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RRay

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Everything posted by RRay

  1. This is our process except we don't do a data logger with each cooler. The indicators are considered an FDA approved device so we don't do both. We don't use them on every unit, just cooler units, and use the temp gun upon return. I loathe the indicators and I think they are borderline worthless. But I'm a bit gunshy of not using them for coolers after being cited many years ago. That was when there was that hot debate over coolers being transport vs storage. I was told at that time that the temp gun alone wasn't adequate because it doesn't detect if a unit was out of temp and then back in the cooler long enough to acclimate.
  2. Was previously using Safe-T-Vues but the price is >$2.50 each after last increase. We are trying Hemo-Tracs from Fisher but having a lot of issues with them. They relocate on their own and we've had lot specific issues where they will slightly activate having never left the fridge (average temp of 3.6C). I've troubleshot til I can't anymore. Anyone know of any that work well and consistently, preferably with no conditioning? I've used the timestrip ones in the past so I have samples of those on the way for comparison.
  3. I think I can make the Sebra one work for my needs. Thanks again!
  4. Thanks so much! The only thing offered by the manufacturer is a very basic IQ. It's the Genesis sealer. I emailed customer support twice and they only reply with the same user manual with basic IQ.
  5. I was finally able to get a new tube sealer! Been ages since this facility has had one and I can't find any guidance from manufacturer. Does anyone have a validation protocol for a heat/tube sealer they'd be willing to share? I can do one from scratch but that's not bandwidth I have at the moment. Pretty please and thank you.
  6. We don't use them up after 5 days but with the low humidity here the suspension is quite thick after 5 days even with the evap caps. You can tell a difference in the cell button size from day 1 to day 5 but it must be minimal enough that the system doesn't flag it. If someone forgets to change them, you're guaranteed to get TMC errors "too much cells."
  7. I'm curious to know as well, since I will likely be in the same situation sooner or later. Switching some of my stock to ARC delivery to Cheyenne.
  8. That would be nice. Blood centers here want to charge us for that. They may keep it on file, but won't provide the info unless you pay... especially lookin' at you Red Cross!
  9. I don't understand the problem. We use the R1R1, R2R2, r'r, r"r set simply because those are most readily available/abundant from our reagent red cell sets. C: positive control- r'r , negative control- R2R2 c: positive control- r'r , negative control- R1R1 E: positive control- r"r , negative control- R1R1 e: positive control- r"r , negative control-R2R2 I know there are other options more readily available within the general population, and likely our inventory too... but then there's a conundrum. How do you test units you hope to use for controls without the method being QC'd in the first place? It's a tight cycle to upkeep for a small group of generalists. We don't have full antigen information disclosed from our blood supplier either. Personally, I can use my own blood for several of the controls... but I don't want an extra monthly poke! Haha!
  10. If you are doing CcEe antigen typing on the Vision, what are you using for QC? I had been using extra tube panel cells spun down for my controls, but it seems that the cell % has been reduced by the manufacturer to around half and I don't get enough cells after spin down. Cutting corners maybe?? I'm having to double the amount of tube reagent cells I need to spin down. I can alternatively use unit segs for R1R1 and R2R2, but with my inventory size I have trouble getting r"r and r'r. Ortho has only recommended that we use unit segments as they didn't have any other commercial QC to offer. Vision will only accept centrifuged blood as a control type for this, so no 3% suspension and it can't convert from 0.8% to 3% on board. Any suggestions?
  11. Rewriting a blood bank specific LIS policy for AABB compliance. Would anyone have an example they'd be willing to share? There's so many non-Lab pieces to this requirement (3.9) that I'm afraid something will fall through the cracks.
  12. Inspection proof is a section of MediaLab where you can upload accreditation checklists and track how you are meeting them. Similar to AABB Apex self inspection but more robust. You can link and quote SOPs if you use the document control feature and flag any deficiencies and document corrective action like uploading an SOP revision. Makes inspecting a breeze for both sides. Only caveat is you have to upload in excel format and I’ve never seen joint commission provided that way. I have an email out to my medialab rep.
  13. Does anyone use these together? With CAP and other agencies you can get an excel file of standards to upload into inspectionproof. MediaLab says the support JC standards but we can't get those in excel format. Any advise?
  14. I think they're meaning don't repeat the ABID on a post partum positive screen when you've already performed the ABID on the admit type and screen likely done within 24hrs of each other.
  15. Building Soft to join with Epic at the moment. I have the same issues mentioned above. The traceability work arounds are a huge issue for us. Epic allows for "Other collector" and it will time out and autofill the collect time as the current time instead of forcing an entered result that will match the written time on the tube. I feel comfortable with the WBIT being minimize, but since the tracking to phleb ID and correct collect time is an issue I am requiring a second tube for compliance sake. We are dropping blood bands with the Soft go live because the security features added to BPAM are leaps beyond what we currently have. Blood bands at current have only caused problems and patient delays, never stopped a patient ID issue.
  16. I agree @jayinsat that the additional screen is redundant. Building a new LIS, and planning to get rid of the antibody screen. I'm just questioning because it is strange that all of my experience and IRL peers has had a post partum workup that included a screen. Seems like one of those "always been" situations. Thanks folks!
  17. In the post-partum workup that has the fetal screen in it... I've never seen the battery NOT include at least a screen as well. I can't find any requirements for what it does or doesn't have to include. Do you include a screen as well, or just the fetal bleed screen? Am I missing some sort of accreditation checklist item?
  18. And....... of course it's a tie.
  19. Thanks for the link! I found the full version and it is now bookmarked. I wish the US would come out and pick a side. They should know us lab folk enjoy the comfort of the black and white. Grey is for those making the rules. Haha!
  20. Well stated @Malcolm Needs! Semantics aside, I do see the reasoning behind either antigen configuration. Definitely different purposes though. I did reach out to CAP to ask which they are using for their Anti-D titer PT sample. Seems that if we are tasked with being in range with peers or their "answer key" I'd like to know what they are using as routine. They have no documentation of what guidelines they routinely use for titer cell selection. Hmm..
  21. Age old debate on which cell type is best to use for prenatal antibody titrations. Please chime in and feel free to add your rationale in the comments. Now FIGHT!
  22. Would it be unreasonable to allow ISXM of type O units as a standard when OR doesn't want to collect the confirmation? That's what would happen in absence of confirmation and EXM eligibility.
  23. This has been the process at other places I've worked and did fine. Here, the OR refuses to draw the confirmation and I think that's why I've never had an issue with the process anywhere else. So we have a T&S (with or without prepare) done at arrival, and not even 30min passes and they are in the OR. We don't have the notice to get it drawn and the OR wants everything to be done pre-op. Often by the time we receive the T&S sample, the patient is under and open.
  24. We are not able to see the confirmation order in time to cancel it unfortunately. We use epic with Safetrace 3.13, moving to Softbank. We don't have a notification or continuously updated pending worklist. Softbank will. However, when the nurses put in these orders unnecessarily, they are drawing right away. It's a narrow window.
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