Jump to content

LaraT23

Members - Bounced Email
  • Posts

    329
  • Joined

  • Last visited

  • Country

    United States

About LaraT23

  • Birthday 02/23/1971

Profile Information

  • Interests
    biking, swimming, yard work, taking my son to baseball
  • Biography
    Married mother of 3 boys, have been a med tech for 14 years.
  • Location
    Kerrville, TX
  • Occupation
    Blood Bank Supervisor

Recent Profile Visitors

The recent visitors block is disabled and is not being shown to other users.

LaraT23's Achievements

  1. This has happened to us twice this year. Once with an Fya and once with a Jka. I am thinking it was secondary reponse, but extra vascular obviously. In the secondary both IgM and IgG are made initally but IgG rises much faster and at a higher titer,then drops off dramatically. Which is why just one unit does the trick in my book.
  2. I would say good luck finding multiple k- cells to prove your point. And yes, it would have to also be D negative to get a true rule out. Good luck there too. We would rule out based on the hetero, plus your full crossmatch will catch any odd thing that also happens to be on that homozygous K cell, that might not necessarily be K..... Darn things don't read the books do they?
  3. What is the antigen typing for the patient? We have seen several Auto E's lately. Did the previous Fyb react with hetero or homozygous cells exclusively?
  4. I understand the concerns of everyone as far as mislabeling goes. But, I dont think we should just assume that things will be collected improperly and change our process to deal with that. If cords are "allowed" and "assumed" to be mislabelled, what about everything else collected by nursing. We also do not transfuse babies much, but our policy states that we would do a cord type and a screen on the mom's plasma. We would then give the freshest type compatible CMV neg that was available. I am the quality officer for the lab here, so I guess the whole mislabelling thing being accepted gets me going!
  5. We generally finish the Type and Screen but then do not perform additional testing if the screen is positive. Our system does not charge for blood products until they are issued, so that billing problem is already solved.
  6. I can't find anything that gives me the inkling about where AABB will go with storage versus transport. Currenlty we send blood to OR, or ED or the floors for dialysis or to an outpatient transfusion center across our parking lot in coolers. If i go with the 1-6 degree ruling, I am only going to get 2 hours from our current coolers. So, what is everyone else doing, and what type of containers are you using? Thanks!
  7. We do ask, I worked with nursing to come up with some pre pre procedure, pre admission, type questions. We ask, have you been transfused, then in if Yes, is it in the past 90 days, then have you ever had complications, or reactions or antibodies detected, and lastly, do you have reasons to refuse blood products. These are asked on every admission for any procedure, ED, inpatient or infusion therapy visit.
  8. He is actually white, and I did decide to send him off. Lifeshare is getting to play with it, He also may have a SC or Dombrock or perhaps some other low, as the second unit we got in identically phenotyped as the first was 1+ incompatible, so strange! I sent JoAnn Moulds my workups and a specimen so we will see what we get. I will update as soon as I get the report. Only us blood bank geeks like this stuff, so exciting!
  9. He had a micro array done in July because he had been recently transfused. He typed E antigen pos then. We also did a tube serology test here Friday as we were just about 3 months to the day post transfusion, and he was 4+ that way.
  10. We do Type and Screen on all OB patients admitted for delivery.
  11. We have an electronic procedure system so that each procedure is documented, they open the procedure that is on their assigned list and click the mark as read tab and their name is electronically put on the has read this procedure list. We can then print a report either by procedure or by employee listing their read procedures. They do this annually.
  12. We have a patient who had a delayed hemolytic transfusion reaction lat month due to an undetectable unknown to us historical Fya. He also made a C which we could only pickup by enzyme. He went to another hospital with diagnosis of uremia on top of his myleodysplastic syndrome and liver cancer. He survived that bout, and is back for transfusion again. He now has Fya, C, Jka, and we could not rule out K and E, however he is E antigen pos. Units negative for all but E are 1-2+ incompatible. We got a unit in that was deglyced and negative for for Fya, C, Jka, K and E and it is completely compatible. The DAT is negative, so E mosaic anyone? Auto E with negative DAT? Any insight or experience? He is to be transfused again tomorrow. Thanks in advance!
  13. Why can't you order a T&S on the baby and comment, that you used the maternal specimen? Seems like that should work. Since the mother isn't technically a patient, you probably can't order anything on her at that point. Seems like billing should help you out with the ICD-9's. Those are usually provided by the ordering phyisician, in this case, the baby's physician. Anyways, I would avoid outpatient on moms if at all possible, unless you get waivers on everyone.
  14. We cross reference the medical record number, which should never change even if the name does, and the date of birth. If those match, despite name change, we are good to go. Our system will also make name changes on babies retro active, so that if we look up smith, baby from last week it will show smith,jane today. We do the testing as requested on the new visit, as we have been asked not to add to inpatient visits past three days past dishcharge if at all possible.
×
×
  • Create New...

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.