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Patty

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Posts posted by Patty

  1. For manual Gel QC what QC material are you using?  We are looking at using the Ortho Confidence system.  When tesing it we found the Gel reaction for ABSC is 4+.  I was thinking a weaker reaction would be a better QC result.  Any comments or suggestions on this would be appreciated.  

  2. We update the patient record if Irradiated, CMV Neg, etc. blood is needed.  The computer alerts tech if trying to allocate unit that does not meet criteria.  It can be overrided but it goes on a QA log and if it is used requires a deviation form. It prints on Unit Tag and we read when issuing.

  3. We use a RH + and Rh Neg 0.8% suspension from donor units mixed with low titer Anti-D for our +/- diluent control for our IgG cards. 

    We make a 0.8% suspension out of our Coombs Control cells for a Positive control and one of the above 0.8% suspensions for our DAT Controls for our IgG/C3d cards.

  4. 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.

  5. 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?

     

     

     

     

  6. 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.

  7. 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.  

  8. 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. 

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