ChrisH
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Everything posted by ChrisH
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Ajac, very good reading.
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Thank you Malcolm and David.
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They can not delevope anti-Fyb correct? or am I wrong?
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QC Verification -The results of controls are verified for acceptability before reporting results. Evidence of Compliance: ✓ Written policy/procedure stating that controls are reviewed and acceptable prior to reporting patient results AND ✓ Evidence of corrective action taken when QC results are not acceptable My question is reviewed by whom? Can it be the tech doing the testing? Because on the weekend we only have one tech working.
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Hi eveyone, Hope you had a great weekend. What is your standing practice in reguards to inpatients with known antibody (ies) and only type and screen ordered. Do you crossmatch 2 units even though the doctor has not requested anything, do you find antigen negative units to have on hand only but leave the crossmatch for when the doctor orders it. or do nothing extra. Thank you Chris
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it is found on a Processed by label, found at the lower right hand side of codabar labels , CCFA #
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It states : If the laboratory uses more than one instrument/method to test for a given analyte, the instruments/methods are checked against each other at least twice a year for correlation of results. NOTE:This requirement applies to tests performed on the same or different instrument makes/models or by different methods. This comparison must include all nonwaived instruments/methods. The laboratory director must establish a protocol for this check. This would mean that if you use a cellwasher to wash your tubes, you would have to compare each maker or model against the other?
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FYI for anyone who needs to order one, only ortho has the part, go through Tech Serivce, order parts department item is retractable cable #50000267 order through parts department and serial number needed at time of order.
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I am reopening this old thread. Has anyone found a good source for PBS? And are you doing pH testing on it and how often?
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anyone out there have to replace their coiled power cord (ie the one inside the centrifuge)?
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I am getting to this topic late. My first real disaster years ago, was a mad man that went on a shooting spree, between two shopping malls. They called everyone in, including the midnight shift. What I learned was 1) Let the people coming in know where the event is happening, we got techs stuck in traffic jams. 2) do not call in night shift in to early, because once all is over and done with, they (sometime it is one person) are the ones having to clean it all up. 3) If they are going to lock the facility down, know how which doosr they will allow employee in at. 4) It is amazing how a disaster will bring everyone together. Without much words, we had a tech in the ER with emergency release blood, making sure all went well down there. We were our own supplier of blood, but the neighboring blood banks called and offered us all we could use. Because if we had to draw and process it all it would have slowed us down so much.
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if you have not leukoreduced products and give out a leukoreduction filter how are you billing for it? What CPT?
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massive transfusion units, do you tag each one?
ChrisH replied to suhu's topic in Transfusion Services
A few years ago when I was working in a trauma hospital, all ours were per tagged and placed into coolers. In the cooler was a master sheet with the unit numbers. Segments were pulled and placed into racks. We had 10 and 5 packs of coolers setup this way. This way we could have blood out the door in under 5 minutes. The time it took to bag up so ice, walk to the walkin fridge and grab a cooler... -
We also are AABB and CAP inspected along with JCAHO. We have been thinking of dropping AABB.....
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Been out of the Big Blood Bank environment for a while. So not sure who the good companies are now. My research shows the following companies: Nor-Lake Scientific Harris Revco (which looks like the Harris) Jewett Helmer Are there any to stay away from? We currently have a small under the counter and now need to get a bigger single door (full size unit) Thanks for any input. Chris
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We will be going to ISBT at the end of this month. We RARELY relabel a product so we are not getting any ISBT printers. My question is if we have to split an RBC unit do we have to have ISBT labels for the split or can we still use our codabar labels? Our computer system can read both.
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gel vs. tube...Warm autos...
ChrisH replied to labgirl153's topic in Immunohematology Reference Laboratories
It could be something to do with what Ortho uses and Immunor does not. I would agree with what Ortho says, by washing the cells you get the preservative off and you are only testing cells and patient serum/plasma. I have seen an number of Anti-Ortho's (our inside joke). -
I am getting back into Blood Banking after being out of it for a number of years. As I am waiting for a new Technical Manual and Standards.... I see that CAP (TRM.42470) states we have to do cooler validation, what does AABB state? Thanks Chris
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We talked with AABB and they said basically the same thing.
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Any Assessors out there? What regulations tell us what format to use? For years we have used Month Year format on review of SOPs. Our past inspection for AABB did not like that. CAP was fine with our format. Thanks Chris
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We do on our Pedi products.
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I am sorry that I did not see your question earlier, this is my take on it 86880 is for the DAT test, we do an AHG (IAT) method on adults. If this is positive we then do IgG and C3 and change an addition 86880 for each antiserum used. So on someone who's DAT is positive and AHG, IgG and C3 is run then 3 charges of 86880 can be done. For units screen for antigens 86903 is used. For patients screen for antigens 86905 is used. 86906 could be used for a complete Rh phenotyping (E,e,C,c typing)
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Do you require a current Rh typing in order to issue RhIg?
ChrisH replied to Dawn's topic in Transfusion Services
We require a Type and Screen to give RhiG and if the screen is positive we are required to due a full panel. -
Hi Jane, we are a multifacility system with a large OP transfusion service. This seems to be a big practice (OP transfusions) in the south. We made sure that each OP transfusion facility (nursing homes, Oncology centers, dialysis centers, ect) has an approved SOP that meets our requirements. We supply a form for the receiver to sign and document the temperature (we supply the thermomters - our big expense). Some locations use AABB boxes or we use our own coolers. We will not accept a product back into our inventory once it has left the hospital. Some locations have courriers to pickup or we use hospital courriers. The Oncology and Dialysis centers get us a sample the day before or so. The nursing homes usually want to transfuse the same day. If you have any other questions let us know.
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If we have historical data then we only do one ABO/Rh If the patient is unknown to us we do 2 ABO/Rh on the sample sample. We would like 2 techs but we are staffed with only 1 tech during some parts of night shift, so that tech would have to due it twice.