David Saikin

talk to your plasma broker. I don't see why not. We used to save plasma for recovery. We stored it at room temp and frozen (depending on what the broker was looking for at the time.

I don't see why not. Just like transfusing whole blood. Modified WB would be the same thing just premixed into the same bag.

I wouldn't bother with an ab screen, you already know it is positive. I'd just run selected panel cells to rule out any new abs.

Good for you. Congrats

I would check out the blood safe system from Mediware. We put in for capital purchase for these for the OR and ER. Perform exm and emergent release. Nursing needs to be trained (by Mediware). Expensive but well worth it. I cannot answer any questions since I left that position prior to release of capital budgets.

I've always calibrated my pipets using gravimetric method (water weight). Never had a problem with inspections - even FDA. Not very time consuming and very inexpensive.

For you folks who use a second specimen - if you are unable to obtain one (and I am assuming from a separate phlebotomy event), are you only distributing group O red cells? Seems this would be the case for the majority of traumas (esp after you've transfused 8-20+ rbcs)? Just seems like a waste of valuable group Os. Where I come from it is hard enough getting O+ let alone O=. I have run across situations where they ask you to type the blood on the floor in the ED . . .

I have an incompatible form. It states the nature of the incompatibility and documents the incompatibility and also that the Medical Director or designee has discussed the case with the attending. It is based on my uncrossmatched form's format. Don't have access to it right here and now but should be easy to make one up. Run it by your risk management folks after your Medical Director approves.

WE found bloodloc to be an acceptable alternative to typenex. I have seen typenex fail. BloodLoc requires a code attached to the pt sample. The only place the code exists is on a separate bracelet attached at admission. The blood is released with a combination lock. The combination is the code. IF the lock doesn't open either the xm is not on the correct patient sample or the tech entered the code incorrectly. This is considered a barrier protection device. Only requires one type. Never had a problem. Nursing has to buy into it and not cut open the bag if the lock doesn't open.

My opinion: Why are we recording vital signs? The person recording them has to be able to interpret them in regards to the transfusion taking place. They must be trained to recognize changes that are indicative of a reaction regardless if they are an RN or not.

have always used 4 hrs from release from Blood Bank. It seems that is the consensus. In lieu of a succinctly defined criteria I think you have to go with the standard of care in your area.

It seems more prudent to purchase already prepared. Not overly expensive. Unless of course you are doing a tremendous volume.

I've had up to 12 John/Jane Does in the ER at one time. We require patient identifiers. We updated our MTP protocol to release 2 group O's; while these are delivered we get our MTP package together and it allows the p/u person to return with the patient ids.

My feeling on this matter is: would you reconstitute with thawed plasma rather than thawed FFP? I think that if you are using FFP that 24 hrs should be the exp date. I've never heard that anyone has used thawed plasma, so . . .

So how do you know if the antibody you are detecting is antenatal RhIg or active sensitization? Just because it reacts weakly doesn't seem to me to be a valid criteria. We do not do absc to release RhIg post partum.