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AMcCord

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AMcCord last won the day on May 6

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About AMcCord

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  • Birthday May 8

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  • Location
    Nebraska
  • Occupation
    Blood Bank Section Supervisor

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  1. We do a shift huddle 10-15 minutes after shift change. The lead or responsible tech in each area notes important info on the huddle log and reports verbally at huddle - everyone (usually 7-10 techs at huddle) is expected to pause long enough listen unless they are dealing with an emergency/stat. The PM shift then huddles with the overnight techs (usually 6-7 at huddle). Overnights huddles w/ day shift. It is mandatory, but we've been doing it for 3 or 4 years now, so its automatic. It is effective as long as everyone plays by the rules.
  2. That could include appropriate and expected patient test results fgr specific antisera that are non-reactive, if your SOP states that this is how you do your negative controls. Specifically anti-A, anti-B and Anti-A,B. It doesn't say what your negative control materials have to be.
  3. Nursing policy says that they must take pre-transfusion vitals no more than 15 minutes prior to checking out the blood product, then repeat vitals at 15 min and at the end (<4 hrs). Most of our transfusions run 90-120 minutes.
  4. We've passed several CLIA inspections within the past 10 years.
  5. The FDA didn't have a problem with it when they were inspecting us.
  6. Exactly! That said, I do currently choose to run positive and negative controls every day of use, though it's not required. Just anal that way I guess. Before that however, for quite a few years I had a statement in my SOP that said I was following manufacturer's recommendations for QC, did the pos and neg for anti-D, and I also never had a problem with inspections. The FDA and CAP had no issues with our QC.
  7. CAP states that a positive and negative test should be run for all reagents, each day of use. However, there is always the bit about following manufacturers recommendations that's involved in meeting CAP requirements. If the manufacturer of the reagents your facility uses recommends running only positive controls daily and your SOP cites that, it's OK to do so. However, even if the package insert states that, your lab's policies may require more extensive QC for reasons specific to your department, facility or the supervisor's preferences. Can't hurt to ask your blood bank supervisor to explain the CAP requirements as they apply to the QC done.
  8. I've seen one in my entire career. Anti-D baby that was too sick to transfer until 2 exchanges were done. Thanks to an old school OB nurse who really knew her stuff and had seen HDN due to anti-D, I had enough warning for the planned C-section to be prepared with a couple of appropriate units.
  9. We purchase the NIST-traceable versions.
  10. Irradiation definitely requires FDA registration. You are manufacturing a new product and would need to relabel.
  11. My question to your co-workers would be, if the same argument was applied to an antibody that reacted w/ Jk a+b- cells only, you would rule out anti-Jka? ... and have the potential for some transfusion reactions?
  12. Liquid-in-glass, spirit only. We (the entire facility) got rid of mercury thermometers some years ago - safety hazard.
  13. I keep a notebook with calibration certificates in it. I also have a reminder on my on line calendar that comes up about 4 weeks before the calibration on that item expires. When I see the reminder(s), I order new thermometers. Ditto for the stop watch. Those things are not big budget items. Once they come, new thermometers go into service, old ones are removed and discarded, new certificate goes in notebook, old certificate goes into archive file. I decided a couple of years ago that I am too hard pressed for time to check calibrations on things like thermometers. Biomed has put my scale (for the Echo) and the tachometer on the list of things that their outside contractor checks yearly. My pipettes get sent out for calibration check - one of our evening techs is responsible for that, so all I have to do is check the certificate and file it in my notebook. When the inspector wants to see that stuff, it's all in one place. Prior to this, I had a simple spreadsheet with all of the thermometers on it, listed by serial number. Each year I used a fresh copy of it. Part of the thermometer ID was where it was at. If it got moved, I changed that info on the spreadsheet, so at least I could find them. If they failed the annual check, I would note that and indicate that they were removed from service on that document. Once removed from service, that one was removed from the spreadsheet and the replacement was added. Those went into my notebook. I make a note at the top of each item's calibration certificate the date it is placed into service and the date it is removed from service. I don't have a huge number of these types of things, so it works for me. If I had more, I think I'd add a 'permanent' spreadsheet for tracking everything that documented in service date, removal from service date, and anything else that seemed important - just adding new lines for new stuff to the bottom of the ever growing list. I'm trying to put as much of those kinds of documents as I can into MediaLab to make review/approval documentation easier.
  14. Plasma from an AB patient (negative antibody screen, no issues w/ blood type).
  15. Works well when someone brings you a 'red' diaper or burp rag and wants to know if you can do a blood type to see if the blood is mom's or baby's. (Doesn't work worth a darn though for cherry/red colored meds or drinks )
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