David Saikin

If you store blood in the coolers when they get to their destination,they cannot be considered transport (if blood stays in them wherever you send them and no matter what your consideration is). This per the FDA. If you are CAP and/or AABB your assessor/inspector should remind you of this.

as a former AABB assessor and CAP team leader I would say there is nothing to cite with a mixed match reagent refrigerator in principle.

I agree with John. I cannot think of a reason why not (except it goes against the grain for blood bankers).

What are you going to use in lieu of a cooler? I think if you are using a transport box the FDA would still consider int storage if it is just hanging around in the OR or wherever.

I am getting ready to install an ECHO Lumina. Just had our initial set up meeting yesterday. Switching from gel to solid phase. Looking forward to a bit more standardization in this department. We use DI but the ECHO also comes with its own middleware (or so I believe).

We use BloodLocs.

You can only put interpretations in as Beaker has no "control' functions/truth tables that have been submitted and approved by the FDA. Make certain you validate the time it takes for Beaker to update the BBIS information. I went live w Beaker and another vendors BBIS (as a temp manager). It took over 30 minutes for the interface to interact. I was not privy to that validation, though I was told it was done, I was kept from being able to verify that.

right next to your post is an ad for digitrax temp-check. I do not accept returns after 15 minutes. My study shows rbcs achieve >10C after that amount of time.

Yes

fortunately/unfortunately this scenariooccurred where I was working. Patient w acute gi bleed at a hospital not close to us. Transfused 20 group B plasmas and 16 group B rbcs. Patient under control and transferred to our hospital. On day 2 we gave him 2 B plasmas. On day 4 we had a request for 2 rbcs. Patient still typed as B+ with a lot of unagglutinated cells in the front type. Those cells typed as O=. The patient's bili went from 2 to 31 in the next 16 hrs and they expired. Turns out the patient was a known O=. ER doc drew bloods and put in pocket; labelled later (obviously misla

Decades ago I worked w a tech who worked w Peter at NYBC. I had always looked under the scope (as that was how I was trained). I'd ask her to look at 2 or 3 or 4 cells stuck together microscopically. Her comment was always, "If you want to call that positive go ahead, but I'd call it negative." High anxiety to give up the scope but I did.

only a reading lamp.

i've used it for ABHHDN for decades.

Sounds reasonable to me. As long as you have defined what the acceptable comparisons are I would say you are fine.

We all have these transfusion event stories. Rec'd a phone call in the middle of the night years ago. 3 out of 4 units were transfused to the incorrect patient. Fortunately both pts were O Pos. We used Typenex numbers. BB tech switched the 2 patients; could only be resolved at the bedside. 2u transfused in dialysis. When asked about the "red" numbers I was told that they no longer checked them as they always matched. I informed them that they gave 2u the day before to the incorrect patient.