apart from the expected wear and tear of a robust machine running 24/7 - 365.
The turnaround time using Biorad was much better.
Maintenance schedule is a breeze.
 

Have you thought of hiding his glasses?

@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. 

We do the same as Nikki.  If an eluate is needed, an acid elution is done.  No LUI freeze on the menu.
sandra

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

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. 

Very nice reference.  Nice to see a concise, clear - recent - rework of irradiation recommendations.  Thanks.

I have even gone so far as to tell the nurse taking care of the patient that when they learned the patient's name and not the room number to give me a call back and we will discuss the patient at that time.
 

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

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

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!

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

I just saw this seminar being offered by Bio-Rad with our own, infamous, Malcolm Needs as the presenter. I registered and thought I'd pass the word to all of us here. Here is the link:https://info.bio-rad.com/ww-IHD-transfusion-w-registration-lp2.html?elq_mid=48765&elq_cid=10201434&elqCampaignId=30837&utm_campaign=30837&utm_source=eloquaEmail&utm_medium=email&utm_content=Email 13ER EM-R-CM-385201-FY21-TCHS-AWEN_BR-JRNL-TRF News 19 Nov&elqTrackId=6ecbbea5f2bb46849981687404578a8e&elq=7c5f74470efa434dbd4351e512f7ae7a&elqaid=48765&elqat=1&elqCampaignId=30837

I would just replace the battery and not tell anyone.   
 

It sounds to me that your lab director is the kind of person who would want to measure the amount of oxygen and carbon dioxide in the air each time someone breathes, AND perform a Change Control at the same time.

I would pull the unit from inventory and contact the supplier. They should have the resources to investigate the problem with the donor.

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.

See my comment of September 16th 2012, and the comments of Peter Issett I quoted.

If we only do D typing on babies from D negative mothers and a weak D or Du test needs to be performed, the results of the weak D is only valid if the DAT is negative, so a DAT would need to be performed. Therefore, an ABO and DAT would be a good place to start. Just my thought.