[Baby weak D and gel testing]

We have been Gel users for about 20 years. We see about 1-2 Gel negative, Weak D tube testing positive patients per year..

[Clarification? Sample guidelines for FFP/cryo and platelts - UK]

Blood typing is performed once an admission to receive FFP at our facility. TS in only required if transfusion with RBC is necessary.

[Separate cells from plasma within 2 hours]

We only seperate plasma if it is a pre-op specimen that needs to be frozen.

[Weight of donor units]

_{We document volume on the bag at issue. Niursing wanted the information for I/O documentation and to enter volume for the pump they use to administer products.}

[Positive Autocontrol in gel, negative DAT]

If we repeat the autocontrol in tube and 90% of the time it is negative.

We repeat the autocontrol in tube and 90% of the time it is negative.

[Reporting DAT strength to HIS]

We do report the strength when positive for each component (IgG, C3 and Poly). Not sure if anyone is doing anything with the results but we have reported it for over 20 years...

[Presurgical Blood Bank Specimens and Meditech]

We perform the type and screen on the Pre Admission account number and on day of surgery order RBC on the new surgical account. We do this mostly for billing reasons not becasue meditech does not allow it.

[Expiration Date For Neonatal Aliquot]

We use 4 hours expiration for syringe

[SoftBank- Outpatient Transfusions and Multiple Accounts]

We use accounts that are good for 3 days most of the time. Some times the patient has a new account number for transfusion. In those cases we order red cells on that account and add a comment that Crossmatch was performed using Type and screen collected on such and such date and specimen number. This has worked well..

[Factor concentrates for reversal of Apixaban, Xarelto, Dabigitran, etc.]

Blood bank handles Factors at our facility. We also have a consignment agreement and therefore don't have to worry about outdating. We were requested to stock PCCs. We are using Factor IX (profilnine)

[Accepting RH type results on OB patients from other facilities]

For any blood product issued from our blood bank, we perform the testing. Results from other facilities are not accepted.

[Plasma transfusion and ABO history]

ABO performed on each new admission

[New Supplier for Rhogam]

Have any of you switched from Rhogam to Rhophylac? If so any issues? Thanks!

[Blood warmer use for platelets]

How often is PM/QC performed on the blood warmers? We just got new warmers and the manufacturer's recommendation is once a year. Does AABB require it to be quarterly?

[LOINK result coding]

We did it a few months ago. Kept it as generic as possible.

[Extended antibody ID work up]

If you have a patient that needed extended work up to identify an antibody and find compatible blood, is there a way to bill the patient for it? If blood was needed from Red Cross' rare donor files is there a way to bill the patient for all the costs associated with obtaining such a unit?

Thanks!

[2 blood types]

Not for plasma products

[Adsorption & Elution "Detail Lecture needed"]

can you post the info on this site? Thanks!!

[Type and Screen and Hold-Do labs use this order?]

We allow blood bank hold to be ordered by Emergency Care Unit and L&D. Very few of these specimens get converted to TS or TC. By ordering and collecting a hold specimen we have a specimen avaialble that meets all labelling requirements of the transfusion service.

[Requiring two ABO's on pretransfusion patients]

We confirm blood types on patients with no previous type and if patient's type is other than group O. If there is a specimen avaialble that was drawn at a different time such as Hgb/Hct or Protime etc. we use that to confirm. We only do it if patient is ordered red cells. Confirmations are not done for platelets, Type&Screens etc. Occasionally if we have problems obtaining a new sample we give group O Rh specific cells.

[Another Immucor price increase????]

I am talking about manual reagents. We use Gel (Provue) primarily.

[Another Immucor price increase????]

We swithched to Medion following Immucor price increase. We are happy with the 3 cell screening cells and the Panel. We changed vendor for everything possible including cells, reagents, antisera etc.

[Enter Nursing Data into EMR by Blood Bank staff]

We use Meditech 5.62 and we do enter the start/stop time into Meditech. We have been doing this for 15+ years and do not find the process cumbersome. We do it for all the reasons mentioned in the above posts (audits, accreditation review erc.)

[Displaying Plasma Expiration]

We convert FFP to thawed FFP. The thawed FFP will have the new expiration date/time. The thawed FFP ISBT label is generated and applied to the Plasma bag.

[ABO/Rh using cord blood sample]

We do ABO/RH and DAT using cord blood on all newborns in our facility. We do our testing in Gel. We have had no significant problems. When transfusion is necessary, neonates are transfused with leukoreduced O negative units.