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Posts posted by SbbPerson

  1. At my hospital we don't use bands. I think this is great, because our rejection rate is pretty low.  There are too many travelling nurses we need to train if we were to use the bands.  And even when trained, nurses still get them wrong. 

    Now all they need to do if to make sure the specimen has at least 2 unque identifiers , along with collectors's info, date, and time. Simple. Also for each type and screen, a testing request form is filled out. All patient information must match between the form and the specimen.  That's it.  Nice and simple. 


    The band is great, but not everyone knows how to use it, and training takes up alot of time, especially with all the travelling nurses we have. 

  2. If they want RBCs without a confirmation, they will get uncrossmatched RBCs.   I think an immediate spin crossmatch for an unconfirmed blood type is not useful.  


    Our same day surgery order extended type and screens if needed.  They are good for 30 days out, just as long as the patient hasn't had a transfusion in the last 3 months.  If the patient need a confirmation, a 2nd specimen will be collected prior to or on the day of surgery. 

  3. Our gel cards are only IgG gel cards. We don't have the C3 gel cards. To QC our IgG gel cards, we use comb cells are a postive control and A1 or B cells as the negative control. 


    For the Poly(AHG), we use coomb cells and C3 cells for the positive control, and A1 or B cells for the negative control. 


    For Anti-IgG(AHG), we use coomb cells for the positive control, and A1 or B cells for the negative control.


    I hope this helps. Good luck. 

  4. If the patient's antibody screen is negative, you won't be needing a segment from the blood on the helicopter.  You can perhaps do an electronic crossmatch in those cases.  We do the crossmatch retroactively when we receive the patient's sample. 

    But like what Jay said, if the screen is positive or the patient has a history of Ab's, you will need a sample of that transfused donor blood to do an AHG crossmatch, antigen typing, etc... 

    Do you know who will provide the blood for the helicopter? Our blood provider is also a transfusion servicer/IRL, so they saves samples of all units provided.  They can send us a sample of the donor blood so we can do our crossmatch.  In the case of the patient having an antibody/Ab history, we do the crossmatch retroactively after we get a patient's specimen and a sample of the donor's blood.  Good luck.


  5. 1 hour ago, cthherbal said:

    We contract the service to an outside vendor, but we review their compliance reports at transfusion committee meetings quarterly. Very low usage here (4 collections in 2022 with no blood returned to patients).

    Did the 4 collections use a cell saver? If not, what process or instrument was used for collection?  Thank you 

  6. 46 minutes ago, AMcCord said:

    Somewhat related question..... I need to replace the liners in my Credo coolers and order a couple of RT TICs. However I haven't been able to make contact with their sales people over the past year. No response to phone calls or emails. Can anyone give me a contact with someone that can help us?



    Attached is the website and customer service number if you haven’t tried those. Good luck Credo Operating Room Container Product Sheet.pdf

  7. We use the credo operating room containers. The container should be able to sustain 1 to 6 degrees celsius for 10 hours with the plates in them. We use this for surgeries when they need 1-6 units of blood or plasma , and it is not optimal for them to keep running back and forth to the blood bank. 

    1) We store the plates in a sub zero freezer.

    2) We keep about 2 sets of the plates in a 1-6 degrees fridge.  They are good in the fridge for about 40 hours.  After the 40 hours, we put them back in the freezer. 

    3) They need to be in the freezer for about 12 hours before they can be used or be placed in the fridge.


    4)  You need to wait about half an hour or so before you can use them after you take them out of the freezer. Because obviously it will be too cold if you use it right away. 

    So yeah, to validate that it is working, measure the temperature inside the container for 10 hours. 

    I attached the product sheet. Good luck. 


    Credo Operating Room Container Product Sheet.pdf

  8. On 12/28/2022 at 8:33 AM, paddleking said:

    We count under slide.  We wash with buffered saline, but not with PhiX added to unbuffered.  We purchase isotonic phosphate buffered saline from thermo scientific.  We have a sister hospital that follows the same procedure and reagents and they have not had issues.  Talking to Immucor we are the only customer that has reported issues with this.  We have gone through 3 lots.  I have checked the pH of the saline and it is 7.02, which is perfect.  We have washed both manually and with automated cell washers.  

    Anyone have any additional thoughts or directions I should go?

    Does your sister hospital uses the same Lot numbers of Immucor FBS kit? If yes, then you guys must be doing something wrong.  When was the last time your cell washer/centrifuge was calibrated? RPMs? Amount of saline dispensed? 

    If they are not using the same Lot #'s, perhaps give them one of your kits and see if they get the same result. If the kit's QC passes for them, then there is something wrong with either your procedure or maybe equipment.  This is really strange. Good luck. 



  9. On 12/16/2022 at 1:16 PM, CARMEN DELGADO said:

    Yes.  I was surprised that they were saying that we now needed two staff for verification.  Thank you.  Is there a standard or reg that speaks to that effect?




    I couldn't find a regulation that says that per se, but according to the AABB Standards for BBTS (33rd) edition; : The transfusion service shall have a policy to reduce the risk of misidentification of patient pretransfusion samples.

    Also according to the recent AABB technical manual; page 504; 




    In our facility, the phlebotomist and a 2nd person verifies the patient's ID at the time of the pretransfusion specimen is drawn.  They both sign their names on the request  for blood bank testing form. 
    After the blood bank receives the specimen, me make sure the information matches between the form and the specimen. If the patient doesn't have  ABO/Rh history, confirmatory ABO/Rh testing needs to be done before blood products can be issued. 



      Cohn, Claudia S.,  Delaney, Meghan,  Johnson, Susan T. and  Katz, Louis M.. <em>Technical Manual, 20th edition</em>. https://ebooks.aabb.org/pdfreader/technical-manual-20th-edition50155278


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