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Bet'naSBB

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Bet'naSBB last won the day on November 9 2023

Bet'naSBB had the most liked content!

About Bet'naSBB

  • Birthday 12/29/1965

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  • Gender
    Female
  • Occupation
    Asst Manager, BB, SCTCT

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  1. HemoBioScience has some "Simulated Patient Plasmas" that work quite well - and "keep" past their expiration. They even work when aliquoted and frozen. We have, in the past, requested "Antibody Containing Plasmas" from our blood suppliers. We use several different suppliers - some will and some won't save them for us. Usually pay a nominal fee - but not nearly as much as manuf. antisera. When we get them, we aliquot and freeze. The least favorite way is - when a patient has an antibody - or you ID a new antibody - we scavenge as many CBC's as possible, combine the plasmas and freeze. We do have some dilute antisera - but as said before - often times does not work as expected.
  2. I just answered this question. My Score PASS  
  3. Our hospital provides WB, RC and liquid plasma to 4 Air units, and to about 5 county EMS units in our state, We take care of it all. We receive the inventory from our supplier, we disposition it to the units, they transfuse (and ALL of them do) they then notify us to prepare them a new cooler, when they return the cooler in use, they include a signed Emergency Release form and we do the final disposition here. Our management traveled to the EMS sites when their blood programs are initiated to give them in person training. We also have set up power point presentations and online training for them that they are supposed to complete annually to maintain competency, The Flight Nurses and Paramedics follow the instruction of the ER docs to transfuse. Our program has saved countless lives over the last....?almost 10 years..... It's A LOT of work for the techs and crews involved - but so worth it. of note: a few of our EMS crews have validated refrigerators on their units that they use in lieu of our coolers. this allows them to keep blood for a longer time period. if they use our coolers, they are validated for 3 days in the summer months and 4 days in the winter months, the date / time of return is on the cooler when it goes out and there is a downloadable temp monitor on the unit that they check a few times daily.
  4. we use ours too quickly - but we would not extend......they seem to have more ?? the longer they are on the machine - the more they are used.
  5. I've sent you a private message with a lot of specifics about how we do things with the coolers we have - but came back here to say that we don't "Pre-cool" the coolers before we start the validation as we would not do that in our normal every day process. When we issue blood or plasma, the cooler is chosen, inserts placed and blood/plasma units go in. that is how we validate.
  6. If your patient is O, it would be hard to tell if there is a cold auto or cold reactive allo antibody present. If your patient is A and the reverse is clear, that can R/O anti-A1 - but your reverse cells might be ag neg for whatever the person "has" so the reactivity might be as expected......same with a B patient. we would run a cold screen with an auto control (IS, RT, 4C). use the reactivity for that to decide your next steps......ie - pursue a cold auto or a cold allo. we would also run a DAT + monospecifics and if complement is positive, we would do a thermal amplitude and a cold adsorption.......but, we're also an academic medical center and our BB is as close to being a reference lab without being a reference lab as you can get and we work up EVERYTHING!
  7. what coolers are you using and what kind of inserts? do the inserts need pre-conditioning? if you can let me know these things,.....I may be able to help!
  8. The nurses who are granted access are "programmed" into the blood track software with their hospital employee # and we make them a barcode for their badge. they scan their badge and the kiosk asks if they want blood for Emergency use, if so, the door unlocks and they remove a unit which they then scan. opening the door alone triggers a notification in the BB so we know when they've been in it......if they remove blood properly, it tells us that too..... we always follow up with the ED when the "door is opened" and there is no evidence of blood removal.
  9. We have Soft and Epic - they don't "talk" to Hemonetics - at least ours doesn't....... (we have Hemonetics remote fridges / Blood Track for 3 different locations.) We don't have the best compliance - but I feel its much better than 80%!! We resolve every and all notifications from the Blood Track software in our lab.......there is education that we provide for all nursing that they have to complete annually. If / when we encounter non-compliance it is reported as an occurrence (RL-6) noting the location as the ED / location where the noncompliance happened. The whole system started off a little rocky, but, it's gotten a lot better! The locations REALLY want their blood to stay so they've shaped up. (not to mention its a pretty good hike from all our fridge locations to the BB proper) One of our 1st shift staff members physically goes to each location daily to restock, remove short dates and gather returned units. It's a lot, but way worth it in the long run!
  10. What media are you starting in? Is auto control pos? DAT / monospecifics pos?
  11. We are a large academic medical center / L1 adult and peds trauma center. We stock 4 helicopters, at least 4 county EMS units (with more onboarding) (all 2 Opos WB units each) We also have an Adult ED refrigerator where we try to keep a minimum of 8 WB along with a few RBC's and Liquid plasma units. We also stock 2 units O neg WB in our Peds ED refrigerator. Our Massive Transfusion protocols allow us to transfuse up to 10 O pos WB to anyone >/= 16 years of age. We have a standing order for WB with our supplier for 40 units per week.
  12. We use ALOT of WB (we have WB in 2 ED refrigerators for their use and have a pre-hospital blood program with 4 air care helicopters and in multiple county EMS units) our computer will allow for EXM if patient is admitted and we receive 2 samples. otherwise we ISXM.
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