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April 2024 Challenge

teskridge

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Everything posted by teskridge

  1. teskridge
    So can anyone share with me how you are doing QC on cell panels, WARM and REST kits, and eluate kits? Do these tests need IQCP?
  2. teskridge
    I must not be understanding the question...what has the buffer cards and performing the IS crossmatch in gel got to do with detecting Anti-Kell?
  3. teskridge
    I work at 3 different institutions. 2 of them don't allow reissue of a red cell unit that has been outside of the blood bank longer than 30 minutes. The 3rd facility will reissue a red cell unit as long as it does not hang over 4 hours...but it can not be released and placed back into inventory and the bag can not be entered..so if it's been spiked it would get discarded.
  4. teskridge
    Yes, we use the buffer cards on our ProVues. McLeod Regional Medical Center in Florence, SC
  5. teskridge
    Thanks so much for your help. I'm still debating if qc'ing the expired panel cells is even necessary. We have never done this and have never been questioned about it from an inspector
  6. teskridge
    Do you make a 3% suspension from your 0.8% panel cell to test with the antisera? I guess I wasn't very clear with my question...sorry.
  7. teskridge
    Can someone tell me how you QC a 0.8% expired panel cell that you are using on a select panel for rule-outs?
  8. teskridge
    We do not place temperature indicators on our units sent via pneumatic tube, unless we know that the blood may not be given in a timely manner (i.e., multiple units tubed to the OR). When we validated our tube system, temperature limits were maintained appropriately.
  9. teskridge
    Is it necessary for a transfusion service to place confirmation labels on red cell units after ABO/Rh confirmation testing has been performed? If you have a computer system in which you can show the testing was done, is that sufficient? Not having to put labels on units would be a time-saver for us.
  10. teskridge
    Sorry, Stephanie...I don't think I've been very clear..I even confused myself, so I called CAP. I was told that a thermometer should be somewhere in the refrigerator (whether it is the sensor probe bottle, or the daily thermometer bottle) that has an amount of liquid in it that is equal to the least amount of product you would place in the refrigerator. Example: 20 mls of RBCs in a syringe.....then you would need a thermometer in 20 mls of liquid (10% glycerol) to mimic that volume.
  11. teskridge
    Thanks. Another question.....what kind of thermometer setup do you use to check your daily temperature of your blood storage refrigerator?
  12. teskridge
    How much solution is in your bottle? Are you using the NIST certified thermometer bottles that you can buy? Thanks for your help.
  13. teskridge
    "The temperature sensor probe should be in liquid ...and a volume similiar to the smallest unit stored." What are facilities doing for syringes being stored? Thanks.
  14. teskridge
    Thank you so much!! My reps from Immucor/Gamma and Ortho couldn't seem to find anything demonstrating tube reactions. My address is: McLeod Regional Medical Center Attention: Blood Bank Laboratory 555 East Cheves Street Florence, SC 29506
  15. teskridge
    Does anyone know where I can find a good wall chart of the reaction grading for tube agglutination? I used to have one and when our lab was renovated, it disappeared. I want it for teaching purposes. Thanks in advance.
  16. teskridge
    We compare our ProVue gel tests with our gel testing at the bench....which is the same manufacturer and lot number. We compare our gel testing results with tube testing results (LISS, PEG), which uses 3% cells--different method, different manufacturer.
  17. teskridge
    This is what we do.......... When more than one method can be used to perform testing in the Blood Bank, each method will be checked against each other at least twice a year for correlation of results. 3 patient samples for each different test method will be compared under actual testing conditions. Quality control data may be used for the comparison of results when the same manufacturer and lot number of reagents are being used. The following tests will be compared: ABO/Rh typings, antibody screens, direct antiglobulin test, immediate spin crossmatch, full crossmatch, and blood type confirmations. The methods that will be compared are automated gel testing, manual gel testing, and tube testing (LISS and PEG).
  18. teskridge
    Can someone tell me if the automatic alarm test is sufficient for quarterly alarm checks? On our old freezer we would document internal, chart, and digital temperatures. The automatic alarm check on our new Helmer freezer does not affect the chart movement or the internal temperature. Will we need to "remove the probe from the solution bottle" so we can document internal and chart temperature change, like we did before? The automatic alarm check was one of the reasons we decided to get a Helmer freezer....I thought the "manual method" did not have to be performed. Thanks for your help.
  19. teskridge
    We had a patient who came from the operating room to the intensive care unit. They had trouble getting the patient's body temperature back up. The doctor did not want to infuse "cold" plasma.
  20. teskridge
    Thanks. What if the blood warmer temperature is >37C?
  21. teskridge
    We use a 180 micron filter blood set for red blood cell administration. Can platelets, plasma, and cryo be transfused using this size filter?
  22. teskridge
    Can plasma be transfused using a blood warmer?
  23. teskridge
    We set up new test codes and pricing for antigen typings. For example: AO2 stands for "2 antigens typed", AO5 stands for "5 antigens typed". Then, we charge that code for "the number of units screened". For example: I screened 3 units for C and K.......the code/charge would be AO2 X 3. You just have to calculate how much you want to charge for 2 antigen typings vs. 3 antigen typings vs. 4 antigen typings, etc.....since there can be different combinations of antigens.
  24. teskridge
    On 24/7. Never had problems
  25. teskridge
    So, John, how do you "pass it along"? Do you increase the price of a unit of red cells to cover the sickle cell testing? If you don't mind sharing, how are you charging for your supplier antigen typings?
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