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Everything posted by clmergen
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There are 4 different routes that are used to qualify someone for the BB exam. I can't remember off the top of my head what they are. Check the ASCP website, they have a good guide.
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We did 100 Groups against tube, 40 confirms against tube, 40 confirms against microtiter plate testing, 100 Screens against tube, 50 Screens against manual solid phase, 100 Groups/Screens against tube, 30 Ready IDs against tube, and 20 REady IDs against manual Solid phase. No wonder it tooks us so long to validate the instrument. That was for the first instrument in our system. The other hospitals in our system are performing less testing.
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You might want to rethink the use of dry ice in a plastic cooler. There can be some serious safety issues with that. There have been cases where plastic coolers have exploded (and I don't have a specific case reference) but our system requires all dry ice containers be styrofoam. This also allows the CO2 gas to escape and not build up in the container.
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We constantly change the thaw time on our Helmer. If I am thawing 4 bags that are 300+ mL I need closer to 20 minutes. If I have 2 bags that are closer to 280mL, then I set it for 16.
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I don't think it is a JCAHO requirement. We use bags that don't close and they haven't add a problem with them. And my previous place of employment didn't use them at all. The only reason we use the bag is so the people picking up the blood don't get all squeamish and want to wear gloves while wandering through the hospital.
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We ran into the same situation. The solution was that the nurses would physically sign the tag attached to the unit. This would then get scanned into the EMR so that signatures would be on file.
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We have a set of reagents for each shift. They only stay on the instrument for 8 hours per day. The 2 exceptions to this are the indicator cells that expire in 24 hours anyways and LISS because we use it up in less than 24 hours. This has worked very well for us.
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That's exactly what we are doing. Discrepancies are tube typed and those results entered. And the discrepancies aren't just with the D reactions. Those weak reverse typings will cause an NTD result. I had one of those yesterday. Having the instrument do almost all of our work is well worth the few discreprancies that we have to tube type. We are having some of our busiest days this year but I am not hearing the staff complaining about the workload. As one person put it after hearing the sound of the Echo shake the strips - "that is the sound of something else doing my work"
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We just had our first case like this on the Echo. Chapter 12 of the Operator's manual has the limitations of the method. And it covers that the Echo will not be able to detect reactions that in the tube would be 1+ or less. In our case, the tube test was 1+.
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And that is why I am glad I am not that much of an old-timer. I started when universal precautions were being recommended by OSHA but not yet required, although my hospital did require them.
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17 syringes of RhIG would wipe out my entire inventory. I would rather let a male build an Anti-D than not have RhIG available for any women that might need it.
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Testing For Sickle Cell Patients
clmergen replied to Mary's topic in Immunohematology Reference Laboratories
We only perform IS crossmatches when the Antibody Screen is negative.