Jump to content

Laurie Underwood

  • Content count

  • Joined

  • Last visited

  • Days Won

  • Country

    United States

Laurie Underwood last won the day on June 7 2015

Laurie Underwood had the most liked content!

About Laurie Underwood

  • Rank
    Junior Member
  • Birthday April 6

Profile Information

  • Gender
  • Location
  • Occupation
    Lead Tech

Recent Profile Visitors

507 profile views
  1. What are your rules for ruling out?

    One Homozygous or, if necessary, Two Heterozygous. We follow Karen Olsen's approach above also.
  2. Return of used blood

    We save segments and only get bags back with transfusion reactions.
  3. Feto-maternal Screen Lot to Lot Testing

    We run the old controls (before they expire) and the new controls with the new lot kit.
  4. Blood Product Orders and Consents

    I would like to find out what others are doing for doctor's orders and patient consents before transfusing blood products. Does your policy have the nurse verify the orders and consent prior to picking up the product? Is there a second nurse verification of the order and consent before transfusing the product to the patient?
  5. What are your rules for ruling out?

    One Homozygous or Two Heterzygous If it does not fit a pattern only use Homozygous to rule out and look for dosage.
  6. Lewis A

    If the patient has a history of Anti-Le(a) and the current antibody screen is negative we perform an IS/AHG crossmatch and do not antigen type the units. If the Anti-Le(a) is active then we will give antigen negative units.
  7. Currently it is not a problem and they have 4 hours from the time of issue to infuse the unit. However we will be going to SafeTrace and EPIC next fall so any information passed on will be greatly appreciated.
  8. Antigen Tested Units

    Same as Eagle Eye and we just had a patient with Anti-Vel last month. Would not have been able to retest the units sent by our blood supplier.
  9. Eluates on babies with positive DATs

    We will do an acid elution when the DAT is positive and the mother has a clinically significant alloantibody or the reason for positive DAT is not known. We do not perform an elution when it is due to ABO incompatibility.
  10. RhIg administration

    We do not notify our Medical Director. We alert the nurse in charge of the patient that the FMH screen is positive, KB stain performed with results in the chart and that the patient needs more than 1 vial of Rhogam. Phone call is entered as a comment under the positive screen for documentation.
  11. BloodBankTalk:Allergic Reaction

    I just answered this question. My Score PASS  
  12. Blood Bank Software

    Thank you DPruden for the information. Nice to know ahead of time.
  13. Blood Bank Software

    Our hospital is going live with EPIC and SafeTrace in 2018. Any suggestions or recommendations would be much appreciated.
  14. Unit History in Meditech 6.x

    We have been on Meditech Magic and Client Server since 1995. When you perform the unit inquiry you can see the patient for whom the unit was issued out to. Inquiry tracks everything and each patient the unit was crossmatched to.

    We require direct observation of each method (tube, gel and TANGO) for tech initial training, 6 months competency, and then annual competency for a new hire. All other techs direct observation yearly for each method.