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macarton

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Everything posted by macarton

  1. macarton
    We use 3 days in house, as we have a lot of transfers from other hospitals. Surgery patients we have a form that pre-admission testing asks the patient about transfusion history and pregnancies. If everything okay, we extend surgeries specimens up to 7 days. Problem is that they will answer No to have you been told there is a problem finding blood, even though we have it documented that the patient was sent a card to carry with them and a letter explaining the antibody.
  2. macarton
    It seems like we are seeing more strange antibodies these days. We had a known B+ patient that was only compatible with group O red cells recently. ABS was negative. RG as an O.
  3. macarton

    STEC

    macarton replied to sreams's topic in General Information

    We have been using this for a few years. It picks up more than the O157. Most of our positives have been other serotypes other than O157
  4. macarton

    STEC

    macarton replied to sreams's topic in General Information

    We have been using this for a few years. It picks up more than the O157. Most of our positives have been other serotypes other than O157
  5. macarton
    We do most of our KB's from the ED for auto wrecks.
  6. macarton
    I tell them we aren't Pizza Hut. It is rare that we have more than one Tech available on the bench for a 320 bed hospital, plus doing reference workups for our sister hospital.
  7. macarton
    We repeat panels q 30 days unless the ABS or gel crossmatch indicates additional antibodies. We have the panel order set not orderable in our LIS less than 30 days. But we can over ride it if needed.
  8. macarton
    We have a questionnaire form that patient's are asked during the pre-op interview. We get that with the samples. We use 7 days expiration if no transfusion or pregnancy. In house we use the 3 day expiration.
  9. macarton
    I ditto what Malcolm stated.
  10. macarton
    We are on Meditech Client Server and went live with TAR the first of the year. We have surgery, ER, Endo, and Infusion Clinic not on Meditech, so we still print a transfusion slip and attach to every unit. If the unit is completely given in TAR, then the slip is discarded with the unit. If started on the floor and finished in OR or Endo then those fill out their part manually and we finish recording in Meditech when we get the transfusion slip back. Same if started manually in OR, ER or Endo, the floors finish manually and return the document to us for recording in Meditech. We keep a copy and original is posted on the chart and Med Records scans it into the EMR when patient is discharged.
  11. macarton
    We were also a long time gel user that our lab director decided to go to the Echo. Jan of this year we went to the Provue. We kept using the gel for issues we had with the Echo, so we never really left. The Provue is no longer available. It has been replaced with the Vision. The work station is a manual system that combines your gel incubator and centrifuge. By the way, now that we are using the Provue, our gel IgG card usage didn't increase that much. Love the ABD cards.
  12. macarton
    We only do a fetal bleed screen on post delivery specimens which are drawn stat after delivery. We would perform a fetal stain on any other specimen. Most of our fetal stains are done for falls or car wrecks.
  13. macarton
    We do a T&S on all OB's that come in for delivery. We've had a few to bleed after delivery, so we are set in an emergency. We have 2 panels built in our LIS for L&D, one for Rh positives and one if they are Rh negative and have received Rhogam. The Rh negative panel orders the Ortho 5-8 cells. We result that with a comment, not screened for D along with the date the rhogam given. If the infant has a postive DAT, we do an elution.
  14. macarton
    Right after we started using the Echo, we were seeing a lot of postives on the Echo, Echo panel had positive reactions, no pattern. Most of the reactions were all screening cells 3 or 4+. We spent a lot of time doing back up manual Ortho and Immucor panels (untreated and ficin), only to get a negative reaction. We finally decided to repeat the screen by gel and if negative report that. If postive then do a workup. We recently went back full time to the gel system.
  15. macarton
    We normally do an elute 2+ or greater, unless the patient has been transfused, then we do regardless of reaction.
  16. macarton
    John I have a first cousin that is a Staley.
  17. macarton

    Echo Problem

    macarton replied to L106's topic in Equipment

    What drove our decision was that we were a long time manual gel user before our administration made the decision to go to the Echo. We were seeing all of the problems described in this post and were using the manual gel as a backup. When our contract was up, we went to the Provue. You can contact me off line if you like.
  18. macarton
    Wish I could join you. I'll be working on the daylily garden getting ready for an open garden.
  19. macarton
    We were seeing the same thing with Lo-Ion lately. We didn't contacted the company as we were switching to a new company for reagents.
  20. macarton
    We have a bottle at the receiving desk containing red dye that has the minimun and maximum fill levels marked with a sharpie on the bottle. We check each bottle and ask for recollects if not adequate.
  21. macarton
    We are currently on Meditech and used to have a stand alone lab system with Soft. Hands down my choice is Soft. I wish we could go back.
  22. macarton
    We do the same as rrcc1974. I have our LIS set to flag any units not screen when selecting for crossmatching with a history of significant antibodies.
  23. macarton

    Echo Problem

    macarton replied to L106's topic in Equipment

    We had been seeing this problem for several months, different lots and having to use our backup gel method and report those results. The last lots of screening cells we didn't call as we switching to the Provue.
  24. macarton
    We are Meditech 5.66 and we give our preadmissions a RCR # that is converted to inhouse once they come in for surgery. Our outpatient chemo and infusion clinic also get the same type in patient # with status RCR. This number is used for the current month. It does cause problems with crossmatches done of the last day of the month with that months # and transfused on the first of the month since they are given a new #. Billing moves the charges to the new account after they go home.
  25. macarton
    i can e-mail screen shots of our Meditech calculation if needed. We don't use the ABO/rh confirmation stickers since we type units when they are received.
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