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Mabel Adams

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Mabel Adams last won the day on December 6 2023

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About Mabel Adams

  • Birthday April 23

Profile Information

  • Gender
    Female
  • 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. Is it required to perform temperature mapping in a 5.3 cu ft refrigerator? This is for blood and iStat cartridge storage at an airplane hangar. It will be on our temperature monitoring system. It seems too small for needing mapping, but I have never done it myself so don't know how small an area requires it. Any advice appreciated.
  2. We have a patient with hereditary spherocytosis who is pregnant with twins who are due in a few weeks. We have been notified that the babies could require exchange transfusions due to hyperbilirubinemia from the spherocytosis if they inherit it. Does anyone have any experience with such a case? Besides small volume or exchange transfusions of one or more babies, mom is starting with a chronic anemia so will be in more trouble if she bleeds much. It will be a busy time if everyone needs transfusion, but I wanted to see if there are any concerns I haven't thought of. Fortunately, no antibodies and mom is A pos.
  3. Are there Proficiency Testing samples available for TEG 6s? I didn't find them on the CAP website but maybe I am not using the right search term.
  4. Consensus I am getting from other sources is that we should either defer to our medical director (who doesn't feel comfortable making the call not to titrate on her own) or we confer with the obstetric providers and decide as a team what makes the most sense for this patient. As long as the titer remains quite low, we could probably trust it. If it approaches 16 (not a cut off determined with Lutheran antibodies in mind) then we couldn't be sure of its precision (to the extent any titer series is precise) but it would not be harmful to move to monitoring with Doppler US--just more expensive.
  5. My detailed ABID SOP prevents a certain number of midnight phone calls. It also reminds me what the heck I decided last time this came up.
  6. Resurrecting this topic to ask what CPT code is best to use for flow cytometry for FMH. Thanks.
  7. Thanks for your input. I was hoping you might respond. The Daniels book says that "No case of HDFN caused by anti-Lua or -Lub and requiring any treatment other than phototherapy is reported, although raised bilirubin or a positive DAT may be detected." Does this description equal "clinical significant HDFN" by your definition or is there newer information on more severe HDFN from these since Daniels published the 3rd edition? My thought is that, if there is no evidence of any case needing any early intervention, then there is no point in running titers to determine when to begin early intervention.
  8. If you have any references that you wouldn't mind sharing, I would appreciate it.
  9. If it isn't too much trouble, do you have any references on this? Or should I refer to the recent papers on cold stored platelets?
  10. We have a pregnant patient with anti-Lu b. Because of the variability of the antigen strength and the likely mild impact on the baby, is it recommended that we try to provide titers of this antibody?
  11. I always figured that, if it was benign enough in the donor that they met donor requirements, it was likely to be relatively benign in the recipient. Not perfect, of course.
  12. Now that we know that activated platelets are good for plugging holes in bleeding patients, if we get a platelet unit back out of temp because someone stuck in the cooler on the ice with the RBC units, would it be safe to use in an emergency in a bleeding patient? I'm sure we would need to get pathologist approval to use it outside of regulations. We are ~4 hours from our supplier and stock 3-6 platelet units. All input appreciated.
  13. I recently learned that there is a study underway on using them in heart surgeries at the University hospital in our state. Maybe there will be useful evidence at some point in the future. It's probably non-inferiority to room temp platelets so won't address Dr. Blumberg's concern.
  14. They give them if they note excessive oozing when the patient comes off the pump due to the pump "beating up the platelets". We will be getting a TEG analyzer (finally) so maybe they will have evidence from that testing that they don't need to give platelets in this scenario? Of course, they have to order the test and wait for the results.
  15. Can heart surgery patients coming off the pump be given cold stored platelets? They aren't hemorrhaging, which is the usual indication for these platelets, but I would think they could make use of activated platelets. If any references are available, I'd love to have them.
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