Laurie Underwood

North Carolina

Yes, just received letter and we will begin the same process starting today as applejw!

Yes, we use regular zip lock bags.

I just answered this question. My Score PASS

We use Ortho Confidence antisera for the positive QC. Anti-A for the group B red cells and anti-B for the A1 red cells for the negative QC.

We just finished with our JCAHO inspection Oct 2018 and nothing was said about how we handled Rhogam. Our pharmacy orders the Rhogam inventory since Rhogam is given in the MAR (has a NDC #) and pharmacy gets the revenue when administered. Blood Bank stores the Rhogam and determines who is a candidate. Blood Bank calls the pharmacy when we need them to order more inventory.

Congratulations, Malcolm! Very well deserved of this recognition.

One Homozygous or, if necessary, Two Heterozygous. We follow Karen Olsen's approach above also.

We save segments and only get bags back with transfusion reactions.

We run the old controls (before they expire) and the new controls with the new lot kit.

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?

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

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.

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.

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.

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.

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.

I just answered this question. My Score PASS

Thank you DPruden for the information. Nice to know ahead of time.

Our hospital is going live with EPIC and SafeTrace in 2018. Any suggestions or recommendations would be much appreciated.

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.

Techs perform ABID once a year for each of the methods: gel, tube and TANGO.

We received a variance in 2011 to extend the expiration date of thawed FFP from 6 hours to 24 hours. Is this still required or has this been stopped?

We go straight to the panel. Do not always have enough to do both if the screen is positive.