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Brenda Hutson

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Brenda Hutson last won the day on April 1

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About Brenda Hutson

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  • Birthday 09/02/1958

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  1. Brenda Hutson

    Transport or Storage?

    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
  2. Brenda Hutson

    Help with ABO Group

    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
  3. Brenda Hutson

    Grifols & Erytra

    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
  4. Brenda Hutson

    Workflow for 2nd Blood Draws

    Thank you all very much for your responses....they are very helpful (and enlightening). Not surprised at people trying to short-cut the process at times (we see that for other things, right)? I know there will be pushback but we will get there eventually. I really like the idea of the computer being able to initiate that 2nd blood draw (but don't think we have that capable of a system); that would be ideal. I also appreciate seeing some things we should "watch out for." Thanks again for your assistance....let the fun begin! Brenda Hutson, MT(ASCP)SBB
  5. Brenda Hutson

    Workflow for 2nd Blood Draws

    I know there must have been discussions on this topic, but in my search, only found it as it relates to young children (which is not our patient population). We are moving towards a 2nd blood draw/ blood type on patients with no historical blood type. I would be interested in hearing how others are managing that as far as workflow and hospital staff buy-in. 1. For Pre-Ops, when do you get that 2nd specimen? 2. For Outpatients, when/ how do you obtain that 2nd specimen? 3. For Inpatients they want to transfuse, what is the protocol? 4. Do you require it just be a different time of draw, or does it also have to be a different phlebotomist? 5. etc. etc. ANY/ALL Feedback would be much appreciated. Brenda Hutson, MT(ASCP)SBB
  6. Brenda Hutson

    FDA reportable events

    I gave a talk at a seminar on this once many years ago. I KNEW many of my peers were not reporting things that I was reporting (things that clearly were supposed to be reported). They would try to make it sound like they didn't think it fell into that category, but I knew they knew better than that.....it was a choice. My comment to them was that "we all know that there are a lot of types of errors we could make, and the FDA would never know unless we reported it (for example, let's say you sent out a non-irradiated unit and it was caught by nursing......even so, when it is returned, it is FDA Reportable because the Blood Bank did not catch it.....but how would the FDA ever know that occurred unless perhaps Nursing wrote an occurrence against the lab)? It is a system largely based on honesty and integrity. So one time, I asked an FDA Inspector, are you more concerned about places that report a lot of BPDRs, or those who report none? Of course a LOT cannot mean a LOT.....but they were more concerned about those that never reported in that as we all know, EVERYONE makes mistakes. Brenda Hutson, MT (ASCP)SBB
  7. Brenda Hutson

    Analyzer updates?

    We went LIVE with the Erytra just over a year ago. Have had some "kinks" to work out, but as others have indicated, Grifols is GREAT at responding to fixes and corrections! I am totally a GEL girl.....and the Vision has had some issues of it's own. The Erytra and Grifols have a great future.....that I feel confident of. It is a fun machine to operate and is definitely advantageous in many ways....especially for large Institutions. Brenda Hutson, MT(ASCP)SBB
  8. Brenda Hutson

    CAP TRM.30450

    That has been my understanding also; Fetal Screen yes, Eluate NO. But the question being raised by some now has to do with the Commercial Reagent QC Kits. Can I assume that since those were not referenced by any of you, that no one does "Lot to Lot" on those Kits? I never have.....just following up on what someone else is thinking they might need to do. Thanks, Brenda Hutson, MT(ASCP)SBB
  9. Brenda Hutson

    CAP TRM.30450

    This refers to New Lot Confirmation and Acceptability. It states that "New reagent lots and shipments are checked against previous reagent lots or with suitable reference material before or concurrently with being placed in service. " Currently, we perform Lot to Lot Testing for the Fetal Screen Kits only. Is anyone interpreting this CAP question to also be applied to Commercial Reagent QC Kits?? Do we now need to perform Lot to Lot Testing on those also? Thanks, Brenda Hutson, MT(ASCP)SBB
  10. Brenda Hutson

    CAP TRM.30450

    This refers to New Lot Confirmation and Acceptability. It states that "New reagent lots and shipments are checked against previous reagent lots or with suitable reference material before or concurrently with being placed in service. " Currently, we perform Lot to Lot Testing for the Fetal Screen Kits only. Is anyone interpreting this CAP question to also be applied to Commercial Reagent QC Kits?? Do we now need to perform Lot to Lot Testing on those also? Thanks, Brenda Hutson, MT(ASCP)SBB
  11. Brenda Hutson

    Antigen Negative Labels

    Yes, the information is both in the LIS and evident on the product. Brenda
  12. Brenda Hutson

    Antigen Negative Labels

    Right...but I am looking for one that has a space indicated in which to write the Unit# (in case the label ends up stuck to another unit). Brenda
  13. Brenda Hutson

    Antigen Negative Labels

    I like that.....thanks. Brenda
  14. Brenda Hutson

    Antigen Negative Labels

    In my experience, there have been a few occasions through the years where "added" labels (i.e. Antigen Negative; CMV-; Sickle Cell Negative; Unit Number labels on back of bags) get stuck onto a unit that they are stored next to. Obviously, it would be very dangerous to have a unit with an Antigen status that did not belong to that actual unit. So, that is just where I am coming from. Right now, we are writing the Unit# on the label, but that is wasting space. I did work at a place where there was a spot on the label for the Unit# (for that exact reason), but it was a long time ago and can't recall now if they were commercial labels.....or special order. Thanks, Brenda
  15. Brenda Hutson

    Antigen Negative Labels

    This is not an "exciting" question....but just wondering, does anyone out there know of a commercial label for Antigen Typing (to place on the unit) that has a space provided to write the Unit#? We could get some specially made, but that would be expensive; so just curious. I know we had one at a previous place I worked at many years ago, but not sure if they made those themselves? Thanks, Brenda Hutson, MT (ASCP)SBB
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