[Epic beaker in basket alarm]

Hi fellow Epic users,

 

                                 Does your in basket thing alarm when you get an add on test?

[citrate adjustment neonate coag tubes]

Dear fellow haem/coag scientists,

                                                            Do you guys send citrate adjusted tubes for babies with HCT>0.55 and if so what does your SOP say? anyone from Childrens Hospitals? 

[Worst biochemistry analyzer]

Mine was Dimension RXL. Used to break down 2-3 times a week. The cuvette drum was a worry. And manual probe calibration was bit of a nightmare.

[Worst biochemistry analyzer]

What is the worst biochem machine you guys have used?

[Credy esky protocol]

Hi fellow bloodbankers, do any of you use Credy eskies to pack units for remote emergency situations? if you do can you please share your protocols as to how you pack them? We use the ones shown in the image  

[Blood group discrepancy Ortho vision analyzer]

On 8/1/2018 at 6:00 AM, Ann in CA said:

Hi Enamul, 

This is a known "Limitation" of the Vision Analyzer stated in the Operator's Manual-I've added the statement below.

"When a sample is collected from a recently transfused patient, the potential exists for the transfused red cells to concentrate after centrifugation at the bottom of the sample tube below their autologous cells. The probe aspirates from the bottom of the tube where the transfused cells generally concentrate which may lead to an unexpected result."

We actually have this statement in our SOP as it can be very confusing!

~Ann in CA

 

 

 

On 8/1/2018 at 6:00 AM, Ann in CA said:

Hi Enamul, 

This is a known "Limitation" of the Vision Analyzer stated in the Operator's Manual-I've added the statement below.

"When a sample is collected from a recently transfused patient, the potential exists for the transfused red cells to concentrate after centrifugation at the bottom of the sample tube below their autologous cells. The probe aspirates from the bottom of the tube where the transfused cells generally concentrate which may lead to an unexpected result."

We actually have this statement in our SOP as it can be very confusing!

~Ann in CA

 

 

Dear Ann, how does your lab react when they have a situation like this? Do they do the card manually and report the manual result like I did?

[Blood group discrepancy Ortho vision analyzer]

On 8/1/2018 at 6:00 AM, Ann in CA said:

Hi Enamul, 

This is a known "Limitation" of the Vision Analyzer stated in the Operator's Manual-I've added the statement below.

"When a sample is collected from a recently transfused patient, the potential exists for the transfused red cells to concentrate after centrifugation at the bottom of the sample tube below their autologous cells. The probe aspirates from the bottom of the tube where the transfused cells generally concentrate which may lead to an unexpected result."

We actually have this statement in our SOP as it can be very confusing!

~Ann in CA

 

 

Dear Anne many many thanks for the excellent reply. One of the blood bank gurus in Australia visited our lab and gave us an article regarding this. However, someone was on a cleaning spree and we lost it. I have to give a talk about this in a weeks time but I don't have a good journal or research paper or ortho operations manual or troubleshooting tips to back things up. However, I have great answers from yourself and others to back me up.

[Blood group discrepancy Ortho vision analyzer]

Hey fellow PathlabTalkers,

                                             Enamul here from Australia. We have had situations with our Ortho Vision analyzer that O positive patients with very recent transfusions with Emergency O negative units have appeared as O NEG on the Ortho cards using the Vision analyzer. However, upon repeating the group and reverse using the ortho group cards manually they appeared as O positive. Now our theory is the transfusing O neg red cells are heavier and settle at the bottom after centrifugation and the Vision analyzer probe goes at the bottom to suck up the cells. However, doing it manually the lab tech usually take cells from the top. Do you guys have any article or have you experienced something. If you have please share.

Many thanks,

Enamul.