Likewine99
Content Type
Store
Profiles
Forums
Blogs
Events
Frequently Asked Questions
Gallery
Downloads
Glossary
Links Directory
Questions
Jobs
Vendors
Everything posted by Likewine99
-
We still do units but our organization has been looking at going to mL/Kg.
-
I haven't "scoped" a DAT for over 15 years. Move to gel, way easier to read! If you're not a gel fan get rid of the scoping, the cost/benefit ratio isn't worth it.
-
You will love this site. Welcome!
-
Fingers crossed in St. Louis, MO
-
Lots of great info on this site, check in regularly and WELCOME!!
-
We are the same as tbostock
-
Midnight on day 5, this is controlled by our BB computer system.
-
L106 is absolutely correct, don't shy away from the BB, get in there as often as you can. There aren't a lot of techs who are truly dedicated to BB anymore, generalists are more the norm than specialists. I have tons of BB experience but when working alone, esp on nights or w/e and I have a difficult panel or just plain don't have enough time to get it all done: "when in doubt, send it out!"
-
I agree with Malcom, we do this often.
-
Tubeshaker, You will love this forum, welcome.
-
Check with your Chemistry people, they may have an alternate tip you could use or another source.
-
Daily. Iit is part of our daily inventory management and reconciliation process. Our inventory averages about 110 units of PC. It is just a quick visual check and we do inspect them on receipt from blood supplier and at issue. Documented in the BB computer.
-
We do the same as Dr. Pepper. LISS is our alternate enhancement medium and we have a few pts that don't like gel or LISS so we use this method.
-
Factor Concentrates: Pharmacy or Blood Bank?
Likewine99 replied to DFields's topic in Transfusion Services
Pharmacy has it all and the assoicated expenses! -
We do the same as L106. I guarantee you will not miss the stickers.
-
We allow the "see anesthesia record" and like adieiscast, their records are meticulous.
-
I had a trauma surgeon tell me one time that he knew the BB would only send them what we knew was the best blood for the pt. He said that a massively bleeding pt had so much going on that an antibody was the least of their problems. There's also the fact that when a pt is bleeding out the blood is passing through them so fast that the antibody is diluted and their immune system wouldn't have time to react to the antigen anyway. You do the best you can under the circumstances and keep your fingers crossed that there won't be more antibody problems down the road.
-
We have the physician sign the emergency release form, documentation of vitals is in the electronic med record
-
We are ProVue users and you can't run serum samples on it. L106 is right, switch to EDTA before looking at automation, it will make your life easier. Remember that each of the 3 vendors all have pluses and minuses. No one system will probably fit every requirment you may have and don't be fooled by a slick sales presentation, ask to talk to current users of each system, preferrably in places about the same size and pt population as you have.
-
SMW is absolutely correct
-
I did pediatric blood banking for 5.5 years and we did not wash, only irradiated. All inventory was leukodepleted so we moved away from CMV neg.
-
Welcome, you will love this forum!
-
validation of blood transport containers
Likewine99 replied to hughes's topic in Accrediting Agencies
We do it in a non-transfusion setting, using AB pos packed cells just in case there is a problem. We don't feel bad wasting AB cells since they are rarely transfused anyway. -
We don't QC panels at all. We are not an AABB accredited BB but there is a CAP std that says "are reagents used for antibody screening" QC'd each day of use, which we do. We don't consider a panel an antibody "screen" it is confirmatory testing to f/u on a positive screen. If you refer to the current edition of the Tech Manual, 16th edition, on p. 469 it outlines Ab ID panels and talks about using expired cells to exclude or confirm antibody specificities. It does say though that each lab must establish a policy re: using expired cells. I've 'always done it this way' for over 30 years but in the selected cell world you are ruling in or out an antibody and the next level for pt safety is the complete AHG crossmatch with antigen neg units. Hope this helps.
-
Remember, managers get things done through people. John's advice is rock solid, let them take the Micro ball and run with it. Trust their judgement, ask their input before implementing changes and remember that 50% of them will love you and 50% of them will not and at the end of the day you will have always done what is best for the pt. Good luck!