Laurie Underwood

Had a Joint Commission inspector ask for this documentation in 2012. I had the paperwork to show him! The package insert for the panels we use state that the panel should be tested periodically with weak antibodies. We use a weak Anti-D and Anti-c for the positive control so all cells will react. We have a TANGO so we use the Solidscreen II Negative Control reagent for the negative control on the panel. We QC the panels once a month, when we receive them.

Yes, I would report it to the FDA. Unit left the Blood Bank before error was detected. Unit not issued out in the computer.

Congratulations!

Hello, Our facility is looking into modifying the cord blood testing procedure. Currently we perform a cord blood workup on infants born to Rh Negative and O Positive mothers. Also, if mom has a clinically significant antibody which may cause HDN. Would like to find out what others are doing. Thanks

We run cord blood samples collected in a purple top EDTA on the TANGO. Check for and remove any clots with applicator sticks and centrifuge for 5 minutes before testing. Has been working fine.

Same as SMiller. Was asked to be shown panel QC by our Joint Commission inspector and had it all documented in a folder to hand to him.

We combine before issuing out from our Blood Bank.

We have Meditech C/S. In the product dictionary on page 6 you can enter settings to require a current blood type and a current antibody screen. I have these set to "B" and 72 hours which requires a current blood type and screen within 72 hours before it will allow you to crossmatch any units and before it will allow you to issue the units.

We are on Meditech CS 6.07 and are a TANGO user. Be happy to answer any questions, if I can.

Same as jalomahe. We do keep a small supply of labels to use when our computer system is down for an extended time and we need to show that units received into our Blood Bank have had the ABO/Rh confirmed.

We do not separate the plasma from the red cells and we do not respin the tube for added testing.

Our infection control specialist said we must use the bleach disinfecting wipes and clean our blood pressure instrument between each patient.

Same as Winter.

When do you perform an elution? (e.g. all positive DATs, all positive DATS within 3 months of transfusion, IgG positive only) - Positive DAT due to IgG and patient has been transfused within the last 3 months. Also, sometimes if patient has not been recently transfused and it it could help in what is going on with patient (i.e.,WARM Auto). What method is utilized for the elution? Immucor ELU Kit II What method is utilized for testing the eluate? tube How is the eluate tested? (e.g. screening cells, full panel, specially selected cells) Full Panel

In the Product Dictionary we have Packed Cells Leukoreduced, Part 1, Part2, Platelet Pheresis Leukoreduced, Plt Pheresis Part1, Part2,... however for our EMR ID we kept it simple by just using Leukoreduced Packed Cells, Leukoreduced Platelet Pheresis.

We always place temp indicators on blood products placed in a cooler just in case they are not transfused and returned to us.

We hand write the expiration date and time.

Performed quarterly

Still use Cleanbath and perform weekly cleaning of our Helmer waterbath.

C, E, K and Hgb S matched.

Do cord blood workups (ABO/Rh and DAT) on all babies born to group O and Rh Negative moms.

Thanks for your responses.

We are getting ready to go to a central temp monitoring system. On our large Blood Bank refrigerator we have thermometers that we currently take temps for both the upper and lower areas of the refrigerator. Does your central monitoring record for both these areas of the refrigerator or do you have just one temp reading per refrigerator?

If we do it in the gel, we do not wash.

We require an in-house CBC or PT/PTT within 48 hours of issuing out PRBCs, PLTs, or FFP. This policy is incorporated into our nursing blood administration policy. We also have it on our out-patient lab requisition form. Beside the request for PRBC it has (CBC w/in 48hrs), FFP (PT/PTT w/in 48 hrs.), and PLTs (CBC w/in 48 hrs.). When we set up or issue out a product the most current lab value displays. If labs have not been done within 48 hrs. nothing displays and we know to call to get labs ordered.