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AMcCord

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AMcCord last won the day on February 6

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About AMcCord

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    Seasoned poster
  • Birthday May 8

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  • Location
    Nebraska
  • Occupation
    Blood Bank Section Supervisor

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  1. Monoclonal Control

    The package insert for the control says to use the same test method that is used for the reagent being 'controlled'. If you use 2 drops of anti-D, you should use 2 drops of control.
  2. Can leuko-reduce prevent GVHD

    To quote from a journal article: "Removal of leucocytes from various blood products has been shown to minimize Febrile nonhemolytic transfusion reactions, HLA alloimmunization, platelet refractoriness in multitransfused patients and prevention of transmission of leukotropic viruses such as EBV and CMV." Irradiation does not remove or inactivate the antigens that cause these problems.
  3. Occurrences to the FDA

    That's how I did it as well. My policy also includes our facility ID, a link to the reporting website, and other helpful tidbits to make it easier for staff to access and report.
  4. Cleanbath

    We drain/clean our Helmer waterbath weekly per manufacturer's instructions and use Cleanbath. I wear a lab coat and gloves when I do it because I wear a lab coat and gloves when I do anything.
  5. The requirement is from the CAP all common checklist. If a test kit comes with positive and negative controls, lot to lot comparison is required.
  6. Okie

    The package inserts for your enhancement medium will tell you if it is acceptable to use more plasma/serum. As Malcolm says, no for LISS.
  7. Unit Traceability Record

    Can you (or your IT department) set up an Access data base? We've used Access for years to track final disposition of 1600-2000 units of red cells a year. When the unit comes in, you scan it into the data base and enter information such as invoice #, date ordered, date received, blood type, special attributes, expiration date, supplier information. There can be tables built into the data base so you can select blood type, attributes, etc. to speed up entry. We can put 40 units of red cells into the data base in about 15 minutes. When the unit has been transfused, wasted, outdated, returned, transferred (in other words, final disposition), you pull up the information for that unit and enter recipient information (name, birthdate, ID #, account #, ordering provider, date transfused, status when released(emergency release? mass transfusion protocol, etc.) etc. - whatever you feel you need to include). If a patient didn't receive the product, you have fields for final disposition date (date outdated, date wasted, date returned to supplier, etc.) and you leave the patient info blank. Again, you can have tables for drop down lists for the final disposition of the unit - Transfused, Wasted, Outdated, Transferred, etc. I also have a comment area for free text info so that I can enter details about why a unit was wasted, who the unit was transferred to, etc. That information takes about a minute or so to enter, maybe less if you type well. Testing information is not included in this record, but with the received date and the date of transfusion, it is very easy to find that information in the worklogs. We have only 2 paper logs - one for all patient and donor testing and one for unit/product checkout. Our data base has separate files for each type of product - Red Cells, Platelets, FFP, Cryo, RhIG, Bone/Tissue, whatever you want. Once the data base is built, and someone who's good with Access can do in pretty quickly, ask for specific queries to be built so that you can pull reports for specific pieces of information. These queries can be downloaded into Excel spread sheets so you can sort data to your hearts content and build nice graphs and reports. If an inspector wants to track a unit, one of the queries allows me to pull up a page that has all the information for just that unit. With the date received and the date transfused, I can quickly find the appropriate pages in my 2 worklogs to show them the donor retest, patient testing and checkout. We were using this system when we drew autologous units and the FDA inspected us. They were always satisfied with our unit documentation. I've had no problems with CLIA, CAP or JC inspectors. I am happy to report that we'll be retiring this system in about a year because we are getting a blood bank information system, but it's worked well for us over all the years we've used it.
  8. Manual entry verification

    We have a 'test' built into our electronic patient reports that requires the person doing the verification to enter their ID. This result is not reported.
  9. Yes it is. I use cells from old lot with antisera from new lot and cells from new lot with antisera from old lot. On a different thread I noticed that someone else was using controls from old lot with antisera and indicator cells from new lot, then controls from new lot with antisera and indicator cells from old lot. That is a better method than mine I think. You will need to indicate what acceptable results are - like number of rosettes in the positive controls must match within whatever % or give a range for the number of rosettes expected from the positive control. The negative control should be negative, of course.
  10. Pregnancy Termination and Rhogam

    We do a fetal bleed screen if >13 weeks. No micro doses.
  11. COOLER FOR THE OR

    I got my demo cooler yesterday. Looks like its well constructed, weighs very little. I need to read the info that came with it. They also send a paid return shipping label with it so I can send it back if we aren't buying. I asked specifically about using it for transfers by helicopter and they say that University of Alabama(? - someone in Alabama) is using them for that purpose. If one of these didn't come home, I'd be a lot less upset than if one of my Credo coolers didn't make it home.
  12. Changes to Manufacturer's Inserts

    For hospital users...yes, you need to keep your old package inserts just as you would old SOPs. My old paper records are in boxes that have BIG messages on all sides - DON"T THROW THIS AWAY! We now use an electronic document control system. Once you retire or replace a document with a new version, the old version is maintained by the system. Pretty sweet!
  13. Quarterly Alarm Checks

    I've been doing the ice water/warm water checks once a year and electronic check the other quarters for a long time. I've not had any concerns from CAP inspectors.
  14. AABB 5.15.4 (European input welcome)

    We are going to add Type A liquid plasma to our inventory this month. It's been approved by the necessary committees. My medical director and I just need to hash out a policy for using it. Once I educate Blood Bank staff, we'll be ready to start stocking it.
  15. COOLER FOR THE OR

    Me, too! I'll bet the company will wonder what's going on with the sudden interest
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