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David Saikin

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Everything posted by David Saikin

  1. When using Immucor Solid Phase I have Rapid ID, Extend I (all Rh+ cells w 5-6 c neg and e neg cells), Extend II (all Rh neg cells w 1 Rh+) 3% panels: Immucor Panocell (10 cells + 1 rare cell). Used to use Ortho 0.8% panel A and Panel B BioRad has 3% and 0.6% panels
  2. We keep cords and placentas for 7 days post-delivery.
  3. I take units and place them in the refrigerator. Being an all paper BB, I fill out the paper forms and then compare w the actual units as the processing continues. I never have more than 6u out of the refrig at a time. My temperature study indicated that Leukoreduced rbcs reach 10C within 15 minutes of being out of the refrig so we make certain that they stay cold.
  4. Years ago the Ortho rep told me if I didn't buy anything he wasn't coming back. (I had requested prices which were never forthcoming). I told him good bye. Ortho called and told me he was their top salesman. I told them not to send him back.
  5. this stems from "the old days" prior to AS rbcs due to the amount of residual plasma in the units. It is a moot point since the additive solution age began as residual plasma is negligble.
  6. i switched from manual tubes to manual gel about 12 years ago. This year I switched from manual gel to automated Capture (ECHO 2.0). email me (dsaikin@lrhcares.org) or message me on this site.
  7. How you bill for it is up to you. I have 2 policies: Investigation and Advanced Workup. I've bundled the testing fees into each. Reimbursement is the purview of higher pay grades than mine.
  8. We use blood locs. Barrier protection. Only need one specimen. Nursing has bought into this so it works well.
  9. I am not aware of that also. Youdo have to validate any updates, upgrades, and after non-scheduled downtimes.
  10. Interestingly, I had an aunt who was a head nurse for quite a number of years in Albany NY. She told me they used to bleed donors into stainless steel bowls and wisk the fibrin out. She said they never had transfusion reactions.
  11. I got to draw a few in glass but never had to xm any that way (therapeutic phlebotomies).
  12. We use started within 15 minutes of release. Our experience is that after 15 minutes, rbc temps are too high to return to inventory. We do the same as far as if Nursing wants to return but will continue the infusion as soon as they fix "whatever",i.e., keep the unit on the floor.
  13. We used to have sign in our BB: The Buck Stops Here. Of course someone altered the posters to "The Buick stops here". My boss was pissed off about that. The concept being that if you have a system of multiple checks and balances you better make sure the first one works. I have seen this concept evidenced too many times in my career. People get complacent.
  14. All the talk about statistics is great but in the real world you never know: I once screened over 30 units for K. All were positive. As I was the night guy, the day folks were laughing until they got the same results. All we could figure is the blood center was screening for K and shunted all the +s to a shelf which we received in bulk. I've also screened for Fya in past. Once i screened 4 units and found 2. The next time I had to screen 16 and the last 2 were negative. As I said, the stats look good but reality is sometimes a bit different.
  15. having been a manual gel user for years I am switching to solid phase in the next few weeks (ECHO 2.0). I like the fact that it's pretty much hands off once on the instrument. I wanted to get away from gel as I've experienced many of the same discrepancies as with tubes. I expect this will have its own vagaries however it is a step up for my staff. Also the price was right for a refurbished unit.
  16. The most I've ever given postpartum is 7. C section delivery with a great deal of placental manipulation.
  17. She also may have made it after delivery (I expect you did no T&S for the delivery admission, as you have not mentioned that you did)
  18. we require at a minimum the person picking up blood has the patient's MR#. Ideally, they will also bring the crossmatch result and can verify the component being released. Only requirement is patient MR# for p/u.
  19. That's why folks use 'fresh' units and also why irradiated blood gets a shorter outdate than the original (unless the current outdate is less than what you would change it to.
  20. I am working on a system in which the MD documents the need for uncrossmatched product in the medical record. It still takes a phone call but i'm trying to get rid of the paper chase which follows.
  21. Tubes without enhancement is what I have always used. I don't care for the CAP method as it is actually a 1:3 serial dilution vs the 1:2 which has classically been used. (maybe it's ok because the "new" method is read microscopically vs macro read for the classic method).
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