normam
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Everything posted by normam
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Welcome to the site and I do agree with everyone, you will get addicted reading all the stuff here and yes you do learn from it. It's the first thing I check in my daily email. I had been a BB supervisor for 18 yrs and had trained about 50 blood bankers in our transfusion service though it doesn't mean I know all but I'm always happy and open in learning more. It's fun too.
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I implemented Softbank system in 2004 and did the validation as well. The manual they provided was very helpful and their support staff are great and very efficient. I learn so much from them thru TMS and walking thru by phone. Feel free to ask if I could be of help. My work phone is 407-296-1136. I could help setting up ISBT too.
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I guess your best option is to accept the company's validation, review them and then challenge it with your own additional validation. Im' sure you'll find something that did not meet your policy and required validation. That's what happened to me when I did my own validation four years ago and believe me they will work with you to correct them.
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Obviously every blood banks policy is to crossmatch 2 units on hold. But because the request is for a T/S, first you will need to notify the clinician so they can expect a delay in the results and perhaps help you with additional information about the patient which couldhelp you solve the antibody problem more efficiently. We have to identify what Ab the patient may have anyway before setting up units which may take longer depending how complex the reactions are.
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When I did the Softbank software validations, the company provided us with a huge manual and step by step validation instructions. It was my first time to do validations and it's very challenging to find out what it can do and what it can't do. What helps me a lot is to print the screen for each NIBES functions and saved them for documentation. On site validations must be tested using the actual hardware you will be using for the applications and software program applicable to your SOP.
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You don't need to run Rh control if you are using Bioclone Monoclone reagents. We use this house prepared 6% albumin for AB Pos type only and we use Saline Rh control on all Rh Neg cord bloods and Rh Neg Child bearing Mom only. The steps to prepare the 6% is to take 2.7 ml of 22% Albumin and add 7.3 ml of saline. this will give you a total of 10 ml which should last for weeks to months. The prepared reagent expire in three months.
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The fact that Gel method gave a more accurate blood type, it's more likely that something is coating the cells giving the discrepant clumping. If it was a line draw and compromising the test, you should try washing the cells several times with warm saline then forward type by tube method. Back typing is not a confirmatory test for blood typing and as a general rule we always go with forward typing. the discrepancy is generally showing in back typing thats why we have to resolve when a discrepancy is observed in reverse typing before we can accept the forward typing.
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In our Facility, cord bloods are tested only if mom's is either O Pos or O Neg. This is what the Nursing Dept has implemented eversince and posted as their protocol.
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I have implemented the same system in our Blood Bank 2 yrs ago. Call me to exchange ideas. 407-296-1127 Norma
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Tell me about Blood Bank softwares!!
normam replied to javvcr's topic in Computer Systems / Software / ISBT128
I implemented the blood bank computer system in our hospital 2yrs ago coming from a non computerized blood bank. It's called Soft Computer and it's interfaced with a different computer system running our LIS called Mckessen. I went for a week of training and able to retrain all our staff myself. The system is user friendly and easy to learn.Although, I'm not a computer savy, I did the validation of the system for the blood bank for a couple of months and went Live with no major problem. The good thing I like about it is the flexibility of modifying you own procedure and they have great programmers that helps you thru. They have this system called TMS where you can exchange e mail using the assigned TMS task # and communicate with their customers service and programmers like going into a chat room. It's great and I don't have any bad issue about their system. Norma Macalintal Health Central Hospital Blood Bank Supervisor -
Our cut off is at 55 of age.
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We have a policy for Preop to extend the validity of the sample to seven days only if they meet certain criterias and our protocol requires a type and screen be done on knee surgeries and other minor surgeries. It eliminates unnecessary crossmatches and preserve our blood inventory. If blood is needed,it takes only five minutes to crossmatch when we have the type and screen already completed. It saves time and patient don't get charge for unnecessary crossmatches.
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Technically we are not supposed to respin gel cards after initial reading. We also back it up with conventional tube method. Anti-E, Anti-K are sometimes missed on gel cards and we now extend the incubation to 30 minutes as suggested by Ortho. The best method from our experience is to re spin the patient's sample using some beads and repeat the gel screen using a much clearer sample. It eliminates some of the fibrin that may be trap in the column. If it's still positive and antibody panel showed no specificity, I would check on patient's clinical condition and medications. Some reactions are related to patient's condition or drug interactions.
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My staff always find it difficult to answer most questions from the nurses concerning blood infusion. Nurses often depend on blood bankers and expect all answers when it comes to blood administration. Can we have some information about this. Questions about what type of infusion set to use, how long to run the blood, how often to change the pumps, how much blood an individual could possibly have and why can't we use the same tubing used for blood to run components as well. I also would like to hear about blood warmer. Thanks, Norma