[IS Crossmatch with Gel IgG Crossmatch]

I agree with you KKidd.

[Notifying Patients About Atypical Antibodies]

Good ideas. Thanks to everyone. Does anyone also notify the attending physician?

[Notifying Patients About Atypical Antibodies]

I would be interested in hearing about your process for notifying patients that they have atypical antibodies. We are planning on using a wallet card. If anyone has an example of a letter to patients explaining what to do with the card, I hope you would share it with me.

:fingerscr

[Confirming Antigen Negative Units from Reference Lab]

If you receive antigen negative (i.e. K-,S-,etc.) blood from your Reference Lab do you repeat the antigen typings, Especially when they are marked "historically negative"?:fingerscr

[Rhogam Review]

:bonk:What's with the boxes issue????

[Ask the FDA 2010 Synopsis on AABB Web Site]

Let me know if you find it. Thanks.

[Blood Appropriateness Review]

Ours is performedby a "Quality Management"team. Mostly nurses.

[Ask the FDA 2010 Synopsis on AABB Web Site]

:cries:Has anyone read the summary of Ask the FDA 2010 on the AABB web site?

One question that was asked was: does gel crossmatching satisfy the reqirement to test for ABO incompatibility? The FDA said no, because gel does not detect all IgM antibodies.

I retested this, and found that gel detected all ABO incompatibilities.

Does anyone also do immediate spin or electronic crossmatches when doing gel crossmatches for patients that have IgG antibodies???

[Filters for Cryoprecipitate]

What kind of filters do you use for transfusing cryoprecipitate?

Thanks.

[Nitric Oxide in transfused red cells]

Where is "isle of misfits"???

[Cernal Classic and Extended Crossmatches]

We justed added a reason called "not expired" to use when dispensing.

[Thermolyne DB12215E Type 12200 Dri-Bath]

I have Accublock by Lab Net International. I think we purchased them from Market Lab. No problems with them.

[Small quantities of commercial anti-A,B]

:nana:You can buy AntiC3d/C3b in a single vial. If you do any tube testing, you would use up a 10 pack of Anti-IgG. When we do a direct coombs on an adult, we use each reagent seperately and don't waste either.

[Just For Fun]

:angered:The MD just dumped the problem on someone else and delayed the transfusion again.

[Armbands on Patients]

In our Hospital, the reason given by Anesthesiologists for why they WILL cut off armbands; period; is that they can get in the way of I.V.s, and, if the patient swells from fluids, the band would be too tight. Knowing that there ARE other Hospitals that manage to leave armbands on "and" perform surgery, I just feel like they are digging in their heels here.

With the barcoded armband, the barcode would also be placed on the specimens, in the Blood Bank Computer System, and print out on the Chart Copy document that goes up attached to the blood product. They have to scan the barcode on the armband against that unit/paperwork prior to transfusion (so it also eliminates the need to have 2 Nurses performing a read-back).

So currently, my only 2 issues with this method (at my Institution based on how we do things) is that they still will probably resist banding outpatients/pre-op patients at the time of draw; and, OR will still cut them off in the OR room. However, this is the system we are moving towards at this point.

I work at a Hospital that has had very little employee turnover for many, many years (which says something about the Hospital); but unfortunately, that means trying to convinve people who are very stuck in their ways that there ARE other ways; and that sometimes those other ways are better ways.

Brenda Hutson, CLS(ASCP)SBB

We have solved the OR issue by giving tem some extra armbands and having them place the old insert with the patient info on it into the new armband before they leave the room. It is working pretty well. Good luck.

[Interfacing The Provue]

Thanks.

[Transfusion Reaction Forms]

I am currently working on making a new and improved transfusion reaction form for the nursing staff to complete with suspected transfusion reaction. I am wondering if some of you would be willing to share your forms and or give some advice? Our main problem with the current forms is receiving them completed.

Thanks

Teresa:redface:

Send me your email address and I send yoou ours.

[Antibody Screen with Autologous Units]

I understand your "rain cloud"! Thanks.:raincloud

[Antibody Screen with Autologous Units]

We only do an ABO&Rh and immediate spin crossmatches on patients that have donated autologous units. We keep these specimens in a seperate rack to indicate that an antibody screen has not been performed on the specimen. In the case that they would want additional units, we would perform an antibody screen. Additional units are rarely requested.

I would be interested in what others are doing.

[Requiring two ABO's on pretransfusion patients]

I agree with yoou JP. Then there are always situations in smaller institutions when there is only one MT or only one phlebotomist on third shift.

[Processing cord blood samples]

I agree with you David.

[NIST Traceable Thermometers]

CardninalHealth sells red spirit filled NIST thermometers.

[NIST Traceable Thermometers]

:angered:Has anyone used a calibration lab other than Essco? I sent ours to them and they said the fluid seperated and they are returning it. I don't want to use them again. I will have to buy a new one. Since they havd had it for 2 weeks, I wonder if it arrived seperated or.............

[Emergency Transfusions]

Thanks!

[Emergency Transfusions]

Doe anyone issue O Negatives to the emergency room without patient identification? If so, do you handle the identification, emergency release form, etc. after the fact?