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.
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.
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.
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.
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 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?
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.
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