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cswickard

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cswickard last won the day on August 15 2019

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About cswickard

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    Seasoned poster
  • Birthday 04/17/1953

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  • Location
    Las Cruces,NM
  • Occupation
    Transfusion Service Supervisor

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  1. We use these too. Sales from Global Sensors - almost too many to make sense of but we use a simple one Log Tag Trix 8. Software updates online - seems to work on Windows 7 at least. If the data logger is at RT - I can set the programming to wait 5 minutes before the 1st reading - that allows it to get to cooler temp. If the data logger is cold - yeah - they take a while to warm up. We store ours at RT, but it would be ok to store them at frig temps if you only use them in coolers. Otherwise you do have to let them equilibrate to RT, if used at that temp.
  2. We have had a Helmer 4 well for years. We ONLY use bottled water (distilled/deionized) and change the water every month (unless there is a messy spill). We use the Helmer Cleanbath product (per instructions) after cleaning the unit and putting in the fresh bottled water. We use the specific bags sold by Helmer for their machine - sort of expensive, but I do not see how anything else would work right. Units thaw in 14-18 minutes and we recently used it to thaw 16 units for plasma exchange and were finished with the thawing within 1 hour. Easy to maintain and keep operating - very stable.
  3. As a smaller hospital with 2-4 MTPs a year anticipated - you might find it easier to go with smaller loads in the rotations. I will try attach our policy. Smaller loads let you respond faster - when you probably do not want to keep this stuff "ready to go" as a Level 1 trauma center has to. You also lose less when they stop the MTP, but you don't hear from them in time to stop thawing the FFP and/or Cryo pool. Massive Transfusion Protocol -MTP- - Blood Bank Procedure - Adult.pdf
  4. The important part being "w/o contrifugation" - don't centrifuge the 37C incubation tubes. Take them to wash without spinning them down or you risk false positives because PEG is so "sticky". Always wash at least 4 times if using cell washers or you risk check cell failure. PEG is a good enhancement medium and it is very sensitive, but it is "sticky". You probably already know this - just emphasizing it for other readers.
  5. Oh bless you - this is what Meditech does. We have to evaluate each "update" that comes along (several per year!!) and see if it affects Blood Bank programming. If it is largely associated with another module of Meditech (Admissions, Billing, etc.) - we can usually ignore it. If it involves the Lab or BBK modules, we have to do the specific testing recommended for the specific "fix", if available. Otherwise we have to figure out our own little testing plan. On top of this, we get the major upgrades every 4-5 years that require the entire module to be retested. The whole revision retest requires around 200 hours of work and our hospital has not yet paid to sub-contract that work to a 3rd party - darn!! So - best of luck and I feel for you.
  6. I will try here or message me your email and i will send it that way. https://pstat-live-media.s3.amazonaws.com/pdf_cache/policy/5813043/b3d2aae0-704c-4ada-9bd2-dad644dffb48/TS-045 Lookback-Recall- Withdrawal Notifications of Transfusion to Recipients.pdf this will only last for 30 days Been a while since we updated this too, but it has gotten us through these lookbacks/withdrawals for a long time.
  7. We Modify (Meditech) ours the first time for 24 hours (to the minute) as FFP thawed and then - if not used - extend for 3 more days until midnight as Thawed Plasma. That way we never exceed the 5 "days" allowed for the product.
  8. Are you asking about which labels can be placed on the bag and which have to be on the base label?? Some irradiation indicator tags - both Rad-Sure and Rad-Control - have a type of adhesive that can touch the actual bag. Both can go above or below the base label (or at least that is what I have always been told). Most little labels/stickers, like the original Irradiation label in this thread, do not have this type of approved adhesive and are not allowed to be placed directly on the bag. You have to find somewhere to stick it on the base label without covering anything else up.
  9. The really important point is that they enter their data into the computer directly from the test media or instrument printout (in our case). No results from memory or their own interpretation of the results (i.e. "it was an O Pos - I'll just make it an O pos"). That is the real battle.
  10. I forgot - you also have to have a documented training program for all users and establish competency with the irradiator functions and any computer work (relabeling, etc. ) that will need doing on all irradiated units. You have to at least REGISTER with the FDA (if in the USA) because irradiation is considered a manufacturing step and that makes you a producer.... (YEAH!! - such fun)
  11. We have a Best Theratronics Raycell X-Ray Irradiator. We have the paperwork from the technician that installed or repaired the unit - they do extensive testing and verification of the dose delivered. We send a test shot phantom (contract with MD Anderson's Radiation Dosimetry Services (RDS@MDAnderson.org) (713-745-8999) twice a year to document the dose delivered. We would have to have a test shot after any repair too. You would have to have a documented test shot with documentation of the dose delivered to start operating. Every time we get a new lot # of indicator tags, I run new tags from each box against tags from the current lot number, to check for duplicate functionality. We are FDA inspected - they have never asked for anything else. Ask your manufacturer - they should have some suggestions too.
  12. Yeah - sorry - I was just assuming it wasn't an obvious problem like that. When nothing else makes sense and the baby is still in trouble - that is when you are thinking about that rare antibody.
  13. You should also just check with your blood distribution center. They should be able to supply you with some empty bags. If you do not need an ongoing supply, they should be able to help with what you would need for validations - primary and ongoing. We store our "phantoms" in the frig and I have had them for years now.
  14. We do an eluate only if the Dr orders one, and we haven't had that in years. We only do the cord bloods of O and all Rh neg moms anyway. An O mom with a B baby can frequently be seen to have a more aggressive HDN - but usually treated just with Bili lights and hydration, occasionally they also don't let the mom breastfeed. Any ABO HDN eluate workup really doesn't yield anymore useful information than you already know - Mom's are usually O and the babys are A or B - DAT mystery solved. On the rare clinically significant antibody - try to find whatever it is mom has and phenotype the baby (if possible) if the DAT is positive - might be worth sending out if you can't do any of that. Do you have to send out AB Titers if they are monitoring the pregnancies? Do you usually know in advance, the moms with positive antibody screens or do you get little prenatal work? That might effect what you need to do. On the very rare(!): Dad has a rare antigen and mom has the corresponding antibody - good luck even remembering that if shows up. The only real way to work one of those up is to have specimens for Mom and Dad and crossmatch Mom with Dad's cells. If Mom had a negative antibody screen (frequently) but is incompatible with Dad and the baby - send that out for information to use on the next pregnancy - if there will be one. Otherwise - the current infant will have to be dealt with as well as possible - Bili lights, hydration, maybe exchange transfusion with units compatible with Mom's specimen. That is what we would do.
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