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Patty last won the day on January 11

Patty had the most liked content!

About Patty

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    Junior Member
  • Birthday 07/30/1954

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    Section Leader Transfusion Medicine

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  1. I have noticed that if my gel reactions start to look hazy after centrifugation that the card I keep as a balance card may be getting extremely dried out. After I replace it with a new card my reactions are clearly negative. Could it be a problem with the balance of your centrifuge or it may not be level? We sometimes get the weak reactions that are absent after a second spin but they are mostly from OB patient's post midterm RHIG. We do not use a readings after a second spin.
  2. Patty

    Patient identifiers on BB samples

    I believe you are suppose to ask the patient to identify themselves if at all possible. Using the name and DOB are two things each patient is likely to know. If it is not on their label or armband how are you suppose to know what you are checking is accurate? I doubt patient's know their MR# or Accn#.
  3. Patty

    Competency Assessment

    I am trying to revamp our BB Competency Program for 2019. Do you perform a complete 6 element competency after training a new employee before they are allowed to report on their own? Do you repeat the entire thing at 6 months and again at 12 months? How do you define annual thereafter? Any time during a calendar year to complete all test systems? 12 months +/- 30 days?
  4. Patty

    FDA reportable?

    yes. Reportable once it leaves the BB.
  5. Patty

    Competency Assessment

    CAP has a program you can use through MediaLab. It does require customization but it is all computerized and it sends out notices when the next competency is due. You put tasks, quizzes, observation checklists, etc... all 6 elements and document as you go.
  6. Patty

    Training new employees

    Can you take away his ability to verify results in the computer ? Perhaps allow performance and have a senior tech or yourself verify after review? We sometimes do this with trainees.
  7. Patty

    Fake blood products

    I don't have a HemaTrax for making unit numbers or barcodes to scan. Any suggestions other than using expired supplier units and documenting that all transactions were used for testing and re-disposing of units after testing?
  8. Patty

    Fake blood products

    How do you make your fake ISBT numbers that can be loaded into the computer system? How do you rectify your inventory statistics after the fact. Units transfused, discarded, ER releases?
  9. Patty

    RHoGAM work up post partum Weak D

    Weak D if fetal screen is strongly Positive out of curiosity or to explain results but this + result would still require a fetal stain. We would place a comment in the patient's file to alert future pregnancies of need of fetal stain for RHIG coverage.
  10. Does anyone use Quotient Reagents for Blood Bank? Any problems? Pricing on antigen screening reagent looks good. If you change antigen screening reagent vendors what/how much validation would you do?
  11. I would check with CAP again before reverting to your old procedure. I called them a while back and was told it only applied to Fetal Screen Kits and parallel testing was required. I also listened to a webinar where this was discussed and they said running old QC on the new lot or a previous lot patient was required for CAP. I have found in the past that you may get different answers to a question depending on who you talk to at CAP. I often write an email instead of calling and then I have their explanation on record for my inspection.
  12. Patty

    Direct antiglobulin test

    For tube testing Immucor states: Negative tests may be examined using an optical aid. Ortho states: Examine negative tests with an optical aid. I believe a concave mirror or a microscope would qualify as an optical aid. Our policy does not define optical aid though. If the tech feels they need to look under the scope we do not discourage for DATs.
  13. Patty

    TRM.42750 Storage Unit Alarms

    We use ice/water for quarterly checks.
  14. We only parallel check the fetal screen kit by testing the previous lot QC with the new kit and vise versa. This is the only kit we use.
  15. Patty

    Blood Storage Cooler For Backup

    How large of inventory?

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