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JMunden

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Everything posted by JMunden

  1. JMunden
    If your RIBA 3.0 is "Indeterminant" and NAT is nonreactive the transfusion service notification is not required. Follow Figure1 or Table 1 in the aforementioned PDF FDA Recommendations submitted by SMW.
  2. JMunden
    We give units which are antigen profiled to patient whenever possible, to prevent alloimmunization; In addition to issuing as Least Incompatible with the physician signing a responsibility release.
  3. JMunden
    We have been performing the ABT for anti-D, and the Eluate CAPs for some time. Be sure to perform the eluate when specimen is fresh, I have assigned CAPs to techs who waited until near due date and found specimen to be hemolyzed with spurious results. If result is not evident, we result as "would sent out to reference lab"-which is what we would do with a patient with similar reactivity patterns.
  4. JMunden
    Clay-Adams II were what we had, and went to the new serofuges (based on past performance) the Serofuge 2001...stay away from them! I have had to replace the hinges at least once per year/even after they "improved" them, additionally the rubber "feet" break easily.
  5. JMunden
    Our facility uses the ArkBio microwave from Tropitronics out of Florida. It works great; However, there is some limitation, as it will not thaw units that may be trifolded. It is recommended by the manufacturer that units be frozen flat. Our supllier bends the top of the plasma units and they can be safely thawed. We cannot thaw pheresis units by microwave as they are trifolded and heat is not consistently applied for the whole unit. Additionaly, We adopted the practice of converting FFP to thawed plasma ater 6 hours with a 5 day outdate from time of original thaw. There are articles in the BB community supportive of Thawed Plasma for most patients, our exceptions are babies and patients in severe DIC who always get FFP. This has reduced FFP wastage to less than 1% (Usually a bag defect or rough transport handling-supplier gives us credit for these!)
  6. JMunden
    Our facility uses the ArkBio microwave thawer (Tropitronics). Four minutes to thaw, push a button and walk away.
  7. JMunden
    Thanks, I've passed the information along...problem has been solved. Thanks for the reference E mail address as well!
  8. JMunden
    I received from a tech at another hospital (we do not have this system). She has found that in barcoding the ISBT DIN that she is getting check digit characters usually a hyphen followed by a letter on her issue forms after the DIN number . Is there something she is missing? She tried talking to customer service and they acted like they didn't even know what ISBT is!...I couldn't help her other than to say I would check Blood Bank Posts. Any help is appreciated, and I'll recruit her to this Forum for future references. Thanks.
  9. JMunden
    Currently our facility retains cord blood samples for 2 weeks. This was initiated, originally because the childrens hospital requested we collect specimens in EDTA and Clot tubes for their genetic studies when performed. We rarely send specimencs out anymore and there have been essentially no requests for special testing. Our L&D department would like to switch back to the old wide tube specimen containers previously used. I have no problem with that, however, I do not have room to store the samples as they are to be collected. What length of time does your facility keep Cord Bloods? Thanks...
  10. JMunden
    Pat Distler e mailed attachments for me; I will try to pass them on! The code you use depends on the product supplied to you...We will be using code E5648 with our own DIN-you do have to be registered with the FDA. reconstituted codes.xls Reconstituted Red Blood Cells.pdf
  11. JMunden
    I am currently working on an audit for age of blood transfused for cardiac patients. 99% of cases have had blood less than 14 days. We go through supply so quickly, that it should be no problem to tweak the parameters and offer < 10 days. I also agree that cell saver and proper utilization practices are best.
  12. JMunden
    We are a transfusion service that currently relabels thawed FFP as "Thawed Plasma" with a Thawed Plasma Sticker after 24 hours and a 5 day outdate. When ISBT is mandated, can we continue to overlabel, or is this considered a modification requiring a new facility identifier (ISBT unit number)...and if so, why is it ok to thaw FFP-a modification-and not require the same?? Both utilize the same "process". Thanks for any input!
  13. JMunden
    Thanks everyone for your quick response! I'll forward information to our state inspector so he understands the intent.
  14. JMunden
    Is it required to have a contract with reference laboratories to perform Blood Bank workups? Or is it adequate to have documentation that the reference lab is CMS and AABB or equivalent accrediting body certified? Bottom line-Can a hospital transfusion service perform an ABID for another hospital without any written agreement??...State department is questioning a "sister" hospital as to their process citing AABB Std 4.2 which I have interpreted more as relating to the Blood Supplier Contract, etc..Thanks to anyone that can clarify!
  15. JMunden
    It is my understanding that apheresis product can be labeled as thawed plasma if it is a "closed" system. Your supplier should be able to help with this. We do not give thawed plasma to neonatal nor severe DIC patients. Our computer "outdates thawed FFP". I relabel as Thawed Plasma after editing expiration and making the component product. We currently use Thawed Plasma codabar labels placed over the previous FFP label. I foresee ISBT changing our current process.
  16. JMunden
    Just curious if anyone has procurred an Olympus Tango, and is willing to share experiences. We will go automated soon and am trying to decide Echo or Tango. I liked both demonstrations, but was leaning towards Tango for ease of QC and onboard reagent stability. Thanks. Jim.
  17. JMunden

    Trali

    JMunden replied to Mary's topic in Transfusion Services

    "Guilt by Association" and implications as described by RC...we also perform a BNP which will be elevated with TACO, but one has to remember the status of the patient-could be a heart patient with congestive heart failure and TRALI...etc.
  18. JMunden
    I currently have Kodak-easy to work with, takes great video, the battery charger is easy to use and the camera stays charged for quite some time. In addition, I also like the computer program that comes with the camera-it is easily workable. (stay away from minolta, pentax, and fuji...I've bought them all and they lasted less than 6 months!).
  19. JMunden
    Last year Pharmacy took control of our Rhogam (after dispensing > 20 years from Blood Bank) to be compliant to Joint Commissions requirement that the pharmacist have prior review for appropriateness of order: As Joint Commissions deems Rhogam a medicine, not a product...Funny doesn't have an NDC #. Anyway, conversion was easy we added a prompt "Rhogam indicated yes or no" to "help pharmacy out with their interpretation". Actually, it is convenient to have them deal with any "look back" issues in case of recall, and they can deal with the RN's requests for the product...oops, I mean medication.
  20. JMunden
    Our supplier has contracted testing to be performed at another collection facility. These tests are RIPA confirmed, which is supposed to be the most sensitive test out there; However, I'm not sure it is currently licensed for this use (at least as of Dec 06-it was not-I'll be looking into it). I would definitely wait to initiate testing and as you stated ala Hep C-we will all be re-informing the public yet again...Yippeee! I haven't talked to risk management yet about legal ramifications for prior vs post transfusion infections??? Sure hope they fast track that processfor altering blood types to O...we're going to need it!
  21. JMunden
    Our blood supplier is now testing for Chagas and AABB recommends recipient notification. Living in an area with a high seropositive population, I have received my first batch of confirmed positives. Does anyone have a form letter or pamphlet for recipient's information? Any comments are welcomed....
  22. JMunden
    Finally figured out the right product code for aliquots/syringes! :tongue: How do you label syringes and or pedipak 50 ml 2X3 inch bags? for ISBT compliance? Is it acceptable to label the 4 X 4 format to a 4 X 4 tie on tag ? Because obviously all those barcodes are not going to fit What are you doing
  23. JMunden
    Thank you everyone; As consensus is request means "physician" request, I'll go back to keeping the nurse request for 1 week. AABB should clarify the standard with physician before request, having just been recently inspected-I tend to interpret the literal meaning/implication.
  24. JMunden
    AABB 24th STD, pg 75 item 3. 5.11.1 Requests for blood and components are kept a minimum of 5 years. We have been saving since August ;( If I interpreted incorrectly, let me know...I could use the storage space.
  25. JMunden
    Anyone from a beta site willing to share experiences/information on the automated Echo...We are trying to decide on Provue Vs. Echo. Echo is presented positively...but we will be going manual gel or solid phase prior to implementation. Both automated instruments have been submitted for approval-we currently use tube methods. Any input welcomed. Thanks
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