MARINA
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Posts posted by MARINA
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Is there a requirement to perform tachometer checks on a cytospin? The CFR's only state centrifuges and serofuges. Is it specifically required by CAP?
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On 5/28/2016 at 0:53 PM, butlermom said:
I've just ordered a Helmer BB fridge and even though it comes standard with a chart recorder, I don't plan to use charts. I am told I can download the temperature data to a USB and print the report. Would that also be an option for you amym1586? I'm curious if others still change charts every 7 days or are most of you using the download option? I read on another thread where alarm checks may be done electronically rather than using the ice/warm water bath. I really like that idea too!
Yes, they take temps every 15 minutes, we ended up with a whole lotta data!!!
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If it's waived, don't you just have to establish IQCP and state safety measures in the policy...
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We just got a new Previ gram stainer/cytospin. Does anyone know what requirements are needed to get it up an running? We performed a patient correlation and are currently in 20 days of consecutive QC. I wasn't sure if the 20 days of QC were applicable for a gram stainer. Hematology just got a new wright stainer and did not have to do 20 days of QC... Just wondering. I am actually a blood banker turned microbiologist and do not know the basics of CLSI requirements...
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We have had the Vista for a year now and love it. It is low maintenance and very fast. It requires a moderate to heavy processing facility or you may have more engineering issues. I have used the Centaur previously and like it over the Architect. The Centaur was easy to use and calibrations went smoothly and it was half the size of the Architect.
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Where is the specimen storage on millenium? We have been using a simple excel spreadsheet and that works well, but it would be great to have it linked to our LIS! Does it print specimen locations on your pending list?
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We use the GTI PF4 IgG. It took some practice getting the manual pipetting to work through washing, but it has been successful in our lab for a few years. We have had a handful of false positives, but if they did not fit the clinical picture we sent out the specimen for a seritonin release assay for confirmation. GTI's is the kit used at the other hospital in town. It takes about 2 hours with washing and adding reagent every thirty minutes.
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What does your facility practice concerning repeat slide reviews/differentials on the same day. CBC's that are performed on chemo or bone marrow patients with critical counts that reflex review criteria. Do you look at several slide reviews on the same patient a day?
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We had the same issue with a patient clogging up the pump. We immedialtely called our reference blood center and the pathologist there spoke with the anesthesiologist and perfussionist. They decided to up the temperature on the pump about 2 degrees. It seemed to work and did not clog up the pump anymore. They did not want to make this policy and decided to look at it on a case by case basis.
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Just recd this the other day. It is fabulous!!! It may be too much info for non-blood bankers since it is very thorough. Kuddos!!!
I have written two posters - one is an antibody poster and the other is a matching antigen poster. Each is about 2 foot by 3 foot so you do need some wall space to put them up. We had them checked by Geoff Daniels at the IBGRL so they are very accurate ! They are by far the most detailed antibody/antigen posters ever produced (even if I do say so myself). If anyone is interested in getting hold of this set just email ih@csl.com.au with your name and mailing address and we will send them to you from Down Under !Damien Heathcote
Technical Services Manager
CSL Biotherapies Immunohaematology
Melbourne, Australia.
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I am not involved with the organization, but our local college football team is using them while they play, so that if an injury happens on the field they can receive treatment at the nearest hospital faster. They say on the website that they are hipaa approved. I think it is interesting for a blood bank to get involved.
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This is a sight for medical personnel to download important data concerning health indications for patients. I am wondering if antibodies could be added to this sort of thing and if we could offer this service to patients who had a newly identified antibody at your hospital. Just wondering if this would make it easier fr us to share blood bank information on a global scale like irradiation/antibodies/other significant problems. Check out the sight.
http://invisiblebracelet.org/site/sections/1-the-national-emergency-health-registry
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I understand what you are saying, but the particular heat block we just purchased has a well tube holder that is removable and reveals the one heat plate underneath. Since everything is metal, the heat will distribute evenly. Also, since you are only checking one particular well's temperature daily, then are you to question the other wells of that day? These well blocks are removable, and I remove them on our extra heat block to keep a saline bottle warm. What would happen is I returned the well block backwards. Then the thermometer was not in the correct place anyway. We also have processors that continually forget to move the thermometer after taking the temperature and techs that move the thermometers for their convenience. I was just trying to look at a standard of practice that would follow a proper quality and respected in daily use by personnel.
Marina,When you practice changing the thermometer daily through consecutive wells you are actually checking to see that the heat is distributed equally in all wells. A very good practice considering that all wells in your heat block are subject to use. I'm not sure of any regulations governing this practice but given the importance of the testing being performed do we really need an outside agency to direct us towards good practice? The wells in the heat blocks can collect debre over time causing an unequal distribution of heat and/or the heat element itself can wear over time causing the same problem. Equipment maintenance can seem like over kill until a problem occurs and a patient outcome is effected. So keep up the good practice of checking each well. I hope this helps a little.
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Our blood center performs antigen typing on all units asked for. They use historical typing to locate "better chance" units, but then they type them. Since this is our case, we do not retype the antigen negative units for the antigen. I have worked at several area blood banks that use the same supplier and they follow the same protocol. I am unsure of the blood banks that use the other supplier in the state.
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Would like to hear from fellow blood bankers and scientists out there about which laptop to choose next for personal/professional use. Windows or MAC?
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Just got a new one from Hemo Bioscience. We love it! It is very comprehensive. It is the size of three sheets of paper, so it would not take up too much room. Thanks so much!
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We do what John was used to . . . move the thermometer to a different well every day.
This is exactly what we do. I keep hitting the thermometers and have broken several now. I was just wondering if everyone was still moving the thermometer to a different well daily when taking temps. I feel like it is over kill, but was unsure if there was a regulation?
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Why is it necessary to take the temperatures of each well in a 37 degree heat block if the wells are held together on the same metal plate sitting on the same metal heating plate. Why can't we just have a temperature taken daily for the whole unit? Just wondering...
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I have just finished revising our SOP, it was a bit of a mess too! But I finally got it written. I will attach it.
Very nice procedure. This would be very helpful to generalists who float in blood bank.
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Patient safety and ease of employees not having to think about differences in rules, makes me side on testing both units. I have worked with both Meditech and Cerner and both require testing results for each individual unit.
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We would only perform a volume check and run qc. Nothing was changed on the washer in this instance to dictate other checks.
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You have all made me curious. We did this practice and assigned a 24 hours expiration date/time for RBC's. During a JCAHO inspection we were made to stop doing RBC syringes. Did we have an inspector that wasn't up on the regs or what? We were AABB accredited at the time.
Do you put something like 12 cc aliquot in a bag?
:)
I will attach it.
API AFB Survey
in General Information
Posted
We just had an API AFB survey where the specimen was put on the back of the slide... Not the labeled side. After the staining process, the specimen circle didn’t take on any color and nothing would come in focus. I stained the other side and sure enough, positive!!!! API’s response, is we should notice where the specimen is regardless of the labeling!