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carolyn swickard

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About carolyn swickard

  • Birthday April 17

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    Female
  • Occupation
    Blood Bank Tcchnical Supervisor

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  1. No - we do not have that procedure and I do not anticipate adding it.
  2. TS- Dithiothreitol -DTT- Treatment of RBCs.pdfThis is our procedure for the HemoBioScience product. it will be open for 30 days only. (I think) Don't worry about thawing it too many times - there is only 2-4 mls in each tube, so it doesn't last for that many pts. We have just thawed ours at room temp. We wrote the procedure using both the HemoBioScience procedureand the one in the AABB Tech Manual. Best of luck
  3. Beyond any shadow of a doubt - personnel will always be the greatest challenge. Not enough, not well enough trained, will they follow the SOPs (in spite of the continuous Competency - truly a pain!), will they show up, will they get along with each other........... Be prepared for that challenge and take advice from a good manager, if you are blessed with one. Always consider that mistakes may stem from a misunderstanding of what is written in the procedure or the procedure might need a tweak to eliminate a "process" problem.. Approach mistakes from the point of view - "Is it a process
  4. I'm sorry - we still just have our employees sign the facesheet of the printed copies of the manuals they are responsible for. Everything is in Policy-Stat for us, but we also still have printed copies for downtimes (and the computer challenged!) - it is just easier than fighting with a computer system.
  5. CCP for covid-19-ccp-considerations-for-clinicians.pdf hope one of these will work for everyone.
  6. There is a recent Covid-19 document on the AABB website for Drs to see the current considerations and protocols for CCP. They recommend Group A or group B plasma for AB Covid-19 patients. Sort of like the use of Group A FFP for trauma pts. Vitalent (formerly United Blood Services) is letting us stock some CCP - it sure helps.
  7. Very nice reference. Nice to see a concise, clear - recent - rework of irradiation recommendations. Thanks.
  8. We have a question that the Drs (and myriad other "orderers") must answer on the RBC and PLTPH orders (Meditech Magic) in order to get Irradiated products. Originally the questions was just "Irradiate? Y/N" and we were happily (naively as it turns out) anticipating the Drs having greater control over their orders and getting it right more often - WHAT A JOKE! Since so many of the Drs do not deal with blood all that often and did not know really what irradiation was or what it was for - there were MANY wrong orders. We soon changed the Question box to also contain a statement "For Immuno-c
  9. I was also thinking about 'why not drop the unit retesting' after all of the donor centers went to computerized donor labeling/retesting and I hadn't seen a labeling error in years (you did use to see a very few go by) and then realized that with so many places going to computerized "compatible unit release" - the retesting done by the receiving facility is the only chance they get to check that the RBCs in the unit do indeed match the label on the bag. Without, at least, an Immediate Spin crossmatch check of the unit vs. the pt - there would be NO other physical check done if unit retesting
  10. We use these too. Sales from Global Sensors - almost too many to make sense of but we use a simple one Log Tag Trix 8. Software updates online - seems to work on Windows 7 at least. If the data logger is at RT - I can set the programming to wait 5 minutes before the 1st reading - that allows it to get to cooler temp. If the data logger is cold - yeah - they take a while to warm up. We store ours at RT, but it would be ok to store them at frig temps if you only use them in coolers. Otherwise you do have to let them equilibrate to RT, if used at that temp.
  11. We have had a Helmer 4 well for years. We ONLY use bottled water (distilled/deionized) and change the water every month (unless there is a messy spill). We use the Helmer Cleanbath product (per instructions) after cleaning the unit and putting in the fresh bottled water. We use the specific bags sold by Helmer for their machine - sort of expensive, but I do not see how anything else would work right. Units thaw in 14-18 minutes and we recently used it to thaw 16 units for plasma exchange and were finished with the thawing within 1 hour. Easy to maintain and keep operating - very stable.
  12. As a smaller hospital with 2-4 MTPs a year anticipated - you might find it easier to go with smaller loads in the rotations. I will try attach our policy. Smaller loads let you respond faster - when you probably do not want to keep this stuff "ready to go" as a Level 1 trauma center has to. You also lose less when they stop the MTP, but you don't hear from them in time to stop thawing the FFP and/or Cryo pool. Massive Transfusion Protocol -MTP- - Blood Bank Procedure - Adult.pdf
  13. The important part being "w/o contrifugation" - don't centrifuge the 37C incubation tubes. Take them to wash without spinning them down or you risk false positives because PEG is so "sticky". Always wash at least 4 times if using cell washers or you risk check cell failure. PEG is a good enhancement medium and it is very sensitive, but it is "sticky". You probably already know this - just emphasizing it for other readers.
  14. Oh bless you - this is what Meditech does. We have to evaluate each "update" that comes along (several per year!!) and see if it affects Blood Bank programming. If it is largely associated with another module of Meditech (Admissions, Billing, etc.) - we can usually ignore it. If it involves the Lab or BBK modules, we have to do the specific testing recommended for the specific "fix", if available. Otherwise we have to figure out our own little testing plan. On top of this, we get the major upgrades every 4-5 years that require the entire module to be retested. The whole revision retest r
  15. I will try here or message me your email and i will send it that way. https://pstat-live-media.s3.amazonaws.com/pdf_cache/policy/5813043/b3d2aae0-704c-4ada-9bd2-dad644dffb48/TS-045 Lookback-Recall- Withdrawal Notifications of Transfusion to Recipients.pdf this will only last for 30 days Been a while since we updated this too, but it has gotten us through these lookbacks/withdrawals for a long time.
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