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Posts posted by JeanB
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On 8/28/2019 at 1:49 PM, David Saikin said:
it would be interesting to see how many "O" moms had Immune anti-A,-B in the cord specimen, regardless of baby's type.
If the test is positive, aren't you forced to assume that A or B is the ab causing the DAT?
Sorry to bring this up from years ago, but our lab still does LUI freeze even when it is safe to presume it is due to ABO incompatibility!
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4 hours ago, Malcolm Needs said:
Quality in the Blood Transfusion Laboratory is key in all things. The wrong can, and does kill. If there is an expiry date on the EDTA tubes, it must be there for a reason. I am not an expert on how this date is established, but I would suggest that someone within the manufacturing company is, and it is they who have established the date.
Were I inspecting the laboratory and saw that expired tubes were being accepted, whatever the excuse put forward, it would be an immediate non-conformance.
@Malcolm Needs Thanks so much for your advice. I absolutely agree with you. I will share this with my colleagues.
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This might be a stupid question, but do you accept EDTA tubes that are expired? I would always reject these no matter what, but I have two techs that insist on pouring it off to another in-date EDTA tube and another that says, "but do they really expire though?"
I gave it a thought that its probably stable past expiration date, vacuuming capability will probably be decreased and red cell morphology can get affected... but does this affect any blood bank testing?
Thanks in advance.
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On 10/8/2004 at 8:48 PM, Dawn said:
We require a second ABO/Rh for all new patients. We use the same tube. Currently we do not bill for this testing. But we are moving to electronic crossmatch and will lose the revenue we previously earned from immediate spin crossmatches. So we will begin to bill for this second ABO/Rh.
Interesting! We still do not charge for our ABO Rechecks while having the electronic crossmatch capability. Is this something that is billable?
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I use SCC. Our process currently is using the CBC with a different collection time. If the TS and CBC was collected at the same time, then we request another sample to be drawn. It sounds to me like you have nurses collect most specimens? Do you currently do an electronic crossmatch? This typically fulfills the requirement for the ELXM.
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22 minutes ago, David Saikin said:
If you store blood in the coolers when they get to their destination,they cannot be considered transport (if blood stays in them wherever you send them and no matter what your consideration is). This per the FDA. If you are CAP and/or AABB your assessor/inspector should remind you of this.
I believe the most recent Technical Manual addresses this now. I guess facilities will need to define what constitutes as storage vs temperature. Absolutely agree with @David Saikin that coolers that go in the OR should follow 1-6C.
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23 minutes ago, exlimey said:
How do you suggest measuring the "core" temperature without compromising the bag ?
We used to use infrared thermometers as well, but I believe that using temperature indicators such as Safe T Vue, HemoTempII etc is going to be more accurate.
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On 3/30/2021 at 9:03 AM, jayinsat said:
We use one from Fisher. It is certified and we replace it every 2 years when the certificate expires. I am curious, for those who have the 15 minute limit, did you validate that in all scenarios in your hospital?
I was under the impression that infrared thermometers measure SURFACE temperature and not core? Are we allowed to use this?
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@Kathyang Hi Kathy, thanks for responding. Yes, 72 hours is 3 days, but I guess in Soft it would expire right at 23:59 of the 3rd day. I had actually just figured out the solution to this - go under Products Order Service>Finish.
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43 minutes ago, MAGNUM said:
We too use ARC. The pack slips have the order number on them so that you can match up the order numbers. When we get orders for the convalescent plasma, we order the plasma and on the order printout, we note the patient name, then once the plasma arrives, we match up the pack list with the order printout. In the meantime, we keep all the orders and their respective printouts on our metallic white board, that is basically the only way that we have found to somewhat keep abreast of the orders.
That is pretty much what I do too and the white board as well. It just gets really confusing for different shifts when the order piles up to 8 or more..
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2 hours ago, jayinsat said:
When the FDA issued the EUA on August 23, 2020, we started stocking convalescent plasma in house from our supplier. We fill the orders once they come in. Before that, it was a pain.
Are you able to make a stock order with ARC for, say, 5 O's, 5 A's, and 2 B's? Our supplier prefers it that way here in South Texas.
I agree with @MAGNUM 's response on the stocking. ARC does not allow facilities to stock CCPs because of the shortage.
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How does your facility keep track of the convalescent plasma orders? We would get around 5 each day and because of the delay in shipping, paperwork tends to get lost between shift or they wouldn't print one at all etc. and it gets confusing once we receive the product. We use ARC, and they don't put the comments in the shipping form where we place the name of the patient originally. I have to go back to bloodhub and search the order number (I pray everyday that they print the order lol) We have a form currently, but not as efficient as I'd like for it to be. Is someone willing to share how you keep track of your CCPs? Thanks so much in advance!
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Can someone be kind enough to share how you programmed Soft to release crossmatches after 72 hours? Is this even possible? I have experience in Meditech but a little lost with Soft. This will tremendously help our workflow. Thanks so much!
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@Gkloc I am reading a lot of it as of the moment. There's so many documents to go through.....
Haha
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What do you guys think are the most challenging part of working as a lead/supervisor/manager in blood bank?
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It warms my heart to have found a blood bank community who is not only very knowledgeable, but supportive and kind. I really appreciate everyone's response.
@John C. Staley I am coming from an outside facility. I am really curious what your experiences are when it comes to being promoted internally vs getting hired from another facility. I very much encourage collaboration, value everyone's opinion and ideas because I am cognizant of the fact that whenever I make a change, I have to make sure that it's 1. a requirement/standard 2. benefits everyone 3. streamlining workflow. Thank you and looking forward to hearing from you!
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Hello everyone! I guess this question goes out to those who are currently holding a lead or supervisory position, manager or have held a similar role in past. I was wondering what tips you have for a first timer taking on a leadership role? Any tips or suggestions, things to really focus on etc. All your thoughts and comments are welcome!
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Thank you for all the response! I thought it makes sense just for an ABO/Rh, but so far almost all the hospitals I have worked at require a Type and Screen (which require them to have a blood bank armband). Their reasoning behind this was because it's still a "transfusion".
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Do you require a type and screen ordered if the patient just needs plasma? or platelets and etc? or just an ABO/Rh?
Separate room for Blood Bank Department
in Transfusion Services
Posted
I am uncertain if this has been asked before but, is there a hard rule that states Blood Bank has to be in a separate room from the core lab?
The BB department is very small and cramped with little to no room for high traffic areas. It’s going to be a nightmare with the recent installation of an Ortho Vision. We are currently experiencing some heating, ventilation issues and running out of space. The most logical option for us is to move to the part of the lab that is more open.
Thanks in advance. :-)