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clmergen

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Everything posted by clmergen

  1. clmergen
    We transfuse about 1000 products per month and perfomr 10 audits per month. We scaled it down appropriately for the smaller hospitals in our system.
  2. clmergen
    It wasn't that hard to build in the Cerner HIS from what i remember, but sorry I don't have any idea of the interface with Sunquest.
  3. clmergen
    Everytime I use a cooler and the units come back with an acceptable temp an informal validation that the cooler works is completed. With 20 coolers on the shelf, it would take me a month to validate all of those. I buy the exact same type and validate under 2 conditions, the ice from my machine and the ice from our ED lab that issues uncrossmatched blood. I will wait for an actual writeup before I validate 20 coolers every year. We do a quarterly inspection and clean every time it is used. Cracks and other cooler faults would be discovered well before annual cooler validation. And I have documented proof that they are found.
  4. clmergen
    We send the patients home with their armbands and ask that they return with the armband, but I doubt many do. Upon admission, the patient is re-armbanded following a written policy. The same policy is used for patients that take off their own armbands while an inpatient or OR takes off a band. Since we don't use Transfusion Services specific armbands, we don't redo any work unless the new armband doesn't match the old armband.
  5. clmergen
    We do 10 per month for our largest facility and 2-4 per month for the smaller hospitals.
  6. clmergen
    I wasn't even considering the HDFN aspect of the problem. I wanted to know if the patient was a candidate for Rh Immune Globulin as this was discovered on a prenatal workup.
  7. clmergen
    That's too much work.
  8. clmergen
    We are all just nerds at heart aren't we?
  9. clmergen
    It isn't written into our policy but a few months ago we had a pregnant female with an apparent anti-D+C. I sent that to our reference lab who had a single cell frozen that was D-C-G+. It didn't react so we called it an Anti-D+C. (never would have crossed my mind before SBB school).
  10. clmergen
    I don't recall the microwaves thawing that fast when I used one. And the one I did use did leak a broken FFP all over the bottom and made scrambled eggs that smelled stronger than bleach could cover up. I still prefer the Helmer thaw bath.
  11. clmergen
    I believe those were the recommmendations that came out of the 2008 IRL conference (at least the Anti-C, Anti-E in the presence of Anti-D and the exclusion of Anit-K). In fact, based on this conference we have changed our rule out protocols.
  12. clmergen
    I think the Helmer's that agitate the plasma are as quick as the microwaves or at least within a few minutes of each other. I can typically get plasma thawed in under 20 minutes. And if you have ever cleaned up a plasma that broke in the microwave, you would think twice about the purchase.
  13. clmergen
    The guidelines are the same as for tube testing. Each reagent must be tested on each day of use according to the manufacturers recommendations or meeting CAP/AABB standards. As for instrument specific QC, follow the manufacturers recommendations like you would any other piece of equipment.
  14. clmergen
    We have some stand alone ERs that stock Oneg and Opos RBCs and AB frozen plasma. They just follow our policy on emergency issue of blood products. Specimens are drawn and sent to the Hospital that oversees the ER where all the testing is performed.
  15. clmergen
    Sorry Shashah, if we did a study on it, I can't find it. We are a large level 1 trauma center and we do open heart cases (including transplants) and we don't do cold screens at all. This has been in place for at least three years as I have only been here three years. I will ask around and see what kind of answers I get. Of course this will happen next week since everyone working right now has been here even less time than me.
  16. clmergen
    We give AHG crossmatch compatible units.
  17. clmergen
    We dont issue any blood products without two identifiers. This includes tubing blood to an OR and uncrossmatched blood going to a trauma patient.
  18. clmergen
    I keep both AABB and ASCP individual memberships. They lobby on behalf of all Medical Laboratory professionals and I support them with my membership fees. Plus I like the education I get with the monthly magazine subscriptions.
  19. clmergen
    1. The one hospital in our system doing gel does do the modified Gel panel for patients with Anti-D. 2. We footnote the AB as being due to Rh Immune Globulin and then ignore it in the future. Previous place I worked at gave it its own AB name (which I can't remember) so that it could be ignored. I think our current procedure even says that if Anti-D is due to Rh Immune Globulin then we do Immediate Spin crossmatches.
  20. clmergen
    ARC made this change in July or August. They apparently used to "estimate" whether a panel or screen was done based on the number of cells used. We had to build quite a few new "billing tests" in order to capture the charges correctly.
  21. clmergen
    I am part of a system that shares a computer system and we frequently get transfers from the smaller hospitals. We redraw all patients upon admission to our hospital, which is generally through the ER. We also do history search all of hospitals records to make sure that we get a clear blood bank history.
  22. clmergen
    Ours varies by situation. OR's are 2 units plus 2 ahead while in OR. L&D is notified and they let us know if we should crossmatch, however we do get ag negative available. Routine patients are TS only. ICU patients, it would depend on recent usage.
  23. clmergen
    I wouldn't risk option 1. I have seen a sickle screen positive unit go through a leukoreduction filter. We did QC on it and the unit wasn't leukoreduced.
  24. clmergen
    Hate it when good champagne is wasted.
  25. clmergen
    I am tempted to try making the Spotted **** but I can't get the image of bird feeders out of my mind. Plus I am not sure if can even buy Suet in the grocery stores. But I am always up for trying a new sweet recipe so the search is on. (I did a lot of wikipedia looking this up). Plus I know how to make Yorkshire Pudding why not try making Spotted ****.
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