Mabel Adams
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OkayestSBB reacted to a post in a topic:
Air Ambulance Transfusion
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John C. Staley reacted to a post in a topic:
Air Ambulance Transfusion
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We accept them back and use them. We put Safe-T-Vue indicators on them, control the refrigerators at some hangars, validate their transport containers and have reviewed the procedures and documentation for storage at the other company's hangar.
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Bend is a great place to live and the hospital system has been my best workplace in 42 years. A small amount of remote work is possible. Daily schedule can be set by the needs of the worker and the tasks at hand. ESSENTIAL FUNCTIONS AND DUTIES: Perform all of the duties and responsibilities of a Medical Laboratory Scientist in Blood Bank. Assists in the development, updating and maintenance of written policies and procedures related to Blood Bank Information Services. Assists the Blood Bank Technical Supervisor in ensuring the required orientation, training and continuing competency of all Blood Bank Information Services users. Assists with required documentation of these activities. Ensures that all required validation, quality assurance, and any other required maintenance procedures related to the Blood Bank Information System are performed and documented in accordance with all St. Charles Health System and regulatory requirements. Collaborates with clinicians, nursing and other laboratory leaders to assess and evaluate the on-going operational needs of the organization as they pertain to Blood Bank Information Services. Maintains tables, rules, security and reporting capabilities of Blood Bank software products. Serves as an expert resource to other St. Charles Health System laboratories, clinics, hospitals, and departments in matters relating to Blood Bank Information Services. Collaborates with laboratory and other department leaders to assess, evaluate, purchase/replace and implement capital equipment and software used for Blood Bank Information Services purposes. Typical pay range: $34.93 - $48.22; Relocation assistance may be available. https://stcharles.wd1.myworkdayjobs.com/External/job/Bend-OR/Coordinator-Blood-Bank-Information-Services--Full-Time--Days-_R1013336 -
OkayestSBB reacted to a post in a topic:
Air Ambulance Transfusion
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John C. Staley reacted to a post in a topic:
Air Ambulance Transfusion
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Ensis01 reacted to a post in a topic:
Air Ambulance Transfusion
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Bet'naSBB reacted to a post in a topic:
Interactive Antibody ID Software???
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AMcCord reacted to a post in a topic:
Interactive Antibody ID Software???
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AMcCord reacted to a post in a topic:
Air Ambulance Transfusion
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We are currently TJC, AABB and FDA inspected. They each take a different tack. AABB requires more auditing and data gathering which we sometimes have difficulty doing with current resources. This site has not been CAP in the 14 years I have been here. My previous lab switched to TJC from CAP just after I left there.
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Mabel Adams reacted to a post in a topic:
Has anyone dropped CAP? Pros/cons??
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In the Library on here is a powerpoint that goes through the process. They don't get feedback but it is very step-by-step. I posted it years ago so searching in the files by my name might bring it up. Or it is in the most-downloaded section, it looks like.
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We have a contract to provide blood to our air ambulances, but they charge the patient if they transfuse it (well, it's wrapped into their total charges for the flight, but we don't charge the patient). If the patient comes to us, we do the XM like we would for our own UNXM units but if the patient is transported elsewhere, we maintain final disposition of the unit in our computer but don't do the XM (yes, we give the patient a fake account in the BB computer using a specific format). It is just easier for us to maintain the record of the unit's final disposition for if there is a market withdrawal etc. We would notify the air transport company to do the patient or next of kin notifications if that were ever needed. It hasn't happened yet so it isn't a big problem.
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I hope someone can share their policies or criteria for switching O negative patients to getting O positive RBCs due to a blood shortage but NOT when it is uncrossmatched or massive transfusion etc. The usual scenario is that we are on allocation for O neg red cells and have a GI bleed who is usually a male over 50 who needs 1-3 O neg units per day over several days. We don't have other hospitals that we can borrow blood from and we are several hours from our supplier (if they would even release any O neg units beyond our allocation). Have you established a minimum of O neg units that you must maintain for surge capacity if someone with childbearing potential should need several units of O neg? Do you limit how many units of O neg such a patient can take before switching them? Do you try to switch them early if you are going to rather than give them 6 O negs and then have to give them 2 O pos and then they stop bleeding. If you start giving them O pos, when do you switch back to O negs? Yes, we can ask our pathologists but it is they who are asking for some idea of what other places do.
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Malcolm Needs reacted to a post in a topic:
Free books
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Marilyn Moulds is trying to create a blood bank museum. I don't know if it is mostly virtual or not. She can be found on FaceBook these days.
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We have an opening for a coordinator to support our SafeTraceTx 4.6 system plus several other roles in the transfusion service in our level 2 trauma center. It's a fun and beautiful place to live and a good lab culture to work in. Please message me or use the link below to share about or apply for the position. https://stcharles.wd1.myworkdayjobs.com/External/job/Bend-OR/Coordinator-Blood-Bank-Information-Services--Full-Time--Days-_R1013336
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donellda reacted to a post in a topic:
Immune checkpoint inhibitor drugs can cause DAT negative AIHA
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I was hoping you would share your experience. Thanks.
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The Blood Group Antigen Fact Book says HDFN risk of Anti-Kpa is mild to severe. Apparently ACOG says this antibody causes only mild HDFN. Does anyone have any references or know why the book includes "severe"? Our patient has a titer of 32 and we want to manage it like anti-K, but maybe it doesn't affect the red cell precursors like anti-K does.
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For gel 2+ or less, we ask provider to allow us to send out for molecular typing if patient has childbearing potential. Otherwise, we usually interpret them as D positive but add a note that their type is weak and atypical so they may sometimes be reported as negative and other times (other places) as positive. If they have anti-D or some other reason (anti-C & anti-E?) we will choose to call them D neg.
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Mabel Adams reacted to a post in a topic:
Crossing over directed donor unit does ISBT product code change?
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If we get in a directed donor unit with a D00 at the end of the product code, and we want to give it to a different recipient than originally intended, do we relabel it with a V00 product code or can we leave it as D00 and cross it over to regular inventory?
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What can/cannot be stored with blood products??
Mabel Adams replied to labgirl256's topic in Equipment
I think AABB requires that stored blood products be maintained in a way to reduce errors. The old tradition (maybe there are still rules) of keeping specimens below blood products suggests that specimens spill in the refrigerator. I can't recall every seeing that happen. I've seen a few doozy spills out on the workbenches but not in the refrigerator. -
Update: apparently AABB is changing this standard to an interim standard. Proposed Interim Standard Focusing on Sterile Weld for the 33rd edition of Standards for Blood Banks and Transfusion Services (aabb.org) If the integrity of the weld is complete, and the component is in a container approved by the FDA or Competent Authority for storage, then the original shall have an expiration date/time shall apply, consistent with the storage requirements for the blood or blood component. assigned in accordance with the FDA- or Competent-Authority-approved package insert for the storage container. Standard 5.1.4 applies. Regardless of the integrity of the weld, if no storage time limit is specified in the package insert or the package insert is not available, the component shall have an expiration time of 4 hours after transfer from the original container. Confused yet? I am.
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I just got information back from Fresenius (now maker of Fenwal transfer packs) that their bags are good for red cells through the unit outdate but that they are not approved at all for platelets. Do you know if Charter Medical says that their bags are approved for platelets? We use their 60 ml syringes and they are listed as okay for platelets so I assume their 150 ml syringes would be but wasn't sure about their bags.