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cindym

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Everything posted by cindym

  1. cindym
    My facility did the same as slsmith , adding a second drop of anti D to neg rxns. We were cited by CAP for not following the reagent package insert, and discontinued the practice after our CAP inspection. That was the only citation for Transfusion medicine during that CAP inspection.
  2. cindym
    I question what we do at our facility. We send out pipettes for calibration and then have to recheck them once they come back. We don't use as many points to check as they do to calibrate. The recheck doesn't seem necessary.
  3. cindym
    Our facility told our blood supplier we would not accept AB pos units and they comply.
  4. cindym
    once thawed we relabel the unit as thawed plasma and it can be stored at 1-6C for up to 5 days. The "5 day" timing starts once the unit is placed in the thawing bath and the computer system assigns the expiration time (120 hours) of the thawed unit.
  5. cindym
    We charge both patients.
  6. cindym
    just curious...what default volume do you use?
  7. cindym

    state

  8. cindym
    Years ago we were inspected by Joint Commission and were cited for not qc'ing each vial. We did what most do...qc'ing each lot#. After that inspection we switched to CAP, stopped qc'ing each vial (implemented after JACHO inspection) and have never had a problem with this during a CAP inspection.
  9. cindym
    Also...Ortho has started using a service company for PM's on the ProVue.
  10. cindym
    No we did not test in tube. The patients were crossmatched on the ProVue using the anti-IgG card. The ProVue interpretations were compatible and when the wells were visually checked they looked negative. At the time we were not doing the immediate spins and we added it back into our crossmatch procedure when doing the extended crossmatches. There was a post on the CLIA Corner about this about a year ago and the answer was you have to test patient serum or plasma with the donor unit for ABO incompatibility per CMS guidelines.
  11. cindym
    Have you tested patients with very weak back types (+1)? We tested a few patients with +1 reverse types using ABO incompatible units and they were compatible. Seeing that made us add the immediate spin again to the gel crossmatch. If the immediate spin is incompatible due to a cold, the units type must be ABO re-typed when performing the crossmatch.
  12. cindym
    Wondering what others do when an employee fails the assigned CAP competency? and then the re-assessment?
  13. cindym
    we retype the same sample using a different method (tube) and also get a second sample if there is no historical type (different draw and perferably a different phlebotomist). We do not charge for the second typings and the order is generated by the bb for the second sample. We retype all patients (not just type O) without history to be consistant, we have many generalists. We had a transfusion reaction years ago and for patient safety we started to do the second sample. We had full support by our administration to do the second typing for patient safety....support is very important for success.
  14. cindym
    We Qc both the ProVue and the manual gel daily. We also check to make sure the same lot numbers for all reagents and gel cards are used at both stations daily. We post on the provue the lot numbers in use (and QC'ed) each day. On the blood bank hand off communication log, each shift verifies the lot#'s they are using has been QC'ed. We keep the next lot of reagents and gel cards in a seperate reagent refigerator and will not bring them into the active reagent refrigerator until they have been qc'ed. We have many generalist and this system has been working well for us.
  15. cindym
    My hospital pays by education and does not require ASCP certification. Now it seems we have quite a few techs with degrees (MLT or MT) and they are not taking the ASCP registry. We do not require a state license. Just wondering how other places work?
  16. cindym
    Our Health Information Management Department was performing the blood transfusion appropriateness reviews and sending any outliers to the Transfusion Committee. They no longer want to perform these and the Transfusion Committee wants the Blood Bank to take this task over. I wanted to find out how others handle this task??
  17. cindym
    In the Reagent Quality control section of the Immunohematology section it states "Reagent quality contol to be performed for each container of sera and red cell in-use".......since this does not state each lot number, do they expect you to QC each vial used even if the lot# is the same??
  18. cindym
    We were cited by CAP in 2005 for using expired panel cells and have since stopped using them. We have had to send samples to the reference lab because we could not find an indated cell for ruling out.
  19. cindym
    We switched to gel two years ago. We have the occassional patient who's antibody screen in gel is positive. The gel panel will have weak reactions (+1) on all panel cells. The tech will repeat the antibody screen in tube using LISS and it is negative. I do not feel comfortable changing the antibody screen results to negative because then they would quality for an immediate spin crossmatch. If anyone else is seeing this senerio, how are you reporting out the antibody screen results?
  20. cindym
    I wanted to find out how other hospital blood banks are complying with CAP checklist question TRM.42000 (Has the transfusion service medical director established a documented protocol indication under what circumstances additional testing will be done after a transfusion reaction, and the nature of that testing?) Our policy states additional testing can be ordered by the pathologist as he sees fit when reviewing a transfusion reaction. Is that enough?
  21. cindym
    We used tube testing and implemented the gel first at our 3 blood banks (April 2008). The larger division went up on the ProVue shortly after switching to gel. Most of the techs are generalists and in their words..they love it. Many have gone directly to the lab director just to tell her how much they love it...they think it is the best thing that has happened in blood bank. At the same time we switch all our reagents to Ortho...they have been great....in both customer service and getting the gel/ProVue implemented.
  22. cindym
    We do charge for antigen typing but not for irradiation or cmv neg...if not transfused. We do have an inventory of irradiated and cmv neg units and do not have to special order them.
  23. cindym
    We have the biohit pipettors and they are checked quarterly. Quarterly is suggested (and I take that as recommended) in the manual for the pipettor.
  24. cindym
    At an ARC technical advisory meeting, someone brought up that the FDA considers coolers for the OR "storage" containers and their temp range has to be 1-6 not 1-10. They also mentioned that the temp has to be taken every 4 hours if not monitored by a chart recording device.
  25. cindym
    Just wanted to say Hello. I'm really enjoying everyone's posts and hope to chime in soon....
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