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Everything posted by L106
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Great blog, Kristen.
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We do not require a 2nd blood type. Regarding the patient's first blood type: Although we prefer to have a blood type on the patient, we will issue non-group-specific platelets and group AB plasma to the patient if necessary. Once we have a historical blood type in our computer, we do not routinely request repleat ABO/Rh testing on the patient when transfusing platelets and plasma during future admissions. (I am not aware of any requirements/regulations to do so.) Donna
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Oh, I'm all for what David and pbaker do. The reason we routine do a full panel on every new specimen that demonstrates a Positive antibody screen is because our laboratory staff rotate working the various lab departments. Some of the generalists would have a little difficulty picking out the right selected cells, so it is just easier and quicker for them to throw in the entire panel (and they are more comfortable with that, so it's fine with me.) Donna
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Thanks for your kind words, Malcolm. Like John above, I'll continue to "troll" and try to stay current with the field. I've had a wonderful career (and I'm convinved that there have been guardian angels preventing me and my staff from making serious mistakes through these many years!) Donna
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I am "retiring" on 11/11/15 (but will probably continue to work a couple/few days a month.) (We'll see how that goes.) Donna
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Same here.
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We do a panel on every new specimen (if the Antibody Screen is Positive.) Donna
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Same here.
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Medical Director Evaluation of Transfusion Reactions
L106 replied to jsand's topic in Transfusion Services
Same here. -
1. She does both. 2. Mostly anatomic. Spends very little time with Blood Bank duties (1% ??) 3. Does not review BB QC. (I am her designee.) 4. 300 beds 5. About 275 RBC transfusion per month
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Now, that's a great place to start such a registry. I really like that idea, but we would probably be interested in only checking patients with antibody problems. In our geographical area, there are only two blood suppliers, so it would be fairly easy to check with both of them. Donna
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Also following with interest.
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It would be great if you could periodically post your progress and experiences as you go through this process, LKSchroed. I am sure that many of us would be interested in how things with the Vision go for you. (Thanks, in advance!) Donna
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Glad to have you with us, ESSAGEL! Donna
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Compliments to you and your staff for handling such a tragedy. Sympathy to the family & friends of those killed and injured. I agree....far too many of these types of episodes during the last few years. Donna
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Looking forward to you joining our discussions, BulldawgPath. Welcome! Donna
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Boy, Dr. Pepper......those guinea pigs look really large.
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As an aside, do you know that Sda was originally named Sid? It was named this after Sid Smith, who used to be the janitor at the Medical Research Council's Blood Group Unit, when it was in London, as he had the strongest expression of the antigen at the time it was identified. In those days, antigens and antibodies were usually named after the first two letters of the surname of such a person, but Sm was already being used for the antigen within the Scianna Blood Group System, that is now known as Sc1, so they named it Sid!!!!!!!!!! I love these "Oh, by the way...." stories! Thanks! Donna
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Glad to have you with us, Amy. Looking forward to you joining our "discussions?" Donna
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We have observed both of these problems that SMW has mentioned.
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Antie-D is correct. Also, is there a chance that your blood supplier or another hospital in the region that subscribes to a Proficiency Testing Program might give you their leftover survey specimens? (Only after they have tested, submitted their results, and received their evaluation, of course.) Donna
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We perform a screen first (for the same reasons as SMILLER cited.) Donna
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Glad to have you with us! Donna
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We handle it as John Staley stated (ie: have them notify the physician, and the physician decides whether to order a Transfusion Reaction Investigation.)
