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Everything posted by chill
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You are so right, David... I did discover this as I was twisting the thermometer in. All set now!
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Thanks so much! It sounds great, but do you pass the thermometer through the port? It doesn't look do-able. Just one of those technical snags!
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How do you validate your temperature indicators? Initially, I was thinking a probe inserted into an expired or mock blood unit would be necessary, but now have read in the discussion about validating coolers about an infrared thermometer to check the unit temperature. The sticking point seems to be internal temperature. How do you know your indicators (Safe-T-Vue, etc.) are accurate? What does everyone else do for this?
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Thank you all so much. I will look into cthherbal's solution for our hospital, Meanwhile, I am relying on Hematology, also.
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My main problem is identifying who is a Sickle cell patient. If the Hematology department next door (Our hospital is around 200 beds.) doesn't clue me in, I have no way of knowing that I am working with a new Sickle cell patient. How does everyone else deal with this? We are getting more Sickle patients every year. We typically do not see a diagnosis with an order, and have to go out of our way to see an admitting diagnosis, which may only be "anemia." Right now we are checking with our Hematology department and/or the patient's nurse to let us know. I would like to set up a protocol to handle this and wonder if anyone else has some guidelines.
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We recently (yesterday) had a similar scenario, but without DTT treated cells and Enzyme treatment. Our reference lab came up with anti-U. Hope to heaven this person never needs a transfusion! Odds of finding compatible unit around 1 in 1000. Our patient is African-American. As I understand it, all Caucasions would be U antigen positive, and those of African descent have a 0.1% chance of being U antigen negative.
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We recently (yesterday) had a similar scenario, but without DTT treated cells and Enzyme treatment. Our reference lab came up with anti-U. Hope to heaven this person never needs a transfusion! Odds of finding compatible unit around 1 in 1000.
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Does anyone have a protocol for handling cold antibodies in cardiac surgery situations? Is there a procedure for detrmining the thermal amplitude of the antibody, and in what instances is it necessary to apply this information?
