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John C. Staley

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Posts posted by John C. Staley

  1. 19 hours ago, Michelle R said:

    Baby is doing very well. Clinically stable per providers. Hct stable at 37.5. No need for transfusions at this time. Slight thrombocytopenia at birth but has resolved without intervention. Sepsis ruled out. He needed phototherapy for hyperbilirubinemia for a couple days, but interestingly needed less days of light therapy than what is "normal" for preemies.  We have included our neonatologist team to see if they have any input/insight, but so far nothing of note.

    That's good news.  So far sounds like an interesting academic exercise without a lot of urgency.  My experience with NICU babies is if they need transfusion it is generally do to blood loss from testing.   Keep us posted and hopefully someone here can come up with more ideas as to what you are seeing in the blood bank.

    :coffeecup:

  2. Thanks Cliff, that is some interesting data.  When I was working in Utah there was a push for licensing Clinical Laboratory Scientists every couple of years in the state legislature.  What I found most interesting, surprising and some what alarming was that the most strident lobbying opposition came from physician groups.  My assumption was that they did not want to have to pay for qualified people to do the testing in their office and clinic labs.  

    :coffeecup:

  3. Cliff, I've been glancing at the birthday list and it got me thinking (dangerous, I know), how hard would it be to run an algorithm that could calculate either the average age or the median age of group members.  It might give us some perspective on the need to recruit more people into the profession.  Just a random thought.

    :coffeecup:

     

  4. First question, is the patient actively bleeding?  If not and they just want to "top them off" then A neg is the choice.  If they are and your A negs are very limited then stay with the A pos blood.  As far as RhIG goes, as mentioned above, forget about it.  All it will do at this point is cause more problems.   That's what I would do.

    :coffeecup:

  5. 21 hours ago, REN_NH said:

    Let's assume all units are reacting the same way due to a cold antibody.  What needs to be done to deem the units ABO type compatible?

    So, is this then not a real and current situation but instead an exercise in, what if? 

    Why would pre-warming be out of the question if you are already convinced that the antibody screen is negative and all you want to do is confirm ABO compatibility?

    :coffeecup:

  6. 1 hour ago, Townsend said:

      LTOWB and TXA 

    As much as I hate to ask it but having been out of world of blood banking for a few years, would you mind telling us boomers what the acronyms LTOWB and TXA stand for.  Maybe in all his spare time Cliff can include a list of current acronyms for us.

    :coffeecup:

  7. I'm curious, years ago we were looking into printing stickers to apply directly to the bag but there was some concern about applying an adhesive to the bag that may not have been FDA approved for such use.  Is this still an issue or was our QA department going off the deep end?

    :coffeecup:

  8. 23 hours ago, MAGNUM said:

    They are AO's, then I am sure that they are still working. Why is your upper management trying to mess with a good thing?

    My guess is they want to know when they will be asked for money to replace them.  Apparently everything must have an "expiration or best by" date.  

    :coffeecup:

  9. 14 hours ago, SbbPerson said:

    Not sure why is this very hard, maybe I am missing something.  The patient is informed about the transfusion and all the risks involved and then they give or not give their consent.  It is very hard in Ohio for the provider to get a consent form signed? 

    My guess is the very hard part is getting the provider  (I very much dislike that term) to document the informed consent with a patient's signature.  How accessible is the form when the physician is actually with the patient?  If someone isn't there to hand the form to them they won't go looking for it.  On a side note, whose responsibility is it to make sure the form is signed and in the chart?  I certainly hope it's not the transfusion service's.  

    :coffeecup:

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