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May 2024 Challenge

LESIZE

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Posts posted by LESIZE

    DATs and saline control

    in Transfusion Services

    Posted

    At my prior lab we used to do a saline control only if the IgG and complement tests were both positive (otherwise the negative test served as a neg control). We had given up doing polyspecific first and just did IgG and complement on all adult DATs since the companies required purchase of such a large volume of poly AHG and we used it for nothing else. We used Meditech and had it built so it knew when to expect the control to be entered. I am sorry, I can't remember exactly how we did it. Here we do a saline control with all DAT tests but we aren't on Meditech.

    We would like to eliminate performing Poly DAT, and do only IgG. How did you present this to your doc's. It certaintly would be cost saving.

    Thanks,

    Trm.40500

    in Accrediting Agencies

    Posted

    Recently my department had this same discussion. We perform the IAT on all preadmission samples and is recorded on the patients order request. The day before the secheduled OR a Type is performed and the IAT results are recorded. The IAT results are footnoted with a comment (Tech/DATE results when performed). Our computer system does not let us cross over the drawn date sample to the admit date. It does not drop the correct billing account. Supposedly the system is not able to merge the account numbers. I think there may be some compliance issues with our process. According to AABB guidelines : read , record , result when testing... entering results thats was not performed by the tech introduces error. We have Cerner Millenieunm and it has been an ongoing problem. I am not comfortable entering results that I have not done. Just another source of error. I would like to change this process to avoid data entry problems . Any suggestions!

    Evaluation of Anti-A, -A,B, -B, and -D Reagents

    in Education / Quality

    Posted

    Currently we are performing QC on our reagents in house method. We are switching over to immucor's cor qc. I would appreciate if you can send me your procedures or validation what was performed going to a new method. If cor qc is FDA approved will we have to run additonal reagent test or is the manufacturer instructions sufficient to cover all reagents.

    Thanks,

    ESizensky MT/ASCP/BB

    Autologous Donor Units testing

    in Education / Quality

    Posted

    I would like to know what is the required testing for auto donors. We collect auto's and no serological testing markers are done. We perform an ABORH/ IAT on the unit. However if a second unit is collected only an ABORH type is performed. Should an IAT be done on each unit? Need some guidance..

    Protein Removal of Cell Washers

    in Equipment

    Posted

    I am currently updating the QC manual on the cell washers used in BB. If you do the performance and testing of cell washers as described in the Technical Manual do you have to also have a SOP for protein removal of cell washers? Is there a defined mg/dl protein measured for this test. I can't find a reference to this old SOP. :rolleyes:

    new refrigerators

    in Accrediting Agencies

    Posted

    Validation for new equipment is mandatory. What do you do if a refrigerator door needs to be replaced due to broken glass? Do you just follow your equipment maintenance protocol? I have an upcoming CAP inspection and I want to document all info any advice.

    Thanks

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