Posts posted by Bill
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David is correct--for our lookback program for any infectious disease, we notify the recipient's physician with a request to return information about any additional medical history that may be related to the transfusion. It is up to the physician to notify the recipient if he/she thinks it is necessary; we do enclose a letter from our Medical Director to the recipient if the physician wishes to use it.
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According to New York State, JC, and AABB you must QC with at least 1 positive & 1 negative reaction for every cell and antisera except for antibody ID panel cells. Makes no difference if it is automated or manual. If you use different reagents for manual testing, then you must test those if you use them that day. Rare antisera/cells must be QC's each day of use.
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Best system on the market today for hospital lab setting. Having said that, it is not perfect. The biggest issue is that reagents & supplies cannot be loaded while the instrument is running patient samples. It is imperative that the daily startup includes loading adequate reagents & supplies. It is reliable, fast, easy to use, small sample size, open reagent system for chemistry side but not for immunochemistry. If you have specific questions, send me a message and maybe we can chat on phone.
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One hospital that I worked in the BioMed Dept checked all that at least twice per year. The records they had from the manufacturer were flawless. There were tests to check free-flow prevention. Delivery volumes at low rate and high rate, those with warmers had temp checks with volume load and a specific test for cutoff temp.
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In New York State, every transfusion service must report all transfusion reactions to the state Health Dept each year. There may be some data at www.wadsworth.org, which is the lab/blood bank website. I will try to search in next 2-3 days and post more if I find the info.
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Those sheets that have patient results on them would be considered a worksheet. In New York State, worksheets must be kept 1 year. Also keep in mind that many of these panels repeat with same donor (by the donor number) so you can track changes in patient reactivity if you keep them when you have the patient present nine months from now. When I have a patient with a history of antibody, I like to see if the "pattern" has changed.
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XM for a newborn with mom's specimen
in Transfusion Services
You need a specimen drawn after delivery which is less than 3 days old.