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nmartin

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Everything posted by nmartin

  1. nmartin
    We use one homozygous or three heterozygous to rule out
  2. nmartin
    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."
  3. nmartin
    AABB Technical Manual Chapter 1 appendix 1-4, says pipette recalibration should be done quarterly
  4. nmartin
    We also use E2684 as the thawed 5 day code for an E2555.
  5. nmartin
    All handled through Pharmacy.
  6. nmartin
    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.
  7. nmartin
    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.
  8. nmartin
    We use the AABB method for HDFN: dilute with saline, no enhancement, 1 hour incubation, and report 1+ as the endpoint.
  9. nmartin
    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.
  10. nmartin
    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.
  11. nmartin
    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.
  12. nmartin
    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.
  13. nmartin
    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.
  14. nmartin

    introduction

    nmartin replied to nsfirm's topic in Introductions

    [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]
  15. nmartin
    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?
  16. nmartin
    We currently use the electronic BioHit Proline 10- 100 uL. We are happy with them
  17. nmartin
    We use the ThermoTrace Mini Infrared Thermometer model No. 15034 from DeltaTRAK, Inc. It works great.
  18. nmartin
    I really wanted a Helmer Freezer, but had to purchase a Thermo Scientific because of the electrical needs. The Helmer freezer needed a 220 outlet and all we had were 110's. It was too expensive to change the electrical for us. I LOVE all my Helmer products, but have to admit the Thermo Scientific Freezer has met our needs quite nicely. We have had no issues with it.
  19. nmartin
    The outpatients wear their BB armbands for a few weeks. When they come to have their CBC's done the MD also orders a "Hold for BB" which is an EDTA and the patient gets a BB band put on if they do not already have one.
  20. nmartin
    At our facility, we require all patients receiving a transfusion, regardless of the product to be wearing a Blood Bank armband. This removes all confusion from the transfusionists. If the patient needs to be armbanded with a new BB armband , then we have a policy to always have at least one ABORh type done, associated with that armband number if giving platelets, FFP or CRYO. If the patient continues to wear that same BB armband, we give the platelets, FFP and CRYO without any further typing.
  21. nmartin
    Our Transfusion Utilization Review Committee consists of the BB medical director, the BB manager, the BB supervisor, a perfusionist from the OR, a RN from Risk Management, the lab QA coordinator, an RN from the Blood and Marrow Unit, an administrative asst to take minutes, and 3 MD's from different disciplines (high volume blood users). This multi disciplinary committee is very effective and has become an effective quality and communication tool. We often have ad hoc members come to the meeting when needed.
  22. nmartin
    In the FDA Guidance for Industry.. Gamma Irradiation of Blood and Blood Components - Feb 2000 They state "at no time should the total irradiation dose exceed 5000 cGy to any portion of the container". So I think this might answer your question..
  23. nmartin
    We have the same problem with very weak results. Our solution has been get our standing order every 2 weeks from the supplier instead of once a month. The fresh lot # works in the instances we can't get the first lot # to agglutinate.. Talk about a marketing ploy !!
  24. nmartin
    We use a 10 chamber thawer by Thermogenesis, it works great for our liver transplants when we have to thaw 10 plasma at a time. It takes about 15 minutes
  25. nmartin
    We use a plain ziplock bag, and we double bag when issung in the pneumatic tube.
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