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Posts posted by David Saikin
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I just answered this question.
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My ScoreFAIL
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10 minutes ago, Baby Banker said:
Dr. Jones?
10 minutes ago, Baby Banker said:Dr. Jones?
yes
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4 hours ago, AMcCord said:
I had a CAP inspection years ago with someone who was also an AABB inspector. He made a 'recommendation/suggestion' that we include our facility name/address on antibody panel sheets even though they were not (and are not) scanned to patient EMR's. He had experience with an FDA inspector requiring that and joked that they (FDA inspectors) must have been aware of a HUGE black market of filled out antibody panels available for purchase. I had a stamp made with our facility name/address and we plop that on those forms. It's silly, but we do it. Looks good if we send those worksheets off to a reference lab with a specimen I guess.
9 minutes ago, Baby Banker said:Dr. Jones?
9 minutes ago, Baby Banker said:Dr. Jones?
yes
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i had an AABB inspection years ago. At the summation the inspector said: "I know I'd have to dig to find something in Dave's lab." That should have been a warning. My only deficiency (which was cited by the Area Chair, who determined the deficiencies based on the Inspection report form) was that I did not have my facility ID on my antibody panel sheets. I immediately called my area chair and told him I wanted to inspect his lab (UT@Knoxville), which of course is not allowed. I became an AABB inspector/assessor after that fact.
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I have transfused 400u to 2 patients one night (2 traumatic aneurysms with different etiologies). Another night a patient w an 8000cc bleed in the OR. I had never seen folks get so much blood and survive. All 3 walked out, though one guy was missing 2 limbs.
- BldBnker, jshepherd, Malcolm Needs and 2 others
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On 12/6/2022 at 3:31 PM, RRay said:
If the result is weak, I agree with you.. it is positive. The situation in question is when it is too weak to detect at IS and how we go about resolving it.
If we have a patient w no detectable ABO isoagglutinins our procedure is to perform an ahgxm in addition to the immediate spin. When I was validating gel we had a few patients w no detectable ABO abs: they weren't detectable at ahg either.
- Neil Blumberg and jshepherd
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We have used up to 3 travelers at a time. Every time we get up to staff we suddenly are down 1 or 2. A never ending battle.
I'm as SBB in a small, rural hospital.
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I agree with John.
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Personally, I'm ready to start traveling. Did a short stint a few years ago. I'm getting tired of the regulatory environment. Just be a tech for a few more years and let someone younger deal with the reg folks. I really like Blood Bank work.
- Ensis01, John C. Staley and SbbPerson
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We do not routinely transfuse neonates (have not done one here in 30 or so years). We would give the freshest O= we have; irradiated if we have one. We are 3 hrs from our blood supplier. Chances are the infant will be transfused before we could receive appropriate products.
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Hi All
I know I've seen a post here about an infrared thermometer that you can lay a unit of blood on for a temp if/when returned.
If that info could be provided I'd be most appreciative.
Thanks!
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The only thing I am aware of is the collection of low volume units. 300-404mL WB collections with anticoagulant not adjusted - you can use the rbcs but no other components can be prepared. There are also low volume collections for autologous, where you may adjust the volume of anticoagulant based on the donor's weight. There is no defining statute regarding minimal volumes for transfusables that I am know of.
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When my supplier has a dearth of O Negs, if I get an O Neg patient who looks like they may be a big user, I contact the Medical Director. I also talk w the provider. Depending on my inventory I may ask to immediately switch to Rh+ units. We only stock 6u (overstock hosp); we have to have 2 for females of child bearing potential. A big user can totally deplete all my O's.
- John C. Staley, AMcCord and Ensis01
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Anyone started using CorQc lot28222? I'm getting weaker than usual rxs with A1 cell.
thanks ahead of time.
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CellSaver quality indicators
in Transfusion Services
Posted
IF you are not responsible for the operation the only standard I recall is that your medical director is supposed to be involved in setting up the quality aspect in collaboration with those responsible.