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David Saikin

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Everything posted by David Saikin

  1. David Saikin
    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)
  2. David Saikin
    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.
  3. David Saikin
    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.
  4. David Saikin
    IPDM?
  5. David Saikin
    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.
  6. David Saikin
    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).
  7. David Saikin
    I agree John. We would informally file the info but never act on it. The only thing I would consider is an antibody ID from one of the teaching hospitals, and even then as a guide, but I would have to respect their id. We also will not accept a specimen not obtained by our organization. We will only accept ambulance specimens if we have a history on the patient. No history, new sample.
  8. David Saikin
    That's what I've been doing also. Thanks for the response.
  9. David Saikin
    A patient who has been treated w anti-CD38 is no longer having that treatment. Antibody screen is now negative. Is it prudent to continue K typing? Thanks in advance.
  10. David Saikin
    No, we did type him as a B and gave him a few B plasmas. However, they wanted blood on the 4th day after admission and that is when we found the unagglutinated cells (which were O Neg).
  11. David Saikin
    You change the alarm setting on your refrigerator to alarm just before 2C (2.2 - or whatever you are comfortable with). It doesn't make a difference if you say your refrig never gets to 1C. Even if you have the charts to prove it. If you cannot be warned of an impending out-of-compliance temp you are not in compliance.
  12. David Saikin
    I've had scenario a few times in the past. Someone will always come and label an unlabeled tube. I tell them it broke in the centrifute.
  13. David Saikin
    Just curious - doesn't your staff have to look at the product they are releasing for transfusion? Did that patient get both of those units or was the 2nd one also given to a O Neg?
  14. David Saikin
    We took our old (>20Yrs) ultra centrifuge out of retirement.
  15. David Saikin
    I've never saved pickup slips more than a day (have not used one in years). Inventory and blood orders to blood center: never saved Shipping documents/transfers: 10 yrs
  16. David Saikin
    years ago my boss got all of us blood bank techs assigned to the same salary scale as the pharmacists (since blood is considered a drug by the FDA). Once again the lab folks were peeved but no one wanted to work in BB. Tertiary care, Very busy.
  17. David Saikin
    What do you need to validate? Is it a manual station? Is it a new test system for you? Or just a new workstation?
  18. David Saikin
    The inspector should not be uncomfortable w the way you are doing it. It is perfectly acceptable to have KB done in Heme and RhIg distributed by Blood Bank. If for some reason you get cited -it is also acceptable to rebut. I would just say that this is the way it is done. There is no standard that says the BB has to perform or read KBs, just that there has to be a mechanism to determine the dose of RhIg. Would the inspector have a problem if you numerated using flow? That's not usually done in BB either. Never be afraid to stand up for your operation. There are inspectors/assessors who should not be performing those tasks. Worse case scenario is that you would have to comply.
  19. David Saikin
    I agree w the consensus. You have to be able to look up patients during a down time event (scheduled or unscheduled). When I had a BBIS we would make backup cards and only update if the original info had changed (+absc, abid,)
  20. David Saikin
    You have to change your refrigerator alarm settings to activate at 2.2C (or whatever you choose). It doesn't matter that your refrigerator never gets too cold; if you are going to store reagents (and RhIg) in a BB refrig, it has to be able to alert you when then temp is out of prescribed range.
  21. David Saikin
    If you store blood in the coolers when they get to their destination,they cannot be considered transport (if blood stays in them wherever you send them and no matter what your consideration is). This per the FDA. If you are CAP and/or AABB your assessor/inspector should remind you of this.
  22. David Saikin
    as a former AABB assessor and CAP team leader I would say there is nothing to cite with a mixed match reagent refrigerator in principle.
  23. David Saikin
    I agree with John. I cannot think of a reason why not (except it goes against the grain for blood bankers).
  24. David Saikin
    What are you going to use in lieu of a cooler? I think if you are using a transport box the FDA would still consider int storage if it is just hanging around in the OR or wherever.
  25. David Saikin
    I am getting ready to install an ECHO Lumina. Just had our initial set up meeting yesterday. Switching from gel to solid phase. Looking forward to a bit more standardization in this department. We use DI but the ECHO also comes with its own middleware (or so I believe).
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