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Barb Thompson

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  1. Thanks
    Barb Thompson got a reaction from Malcolm Needs in SBB self study after 20yrs out of school   
    Hi, I’m back. Can you send me your email and I can send you what I have.  Just be aware that they are at least 10 years old.
    Barbara 
  2. Like
    Barb Thompson got a reaction from OregonBB in Massive Transfusion - who do you call for additional help?   
    I am the blood bank supervisor in a 233 bed acute care facility.  I am a working supervisor.  We are not a trauma center.  Most days, I am the only blood banker on the shift, so there is no one to call.  If I am lucky, the chemistry tech might be available to help. I can also get the manager to issue blood, but that's all.  We rarely have MTPs - a ruptured AAA or OB bleed, but they are few and far between.
  3. Like
    Barb Thompson got a reaction from John C. Staley in Massive Transfusion - who do you call for additional help?   
    I am the blood bank supervisor in a 233 bed acute care facility.  I am a working supervisor.  We are not a trauma center.  Most days, I am the only blood banker on the shift, so there is no one to call.  If I am lucky, the chemistry tech might be available to help. I can also get the manager to issue blood, but that's all.  We rarely have MTPs - a ruptured AAA or OB bleed, but they are few and far between.
  4. Like
    Barb Thompson got a reaction from MaryPDX in SBB Exam Questions   
    AABB has a study guide with questions. I found it quite useful.
  5. Like
    Barb Thompson got a reaction from dragonlady97213 in SBB Exam Questions   
    AABB has a study guide with questions. I found it quite useful.
  6. Like
    Barb Thompson got a reaction from gagpinks in O neg with Ant-c?   
    The patient is rr.  Reference reported it as "unidentified antibody with anti-c specificity".
  7. Like
    Barb Thompson got a reaction from AMcCord in O neg with Ant-c?   
    The reference lab updated the report and now calls it a warm auto with little c specificity. They also say that c negative blood is not necessary and transfused cells should survive as long as his own.
    his hgb is down to 10.7. He is still in house. Still no hematologist on the case.
    Barbara
  8. Like
    Barb Thompson got a reaction from ltechlin in O neg with Ant-c?   
    The reference lab updated the report and now calls it a warm auto with little c specificity. They also say that c negative blood is not necessary and transfused cells should survive as long as his own.
    his hgb is down to 10.7. He is still in house. Still no hematologist on the case.
    Barbara
  9. Like
    Barb Thompson got a reaction from Malcolm Needs in O neg with Ant-c?   
    The reference lab updated the report and now calls it a warm auto with little c specificity. They also say that c negative blood is not necessary and transfused cells should survive as long as his own.
    his hgb is down to 10.7. He is still in house. Still no hematologist on the case.
    Barbara
  10. Like
    Barb Thompson reacted to Malcolm Needs in O neg with Ant-c?   
    Thank you so much for updating us on this patient Barbara.
    Although malignancies can lead to the weakening or loss of a number of Rh antigens, such weakening or loss are usually seen in cases of myeloid leukaemia, polycythemia, and other myeloidproliferative disorders (in other words, haematological malignancies), rather than, for want of a better way of putting it, solid organ malignancies, so, whilst I agree with you that this does seem to be a warm auto, I think it much more likely that it has been caused by a "leak of bacteria" from the gut (following his colon cancer, or, indeed, his hernia), rather than as a primary symptom of his previous alimentary tract pathologies.
    I am, however, happy to be proved wrong!!!!!!!  It wouldn't be the first time, and would probably not be the last!
  11. Like
    Barb Thompson got a reaction from SMILLER in O neg with Ant-c?   
    The patient had his hernia surgery on Wed May 11.  His post-op Hgb was 16.  He does not appear to be experiencing a hemolytic process, although no testing was performed (no LDH, haptoglobin, retic, etc).   His TBil was slightly elevated at 1.8.  It does not look like a hem/onc has been consulted.
    Reference did not give any recommendations as to what type of blood to give, should he need a transfusion.  We are still waiting for the results of the molecular typing. 
    Anesthesia was funny (funny-sad) - I was trying to explain that we would not have compatible O negs for the patient, and she replied that she would just take trauma blood, then. As if that would solve all the problems. Thankfully, he did not need a transfusion.
    My theory (and it's just a theory) is that this is a warm auto, caused by a yet-to-be-diagnosed malignancy. Possibly his colon cancer has returned.  Did I mention he is 82?
    Barbara
  12. Like
    Barb Thompson got a reaction from Malcolm Needs in O neg with Ant-c?   
    The patient had his hernia surgery on Wed May 11.  His post-op Hgb was 16.  He does not appear to be experiencing a hemolytic process, although no testing was performed (no LDH, haptoglobin, retic, etc).   His TBil was slightly elevated at 1.8.  It does not look like a hem/onc has been consulted.
    Reference did not give any recommendations as to what type of blood to give, should he need a transfusion.  We are still waiting for the results of the molecular typing. 
    Anesthesia was funny (funny-sad) - I was trying to explain that we would not have compatible O negs for the patient, and she replied that she would just take trauma blood, then. As if that would solve all the problems. Thankfully, he did not need a transfusion.
    My theory (and it's just a theory) is that this is a warm auto, caused by a yet-to-be-diagnosed malignancy. Possibly his colon cancer has returned.  Did I mention he is 82?
    Barbara
  13. Like
    Barb Thompson got a reaction from Malcolm Needs in O neg with Ant-c?   
    The patient is rr.  Reference reported it as "unidentified antibody with anti-c specificity".
  14. Like
    Barb Thompson got a reaction from Auntie-D in Blood Center hours away   
    Well, they had a meeting and we expressed our concerns, so they decided to stay with the local blood center. Logistically, switching to a blood center that was 183 miles away was just not going to work for us.
  15. Like
    Barb Thompson got a reaction from goodchild in Competency Assessment in the Transfusion Service.   
    I am having trouble finding just who is qualified to assess competency.  It looks like CLIA requires a bachelor's degree and 2 years experience, but Joint Commission says Associate's and 2 years experience.  Can anyone help me out here and point me in the right direction?  Do state qualifications rule over federal? (I am in Florida). Thanks.
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