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AMcCord

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AMcCord last won the day on December 26 2019

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About AMcCord

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  • Birthday May 8

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    Nebraska
  • Occupation
    Blood Bank Section Supervisor

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  1. The manufacturer's instructions for use on the infusion set packaging says: "Consult facility protocols and current standards for guidance on changing sets. It is recommended to change sets within 4 hours after initiating infusion of blood or blood products." So that's what our SOPs state - 4 hours. Nursing service agrees.
  2. Generally a new infusion set is required after 4 hours. If infusion of a second unit will pass the 4 hour mark on the initial infusion set, a new set should be used when the 2nd unit is started.
  3. I have a Helmer DH4 that is quite elderly. It's been very reliable. Thaws quickly.
  4. I used to be able to access the Commendable Practices as an individual AABB member, but not anymore. I did find some very helpful information when I could access them.
  5. It snowed outside my window Saturday. I prefer the snow in this window actually.
  6. And Happy New Year! If you are off on New Year's Eve....please celebrate, but responsibly so that you are not one of those dreaded MTPs!!!
  7. I would agree completely with these statements (especially #1). If it was me I would remove the requirement to check the pH from your SOP.
  8. The pH indicator used in the Buffering Solution would be specific for the desired pH range. If you see a blue color, the solution is in that fairly narrow range - chemistry at work. There is no requirement in the insert (or in standards that I'm aware of) to check the pH by a method other than eyeballing the color.
  9. In any open system I believe that expiration would be 24 hours.
  10. The Immucor package insert for PeG says that tubes 'may' be examined after the 37C incubation for hemolysis w/o centrifugation.
  11. Fibrinogen testing is up to the clinician here. I agree with David - draw the specimen soon after infusion.
  12. Thanks for the info on the MaxQ MTP cooler. We do keep liquid plasma on hand to issue with our first MTP cooler, but would switch to thawed plasma after that.
  13. We are using the Credo ProMed line rather than the ones that look like the Igloo cooler. The ProMed inserts for the smaller coolers are cubes w/ a lid (TIC). The outer nylon shell has a vacuum sealed dense foam insert w/ lid that the TIC fits into. The entire TIC goes in the refrig for the red cell transporter. The entire cube for the Plt transporter sits on a shelf at room temp (monitored). We also have large coolers in the ProMed line that have individual liquid filled 'slabs' that build the TIC cube in the cooler (separate pieces for 4 sides, top and bottom). We chose the ProMed line because the nylon shells have shoulder straps plus a short strap over the lid to make carrying them easier. We send quite a lot of blood product across our campus to a cancer center and wanted to find something that would work well for them. They are also OK for the ED and MTPs on the floors. That nylon outer shell would not work well for surgery - can't be cleaned as well/easily as a hard shell on the Igloo type. (We don't send blood products to the OR in coolers.) I suspect the Credo igloo type cooler would hold temp well. It looks like they have an insert similar to the ProMed line, but we haven't tried one of theirs. Our Igloo types were not Credos. Replacement inserts are available. The vacuum sealed inserts have an expiration date, so they must be replaced every 4 (?) years. We ordered ours from Pelican BioThermal. I clicked on the 'contact us' button on their website and someone in sales got back to me with the information I needed. Credo coolers are expensive. I believe that the small one (holds 2 RC) cost us over $400 in 2017. We ordered an extra TIC for each cooler, so once we get a cooler back from the cancer center we can sanitize the cooler, swap TICs and send out blood for another patient. The nylon shells are still holding up very well and I haven't yet needed to replace a TIC or insert because of damage or temp failures. If/when I add more coolers, I am going to look at MaxQ. They prices have been lower than Credo in the past. I've been in contact with their sales people directly. They are coming out with some combo coolers that look great for MTPs - wheels and a separate platelet pouch. They have a very basic cooler that we might use when we transfer red cells with patients that was less than $200 when I priced it last. If one of those didn't make its way home we wouldn't be out as much money as if we lost a Credo cooler. MaxQ coolers also have an exterior that would be easy to clean.
  14. We didn't have very good luck with our Igloo coolers holding temp. so we always used plenty of wet ice. Could have been the specific cooler type that was the problem, however. Our current coolers are Credo and they use cooler inserts (with different liquids inside) that are specific for the temp maintained. The inserts for red cells are conditioned in the refrigerator. The inserts for platelets are conditioned at 22C. As long as someone doesn't leave the lids of the coolers open and remove the tops of the inserts, they will hold temp for 8 hours easily. (When I validate them I let the data logger run for 24 hours and they are all still holding temps at the end of that time.)
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