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Brenda Hutson

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Brenda Hutson last won the day on December 30 2018

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About Brenda Hutson

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  • Birthday 09/02/1958

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  1. Better late than never.....just saw this Malcolm. Congratulations and thanks too for your contributions (many) on PathLabTalk. I have learned a lot from you. Brenda Hutson
  2. Thanks for all of the resources Malcolm (and yes, I did also point out it would not be following Manufacturer's instructions). You remind me of a former Pathologist from "years" ago that I have always stayed in touch with and ask questions of from time to time......he is like a walking library for resources that back what he tells me. I will pass yours on to my new supervisor . Brenda
  3. Yes, reportable based on missed antibody and the fact that the blood left your dept. I'm thinking RT 61-05. Brenda Hutson
  4. We give O POS to males and women over 55 yrs old. We give O NEG to women < 55. That being said, if we have an ID before taking a cooler to ED and the patient is historically Rh NEG, we would start out with 4 O NEG and determine switching depending on gender, age and usage. Brenda Hutson
  5. Thanks, that was my thought too (going round with new supervisor on this). Brenda
  6. So we know that at times we add extra plasma to increase detection of weak antibodies. But my question is, has anyone done this with GEL testing? The instructions clearly state to use 25ul of plasma so just curious as to whether that is even an option with that technology? Thanks, Brenda Hutson, MT(ASCP)SBB
  7. Malcolm, So I read through the PowerPoint and I can only say my friend, I think I am afraid to Post on this website anymore! But points taken. Brenda Hutson, MT(ASCP)SBB
  8. Wow, surprised they excepted that just taking a unit out of the cooler (which ER and OR do a LOT), suddenly turns a unit from storage to transport?? For example, I went to pick up a cooler from the ER one day. They had transfused 2 of the units. Of the 2 left in the cooler, 1 of the Safe-T-Vue 6 monitors had turned red and the other was white. They admitted they had removed a 3rd unit from the cooler with the thoughts of possibly transfusing it, but decided not too. But I would not say that this removal changed it from storage to transport for those few minutes. I would say that unit was outside of the acceptable storage temperature and should be discarded. Safe-T-Vue 6, though sensitive, work fine if applied appropriately and to a unit that is at an appropriate temp. to start with (so also doesn't work well once your refrigerator is up around 5C......so gotta watch for that also. Brenda Hutson
  9. We require that it be signed in the ER "while we are still there with the cooler." This usually means the Physician that requested it is rather "busy" at that moment and cannot stop and sign. So we allow another Physician in the room to sign when necessary. Brenda Hutson
  10. Thanks Mabel. That is what I am wondering....how many places have a policy of giving Group O to patients when typing results are not as strong as one is used to seeing (and the group A example I gave is just one possible scenario of unexpected weak reactions.....and as 1 person pointed out, it could be the forward type also). So when do you go out on that limb and go ahead and call the blood type with weaker than expected reactions......vs. when do you take the conservative stance and give group O RBCs? And perhaps for some of you, it is a combination of the 2.....you maybe interpret them as group A but conservatively transfuse them with group O RBCs (as Mabel pointed out.....and I know there are more of you out there because we did that in some places I worked at)?? Inquiring Minds want to know. I REALLY appreciate everyone's input. Brenda
  11. Thanks for your replies. Yes, I know about the various "complex" ways to determine true blood type, but we are a small rural hospital so enzymes and absorption/elutions are out. I really just wondered how comfortable folks were with calling out a type when: a) You have done all of the basic tests (i.e. incubation; extra plasma; etc) and it still comes up weakly positive.....and b) There is NO obvious explanation (i.e. age; diagnosis; etc.) for the weak reverse type. I have worked in several places that won't call out the type unless it is at least 2+ (unless they can explain why it is that weak).......but just wondering what other folks out there are doing. I very much appreciate all input! Brenda Hutson, MT (ASCP)SBB
  12. Our new supervisor wanted me to see what others are doing with regard to questionable, weak blood types. Specifically, if for example the forward type is strong but the reverse is weak (say <2+) and there was no obvious explanation for the weak reverse type (immunodeficiency; elderly; etc.), would you still call out the blood type, or would you call it inconclusive based on not having an explanation for the weak reverse type? i.e. Anti-A=4+ Anti-B=0 A1C=0 BC=W+ Without an "obvious" explanation for the weak reverse, would you report the patient as group A or would you report it as inconclusive and transfuse group O RBCs? Thanks in advance for replies, Brenda Hutson, MT(ASCP)SBB
  13. I have to disagree with the presumption that as long as you are following what is in your SOP, you are fine. The SOPs still have to be accurate. Just sayin....... Brenda
  14. Reminds me of a donor we had once when I was a reference lab sup. He had donated 12 times as O NEG. The next time he donated, they picked up weak typing with Anti-A,B and with further testing, turns out he was a very weak subgroup of A! Unbelievable. I agree with A subgroup. I see a lot of people want to automatically classify the subgroup....but without further testing, that is actually erroneous. Best to just leave it at subgroup. Brenda Hutson, MT(ASCP)SBB
  15. We have been using the Erytra for 1 1/2 years now. There were some kinks that had to be worked out (as with any new instrument) and they quickly implemented changes with version upgrades. As far as seeing what appears to be agglutination on the Erytra, but which it is calling Negative.....if you click on the gel card and enlarge the picture, you might think they are ALL positive! They seem to show every little cell.....so I recommend you do not enlarge it to that extent. They also have some reactions which they refer to as hazy but which one might think were positive. It is in that sense....a little different from Ortho and ProVue and takes some getting used to. But there are so many advantages and attributes to this automation. Yes, they made the ProVue.....but this is very different (I do not have experience using the Ortho Vision....just saw it in a Demo and have heard that it too has had some kinks to be worked out). What I like about the Grifols Erytra is that they are very quick to respond to client ideas/ suggestions/ issues and make changes. Brenda Hutson, MT(ASCP)SBB
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