macarton
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Everything posted by macarton
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Thank you.
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We have a transfuse order by product in Meditech for any verbal orders. It will print out in BB. It does not order the product, just replaces the written order.
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I've enjoyed being part of this forum over the years. I'm retiring as of Sept 1 as Blood bank, Microbiology, Meditech supervisor and full time bench Tech. I've decided life is too short to stroke out over trying to do 4 jobs well. I'll still work a day or two part time.
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to save into a Word document, click PrtScn, send to clipboard, then to put in document, click on spot you want it and right click and paste. On the popup boxes, if you want whole screen with the pop up, hit PrtScn, then cancel, then to put in document, click on spot you want it and right click and paste. You'll have to do some trimming then.
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I have all of our QC and temperatures set up in Meditech esp BB and Micro for yrs now. Later I built some Chemistry. Hematology QC is on the analyzer. We can print them out for an inspection whenever needed.
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Our Helmer bath is around 15 yrs old. The times we've needed a cleaner, we used vinegar. Since our water is limestone here, we switched to DI several yrs back.
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We clean coolers when they come back from ED or OR. You don't know where they have been, esp if blood was used, and the empty coolers made a trip to the smoking shack on way back to BB. I don't want to be implicated in a surgery infection.
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Warm free auto antibody with weak auto control
macarton replied to catm's topic in Immunohematology Reference Laboratories
I agree with Malcolm -
We are 75 miles from our supplier. We keep 2 to 4 apheresis on hand depending on # of CV surgeries and usage. We rarely outdate any. Our supplier swaps out daily.
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We use a patient with an antibody that was tested with the previous lot before placing a new panel in use. We haven't had any issues with past inspections.
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was the antigen type rechecked on the unit? we've had some antisera that if you didn't let it incubate the full time limit, (example if 5-10 in procedure, and didn't go full 10 min) got negative to wk reactions.
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Our administration wanted to go to ARC from Lifesouth. When we questioned about returns & found out that we couldn't unless we found another hospital to take it. I figured up how many returns we had in the last year and it would have more than eaten up the savings. I sent those figures in response.
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We do any antibody ID's, screen and crossmatch for our sister hospital, They do T&S and IS any non problem patients. We have a courier to run 3 times a day. We also do their Micro. After hours they have a courier.
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Opinions please on Blood Bank refrigerator/freezer manufacturers
macarton replied to richardsonj's topic in Equipment
We have a Helmer refrigerator and have been very pleased with it. -
We pull at time of issue and keep them with that days sample rack. We hold samples for 19 days. Odd time due to way we extend the date to use pre-op samples and CAP requirement post transfusion.
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Continuing Issues with Ortho Gel Reagents and or Equipment
macarton replied to SEBaker's topic in Transfusion Services
Ortho recently opened a new line for manufacturing. Makes me wonder if they haven't gotten the bugs out yet? We are seeing a lot of ? on B cells and SC3 regardless of lot on the Provue. You can see very tiny specks up the gel. -
The replace Xmatch wasn't available at the time. The profile has worked well over the years.
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Eluates and Compliment Only Positive DATs
macarton replied to SMILLER's topic in Transfusion Services
We would do an elution if the patient was recently transfused. -
We went from the Echo to a refurb Provue before the Vision came out. We have the option of upgrading to a Vision, but will probably do it before moving into our new hospital and have it validated and ready to go on moving day.
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Continuing Issues with Ortho Gel Reagents and or Equipment
macarton replied to SEBaker's topic in Transfusion Services
We are having a few problems, especially when the cells used on the bench get older. On the Provue, we are having several of reaction ? reviews -
When we were converting over to Meditech 15 yrs ago, we found an issue with emergency releases if it ordered the IS Xm and we found out later the patient had an antibody. We reported it to MT and we set up a XM profile that had the IS, gel, and tube Xm in it. All are auto NP except the IS. If we need to result something other than the IS, we NP it and change the NP on one of the other tests to the test result we performed. We can't do electronic Xm with the version we have, but when we upgrade to 5.66, I would think we wouldn't have issues.
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I mail the patient a business size card with our 2 hospital logos, our contact information, patient name, antibody and blood type on it. I also put a warning in the allergy section of our IS to call BB and why. I also document on the BB history side of our Meditech the date card sent and OE warning so we know not to sent another one or put the allergy warning in.
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I'll behind you soon I hope. Lots of world out there for me to photograph. Have fun.
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We built the 5, 6, 7, 8 Ortho panel cells in Meditech. It has a comment not screened for Anti D and we record the date given. We have that test built for Labor Room as part of an Rh negative panel. If the baby has a positive DAT, an elution is reflexed and we will also do an panel & titer on Mom if indicated.
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testing for transfusion of platelets
macarton replied to Sherie Bruns's topic in Transfusion Services
For inpatients we require a current sample with a BB armband (we use with barcode built in), as 90% off out inpatient's will need blood the next day. Outpatients for platelets only, if we have 2 ABO/RH specimens, we do not require a sample.
