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Karen knight

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    Medical technologist

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  1. Karen knight

    Unit Labels

    Hello, we get our units from American red cross, they did not like us to place stickers on their units, when we return units to them, we may have damaged their unit info rendering them unuseable by removing our label... so we place labels on strung manila shipping tags then attach to unit of blood. , can be purchased at any office supply store. we use 4X4 isbt labels also.
  2. Congratulations!! You have been a wonderful resource for all on this site, thank you for sharing! Cheers!
  3. we report weak D as rh pos, use a 1+ in reporting field, and add internal comment. we would have to refer samples to our ref lab that have a positive DAT with a negative D test to be eluted. sample cannot be accurately tested for weak D positive. positive weak d test results are valid only if it can be demonstrated the red cells do not have a positive DAT. a DAT may be performed on weak d positive red cells or a saline control tube may be incubated with the D test tube. I am not author of our procedure, but source is AABB technical manual 19th edition weak d pages 303-307, AABB standards for blood banks and transfusion services, 31st edition 2018pg 36 and ortho clinical diagnostics direction circular-AHG and direction circular blood grouping reagent anti D
  4. in our lab we had to implement troubleshooting logs with any and all instrument issues, was tech support called, what did you try to do to fix instrument, so it wouldn't be repeated. and tape it right on instrument, for other things we have a shift report binder to record any call in sick issues, etc. when and if service is coming in, and have weekly huddles for other not so stat issues..
  5. at our facility, if one drop of Anti-D and 1 drop of patients 3-5% is negative, we proceed to the antiglobulin weak D procedure(incubate at 37 degrees for 15 min, wash 3 times, add 2 drops of monospecific IgG, if positive macroscopically patient is considered weak D positive, AABB technical manual 19th edition and orthoclinical direction circular.
  6. sorry, I misspoke, yes, if we receive an applicant with a 4 yr biology degree, NOT MT(ASCP), they don't qualify for MT starting pay, but I really have no idea what they are paid, difference is most likely very minimal, an MLT is 2 year MT is 4 year degree so different pay scale, but again, I would never ask anyone what they are paid an hour, nor would I ever volunteer my wage, and if someone comes in w experience, they would start out at a higher salary than someone right out of school obviously. but all applicants can negotiate for whatever starting pay they are willing to accept with in a pay range. believe me, there have been issues with same pay for same work, people with bachelors should be rewarded, etc. personally, I am not bothered with how much someone else is paid, not my business. I do know some didn't advocate for themselves very well when they accepted position, life lesson. my point was any advanced degree is usually a very good idea, depending on how much you get into debt to obtain it?
  7. it would definitely put you ahead of the pack if you would like a supervisor or lab manager position... I am a MT(ASCP), if we get applicants with just a bachelors degree, they are paid as an MLT, so may be worth your while, definitely can be used to request a higher salary if you apply elsewhere, or could negotiate a higher salary with your current organization? do they offer tuition reimbursement? would you need to take on a lot of student loan debt?
  8. We use ortho confidence system for qc, there are even quality control record sheets in the box you could use as a template, it is SO easy to do pos/neg controls for anti-A, anti-B, anti-AB, anti-D and rh control, does not take any more time or use much reagent, so in my opinion just do it
  9. our facility draws presurgical type and antibody screens, if that sample has a positive screen we send it to our ref lab(ARC) for antibody id, when same patient presents for surgery(may be two weeks usually could be slightly longer) we repeat type and screen which will be positive BUT we don't send that sample for antibody workup as long as patient is not pregnant and has not rcvd transfusion since presurgical testing. we add canned comment to the day of surgery positive screen stating "Antibody previously identified. Patient is not pregnant and has not rcvd a transfusion since the last antibody screen and identification on dd/mm/yyyy. since we know which antibodies pt has from presurgical, we have ag neg units delivered a few days before surgery and do a full xmatch with surgical sample in which patient is banded. We send all ob/gyn patients with positive antibody screens for full work-up, usually once per pregnancy, but may need to do titers throughout. even rhig patients giving date of injection to ref lab.
  10. We use crossmatched/transfused ratio for our blood utilization committee, we also keep track for each deparment (ortho, OB/GYN etc. but we cycle our rbc stock, we return rbc units to American red cross that meet a certain exp cut off date, and we order units to maintain optimum inventory. this happens weekly. if we dip below our minimum inventory we order more product in addition to our weeky order.
  11. I also use Anti-B for affirmagen A1 rgt neg ctl and Anti-A for affirmagen B rgt neg control as part of new lot/newshipment check. as part of daily control I use ortho confidence
  12. As per CAP standards TRM.30575 Misidentification risk: Verify ABO/Rh on second sample prior to transfusion and TRM.40670 ABO Group and Rh(D) type verification, we order a non-billable TYPE2/WEAKD and result to meet the requirement for electronic crossmatch and/or type specific blood to be issued on a patient with no historical data. This a new order/draw.. specimen must have blood bank id documented on tube by collector at time of collection in the presence of patient. if a second sample cannot be obtained and there is no documented previous ABO/Rh, immediate spin crossmatch performed using non type specific blood. if the phlebotomist is still on duty and has a clear recollection of patient they may be allowed to take tubes from earlier draw to patients bedside to re-identify patient and sample, placing blood bank id sticker on that tube. we usually use CBC tube from am draw. anytime a type and screen ordered on hosp patient the phleb asks the bb tech if a prev type exists if not a type2 is ordered on new order number requiring second venipuncture. are your bedside test cards properly labeled date/time/init blood bank id, patient LIS label /order label to compare to patient wristband? are the results entered into patient chart?
  13. full time rotating shifts every 3rd weekend at Olmsted medical center hospital in Rochester mn
  14. thank you so much! I would greatly appreciate your validation
  15. Good morning, my manager wants to move from tube testing to gel testing in the near future, she is looking at ortho workstation/ortho ID mts system, does anyone have any procedures they would share? and.or how you organized working up system? we have been saving pos antibody screens, or does ortho rep come in and train techs/work up unit? thanks!!
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