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L106

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Posts posted by L106

    Echo Problem

    in Equipment

    Posted

    On Friday Immucor Service suggested that I clean the washer manifold and try a different lot # of indicator cells (which we had just received, fortunately.)  I did those two things and the Echo behaved nicely over the weekend.  (So far, so good.)

     

    (Still, it's strange that the Ready-ID panels were always trashy or up to 3+ positive, but the Extend panels were just fine.)

     

    Donna

    Echo Problem

    in Equipment

    Posted

    We are seeing a lot of unexplained reactions on the Echo since we started using the Echo Antibody Screening Strips Lot # 535 and the Ready ID Panel Lot # ID239 the last couple days.

     

    The Echo Antibody Screens are Positive, many cells of the Ready ID Panels are Positive, but "Extend" panels on the Echo are Negative.  (The Antibody Screenings by manual tube testing with PeG are all Negative.)

     

    Anyone else having a problem lately?

     

     

    Donna

    CT ratio

    in Transfusion Services

    Posted

    Monthly reports may also include information such as:

     

    Total # of units transfused (broken down into components)

    # and kinds of transfusion reactions reported

    # of massive transfusion cases

    # of technical errors

    # of clerical errors / corrected reports

    # of specimen labeling errors (broken down into types and who collected them)

    # of wasted blood products (& reasons)

    # of QC failures

    Total down-time of instruments/equipment (& reasons)

    Turn-around-times of Stat crossmatches

    # of complaints (& reasons)

    Urgent Requirement for RBCs

    in Transfusion Services

    Posted

    I will start the ball rolling with how we handle some of the issues you have addressed:

     

    1.  Antibody is present, but not ID'ed yet, and crossmatch is compatible:  We have a form that states that the antibody has not been identified, and although the crossmatch is compatible transfusing it does carry some increased risk because it has not been screened for the corresponding antigen.  Ordering physician has to sign the form.  (Pathologist is not usually notified.)

     

    2.  Patient has a history of a clinically significant antibody and the crossmatch is compatible:  We have a form that states that, plus the comment that transfusing it does carry some increase risk because it has not been screened for the corresponding antigen.  Ordering physician has to sign the form.  (Pathologist is not usually notified.)

     

    3.  Antibody is present, but not ID'ed yet, and crossmatch is incompatible:  We have a form that states that the antibody has not been identified and the crossmatch is incompatible and carries an significant risk of a possible hemolytic transfusion reaction.  Ordering physician has to sign the form.  Pathologist is notified that we are issuing incompatible blood.

     

    The above situations are spelled out in our policies/procedure manual.

     

    In any of the above situations, if the supervisor or assistant supervisor is present they are consulted and get involved in the situation (to make sure we are doing the best/safest thing for the patient.)  If supervisor or assistant supervisor are not present, whether they are consulted/notified depends on the expertise/experience of the tech involved.  All staff are certainly welcomed to call us at any time, but a few of our experienced techs are comfortable handling the situation.

     

    Donna

    CAP COM.30450

    in Transfusion Services

    Posted

     

    This seems like a waste of tech time and resources to me. Who thinks up these things? It can't be a person that actually knows blood bank. This is not chemistry where we have to make sure the results of a new lot # are in a particular range. It either works or it doesn't. The patient is either positive or not. My 2 cents.

     

    If others are doing this, please let us know how you are satisfying this requirement.

     

    I totally agree with you, DebbieL!!

     

    Donna

    Proficiency testing for automated DAT

    in Accrediting Agencies

    Posted

    Megan - Since CAP does not offer an automated DAT survey (as far as I know), my suggestion would be a variation of the #2 option in your list:

     

    1.  Perform your regular manual proficiency testing on the CAP-DAT Survey samples (and report your results to CAP.)

     

    2.  Then perform the DAT testing on the CAP-DAT Survey samples on your Echo instrument.

     

    3.  Don't submit your Echo results to CAP.  Rather, keep the results in a file.  When you get the results report from CAP, compare the report with your Echo results, document whether your Echo results were satisfactory, and have your Pathologist Medical Director sign and date this (and return it to your file.)

     

    Donna

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