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Mabel Adams

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Mabel Adams last won the day on November 4 2020

Mabel Adams had the most liked content!

About Mabel Adams

  • Rank
    Seasoned poster
  • Birthday April 23

Profile Information

  • Gender
    Not Telling
  • Interests
    Gardening, miniatures, crafts
  • Biography
    An Oregonian that lived in Idaho for 25 years. Got my SBB in 1998. Moved back to Oregon in 2008.
  • Location
    Bend OR
  • Occupation
    Blood Bank Supervisor
  • Real Name
    Mabel Adams

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  1. I read an article a few years back that showed that blood really didn't do anything terrible if it got a few degrees outside of our range for a bit. That gave me comfort for dealing with these slight deviations. That said, we once had a nursing unit return a unit of plasma that they found in their meds fridge a month or so after we issued it.
  2. Our lab manager wants to have blood bank share a refrigerated centrifuge with Micro that we use for occasionally spinning down units to remove the adsol before adding plasma for neonatal exchange transfusions. Micro would have their own buckets (with lids) and they would use it to spin down AFB specimens. We have to replace our old one because it won't hold temp anymore. This bothers all of us blood bankers but I can't find a regulation to give her to say we need our own centrifuge. Any advice or leads on a regulation I can quote?
  3. Wow! We are having trouble getting enough applicants to our lab jobs. Half of our Micro department decided to retire this year. Other lab scientists are moving to be closer to family. Pandemic effects maybe?
  4. I want to resurrent this topic to see if anyone would share their biggest challenges in using a blood vending machine. Is it possible to adequately train the users on the Nursing side?
  5. I hope you can clarify some stories I have heard. We live at 3600' elevation with a lovely ski hill that is around 8000' (see my profile photo). We have had people come here to ski and be surprised at having sickle problems (I assume sickle crisis). Does this mean these are all homozygous HbS people who just don't have much trouble at lower elevations? I also heard a story from Sarah Ilstrup(sp) that a group of young black professionals took a ski vacation to her Utah mountains and many of them were surprised by developing sickle symptoms. We have little experience here with sickle disease
  6. Our 2 year old Clay Adams just died and they say the parts are discontinued. What's the verdict on the Druckers a couple of months out?
  7. This seems particularly pertinent now that they are finding so many of these patients have VTE. Their clotting system is already pretty messed up by the disease. They seem to have DIC but with clotting more than bleeding.
  8. John, very good questions. Very difficult to scan patient hospital band and specimen labels per Epic specimen collection protocol in the OR. Here's one worrying scenario: Label printed for wrong patient (printed outside room and brought in, printed to wrong room, left in room from prior case) > T&S collected with wrong ID > Pt in room would have no testing being done and we would do it on the one the label/order is for. Caught (eventually) when they call for blood for different patient? They could send the ID card (proxy for blood bank band under drapes) they made out for
  9. Thanks for the response. Doesn't this negatively impact your O blood supply? We can do it for a while but keeping them on O through a bad MTP in OR would deplete our O red cells and our supplier is often running short (and is hours away), especially at this time of canceled blood drives. It's bad enough for the O patients. It really is a hardship for them to draw patients in OR during a bad case and then when they have to do it twice they are beside themselves. Mistakes occur for sure. But we need to have a correct blood type too.
  10. I tried searching but this is a tricky one to find. What are your policies regarding collection of a 2nd blood type specimen in OR, especially during an emergency or really urgent case? Our OR wants to substitute the "timeout" where they double-check patient ID for a second blood type and I was tasked with finding out what others do. We currently request a repeat type only on non-O patients with no historic type or separate specimen to test. We stick with O blood until we can get the 2nd type. If you allow them to not collect the second type, do you issue type-specific blood once the
  11. Thinking of you and all of the other people in China affected by Coronarvirus.  Stay safe and well.

    1. yan xia

      yan xia

      Thank you very much for your kindness, Mabel.

       

  12. Another question on anti-CD-47 drugs. Does anyone know how long the interference persists after the patient goes off of the drug? For DARA it is 6 months but I haven't found it for these drugs.
  13. Enjoy the attached from 20+ years ago. ABOincompatible.pdf
  14. But a perspective that is always needed, I'm sure.
  15. The adsorption/elution showed anti-A but not at immediate spin. It reacted 2-3+ with 3 sources of A1 cells (2 different vendors' reverse cells plus an A1 donor) after 30 minutes at room temperature and was negative with 2 O reagent cells. Last wash was all negative. It doesn't matter, but what subgroup do you think it is? Am?
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