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clmergen

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Everything posted by clmergen

  1. When I return to work (currently vacationing in chilly Wisconsin) I will talk to the other supervisors. This place isn't just about information but definitely about comraderie. And I know my hematologist friend was very jealous of how we blood bankers stick together.
  2. That is exactly how we dealt with those non-specific solid phase antibodies also.
  3. I didn't mean to imply that I didn't have a complete validation plan, I did. But I only monitored the refrigerator for 24 hours before it was approved to be used and that was written into my validation plan.
  4. This was a HUGE problem during my last AABB assessment. We had all the patient signatures but few of the doctors signatures. Sent this problem up through the Vice President of Medical Affairs. And then I promptly moved to the other coast of the USA so I have no idea if it has been resolved.
  5. Cardinal Health has quite a few different types available for purchase, ranging widely in price from quite inexpensive to rather pricey.
  6. I think the last refrigerator I installed, I let "equilibrate" for about 24 hours and then did the alarm checks, etc after that period. Then we loaded it up.
  7. Is that the one that recommends the use of NovoSeven to reverse (for about 6 hours). I know there is a new drug out there that recommends this. I would go online and print the package insert. Reversal information should be on that.
  8. That is an interesting glitch. I assume the phenotype is for Sickle Cell patients or other often transfused patients that you are trying to keep from making antibodies.
  9. There was a patient at one hospital I worked at that had a similiar reaction that we could never clearly identified. It was suspected that she possibly had an undetectable anti-c (i think deducted thru ag typing). We ended up giving her c- washed red cells and she did well.
  10. I am with John on this one. Having just changed jobs from a place without bands to a place with bands, I find the bands annoying. I think the problems they can cause outweigh the sense of security that they give. A strong hospital policy/procedure on armbanding patients (and re-armbanding) is a better way to go.
  11. I have recently moved from one coast to the other. My previous hospital, we did the 2 separate draws, but it wasn't that many extra draws. So many patients have history or had previous specimens available. I really liked the 2nd draw from a patient safety point of view. The new hospital is moving toward the 2nd specimen vs a 2nd type on the same specimen. We went live on Meditech 6.0 20 days ago (December 1st). The LIS person is going to try some rule and see if that works or assign the 2nd type to a different department. There are some options that are being looked at but I thought I would ask here first.
  12. But if it is a different draw, will I be able to order on the same req? It will have a different collection date/time.
  13. I know this is an older thread but I have a question related to this topic. We are trying to go to a second blood type on a separate draw. When we order this after the initial specimen is recieved, Meditech drops any add XMs into the 2nd blood type specimen not the TS specimen because the specimen is newer. Any ideas on how to fix this? We are on Meditech 6.0 but our LIS person says that BB is very similiar in 6.0 to Magic.
  14. Sometimes on a bad day, I start re-reading the thread from the beginning. It just brightens my day.
  15. Yes it is...but it is the best of both worlds.
  16. MacbookPro for me. And if you have a techie husband like I do, you can get Windows on it too. You can partition the Mac hard-drive and actually load windows on it. So I can choose to boot into Windows any time I need to use Word, Excel, etc.
  17. But you will still need a book for the service reports unless you are getting those electronically. I thought CAP said that these books have to be readily available for all staff using the equipment so if you go electronic, everyone may need access to it.
  18. I have seen it done once but we didn't make a procedure because we didn't want it to become a habit. And then we got the Echos and quit QCing manual solid phase equipment......
  19. I have seen overly weight donors turned away at a mobile drive but with a recommendation to go to the donor center where the donor chairs are rated for greater rate.
  20. I let them sit for 5 minutes, just like I would a patient, that helps a lot to get it to 1-2+.
  21. I have always treated patients the same. That way there can be no confusion and the we are ready if something is "nicked" in surgery and allogenic blood is needed.
  22. Yes, purchase it if you can. Computer systems are a huge improvement for patient safety. Just think about ABORh interps, special needs checking, ab-ag checking, compatibility checking. These are things that people can miss that the computer system can doublecheck before the issue of a blood product occurs.
  23. Do you have a mold problem? Or does this third party company make the suggested cleaning product? I have used a variety of products to clean the shelves but only after moving the blood and typically following the cleaner with a water only wipedown ( especially when using a bleach based product).
  24. I have worked in places that were FDA inspected, AABB and CAP accredited, and hospitals that were Joint Commission accredited. One of the hospitals that was part of the system I just left was looking at substituting DNV for JCAHO.
  25. I did the online program through Florida blood services. I needed the schedule of modules and tests to keep me on track. Quite a few of the programs share the same materials online. If you decide to do the formal online route, I think Amy of the AABB listed programs will be good ( AABB inspects them all).
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