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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. I have worked in hospitals that use them, and in other hospitals that did not use them. I have to say, I am not a fan of them (for some of the reasons stated above). That being said, I know of at least one instance where they saved a patient from being transfused with incompatible blood. Sadly, it involved me in my college days! I was working as a phlebotomist and instead of going in the room and asking the patient to state their name, I asked them if their name was "so and so." It was a little old lady and she replied "yes." Well, turns out she probably didn't know what I asked her. The paperwork had that room number on it so that is where I went and that is who I drew blood on. Later that evening, I received a call at home from the Lab stating that the nurse wanted to transfuse the patient (who was supposed to have been drawn) but that she didn't have the blood bank armband on. I drove down to the hospital and entered the room where I had drawn a patient. She still had the blood bank armband on.....problem is, the name did not match her hospital armband! I had drawn the wrong patient because I did not ask her to state her name rather than asking her if she was "so and so." The patient I was supposed to draw had been moved to a different room. Fortunately they did not transfuse the crossmatched blood to the intended recipient, as she was in a coma and it was ABO incompatible......would likely have been a very bad outcome. I learned a valuable lesson and ironically, went on to become a Blood Banker. Go figure...... Brenda Hutson, MT(ASCP)SBB
  2. 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
  3. 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
  4. Yes, reportable based on missed antibody and the fact that the blood left your dept. I'm thinking RT 61-05. Brenda Hutson
  5. 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
  6. Thanks, that was my thought too (going round with new supervisor on this). Brenda
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. 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
  15. 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
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