Eoin
Members - Bounced Email
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Ireland
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Joanne P. Scannell reacted to a post in a topic: Gel card with 1+ reactions showing negative after spinning a second time
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Barriers to understanding
That is a very valid point. We have on one occasion had our haemovigilance nurse liaise with the massive trauma coordinator and things went smoothly. Perhaps training of the episode coordinators as to the importance of getting collections and documentation right first time, every time could be another avenue, but we will put it on our agenda for the next Hospital Transfusion Committee meeting. Thanks for food for thought. Cheers Eoin
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Barriers to understanding
Ah yes, it is indeed the O.R. We don't have the time to sit down and watch a play at the theatre (which is also theatre - same as OR, but with actors instead) - Mind you some of our surgeons are actors!!!!! What an interesting language English is. Cheers Eoin
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Eoin reacted to a post in a topic: Unidentified antibody noted on RBC &/or FFP/PFP from Blood Center
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Dr. Pepper reacted to a post in a topic: Anyone going to the NE Lab Fall Conference in Portland in Oct?
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Barriers to understanding
This side of the pond O Negs (Typed as CDE Neg, possibly plus Kell Neg) which are held as emergency blood have traditionally been described as "Flying Squad" blood (maybe because people fly around madly with it in an emergency hemorrhage situation). Theater person would apply to anyone coming from theatre (or theater as you spell it) to collect units (could be a nurse, theatre assistant or theatre porter in our case). Hope this helps with the "Lost in Translation" DCeDCe. Cheers Eoin
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Anyone going to the NE Lab Fall Conference in Portland in Oct?
The Chemistry of Beer Phil!!!! Is that before or after it is in the BBer On-Call?? Like Malcolm, we can but wish from our side of the pond - but hey I'm not complaining - retire in three weeks time - so I'll just follow the advice from Lyndon Baines Johnston - I’m not in the speech making business nowadays. I’m following the advice of an old mountain woman who said: ‘When I walks, I walk slowly. When I sits, I sits loosely. And when I feel a worry coming on, I just go to sleep. Cheers Eoin
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transfusion reactions
I like that Terri, Maybe we could include necessity of getting Consultant Haematologist, BB approval before recommencing any unit. Mind you, if we find anything in the workup, the unit is taken down immediately. We educate them to be very cautious. Apart from minor allergic reaction where they are given meds and recommenced slowly, I would rather a unit come down even if unnecessarily wasted than a patient go on to develop a major reaction.
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Barriers to understanding
What happened to checking Ab history??? I know that lots can go wayward outside the lab - but inside a BB lab - should be as in SOPs! Mind you - if something goes wrong with specs or results Sod's Law applies and it is often one of the hosp staff specs or results - maybe the case of being TOOOOO careful!
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- Transport Cooler
- Storing fecal transplant material
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transfusion reactions
We have an SOP available electronically on wards / theatres etc. - They are expected to know it and follow it - but we still get calls for assistance on procedure.
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Transfusion reaction culture
Like David, we cover all disciplines - so up to scientist investigating possible reaction (or TTI).
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Giving RH pos RBCs units to RH neg patients
I think these decisions must be made on a case by case basis - in consultation with the attending consultant / anesthetist / trauma specialist or the MHP coordinator. This gives you some tools to assess how severe the expected loss is likely to be - plus apply all the reasons Galvania gave. If MHP is called - I would expect the scientists to assess the above first before just giving O Negs (except to females who are potential child bearers).
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QC on Panels
Me too - definitely challenge - Where do your inspectors come from - Mars? Haven't they worked in the real BB world with all its lovely quirks n jerks. Surely the ID is done to be able to get antigen negative red cells (Sometimes says you) - and these are then crossmatched against the recipient to ensure compatibility by whatever test/s they are reacting in. If that ain't safe - it's time to take my teddy bear and depart.
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Daily Quality Control
Same Time????? Where did that come from?? We have ISO15189:2012 and Joint Commission Int to adhere to and I have never been challenged on that. I would ask to see the regulation! We generally do it first up in the shift - repeated if new reagent opened - but not if in the middle of urgent XMs. Crazy stuff! Cheers, Wayne
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Blood Transport to Floor
We use Labcold (UK Company) Blood Transport Boxes , which have a light polystyrene lining. to transport from Issue Fridges to wards / departments (relatively inexpensive). We don't want to offend / alarm anyone - and someone passing out would only detract from the task at hand, possibly delaying that transport. Eoin
- How much experience do you have in the field and how long did it take you to feel comfortable?