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COM.10300	Knowledge of Policies and Procedures	Phase II
	The laboratory has a defined process and records indicating that all personnel are knowledgeable about the contents of the policies and procedures (including changes) relevant to the scope of their testing activities. NOTE: The form of this system is at the discretion of the laboratory director. Annual procedure sign-off by testing personnel is not specifically required. Evidence of Compliance: ✓     Records indicating that the testing personnel have read the policies and procedures, new and revised, OR records of another written method approved by the laboratory director

Do you require a reverse type be 2+ or greater to be considered a valid type?  I am not aware of any requirement for a specific grade of reaction for a reverse to be valid.  If the reaction is macroscopic I have proceeded with my interpretation without further enhancement.  There is a hospital within our affiliation that has more stringent rules and I want to make sure I am not missing something. 

My facility uses a blood bank banding system.  We do not extend any surgical samples beyond the 3 days.  The deterrent for making any changes here is tracking the bands and being sure they get placed on the correct patient the day of surgery.

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We have continued to use a unique blood bank banding system and have been on EPIC for several years.  ER had their own EPIC label printer but the lab had to remove it due to the high number of labelling errors. 

To all the Erytra users out there I am wondering what you are using for your source of water. The Chemistry department in my lab will not allow me access to the Millipore system because it is plumbed directly to the Architects.  With my volume of testing it looks like I may need 6L of DI water per day.  Is anyone purchasing water for their Erytra? How is that process going?

Thanks for all the information but as a small transfusion service I am wondering where I would get the large volume of cells needed to perform the alloadsorption. We don't routinely have them available and warm auto work ups are few and far between for us.

We have found that washing the specimen and removing any buffy coat layer helps to diminish the complication of white cells in the final smear. As a final assurance, we always place the pippette at the bottom of the tube of washed cells to obtain our specimen for the stain. We have noticed a huge improvement. By the way, they are performed on all shifts by generalists.

The blood center I am at has just enacted a pay freze, hiring freeze, a 5% reduction in vacation accrual, and of course no overtime, no travel, and no usage of the company credit card. The hospitals in the area have only done hiring freezes that I know of.