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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. 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
  2. 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).
  3. 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
  4. Oh - absolutely - I have enjoyed his help so much.
  5. 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.
  6. 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
  7. No - we do not have that procedure and I do not anticipate adding it.
  8. 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
  9. 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
  10. 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.
  11. CCP for covid-19-ccp-considerations-for-clinicians.pdf hope one of these will work for everyone.
  12. 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.
  13. Very nice reference. Nice to see a concise, clear - recent - rework of irradiation recommendations. Thanks.
  14. 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
  15. 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
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