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AMcCord last won the day on October 21

AMcCord had the most liked content!

About AMcCord

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  • Birthday May 8

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    Blood Bank Section Supervisor

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  1. Temperature Indicator for RBC Units

    Problem is that blood in storage (which means blood within your facility) must be at 6C, not 10C. Have you tried the Blood Temp 6 indicators - do they work for you?
  2. CAP TRM.41350

    I think I would question CAP about the intent of this standard. Are they talking about just the hangtag/transfusion service label? Does info on the face label cover this requirement?
  3. I've asked one of our RN superusers to investigate the time issue on BPAM. If he comes up with something useful for everyone, I'll share.
  4. Antigen Tested Units

    How do you handle those that you don't have antisera for - like Vel for example?
  5. We just started using BPAM here - good to know, because I'm sure we are going to get some frantic phone calls.
  6. Choosing an anti-D reagent

    Inevitable discrepancies, I'm afraid, dependent on which clones are used in the reagent.
  7. The blood goes with the patient and they have 4 hours from the time of original checkout to get it infused. Doesn't seem to be a problem.
  8. Temperature Indicator for RBC Units

    Are you using the 6C versions of these? I played with 6C version of the kind that activates by pushing a little button in the center and couldn't keep the indicator from flashing to over temp.
  9. Validation of weak D testing in gel

    Malcolm...you need to keep them on their toes!
  10. Validation of weak D testing in gel

    Immucor has a weak D positive reagent cell. In tube testing you get 1-2+ immediate spin and a nice strong reaction in AGT. Outside of that, save the odd patient sample...which could take forever. You could check with blood bank reference lab or blood supplier and see if they can help you out with samples.
  11. Daily Reagent QC requirements

    Daily QC kits include antisera for a positive control. For purposes of method comparison I also run a specific number of positive antibody screens from the Echo by tube using all the testing methods we utilize (LISS, Peg, and saline AGT). When I was a student, I won't say how long ago, we had a plexiglass rack that held in excess of 40 tubes that were used for blood bank QC. Then over time the number of tubes needed for QC dwindled down to a single handfull. Now we are headed back in the other direction. My QC currently requires 27 tubes, but I just passed an inspection, so it's all good...I guess.
  12. Daily Reagent QC requirements

    I switched us to the Quotient QC kit for tube testing. It gives you a negative control for anti-A, -B, -A,B and -D. I freeze aliquots of AB plasma from patients for a negative control for A and B cells. My negative antibody screen control is a sample run the previous day on the Echo that had a negative screen - and it also serves as part of method comparison for antibody screens.
  13. I evaluate the individual case to determine what cells might be the most informative. In practical terms, most of the time I go straight to a panel. If it was a cord blood sample, then I'd consider A and B cells plus either a panel or screen. (Haven't done an eluation on a cord blood panel in years and years.)

    If the transfusion is determined to be the cause of death or a contributor to death, then it has to be reported to CBER immediately with a full investigation to determine the cause. If the death is unrelated to the transfusion, no investigation is necessary.
  15. Blood Bank Software

    Good to know! thanks.