
JJSPLAYHOUSE
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Incompatible Blood
@exlimeyI agree, but with the overuse of O negs and the continuous donor shortages, O pos have become the standard emergency unit for anyone not female within childbearing age.
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daily quality control
@ESIZENSKY Here's what we use.CL-BB013 Attachment A Candler Daily Reagent Quality Assurance Form (Jan 2023).docxCL-BB013 Attachment A Candler Daily Reagent Quality Assurance Form (Jan 2023).docxCL-BB013 Attachment A Candler Daily Reagent Quality Assurance Form (Jan 2023).docx
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CLIA / CAP / Proficiency Testing
We rotate among staff per AABB.
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Preop Specimen
We extend it to 7 days but are considering extending it to 15. The transfusion questions are answered by the ordering physician concerning prior transfusion and pregnancies. Antibody hx is established when the screen is completed. If positive, we require a recollect on day of surgery.
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COOLER FOR THE OR
We have MaxQ as well, an they're calibrated for up to 24 hours.
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Specimen collection system & rejection rate
We got rid of the bands due to staffing turnover and just utter confusion. We currently have Mobilab, and they scan the patient's wristband received when registered.
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Emergency Issue / MTP
@jayinsat, how is EMISS set up in Meditech? Do you have the dictionary parameters for the physician signature process? I would love to move our facilities to this.
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Deactivation of Insignificant Cold antibodies
Deactivating them from where? Your LIS? Policy?
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Nurse access to emergency units in blood bank fridge
We have a remote fridge near our ORs on our heart campus. We stock the fridge with emergency units AND Emergency Release forms. If a unit is used, they complete the form and send it to the blood bank. The BB tech records the information from the form into the LIS system. Our lab is open 24/7.
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Look back, Trace back forms
Here's our procedure for Lookbacks. CL-BB076 Look-Back Procedure.pdf
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Siemens Attelica
We're in Georgia and our Chemistry departments had to borrow from each other for months due to the back order issues.
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Blood Bank Competencies
Hello everyone. We're revising our current blood bank competencies. I was wondering if you guys were willing to share your competencies with me. We are looking for competencies that are simple but cover every CLIA Competency Assessment Procedure: 1. Direct observation of routine patient test performance 2. Monitoring the recording and reporting of test results 3. Review of intermediate test results, QC records, proficiency testing results, and preventive maintenance records 4. Direct observation of the performance of instrument maintenance and function checks 5. Assessment of test performance through testing previously analyzed specimens, internal blind testing samples, or external proficiency testing samples 6. Assessment of problem-solving skills Any suggestions or feedback will be great. Thanks in advance.
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Ortho Vision Antigen Testing
I'm sure you have antisera now
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Converting FFP to 5-Day TP in Hematrax
I would love step-by-step instructions on changing the expiration dates in Hematrax. We currently do not have a lab LIS, and I would hate to fumble around and screw this up. Any help will be appreciated.
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The COVID-19 challenge
ARC (American Red Cross) has issued a statement that almost 5,000 blood drives were canceled and a few hundred donation sites due to quarantines. They're trying to get people to start donating at hospitals and other "essential" sites. The physicians have ramped up elective surgery instead of delaying them. I think it's super selfish to waste blood products during a crisis of this nature when you don't know what the outcome will be or how long the quarantines will last, it's beyond frustrating.