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dstoever

Members - Bounced Email
  • Posts

    15
  • Joined

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  • Country

    United States

About dstoever

  • Birthday 05/24/1952

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  • Website URL
    http://good-times.webshots.com/photo/2275213200093895521uxEiFv

Profile Information

  • Interests
    fishing, exploration, community improvement
  • Biography
    Taking a break after 25 years of Hospital Laboratory Blood Bank at Northeast Baptist Hospital at San Antonio Texas.
    Catching up with family, friends and numerous interests while my daughter is in her first year of college and rapidly becoming an intriging adult.
  • Location
    San Antonio
  • Occupation
    Blood Bank Lead

dstoever's Achievements

  1. Hi I have read much about Hemoviligance in the european states of Finland on a website long ago. It was an amazing insight to mointering tools of transfusion therapy. I forgot how I came across that site, but I remember it was an institution that was primarily focused upon any and every aspect of the transfusion process. Is the Hemoviligance entitiy that you referred, a national, international or otherwise. I would like to find that site again. Thank You Douglas Stoever
  2. Hi, what a great post, I would think that the sun would be sufficient to keep the blood viable and flowing. This situation forces us to think "out of the box" and makes of experience and knowledge collide for the "best for the patient". I have thought about this a little more, and certainly, as the amount of blood in the bag decreases, and the time spent in 30C increases, the situation could become of increasing concern. The transfusion director of the blood bank and the attending physician would be and should be informed of the abnormal parameters involved for the patients best well being.
  3. While reading all these threads several thoughts came to mind. [not all related to anti-D] If a significant number of repeat pregnancys started exhibiting anti-D, then the investigations would more than llkely yield up data that supports the need to draw the FMH specimen in a timely manner. Then another thought was about the fact that it was not too long ago that there was significant pressure to get Cord Blood ABORh/DAT results in a timely manner, and not so much now. I can remember the lab getting excited when newborn CBC's yielding a high number of nucleated rbcs but not so much now. And, we no longer use that test to prove the DAT was caused by ABO incompatatbility, we just assue that it is when the mother is O and the baby is not. We use to do the HDN workup on any positive CORD DAT, but now only on babys with positive DAT's whose mothers have antibody present. And, I am also thinking there may have been some clinical advances in the newborn nursery that gives the Dr and nurses some better advance warnings related to hemoglobin/oxygen levels and therefore there is less reliance on the laboratory blood bank cord blood results. D Stoever
  4. The FDA has a website of policys, The National Guideline Clearinghouse [ngc.gov] has and excellent policy entitled BLOOD TRANSFUSION: INDICATIONS AND ADMINISTRATION, and the Technical Manual. The Hospital system I work at uses a list of choices and circumstances for each blood product and also provides a 'write-in' area. The above references, especially the Technical Manual, support our catagorical listings. I would need to get permission to present them, and I would like to see how other transfusion services are doing with this program. What was most encouraging about the form was how quickly it became utilized and how the staff appreciated the transfusion mointoring. The most obvious change was the number of single transfusions that were replacing multiple transfusions. D Stoever
  5. This is a great forum, I hope it does not get outdated and hard to find in some archive.
  6. Malcolm, Congratulations, who would want to be discovered covering up a mistake in Blood Bank. Not a Blood Banker, thats for sure.
  7. I am also curious, also, and what about Blood Bank fundamentals, results should be documented and interpreted while the tubes are in your hand. and, you look at the tubes and your interpretation before you toss the tubes. Distractions should not be an excuse to err. If we get distracted by anything, we should start over.
  8. we had a very small weak reacton on the Provue on one screen cell, it was barely visible to the eye, upon repeat it became a little stronger, so we sent it out for Ab-workup. It was identified as a Kell. That would never have shown up by the tube method.
  9. blood bank 101, results are recorded immediatly after reading, like, while they are still in your hand, either on downtime form or in the computer
  10. Some good replys to rcurries reply #3, I Really like reply #4 by birder and I reply to that. That was a good reply, and I would like to add that our hospital recollects critical values and or compares the value to a previous value of hematology or chemistry! And the recollect helps rule out IV fluid diluting the sample. It seems to be consensus across the country that when one specimen determines a patients blood type and that when nurses compare the blood unit tag to the patients ID that additional ID bands and other means to force the nursing service to go to the patients arm to positively ID the patient is proving to greatly decrease the number of ABO incompatable transfusions. In our system we have not had any since we implemented the blod-loc system.
  11. Has anyone using Safetrace bloodbank software have any success with ISBT implementation for unit labels and syringe labels. We are a transfusion service with many pedi patients and we do about 2000 units of rbcs and 1000 units of plasma products. We receive everything from the same supplier which has not yet been able to get ISBT loaded and it will not be for several years. [i personally do not understand why such a cumbersome system should be implemented. The ISBT is extremely formidable to many software and hardware systems. Why is there such a rush to advance this technology. I believe we are doing fine with the systems that are in place.]
  12. No, if a different tech is doing the second type by a different method
  13. Hi we would like to address surrogate mothers in our procedures concerning cord bloods and neonatal transfusions has anyone seen any references concering surrogate mothers or have updated your procedures D Stoever
  14. We perform the Quarterly Alarm check and wait 24 hours mainly to ensure that the repair [or the move] is effective before moving a great quantity of blood products.
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