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May 2024 Challenge

n.peters

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Posts posted by n.peters

    Hematology Analyzer for Donor Center

    in Equipment

    Posted

    I am looking at purchasing a new analyzer for my donor center. We do donor pre/post counts and product QC so I need something that has a high linearity for platelets. I have the TRC-C from CAP and it seems that the number of labs using the SYSMEX XE-2100/L (Blood Center) is the highest. Does anybody have a preference if they have used multiple instruments? We process approximately 3400 units of pheresis platelets /year (I do not have the Donor # breakdown). Thanks!

    FFP Pedi-packs

    in Donor Services and Donor Recruitment

    Posted

    Does anybody have a validation plan or suggestions for freezing FFP in Pedi-packs after collection?

    Specifically what did you test pre freezing / post thaw.

    What bags do you use?

    Also I asked a local hospital lab if they could test my samples for me and they said they could not be sure of the results since in is not in the right anticoagulant.

    Directed Donor Pre-Typing

    in Donor Services and Donor Recruitment

    Posted

    I was curious what others are doing when it comes to directed donors and ABO/Rh compatibility with recipient.

    Do you do a pre-type on the donor and/or recipient prior to collection to see if they are compatible?

    or

    Do you just collect the donor and state that they may or may not be available due to ABO/Rh compatibility and the let the transfusion facility determine that?

    Thanks!

    Icteric Components

    in Donor Services and Donor Recruitment

    Posted

    Does anyone else sometimes have trouble with slight hemolysis being called icteric? I used to run into that problem with the chemistry department. BBK would call it slight hemolysis and chemistry would call it slightly icteric. More than a couple times I have seen a recollect come back perfect. (Patient Samples)

    Along these same lines, what do you do when you have a hemolyzed unit whether slight or gross? In processesing we look at the process, but after storage or if it returned from a consignee do you start the investigation assuming the unit is contaminated and culture (worst case scenario)? Just curious what others do.

    Thanks!

    BBCS and Transfusion Service

    in Computer Systems / Software / ISBT128

    Posted

    Is anybody using BBCS for transfusion service functions? I have been looking at it and it seems cumbersome but I think that is mainly because my experience has been with windows based Meditech. If you do use it what sort of functions do you utilize? I know the question is vague but I am not sure what it is capable of and how user friendly it is for transfusion service/consultaton. Thanks.

    Specific Gravity W/V Conversions

    in Donor Services and Donor Recruitment

    Posted

    Does the specific gravity for a component change if it is washed? The Tech Manual state that the specific gravity of RBCs is 1.100. In my computer system the SG has been entered for WLRBCs as 1.060 and I can not for the life of me find a reference for that. Would the density change based on the crit? If anybody could shed some light on this I would really appreciate it. Thank you!

    Bacterial Proficiency Testing

    in Donor Services and Donor Recruitment

    Posted

    If you are doing bacterial detection testing on platelets using Pall eBDS, how are you doing the proficiency testing. Those that used the CAP PT last year did not pick up the organism. If you did use CAP last year are you going to re-order this year or are you going to use alternate methods of PT?

    Has CAP had an explanation to the problem?

    Donor Center On Call

    in Donor Services and Donor Recruitment

    Posted

    This is a question for medium-small blood centers. We are a blood center that does approx. 30,000 collections/year. We do some consultation/apheresis/whole blood and recovered plasma. All donor testing is sent out. I have limited staff that is overwhelmed by the on-call for consultation. There is not quite enough consultation to make a evening/night shift options viable. Without dropping the consultation (not really an option), I am stuck.

    How do others handle staffing for medium sized donor centers?

    Do you do any additional consultation?

    Any suggestions on increasing services so you could have more staff? I think doing more antibody consultation for area hospitals is a good option but I am not sure if we would have to be an IRL to do this.

    If anybody has any good staffing suggestions I would really love to hear what you have done. Thanks!

    Segmenting Devices

    in Equipment

    Posted

    I am in the process of either replacing or repairing many of my sementing devices (sealers). I am looking at all the different options and I was wondering if anybody wanted to share their good/bad experiences with table top rapid sealer and hand sealers brands. We are a medium sized blood center. Any feedback would be much appreciated!

    Hematology Analyzers and platelet concentrates

    in Donor Services and Donor Recruitment

    Posted

    I am validating a new Hematology analyzer for our pre/post pheresis platelet counts for a back up. We also use it for QC on pheresis platelets. I had a few questions for anyone else who does similar testing.

    Do you do linearity studies every six months? The manufacturer is saying this is what CLIA is now requiring. The kits are expensive to do if you have more than one instrument.

    That brings me to the next question. We have an older instrument that would be back up to the new one but the new instrument runs higher than the old one on the platelet counts. Sometimes more than 30,000 difference. Supposedly they correlate but I can not see how that is accurate if they can be so different. Anybody have experience?

    My last question is, most cell counting machines require EDTA samples for testing. But the pheresis is collected in ACD-A. The manufacturer recommended going to the literature. I was just wondering what instruments others are using and does anyone know any references about how ACD-A affects platelet counts.

    Thanks!

    Trali !

    in Donor Services and Donor Recruitment

    Posted

    Now that the November 2008 deadline has come and gone, does anyone want to share what they are doing to for platelet products and female donors. Did you convert female donors to whole blood only? Are you obtaining history?

    Does anyone do the RCPL pools? Are you doing more of those to make up for the loss of female apheresis donors?

    Near Miss Events

    in Education / Quality

    Posted

    I also can not believe it was considered a near-miss. To me if it happened and was not caught it should be treated like worst case because it was just by chance it was not, it still happened. Luckily it did not hurt that particular patient but what difference does that really make if it could happen again.

    Plasma Microwaves

    in Transfusion Services

    Posted

    It does not look like the typical "egg drop soup" fibrin to me. It looks almost chunky and the segments look like they are all clumped up and maybe some of the clumps have fallen into the unit. So I supposed it could be denatured protein, what does that normally look like?

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