Jump to content

brobinson

Members - Bounced Email
  • Posts

    13
  • Joined

  • Last visited

Profile Information

  • Location
    PA
  • Occupation
    System Supervisor, Blood Bank

brobinson's Achievements

  1. I too tried to open the documents while being signed in and could not. The laboratory where I currently work is designing a new lab and we are considering tubing blood. At an institution where I previously worked we tubed blood successfully, but my current medical director and others would like to know how several other institutions have done it. Would you please be able to email them to me at barobinson@geisinger.edu? If there is something I am not doing that I should to open them any help would be appreciated, Thank you in advance.
  2. Mable, Could we speak regarding the 0.95 emissivity issue? We are getting ready to implement the infra red thermometer and I woull really like more info about what you do with this value. I did read up on emissivity and now my head hurts. You could page me to your number and I will call you if that works. 570-973-0125
  3. We are taking temperatures of rbcs and platelets, but how can we be expected to take a temperture on plasma and cryo when they usually are warm when issued? We planned on still using 30 minutes on the plasma and cryo until there are clearer guidelines. Others' thoughts?
  4. I really appreciate your comments. This process causes a lot of extra work for the BB techs because all the calls come into our department, then the techs need to leave the department to go track down the tube. This is a real problem on evening and second shift when we have only 2 or 1 tech on the shifts. We realize that as far as customer service it is a good practice and we do want to do what is best for the patient, it is just that at one of our facilities they are constantly having to go track down the tubes and they spend a lot of time doing so. That is time away from performing testing and being there to issue blood when needed in some instances. Since our specimens are labeled the same way regardless of where the testing is being done, it does fit into an acceptable sample. I just really wanted to get some other perspective into this practice. I guess we will need to work on a better way to get the tubes to our BB. Again, thank you.
  5. I have worked in the blood banking field for some time now. I recently started as manager at a different health care system and the practice of doing "add-ons" for transfusion service samples is common. I have worked in multiple hospitals over the years and have never encountered this practice before. On a rare occasion (pediatric or extremely difficult draw patient) some places pemitted this, but it never was common practice. I perform inspections/assessments for CAP and AABB and have never seen this being routinely done but can not find any standard, etc. that says it can not be done. We have a collection manager system so we do know the identity of the collection personnel so other sections of the lab do not understand why this should not be done. Our medical director, technical specialists and I want to discontinue this practice, but we honestly do not know what valid objections would be other than it makes us uneasy. Any thoughts on how to persuade the rest of our managers and laboratory director that we should not do this?
  6. You have probably made a decision by now. If so, which one did you select? I am used to ProVue and have moved into a position at a different hospital with ECHOs. We have 2 at one site and 1 at another site and we constantly have problems. We have positive reactions on the ECHO in screening and antibody ID but if tested in PEG they are negative. Then the machines missed known antibodies that are positive in PEG. We are at a loss as to which method to trust. We are assigning mulitiple non-specific antibodiess due to reactions on the machines. Then the machine misses Anti-Es but picks up Anti-FYa. Very concerning.
  7. Yes, we were to help beta test it here. So from things I am hearing it appears that people using automation really can not meet 60 minutes at this time.
  8. We validate each cooler that we have once a year. We have some with gel packs and some Credo coolers. We label each cooler with the amount of time that they have been validated for since we sometimes see a variation between cooler types. We have 16 coolers so doing them twice a year would be a full time job for someone and I agree that the Technical Manual is only a guide. We have been repeatedly inspected by AABB and even the FDA recently and they seem to be okay with what we do. We have data loggers that we put inside the coolers with between 2-8 units of red blood cells and/or plasma in order to validate them.
  9. The AABB web site had commendable practices that shows a variety of ways to implement a document control system. I would recommend checking there.
  10. We have been using 60 minutes forever at our institution. This was when we were using manual tube testing. We currently use two ProVues for processing and it takes almost 60 minutes to log a sample in, get it on (when we have one not being used) and get the results across our computer interface. We have been trying several new processes. Stat Spin centrifuges, running double runs, etc. for several months and still can not meet 60 minutes 90% of the time. We have been monitoring TAT for 60, 70 and 75 minutes. Excluding patients with antibodies we still have some trouble making the 75 minutes 90% of the time. I have been hunting for benchmarking all over the place and only found two articles and they are using 60 minutes but do testing manually in order to make the 60 minutes. We really do not want to do manual testing. Any ideas out there?
  11. The Ohio State University Medical Center uses 5 day thawed plasma routinely.
  12. Right now we had the new expiration date on a smaller label added to the bags. We are in the process of making on-demand labels for this use.
  13. We use 5 day plasma at a level I trauma center. I believe we have discussed this before and except for need of factor V and VIII specifically it has been successful for patients.
×
×
  • Create New...

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.