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Everything posted by Bet'naSBB
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BloodBankTalk: Clinical Aspects of Transfusion Reactions
Bet'naSBB replied to Cliff's topic in Question of the Day
I just answered this question. My Score PASS -
I could be wrong on this.....but I don't think the FDA would go to the other facility.......... We have several "sister facilities" that we send blood to for storage that are in our system and another facility that is not in our system. When we get inspected, they don't go there..... We are FDA registered because we irradiate and wash/deglycerolize units....ie - "create" products. I think they just have to comply with CAP and or AABB standards for storage.
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Blood Bank Specialist Technologist 3rd shift
Bet'naSBB posted a job opportunity in Medical Laboratory Scientists
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Blood Bank Specialist Technologist position in an Academic Medical Center. Level 1 Trauma Center for adults and pediatrics. Reference lab quality specialized testing. 5 years BB experience, SBB or SBB eligible preferred, Full time 3rd shift (5 - 8 hour days or 4 - 10 hour days). $10,000 sign-on bonus to eligible applicants. Winston-Salem, NC https://emis.fa.us2.oraclecloud.com/hcmUI/CandidateExperience/en/sites/CX_1001/requisitions/preview/74165/?keyword=Specialist+Technologist%2C++Blood+Bank&mode=location Interested parties should apply via link and/or send email with resume to: cswarren@wakehealth.edu (BB/SCTCT Manager) -
I agree with the above for red cell products, but personally would be hesitant with platelets.....not so much for the temp, but because they'd have been without agitation for >24 hours...... Just my personal thoughts......
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We have a downtime form that has all that on one form....check your pm's - I'll send you a copy.
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Is everyone else having a difficult time finding suppliers that still collect CPDA-1 units? Or, is it just us here in Southeastern US?
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It really doesn't......not any better than a negative LISS screen "CONFIRMS" that there are no underlying clinically significant allos present on your "average" type and screen patient......you can never be 100% sure..... Our validations have shown that LISS with extended incubation used with individuals with warm autos and underlying ab's - will - (not always) - demonstrate specific allo-ab activity without the auto ab interference. If the LISS screen is completely negative, then we make the conclusion that there are no underlying allo ab's and there is only a warm-auto present and we don't have to adsorb. If the LISS screen shows specificity - the ab is ID'd further using LISS. If the LISS screen still shows panreactivity, we allo-adsorb using in house produced, papanized red cell stroma.
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the sticker is an actual part of the unit tag - so when the tag prints, the sticker is on it and gets printed as well
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We'd probably do the eluate.....(but only because we rarely stop working up anything....and if we need to, we grab a CBC sample -if one is available- to do extra testing - but not XMing....before folks start gasping) My guess is that the eluate would be pos with all cells......if so, we would say that the sporadic reactivity with plasma was warm auto "spilling" into the plasma..... We would then do a LISS screen with 30' incubation to confirm there are no underlying "real" allo-antibodies.
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We use AS-3. our supplier upped the price of CPDA-1 units because they have "stopped" production of that product..... we have a pretty large NICU +/- 50 beds and are a pediatric trauma center. Atrium Health Wake Forest Baptist
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we use both..... our tags have a sticker on them. when they print - all the pertinent info from the tag is on the sticker. we place the sticker on the back of the unit at the time of tagging. we got dinged during an inspection because the nurses took the tag off the unit while it was hanging....... the sticker solves that.....if they take the tag off - the required info is still on the unit. we do this with all our blood products. we currently use SCC-Soft Bank
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We use Immucor's WBcorQC product....it was actually recommended to us by the service rep that installed / trained us on our VisonMax's .......(on the sly since it's an Immucor product) - but they work great! In the IFU it states the Rh phenotypes of each tube....and the types are consistent from lot to lot so you don't have to re-program your QC with every new lot. The kit contains 8 tubes (2 each of 4 controls.) good for about a month.
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we titer the antisera to be used then make a batch at the dilution that gives us 1-2+. we use this for our daily QC as well.
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@John C. Staley - exactly........... Our facility was just purchased by a large entity and we are having to "dig" holes that have never been dug before for their so-called "harmonization"
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My manager and myself (asst manager) both complete the same competency that the staff do in order to be able to be able to fill in at the bench if the need arises. "This year's" competency is "good" for next year's observations. It's hard to get done - but, we both feel it's valuable - and the staff seems to appreciate that we remain "competent" since previous management had no clue what went on at the bench.... Keeps us in the loop.
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@ffriesen We try to do ALL titers on the Visions. Nothing magical really, we do titers on all our OB's with antibodies, incompatible BMT's and incompatible kidney patients. Our test menu allows us to select IgG anti-A and/or anti-B titers. When we do titers on our B kidney recipients, we do their titer with A2 cells instead of A1 cells have to "lie" to the instrument and tell it that it has A1 cells but actually put A2 cells on it. Techs are required to enter a comment under the test report with the Lot and expiration of the A2 cells. I will PM you the policy.
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Strange Inquiry..... We have 3 AO (American Optics) microscopes. 2 are 20+ years old and one is 40+ years old. Upper mgmt. is wanting us to determine "end of life" of our older equipment but for that we need to contact the manufacturer, Does anyone know who the manufacturer is for these scopes? I've searched but cannot find any indication that this company is even still in existence - and Olympus doesn't know anything. Any help would be appreciated!
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OK - maybe TMI and totally not what you're looking for....but, i've attached our spreadsheet to show how we do it here for our blood bank. i've added VERY BRIEF explanations. i'd be happy to give more info if your'e interested! we send out a memo to staff at the beginning of the year outlining what they must complete by......usually 11/30 of that year. included in the memo is a simplified checklist for staff to keep up with their progress. i just sent an email to staff (1/2 way point) stating if they wanted to update/check their sheet - to let me know. some did - some didn't - but that's up to them! at the end of the year they must have all of their requirements finished. we check them. the tech and mgmt sign it and it gets filed in their file. competency_example .xlsx
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we use a calibrated stopwatch
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I've been Blood Banking for 35 years......... (albeit in the same hospital) but I've never heard of that - nor do I know of any AABB or CAP regs that would imply that...... (and we've just been inspected by both!)
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BloodBankTalk: Clinical Aspects of Transfusion Reactions
Bet'naSBB replied to Cliff's topic in Question of the Day
I just answered this question. My Score FAIL -
Does it specifically call for DI water? We've had one for YEARS and always use tap water and their clean bath. We empty, clean and refill ours once a week.
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CPT codes used for PEG crossmatches
Bet'naSBB replied to Mabel Adams's topic in Transfusion Services
Our PEG and LISS testing are built the same - with 3 charges - one per phase of testing. We do observe for hemolysis with PEG testing after 37 incubation (do not spin) - so, no hemolysis is resulted in our LIS as negative. -
Deactivation of Insignificant Cold antibodies
Bet'naSBB replied to tnbloodbank's topic in Transfusion Services
Sorry - no reference to share - but, for the most part, we only "report" cold autos if the DAT is pos with anti-C3D and they interfere with IS testing(XM or Reverse)......OR if the patient has evidence of hemolysis. That being said - once reported, we repeat the a full DAT profile (gel for Poly/IgG; tube for complement) at each visit. Once the DAT's are negative and there's no evidence of cold remaining in the IS testing on TWO successive visits, our techs can remove the "Cold". We then replace it with a comment stating "Pervious Warm/Cold" antibody. (So, that being said, we treat Warm's the same way) We also do Thermal Amplitude testing when we have C3D pos DAT and pos reactions @ IS. Our Medical Director considers "colds" reactive at 28-30C clinically significant. -
Nurse access to emergency units in blood bank fridge
Bet'naSBB replied to TMGal's topic in Transfusion Services
Would you consider a remote refrigerator in your ED? you can get small ones and then they could access it at any time IN the ED? Might be a big expense upfront - but, in the long run it would be much easier!
