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Posts posted by David Saikin
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Is gel really worth all this? Is the increased sensitivity so important? Are people switching to gel because of Ortho "scare" tactics? If it is so good, why are some of these comments so lengthy? I know some institutions in my area are concerned because they find "something" in gel, but cannot get it identified . . . are these clinically significant? These are purely rhetorical questions from a non-believer. Don't give me the line that you can look at the work of your off-shift staff.
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Yes . . . and you can do a cryopoor plasma too. First you are going to make your packed cell, with a "soft" spin - (you'll have to figure out the best speed and time for all products). Express the platelet rich plasma into the platelet bag and sever the pc from the quads. "Hard" spin the platelets and express the plasma into one of the quads (remember to leave enough residual plasma on the plt conc) and sever the plt conc bag. You may now freeze and then thaw the plasma to make cryo and a cryopoor plasma product. The Technical Manual should be able to provide more succinct directions.
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If the tube is FDA approved for blood bank use, why do extra validation? If you have validated EDTA tubes previously, my feelings are make the switch. It will be difficult to validate all your circumstances, notably +DATs. So, will you not use them for that or what, if you haven't validated that aspect of testing? Valdiation is for something that is totally new, not variations on a theme.
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I concur with everyone that this situation was handled appropriately. Wherever I worked and used a BBID# the policy was - no number, uncrossmatched O's . . . no exceptions. One question I would like to see addressed is "What was the patient ID doing under the bed?" The biggest problem with BB ID bands (and even hospital ID bands) is that they get cut off.
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Changing blood infusion tubing/filters
in Transfusion Services
Our protocol allows the tubing to be used for up to 4 hrs.