[INR Delta check]

I'm interested in hearing if other labs have a delta check set up for INRs.  If so, what is the delta and for what time interval.

[Postpartum RhIG Study]

The Ortho fetalscreen kit states "The maternal blood should be collected as soon as possible after delivery."  Our policy states 1-3 hours after delivery and the order defaults to "Stat".

[Antibody Screens on Pregnant Women]

We have a provider who wants all of her pregnant women to have a repeat antibody screen sometime during the second trimester.  I've never heard of anyone doing this on a routine basis.  Has anyone else had this request?

 

Thanks

[Frequency of ABO recipient typing prior to FFP transfusion.]

_{Thank you all very much for your replies.  This has helped, greatly.  I was leaning towards the "new type/admission" process, initially,  and it looks like that's what many of you are doing.  We have a patient population who have been known to swap identifications which is why I don't feel comfortable relying on historical typings.}

[Frequency of ABO recipient typing prior to FFP transfusion.]

I am trying to determine the frequency that other transfusion services perform ABO testing on their recipients prior to FFP transfusion?  Do you perform a new type if more than 3 days have elapsed?  What about with a new admission?  If the patient has at least two previous blood types, do you still do another one prior to transfusing that patient even though it's a new admission?  Thanks in advance for your comments.

[frequency of vitals monitoring during transfusion]

The question is whether to continue to monitor the patient once the transfusion has ended or just let them go with a list of "reactions" to watch out for. We also follow the patients closely throughout the transfusion but we also like to check again, one hour post transfusion. Do you check vitals any time after the transfusion has ended?

[frequency of vitals monitoring during transfusion]

I realize this is an old thread but we are currently evaluating our post transfusion patient observation time at our hospital. We check vitals at one hour post transfusion for all of our patients. We are being asked, by nursing, to disregard this post check for out-patient transfusions at our infusion site. We would like to know what others are doing for all transfusion recipients and whether any distiction is made between in-patients and out-patients at your institutions.

[PFA (Platelet Function Analyzer - Siemens) Reference Ranges]

Ours are very similar to yours.

EPI: 80-184

ADP 56-102

[Cerner Millennium Third party validations]

I know this is an old thread but we are now in the same boat as Jody. Has anyone ever used Cerner for validation of their own system? I'm not sure how I feel about that and am interested in hearing what others think. We will be doing extensive unit testing ourselves but we want a third party for anything that may get overlooked.

Thanks in advance.

[Hmmmm...its probably a COLD AUTO]

Are the techs diluting the 3% Panocells when using gel? They may be using Liss in tube since 0.8% is needed for gel. Do you a 0.8% panel?

[Anyone else at AABB?]

I will be there as well and would love to meet all of you. Hopefully we can find each other. I don't have a red hat but maybe we can come up with signs that say BBTALK like they do at the airports

See ya'll soon!

[Pipette Verification]

Thanks for your replies. I guess we will stick to quarterly like it has in the Technical manual but I do think it's a bit much. That's just my opinion.

[Pipette Verification]

I don't know if this has been discussed before but I'm interested in hearing everyone's comments. Many transfusion services verify the accuracy of their pipettes twice a year but the technical manual says to do it quarterly. What are the majority of you doing?

Thanks

[Mixing Studies]

Does anyone have a good procedure for Mixing Studies that you are willing to share? I do not like the one we currently have and I can't seem to find any references for one.

Thanks

[Routine ABO testing on Cord Blood]

Can anyone give me a resource to show that routine ABO testing of baby's from O moms is not necessary and a waste of money? I have to produce evidence as to why we are not doing it and why we don't need to be and I need it quickly. Any help is appreciated.

Thanks :mad:

[MTS gel system-Electronic Pipette]

We are just now starting to get into gel and trying to get used to the pipettors. I have both the electronic Biohit and the manual tipmaster. I'm not really thrilled with either one of them. Has anyone ever used any other pipettors for gel testing?

[Comparability of Instrument/Method]

How is everyone handling CAP standard TRM.31450 "Comparability of Instrument/Method"? Are you comparing tube, gel, and automation? Does anyone have a written procedure for doing this that they might like to share? I'm trying to decide the best way to do it and am looking for ideas.

[Trending Incidents]

What do you do with your information once you have it? Do you follow-up on each one and do a root cause or do you set a threshold and then once passed do a more in-depth look?

[Immucor W.A.R.M.]

Has anyone ever done a Ficin Adsorption? If so, what are your thoughts on it?

[Immucor]

Is there anything special about the phosphate-buffered (approximately 15mM)? I use buffered saline at the pH they recommend but it says nothing on it about phosphate or mM.

[Computer Validation]

We are wondering how to interpret the standard that says a computer system must be validated on site. Does that mean that a third party validation is not good enough or does that have to do with a hospital system having multiple hospital sites? We are a bit confused.

Thanks

[Autologous Collections]

We only collect Autologous blood at our facility. When we process the units, we record the segment number. Is that a process that others follow? Do you do it electronically or manually? We are switching LISs and want to continue this practice.

Thanks

[To have or have not a blood bank wristband]

For those of you who do use BB armbands, do you have a specific color that you have to use? Is the color mandated by your hospital?