Liz0316
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jojo808 reacted to a post in a topic: Multiple Myeloma Therapeutic agent Darzalex interfering with testing
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- Cell Washer Regular Maintenance/Checks
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SunQuest Transfusion Forms
I drew lines where the perforations are. (I couldn't figure how to put in a dotted line!) This particular file is a word document that I created for computer downtimes, but its nearly exact of what comes out of SQ. SQ downtime trx ticket.doc anyway - entire ticket is a big label with perforations. top left is the "unit label" directly under that is a label we put on the back of the product - the nurses wanted that the top right corner stays in the BB until issue, final in the AM bottom two thirds goes on a mounting form (barcoded for scanning) in the chart. Hope that helps, Liz SQ downtime trx ticket.doc
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Cord Blood Testing
We do a cord eval work up (ABO/Rh and DAT) on infants born to Rh neg, group O mothers and mother's with clinically significant antibodies. We hold all cord for 14 days and determine ID my MR number if needed, which doesn't change. The DAT is only done within 24 or 48 hours.... I'm home and don't recall at the moment! Liz
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SunQuest Transfusion Forms
I will try. I may not get to this until the weekend, I think I know how to do it ?
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SunQuest Transfusion Forms
We have Sq. and use a ticket that is a full page sticker backside. The ticket is perforated so that the unit tag, and the piece we keep in the BB is torn off. The bottom 2/3 goes to the floor with the unit and is posted in the chart. The unit tag is part of the sticker, the glue is FDA approved. We print it from a laser jet. We get the paper/ sticker tickets from centurion.
- Specimen expiration
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CMV seronegative blood products
We only use CMV- safe, except for neonates.
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Gestational age for fetal screen
We perform fetal screens (rosette test) following obstetrical events on Rh negative women at 16 weeks or greater. In the past, the literature has discussed 20 weeks as the " magical number," so, to error on the side of caution, we perform at 16 weeks. The Kliehauer Betke is used for a variety of reasons, but if the clinician wants to give RhIg following an event that may cause a bleed - amnio, car accident, miss abort, etc... That is our number. Under 16 weeks we just supply the product after confirmation of Rh neg blood type of the mother.
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Anyone validate prewarm xm using gel?
I agree, pre warm, done correctly, should be done by a tube method. GEL will only enhance some colds. I think the pre warming of plasma and reagents with a warm wash phase will give the best results.
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Lot to Lot Comparison
really?! well that changes things. Can't wait to discuss this with my inspector this year. I would love to eliminate just one thing! Liz
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AMcCord reacted to a post in a topic: Multiple Myeloma Therapeutic agent Darzalex interfering with testing
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Malcolm Needs reacted to a post in a topic: Multiple Myeloma Therapeutic agent Darzalex interfering with testing
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Multiple Myeloma Therapeutic agent Darzalex interfering with testing
I've ordered the DTT from Bio-Rad. catalog # 161-0611 - from the Life Sciences division . 1-800-879-2289 LSG.ORDERS.US@BIO-RAD.COM I hope that helps. Liz
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Multiple Myeloma Therapeutic agent Darzalex interfering with testing
Sorry it took me so long to get back, I've been a bit ill. Anyway, I think I can only get it powdered and have to make it, I haven't ordered it yet. I'll check on the manuf. tomorrow and get back to you. I have instructions . Liz
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Multiple Myeloma Therapeutic agent Darzalex interfering with testing
We are developing a protocol, where by we get a baseline sample on the patient, have molecular genotyping done and once the drug is started, we will be testing with DTT and issuing K- red cells. I'll keep watch on the thread and try to keep up with our progress on the protocol. Liz
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No enhancement
We use a saline method where by we use 4 drops of plasma to one drop cells, to super-saturate the cell. Incubate 30- 60 min and use IgG at coombs. This method has served us well in patients with warm autos. Malcom, of course, went into detail about strong bonds and titers, etc., but I tell my techs that "any self respecting allo- antibody will be detected by this method" - and yes, I'm old school. So it was, back then, once you have discovered there is a problem, or you have actually detected an antibody, going back to a saline method is a fine and accepted way to get around the garbage you may be detecting in GEL or other "enhancing" method. Liz
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Supervisory staff on weekends
Presently we have a manager for each department. We are not on site 24/7, nor do we get call pay, but we are expected to take calls at home for technical issues. We had a charge tech for the evening shift, but that has been eliminated and the bench techs are expected to resolve and or communicate the issue to the appropriate manager. We don't normally work the bench except for vacation or urgent coverage. We are a mid-size community hospital (250 beds?). Liz