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carolyn swickard

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carolyn swickard last won the day on April 24

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About carolyn swickard

  • Birthday April 17

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    Blood Bank Tcchnical Supervisor

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  1. Can anyone share some of the specifics for establishing a backup computer like this? Especially if you have Meditech? How do you get a routine backup downloaded to a computer that is not connected to the network? I am asking my IT folks, but suggestions would be appreciated.
  2. To answer your first question - Yes, we have seen several antibodies On ECHO/LUMINA) that we can not see in the titers (saline only / 2 fold dilutions/ 30 min inc). Especially Anti-E. I once talked to a reference Lab about titers (we had an anti-G - such fun) and they felt it was most important to try and replicate the In-Vivo condition in the mother for clinical significance - therefore - no enhancement medias and heterozygous test cells, where possible. That is what we have done since and we just have the Med Director answer any questions they might have (after a through briefing, o
  3. It certainly does not hurt to stop the unit causing the transfusion reaction, start Benadryl and, if the pt needs more units, start a new unit that they probably/maybe won't have a reaction to - especially if it is FFP being transfused (which is what you have the most "urticaria only" reactions to anyway). We work them up with an abbreviated Transfusion Reaction workup and issue a new unit.
  4. Especially since hospital systems seem to be a favorite target of these bad players.....
  5. Make sure that the Blood Bank history backup computer is on generator (emergency) power in case your network downtime is due to an extended power outage. Those happen too.
  6. Try this - most of it might work for you. The link will only work for 30 days. I could not get a separte copy of the form. Maybe it will come up for you anyway. Good luck. TS-110 COOLER VALIDATION.pdf
  7. We have a transfusion consent for just the Blood components. We do not require one for RHIG from Blood Bank, but Labor and Delivery has a fairly comprehensive form for what a pt will or will not accept. We don't see that form usually. Pharmacy has the rest of the derivatives - I don't know what they require.
  8. For us - it is our Phlebs as much as possible. They draw as soon as the Blood Bank generates the order and notifies them. Not particularly optimal for a real messy trauma probably. We are a Level 3, trying for level 2.
  9. Just a question - along with mrmic - What is the average daily temperature in your lab? If this antibody is, at least partially, a "Cold" and you have a LOT of reactions like this, as you stated, it just may be too cold in your lab. Try a strict Prewarm test, as suggested by Malcom and if that helps, consider reducing the amount of Room Temp exposure your average specimen encounters and see if you can cut the reactions down. We have almost no RT exposure in our testing anymore (Immucor ECHO) but we used to have more extraneous reaction problems in the winter when our lab grew colder (think
  10. Currently we are just holding on to it. We can't relabel it ourselves for FFP use - not allowed. Our distribution center is not taking them back nor are they testing them. The units apparently belong to the govt agency that organized the whole program. We can choose to use them if our distributor can not supply a High-titer unit (in very short supply), but titer values have not been good in our region, so it wouldn't have a good chance of being a High titer unit with just a random pick from current CCP units (not tested).
  11. I saw a discussion once that said draw it as soon as you can post delivery (ours is at 1 hour) - but that drawing it is more important than the time of the draw. I think I remember that they discussed up to one week post delivery (sort of ridiculous to think about). I have never really seen a maximum time for drawing. Make sure your procedures allow for double checking RH neg mom's with Rh pos babies - make sure L&D has some checkpoints and that your techs have some checkpoints to make sure tubes get drawn and tests get done. Make sure the testing gets done and documented and the
  12. Oh - absolutely - I have enjoyed his help so much.
  13. Since we have both manual procedures and QC and automated procedures and QC, we have left our manual QC with just the recommended "positive" controls. Since the ECHO runs 3 QC reagents and winds up with a "positive" and a "negative" for all of the reagents (usually the same lot numbers in both sets) we thought that was enough. We are FDA and Joint Comm. and they have been happy so far.
  14. To answer the original question - we use "mi" and the computer interprets that as "positive" and we can choose our "weak positive" answer. Works for us. Yes ,we still read the occasional tube under the scope - still in the tube and rolling the tube. Everything else is on the Immucor ECHO - eliminates the problem! Weak DATs on cord bloods are sometimes found - never know how that works out for the infant. Reading Fetal Hgb Screens requires microscopic reading - you never see the positives in the optical aids (convex mirrors). We try to keep it to noticeable agglutination/clump
  15. No - we do not have that procedure and I do not anticipate adding it.
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