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EAB81

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EAB81 last won the day on September 13 2017

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    Female
  • Occupation
    Blood Bank Technical Specialist

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  1. Well, the issue came about from our Quality Department. They wanted to know that our supplier was shipping products at the appropriate temperature and wanted documented proof. So, our pathologist wanted me to update and cite the standard in the policy <insert confused shrug>. Our current policy just states that RBCS should be shipped at a temp between 1 and 10, and there's no need to verify temperature unless a temperature issue is suspected. I contacted the supplier for their verification of coolers, and they told me that their method was to have the courier delivering products have a blood bank tech verify a temp. They would document that on a 3-ply sheet for which we would get a copy. Well, we did that when we were an exchange hospital, but we haven't been an exchange hospital in a few years. None of the techs can recall being asked to verify temps. So, I'm not exactly sure where to go from here.
  2. I'm updating policies, and I'm trying to find exactly what AABB or CAP states about taking temperatures upon receipt of blood from the blood supplier. I need to know if the agencies state that the temp has to be taken each time or exactly how often with coolers being validated by the blood center. Can anyone help?
  3. Our blood supplier does all of the bacterial testing for platelets. We're a relatively medium-sized hospital, and we only order platelets when the physician is going to give to a patient. So, they don't typically stay in our possession longer than 24 hrs. We don't order to keep on hold.
  4. So, a vendor showed up this week talking about the "new FDA Guidance for platelet bacterial testing." All the info I've found thus far doesn't state that there would be mandatory testing for platelets. Does anyone have any other information regarding this that they would be willing to share? TIA
  5. We do a positive and negative control for our IgG cards daily. Of course, that's with a 37C incubation. So, what's the best way to do QC in the gel without the 37 incubation?
  6. Our cards are IgG. I was thinking what we're doing would work, but wanted to get other opinions. Thanks, David!
  7. We are implementing a procedure to perform our cord blood DATs in gel. The procedure itself is simple, but what the best way to do QC? We are currently using the Ortho-Clinical Confidence to perform QC. Will those procedures cover the gel DAT or will we have to do something separate? TIA
  8. I would love to say that there is a fix for this, but there is not. So, in general, if a patient's armbanded has to be cut off, the blood bank tech will go up and cut it off. We, then, would use a band extender to relocate the band.
  9. We will do it for every new order. Our form has a place to put unit stickers on them. So, essentially, the physician signs for however many units we put a sticker for. Any more after the initial units, we require a new form. This also kinda serves as a reminder to physicians that their patient has special blood bank circumstances.
  10. I was thinking the same thing. Our local supplier frequently is low on O Negs, and we keep 4-6 units of O Neg. We have a policy for transfusing O Pos units to patients in times of shortage following what slsmith just stated. Good idea.
  11. That follows our policy then. Thanks a bunch!
  12. So, when releasing units for emergency release, we have always followed the policy that you give O Neg until an armbanded sample can be collected and typed regardless if the patient has history or not. I have 2 questions: 1: Is there an AABB or CAP standard to support this? If so, I cannot find it. 2: If the patient doesn’t have a historical ABORh, and the type is completed on the armbanded sample, can we give type specific even if the 2nd confirmatory type hasn’t been collected yet? I’m trying to update our emergency release policy, and I need some clarity. Thanks, friends!
  13. I am going back through the AABB/CAP checklist, and I have a couple of questions. Do you find that inspectors tend to look at certain things moreso than others? If so, what are they? Regarding TRM.32250 Record Retention (Revised 8/22/18), under QC records it lists "irradiation dose delivery." Now, we do not irradiate units here. We get them from our local blood supplier, and they send sheets with the invoices that has this information on it. Am I suppose to keep these if the blood supplier keeps this information and can send it to me, if needed? It does not appear that we have kept these in previous years, but this is my first inspection solo, and mama wants to nail it. If anyone has any words of wisdom, advice, or good jokes-- I'm all ears! Thanks!
  14. Hi Friends, Quarterly, I go up and watch a nurse start a unit of blood and document that each criteria is met, a self-assessment if you will. I know that this satisfies a standard with AABB or CAP, but I cant seem to figure out which one. I've gone back through my checklist, but maybe I'm over-looking it. Can anyone help a sister out? Thanks in advance!
  15. When reviewing transfusions (documentation, etc), how many is required by AABB, CAP? Do you just review a percentage a month or so many a year? I ask because I took over blood bank late 2016. All of 2017 I reviewed every backcopy for completion. This year I'm kinda starting new, and its inspection year. Can anyone help? Thanks in advance!
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