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David Saikin

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David Saikin last won the day on August 24

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About David Saikin

  • Rank
    Seasoned poster
  • Birthday 09/16/1949

Profile Information

  • Gender
    Male
  • Interests
    Playing Jazz (and almost any other music), Sports Officiating, Reading
  • Location
    Northern New Hampshire
  • Occupation
    Blood Bank Specialist, retired. Accepting interim Blood Bank Management/Consulting positions.

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2,844 profile views
  1. David Saikin

    Transfusion documentation

    Nursing would not believe me when I told them that their transfusion documentation was running about 50% complete. Finally, I sent all the deficient paperwork to the Nursing Admin. They got up to about 90% but then fell back into non-compliance. After a change in Nursing Admin, a new Medical Director of the Lab and constant haranguing and meetings we are now consistently at ~95% compliance. We had to give a little also. Instead of vitals q 30 minutes after the 15 min initial vital set, we now do 15 minutes and hourly. Still have a hard time getting them call a reaction workup for increased temps . . . but definitely improving otherwise.
  2. David Saikin

    Temperature Indicator for RBC Units

    If the blood is going to stay in the cooler until transfused - it is storage. (1-6C for storage) If the blood is taken to the room and stored "elsewhere" that is transport. (1-10C: temp while blood is in transport mode) If the blood is not in a cooler and taken to the patient's room - that is transfusion
  3. David Saikin

    Addition of sterile saline when pooling cryo

    We always added some saline when pooling cryo. A moot point nowadays.
  4. David Saikin

    FDA Registration

    Thawed plasma is a new product. If you make it you should be registered.
  5. David Saikin

    Rh Pos or Rh Neg?

    My medical director determined that we would call a 1+ rx (w gel anti-D) Rh Negative. There are folks that call a 3+ rx w gel Rh Negative.
  6. David Saikin

    FDA Registration

    correct
  7. David Saikin

    group O RBCs for non O neonates

    Most rbcs in the USA are leukoreduced and AS rbcs. The residual plasma in these units is very minimal. I cannot remember ever washing rbcs for neonate/preemie transfusion, starting in 1972. (before AS or leukoreduced rbcs)
  8. since your institution considers blood/components "medication" do you get paid what a pharmacist gets paid? If u are using 2 or more lines for transfusion how would u know which product causes a reaction? Rhetorical questions.
  9. The AABB Tech Manual states that only 0.9% saline may be added when transfusing blood or blood components. I do not see a problem running plasma and rbcs together - see my comment above.
  10. David Saikin

    Group O platelets titer

    While I appreciate this sentiment, my reality for apheresed plts is that I only receive group A or O - depending on what is there and pending outdates at the supplier. As a small institution (24 beds) I do not have the capability for washing plts (though I have in the past at larger, tertiary care places). Aside from myself - all the techs are generalists who would rather not do BB if they had a choice ( though for the most part they do excellently). I guess the larger institutions get dibs on the ABO identical plts - not so for us little guys whose usage is random and rare.
  11. David Saikin

    Group O platelets titer

    I know large institutions that use an immediate spin titer of 51 or less. Whether this is a titer or dilution I cannot say. The medical director there told me that it is a titer.
  12. David Saikin

    Electronic vs Immediate Spin Crossmatches

    Immediate spin xm; we try not to draw a 2nd sample. We use BloodLocs (which are considered barrier protection).
  13. years ago all we had was warm saline or ether. We used warm saline on cord bloods with +DATs.
  14. David Saikin

    Refrigerated Centrifuge for component prep

    Have you contacted your vendor? They might be able to provide a starting point.
  15. David Saikin

    Anticoagulants in donor segments.

    We use AS-1 red cells w CPD as the anticoagulant.
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