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AMcCord

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AMcCord last won the day on August 28 2023

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About AMcCord

  • Birthday May 8

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  • Location
    Nebraska
  • Occupation
    Blood Bank Section Supervisor

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  1. Below is our policy for switching Rh negative patients to Rh positive red cells for non-emergent cases. We would document that decision and any pathologist instructions in the patient's profile. For emergency release/MTP we follow policy and do not notify the provider unless it is a patient under 19 years or a female of child bearing potential.
  2. Have you contacted someone in Omaha or St Paul in their quality section? Should be someone there with knowledge about that process.
  3. I didn't find much either, but from what I did find it looks like it could be another interesting blood banker's problem since CD36 is definitely found on RBCs. And it sure looks like it may be utilized with immunotherapy for multiple kinds of cancer treatment to make it more effective. Or for FNAIT. https://pubmed.ncbi.nlm.nih.gov/1382721/ The link below is interesting - not sure how it would relate. https://pubmed.ncbi.nlm.nih.gov/8623134/ And then there are these tidbits: https://pubmed.ncbi.nlm.nih.gov/34041523/ https://www.ahajournals.org/doi/full/10.1161/01.atv.16.7.883 If patients with African descent are more likely to develop anti-CD36 due to CD36 deficiency, are their red cell ABO types (or other antigen types) going to be affected by that antibody (which would be an autoantibody)??? I'm with Mabel - anyone out there know anything about using anti-CD36 for cancer treatment or FNAIT treatment?
  4. I like it Mabel! We all need to start using that for our CAP inspections to see if we can shove them in the right direction.
  5. We are doing both. We use automation at this time only for cord blood specimens, but having a survey will save us from the alternative testing issue on the All Common CAP checklist.
  6. Ours print on a 4" x 4" label from a Zebra type printer. We stick them on a slightly larger tag made from card stock with an eyelet at the top for a rubber band. The back of the card stock tag is printed with a list of transfusion reaction symptoms and a brief description of response expected. Below that are blood handling instructions/education. All nursing documentation is in Epic.
  7. Bet they will sooner than later as more antigen typing is automated. I was delighted when the DAT survey for automation came out, even if it is ungraded for now.
  8. Exactly! We have to do it, but make the plan 'reasonable' for your facility.
  9. The ARC told us to put the chilly platelets in the incubator and let them rock for a couple of hours, then recheck for swirl. If they look good at that point and our pathologist is OK with that (which they usually are), we put them into inventory. We will use the unit(s), if we need to, until we restock. If the patient can wait for the next shipment, we hold off. Fortunately we only see this problem once or twice every winter.
  10. Job security??? My comment about several of the All Common checklist items is "we ain't chemistry!". Not that it gets me anywhere. Since we are in our inspection window, I made emergency changes to my SOP/form for that and we will scramble for suitable specimens. Our problem is finding enough suitable antibodies with sufficient sample volume to do all this extra testing. As part of our Patient Blood Management program we draw minimal patient specimens - just enough to do the ABS and an antibody ID if it isn't a warm auto workup. We can squeak extra antibody screens out if the patients Hgb is low enough, but not multiple ID panels. My only solution to that is to do abbreviated panels using 3 Ag positive cells and 3 Ag negative cells, then state that the results are consistent with the antibody IDed with solid phase. If that's not good enough - (bad words).
  11. We are in our inspection window now, so I'll let you know how we come out on that one.
  12. If the model is discontinued and no parts are available for repairs, I'd say it has reached its 'end of life' - however I'll bet it will still work a long time after that before a part needs replaced (especially older, quality scopes). I can see 'end of life' for more complex or expensive equipment, but a microscope for blood bank is more of a minor equipment purchase. My 'new' scopes are student scopes that cost less than $500 and they work just fine for our purposes.
  13. Condolences to his family. Such a legend in our Blood Bank world.
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