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April 2024 Challenge

David Saikin

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Everything posted by David Saikin

  1. David Saikin
    If I send an abid to my IRL, no matter what I have done, they do an: ABORh, Absc, Rh Phenotype, DAT, and finally ABID. If I order a titer of a specific antibody they do a type, abid, dat, rh pheno (if not on file), and finally the titer. I did lots of abids and other special tests only performing what the other hospitals wanted and nothing extraneous. If i needed a phenotype or DAT or anything else that completing the testing required, it was done.
  2. David Saikin
    Could also be a low incidence or private ag that just happened to be on one of your screening cells. We published a small paper in the mid-1980s on a private ag, which was discovered when the baby had a +DAT but mom's absc was negative.
  3. David Saikin
    Mine states the units are incompatible and gives the reason for the incompatibility.
  4. David Saikin
    If Lab is not performing this why are you responsible? Get a letter from Admin exculping you from responsibility. Though I am not conversant w JCAHO in the lab. All they ever do here is ask about transfusions.
  5. David Saikin
    We used and continue to use: INCOMPATIBLE.
  6. David Saikin
    We always felt that least incompatible is like saying someone is a little pregnant . . .
  7. David Saikin
    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
  8. David Saikin
    We keep cords and placentas for 7 days post-delivery.
  9. David Saikin
    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.
  10. David Saikin
    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.
  11. David Saikin
    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.
  12. David Saikin
    Capture technology?
  13. David Saikin
    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.
  14. David Saikin
    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.
  15. David Saikin
    We use blood locs. Barrier protection. Only need one specimen. Nursing has bought into this so it works well.
  16. David Saikin
    I am not aware of that also. Youdo have to validate any updates, upgrades, and after non-scheduled downtimes.
  17. David Saikin
    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.
  18. David Saikin
    I got to draw a few in glass but never had to xm any that way (therapeutic phlebotomies).
  19. David Saikin
    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.
  20. David Saikin
    That is not unique to north of the border
  21. David Saikin
    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.
  22. David Saikin
    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.
  23. David Saikin
    me too
  24. David Saikin
    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.
  25. David Saikin
    The most I've ever given postpartum is 7. C section delivery with a great deal of placental manipulation.
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