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April 2024 Challenge

JJSPLAYHOUSE

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Everything posted by JJSPLAYHOUSE

  1. JJSPLAYHOUSE
    @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.
  2. JJSPLAYHOUSE
    @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
  3. JJSPLAYHOUSE
    We rotate among staff per AABB.
  4. JJSPLAYHOUSE
    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.
  5. JJSPLAYHOUSE
    We have MaxQ as well, an they're calibrated for up to 24 hours.
  6. JJSPLAYHOUSE
    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.
  7. JJSPLAYHOUSE
    @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.
  8. JJSPLAYHOUSE
    Deactivating them from where? Your LIS? Policy?
  9. JJSPLAYHOUSE
    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.
  10. JJSPLAYHOUSE
    Here's our procedure for Lookbacks. CL-BB076 Look-Back Procedure.pdf
  11. JJSPLAYHOUSE
    We're in Georgia and our Chemistry departments had to borrow from each other for months due to the back order issues.
  12. JJSPLAYHOUSE
    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.
  13. JJSPLAYHOUSE
    I'm sure you have antisera now
  14. JJSPLAYHOUSE
    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.
  15. JJSPLAYHOUSE
    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.
  16. JJSPLAYHOUSE
    I just answered this question. My Score FAIL
  17. JJSPLAYHOUSE
    Exactly! Prenatal care has always, and probably will always, be insufficient. Thanks for your help.
  18. JJSPLAYHOUSE
    I completely agree! I spoke with the physician to see if we can get her redrawn during one of her check ups to clear some of this chaos. Thank you soo much for your help.
  19. JJSPLAYHOUSE
    I just answered this question. My Score FAIL
  20. JJSPLAYHOUSE
    I just answered this question. My Score PASS
  21. JJSPLAYHOUSE
    I don't see the question. How do we answer it?
  22. JJSPLAYHOUSE
    I actually just found out that she had a negative ABS on 5/24/16, fetal screen bleed of 45 mL and one rhogam shot was injected. Next ABS was 6/23/16 where Allo-D was entered because it could not be ruled out.
  23. JJSPLAYHOUSE
    No, there was not an antibody screen done during prenatal care, typically they only order the screens during delivery. Most OBs order ABS for first time rhogam recipients during prenatal care. This looks like the third pregnancy. She's been in the ER a couple of times. But I don't understand why she's getting rhogam if allo-D has been present since after the first pregnancy. Will it still be needed?
  24. JJSPLAYHOUSE
    We don't have to much information from the 2016 registration, but the current pregnancy had consistent prenatal care. All we know from the pregnancy in 2016 is that the antibody screen was positive with a anti-D pattern but no record of rhogam given.
  25. JJSPLAYHOUSE
    I wondered the same thing, but the allo-D was added back in 2016 and this is the first time we've seen her since then. I would've thought it was rhogam as well but I don't think they could track a rhogam injection during that time and that's the reason for calling the ABID allo-D instead of passive.
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