OxyApos
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Everything posted by OxyApos
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Which method are you using to come up with the titer? When we switched from tube to gel, the titers would differ by up to 4 tubes, so once low titers were suddenly high. I work at an urban hospital which has many women use the ER as a prenatal clinic. They hospital hop and may get several Rhogam injections during their pregnancy. On manual capture, its not unusual to have 4+ Passive Anti D at delivery. We don't titer them.
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Had the reagents sent but couldn't get a straight answer about QC with 4 not using more reagent than the current + & = we do with tube and screening cells. Plan to weigh bottles before and after to see. Will let you know.
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As to incompatable plasma, I too cringe if the patient gets lots of product. But, I have had a pathologist question why we get a patient stuck for an ABO "just to give plasma". Years ago a patient was mistyped and received 2 FFP of the wrong type without adverse results. I suppose folks alot smarter than me have decided not to make it a hard and fast requirement because they realize the low risk of reaction and the high risk plt product won't be available under many circumstances.
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3 yrs Echo user and love it...BUT when these happen in clusters, sometimes its the lot # of strips, which is hard to ascertain if you only have 1 lot# in stock. Also, I have had L&D patients and patients with septicemia give these reactions due to their condition. The septicemia patients reactions went away after their white count dropped. I run a ready ID just to make sure a weak Kell or E isn't playing chicken. If the panel is all neg I go with that and call the screen negative. Enter a comment in our computer for future screens to be looked at closer.
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1. We don't consider the plasma from the platelet phereis a plasma product. Since there is a separate section in TRM for platelets and plasma, I don't believe they do either. However, I have seen the recommendation and I tried for 1 month to obtain ABO compatable products from our supplier. About 20% of the time, not able unless waiting an XX day for product processing. We have 3 NICU's and a children's hospital in town and they get all the AB product. We transfuse about 75 pher/ month so that would be a lot of pathology phone calls. 2. 24 yrs never seen a provable adverse reaction from incomptable plasma. Most of these patients are so ill, and getting red cells.
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Yes we do place an internal comment in our computer system for future warnings. Most of our docs wouldn't know a non ID from any other antibody so we don't bother if we've resolved the problem and crossmatches aren't a problem. I've also had an occasional lot number on the solid phase/ Echo strips that had patients who were septic give these reactions. Once the septicemia was resolved, the reactions went away. Blood Bankers still have to think. Automation doesn't give all the answers.
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Anyone Using Bio-Rad's Blood Bank Reagents?
OxyApos replied to jhaig's topic in Transfusion Services
I borrowed a bottle of the Anti D by Biotest and had trouble with Cord specimens. If I were to switch to this product I would do a specific validation for those specimens regardless of the regs. -
We occasionally have these on the Echo. At first I sent these to our ARC reference lab assuming they were warm autos. On their advice, I now perform a DAT, tube screen with LISS and a major crossmatch. If these are all negative, I call it a negative screen and move on. No one has had any sort of reaction. I have also had the rare cold, Sda, and Lewis react on the Echo like this. Some patients who have fresh chemo treatments and then come in for transfusions have had these reactions too.
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There are 3 instruments that Immucor makes: Galileo ( for large volume labs ) Echo ( much smaller volume labs) Neo ( just came out but for more volume than an Echo ) The Echo is what I referred to as very little downtime, easy to use, little maintenance, etc. Michelle
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Sunquest Blood Bank module
OxyApos replied to DPruden's topic in Computer Systems / Software / ISBT128
We have had Sunquest BB since 2005, shoved down our throat when Hemocare that we'd had since 1990, had to be sunset. Lab LIS is Sunquest so $$$ ruled over functionality. Sunquest is terrible and difficult to train new techs on. Many issues that they know about and refuse to fix. Each new version of software fixes one thing and breaks 2 others. QA issues addressed in previous threads are true and an issue for supervisors who have to double chk so much data the next day. We have a Blood Banker as our systems analyst so some of our set up was unique and worked around. IF you get this POS email me and I'll help you. -
We have had an Echo for 2 years and have maybe 10 hours/ year of downtime. It has been a lifesaver for a lab without many experienced Blood Bank techs. It has its quirks but once you know them, it is the tech that never calls in sick. You should make sure about support and reagent availability for your region.
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We are getting erroneous reactions on this panel. Lot DN034. Passive Anti D that gives 3-4+ rxns on Ready ID and the 3 cells screen give nothing on cell 14 of ext II. We've also had some known antibodies give weird reactions especially cell 1. Anyone else out there like us? I have not called Immucor yet.
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Max time for specimen : 10 days if no red cells or preg previous 3 mths Type and Screen billed on Pre op number Day of Surgery: Misys allows the billing account number to be changed on that accession number in Gen Lab ... all subsequent testing like XM and actual products are billed on the new billing acct number We issue BB armband at the time of preadmit testing and the patient must bring it back the Day of Surgery. This policy has been a tremendous success and we only have a couple of AM surgery type and screens each morning. Also, antibody surprises or weird blood types can be resolved.