Kashmira patel
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Posts posted by Kashmira patel
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Mabel,
We are in the process of implementing SIS Trax for Tissue Management.
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Simret,
I will give it a try, but seems like a Soft application specialist or opening a TMS with Soft may be helpful.
1. Create a group test called Retype in Setup, name this a front type or retype, use test code 'A', 'B' and if needed 'D' and interpretation as ABO, if applicable RH, enter truth table for blood types. Note: If you are performing computer crossmatches then a front and back type is required for 2nd sample.
2. You have the option of creating only 1 DAT based on the technique in use at your facility. If created and you are not using any of the DAT tests, you can uncheck the 'Active' box in set up.
3. Charging for hemoglobin -S and unit antigen typing for a patient may be performed by the use of actions. This is available under setup function as Actions.
4. Also the cord ABORh test, is not created right, this can be done as above in number 1.
Hope this helps,
kashmira
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Ok. Sounds great.
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Please count me in too. It will be great to meet in person. Excellent idea.
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News letter from AABB dated May 4 2012 volume 18 has the FDA's final rule on Amendments to sterility test requirements for biological products. Also AABB is conducting a membership survey for the current measures to detect bacterial contamination in platelets. My understanding from this is, if your blood supplier is performing the sterility test for apheresis platelets, it is not a regulatory requirement for a transfusion service to repeat the bacterial testing. Also if you are a member of UHC list serve there is a nice survey results posted for bacterial testing of platelets.
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We use PH meter in a blood center setting for QC of apheresis platelets.
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We use Coleman 10 quart coolers available at local stores like Sears and K Mart. These are validated for storage temperature at 1-6 C for upto 10 hours with wet ice in plastic bags. Can store upto 12 red cell and FFP units. Cost is minimal at about $10 to $12.
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Do you keep a separate policy for Massive/Rapid Transfusions for trauma and non trauma cases?
If yes, what are the quantities you are using for non trauma cases for each blood product?
Thank You
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Thank You, Malcolm. His book is an essential part every Blood Banker's library.
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A second determination of ABO on both front and back type is required. FDA has a new guidance on Electronic (computer) Crossmatches.
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We also use P9052 for Leukoreduced HLA matched apheresis platelets. Also charge for irradiation separately.
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Have used such brown bags with plastic cushion inside for pneumatic tube transport of blood products at a former institution.
Blood products were placed in a sealed plastic bag, and then in the brown bag.
Do not recall the vendor. Try Cardinal.
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Thank You for posting the guide.
Kashmira
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Hello!
Need Help!
Are there any references available for analyzing the relative time spent on each procedure by Transfusion Service personal and cost of consumables?
Administration is looking for cost accounting analysis to monitor and identify reagent and supply costs, minutes/procedure and staffing needs.
Thank You,
Kashmira
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The positive control did not work with one of the trial kit lot received.
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Congratulations Heather for the new mile stone in your professional life.
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Hello! Kathy,
We sterile dock the syringe (30 mL or 60 mL) to the pediatric aliquot bag and label both the blood bag and syringe with an ISBT lablel and patient/unit identification label.
Blood is pulled in to the syringe by the floor/OR.
Hope this helps.
Kashmira
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We had a case a few days ago where a patient with cold agglutinins had open heart surgery. His blood spontaneously agglutinated in the pump circuit during hypothermia.
In previous threads in this forum, cold agglutinins with open heart surgery have already been discussed, and the consensus is that most hospitals do not screen for cold agglutinins for open heart surgery. Since we had a problem case, we will have to screen for them from now on.
I can't find a reference or a procedure on how to do the testing. Would it be a room temperature or some lower temperature? What cells to test? How long to incubate?
If anyone does this testing, or used to do it, can you share the method? Thanks.
See AABB Technical Manual 16th edition Method: 4-7 Cold Agglutinin Titer procedure. If titer >64 we perform thermal amplitue and our medical director consults with the surgeon for open heart cases after the review of test results.
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That part I get, in fact I started this discussion about a month ago. We are just starting the IS crossmatch along with our Gel. The part I don't understand is how to use electronic crossmatch instead of the IS when the patient has an antibody and does not qualify for electronic crossmatch.
Keep in mind I am obviously just in the thinking stage of electronic crossmatch.
We perform Elecronic/Computer crossmatches.
We perform Gel Crossmatch and do not perform Immediate Spin (IS) crossmatches, when the patients have antibodies (Historical or current).
Our computer system logic will alert the user to discrepancies between the donor ABO/Rh and that of recipient ABO/Rh. Blood group confirmatory test is done on patients with a second sample (if the patient has no history of blood type in our computer system) and retype the donor units. If blood is needed urgently before second sample ABORh confirmation, we can only issue Group 'O' red cells.
At our last join CAP/AABB inspection the issue of IS crossmatch was raised by the inspector (CLIA reference) , but we were not cited because of electronic/computer crossmatches.
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Thank You
Kashmira
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Hello! All,
Hope you can answer this question:
What is the CPT code to use for billing of Platelet Antibody screen and Platelet Crossmatches performed on the patients?
Thank You,
Kashmira
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Hi everbody
I hope you are all well
Can you please tell me the policy for transfusion of PRBCs for neonates i mean in crossmatch
Thanks
We set up the neonate with less then 7 days old Group 'O' Rh compatible leukoreduced, CMV Negative, Sickle Negative red cells after the initial neonatal type and screen up to the age of 4 months from the date of birth. We use aliquots from the unit till it expires or gets used up and irradiate upon issaunce.
If non group 'O' directed red cell unit, then gel crossmatch compatible with neonatal plasma.
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Rebecca, my deepest sympathies and prayers are with you and your family. Larry will be missed on this forum.
Reconstituted RBCs and CRRT
in Transfusion Services
Posted
My understanding of the process is that this priming is done in small pediatric patients to avoid filling the tubing with patient's blood. The reconstituted blood does enter the patient and hence considered transfused to the patient.