nmartin

We use one homozygous or three heterozygous to rule out

ARC puts a tag on the double bag plateletpheresis that states: "Component expires 24 hours after pooling or on the date stated on the component,whichever is earlier."

AABB Technical Manual Chapter 1 appendix 1-4, says pipette recalibration should be done quarterly

We also use E2684 as the thawed 5 day code for an E2555.

All handled through Pharmacy.

We have an order called HOLDBB. The MD has to order it. When we receive the specimen, we enter the unique BB armband number in our computer (after checking for correct labeling) under this test code and the test code also automatically calculates a 3 day outdate - so that specimen can be seen in our Blood Bank module and we know if it is a good specimen to use.

We have used Swisslog to issue blood products to the floors and have never had a bag break in over 12 years. We do use 2 ziplock bags to contain the unit and foam inserts in the pneumatic tubes. We issue over 14,000 units a year.

We use the AABB method for HDFN: dilute with saline, no enhancement, 1 hour incubation, and report 1+ as the endpoint.

We have a 100% leukoreduced inventory, but for our Blood and Marrow Transplant patients and our solid organ transplant patients, our doctors request CMV negative products if the patient is CMV negative. So we provide CMV neg products as requested.

You need to transfuse with products that are compatible with both the recipient bood type and the donor blood type until the recipient is totally engrafted with donor. AABB Technical Manual has a wonderful chapter on this subject and a very simple table of what types to use depending on the blood types of recipient and donor.

We allow pre-op patients to come in up to 14 days prior to their surgery. We band them at the time of the draw, and they are instructed to keep the armband on. If they show up on the day of surgery without the band on, the patient is redrawn and gets a new armband and the Blood Bank work is all re-done at that point.

We perform a second ABO RH on the same specimen when there is no historical type. We use a secondary blood bank armband with a unique identification number for all transfusions.

We use 14 days, but realistically most patients come in within 7 days prior to surgery. We use a secondary Blood Bank armband and it will not last much longer than 7 days, especially as an outpatient.

[ATTACH]584[/ATTACH] Welcome Nova, We also do a lot of out patient transfusions and send them home after 1 hour with an instruction sheet. I attached an example of the instruction sheet we use.. You should develop one that matches your procedures. Good Luck Nancy [ATTACH]584[/ATTACH]

I also have an issue with the CAP proficiency survey for titers. We report out both a RT and AHG result for Isohemagglutinin titers, CAP allows both RT and AHG results only if you use their uniform procedure. But since we use our own procedure, we can only report either RT or AHG. I have written CAP but got no response from them. Also their uniform procedure for Anti D doen't even match the method in the AABB technical manual which we have used for 30+ years. Where did they come up with their uniform procedures?