kate murphy

Well, think about what you're trying to do - validate the Neo technique is as good as/better than current methods. What do you do with antibody ID now? Only run Echo panels? Other than correlations, do you augment Echo results with manual tests? If you get ? Echo results, what's your process? Manual PeG or something else? Those are the things I'd validate on all methods.

Malcolm, it was lovely to meet you and hear you speak! I am now much more informed about the K system! And I loved the Henry VIII talk! Thanks Dr. Pepper for arranging Malcolm's visit. It actually was great to meet so many folks - I've come to respect you all through sharing on this site. A BIG thank you to Cliff!

We result Not Required, unless we actually XM with Mom. Then we result Comp with Maternal Specimen.

I have 2 yrs, 6 mo, 22 days...I could calculate down to the minute! Enjoy, David!

As John Staley stated, inertia is the strongest force in the universe! We've been doing a manual 3 cell since we went to IS XM, same as DebbieL. And then along came 'electronic XM' (sorry Malcolm) and inertia keeps us at 3 cell. Automated methods (Neo & Tango) are both 2 cell, but those methods are more sensitive. As with lots of things in the BB, it all depends on your medical director's comfort level...

We're level 1 trauma center, no donors. We use the Blood Exchange - all our blood is flown in. We are about 15 miles from the local supplier that we rarely use. Cancer care. We are about 2 miles from Cliff and several other large hospitals. We stock 5. Though we are smaller bed size than our neighbors, our trauma is busier. MTP activated at least once a month. Verax PGD testing is helping us - we can extend plts to 6 & 7 days.

The hell you say! Why even bother with FDA approved reagents?!?!

We're doing pretty much the same as the majority - <1+ is presumptive Rh Neg and gets RHIG for pregnant patients. Very rarely will we send out a sample for molecular (BCW) but we have a very diverse mix of immigrants, so we do that occasionally on a case by case basis. My medical director and I agree that the cost of molecular does not justify testing on a routine basis. As David says, not worth the bang for the buck.

We do 50th birthday here. Or until the supply is depleted!

We have implemented Verax testing - only used for 6 and 7-day extension at present. If/when we are required, we can expand to 4 and 6-day platelets.

I wish CAP would put all 1 specimen results all together, then move on to the next specimen. Doing all the ABO, then all the Rh, then ABS... THAT'S what causing all the clerical errors I've seen. We're supposed to test and report just like a patient spec - and that isn't it!

Hi Marianne, Logistically, there were a few challenges. In our computer system (Sunquest) we defined a 6-day plt and a 7-day plt. Verax testing is good for 24 hours, and we needed to control the outdate. Also to prevent anyone from re-testing a 7-day and going to 8-day! ISBT has codes for only 5-day and 7-day, so we used different ISBT codes and defined 1 set as 6-day and 1 set as 7-day. The techs came up with a white board display, to keep track of 5-day, 6-day and 7-day inventory. Just a simple column display with total inventory numbers. We try to standardize the time of day we test, as the outdate is a firm 24 hours. That way we have a minimum inventory available at all times. I'd be happy to share our procedures anytime. You can email me directly at kate.murphy@bmc.org

Trauma docs now are looking for simulated WB - component therapy in the ratio of 1:1. They would LOVE fresh WB, but that ain't happenin'!

We use the same old system as you - paper attached with a plastic fastener - zip-tie like. We're avoiding adhesive stickers for same reason as above - hard to remove.

As far as I know, Verax is the only FDA approved test for this. FDA is not mandating (yet) that we test on day 4 & 5. Though I do think that's coming. Currently, we're using Verax to extend the platelets to day 6 & 7.