Mer
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Everything posted by Mer
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We don't even hire MLT's where I work. If so, they can just do the simple stuff - yet I worked at another facility, where MT's and MLT's were working side by side, doing the exact same tasks, making different wages...but never, in each place, would an MLT be allowed to be a supervisor - even if they worked there years and years. Have a good day!
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Hi - For all ECMO patients, we use the freshest blood - for infants we spin a "prime" unit down and take the Adsol off, and then we set up one full unit and a partial (1/2) unit of RBC's. Then we set up 1 random platelet and 1 FFP. For adults we set up 2 FFPs, 9 RBC's (none spun down), and any platelets requested. We were just informed a few weeks ago that we no longer have to do the prime unit for infants, so now we just set up 2 1/2 units of RBC's (much easier). Mer
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Thank you to all three of you who responded! I appreciate your time and thoughts! Mer
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Cerner class expert needed
Mer replied to mlodermeier's topic in Computer Systems / Software / ISBT128
We enter NO to override the antibody, then when you PTC a person's record# and see "NO", it doesn't mean a thing. -
Hello - To any recent SBB's out there: I am contemplating taking the SBB and obviously know that I need to study the Technical Manual. I was wondering what kind of questions they ask about the "Standards." I have looked at this book and find it unbelievably boring (), but understand it's "part of blood bank." Also, does the SBB involve bone marrow/stem cell studying? Any other hints would be helpful...Thanks in advance! Mer
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1. Does the patient have ITP as a diagnosis? If so, they probably received WinRho, which makes an Rh Pos person have a positive D alloantibody. 2. Another reason can be if the person has a "partial D." This is when the red cells are mising portions of D through inheritance, which in turn, makes the allo-D through high-incident D antigens that are missing on their red cells. How do you identify a partial D? If you work at a bigger hospital, they may have a "panel" of anti-D typing reagents...essentially this is a panel, just like a regular panel you would perform, but they are all different partial D's - in letters A through L. Panels like these are used for investiagional purposes only. We actually had a DIV (roman numeral D4) at our facility last week!! If you go to www.albabioscience.co.uk this shows you a bit more about this topic under products. Mer
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Testing For Sickle Cell Patients
Mer replied to Mary's topic in Immunohematology Reference Laboratories
We give Rh & Kell phenotype matching & electronic crossmatch. We do not test for Hemoglobin S negative... -
We just say MF. Regardless of grading, there are still transfused/passive cells in there - so we don't really see any difference.
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We skip the whole "24 hour" process and simply thaw all our plasma to a 5 day FFP...We are a very large, busy hospital, in which the Med Directors here made that choice, as it is acceptable, and a big time saver for us!
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We haven't had a problem with the Fetal Screen Kit, but we have had a problem with Ortho Panel Cells...we switch our main gel panel cells once a week (large hospital/many panels) and at the beginning of the week we noticed that all our patients had a 1+ on cells 4 & 6...we usually then go to a separate Peg panel and everything turned up negative for id'ing those positives...we called Ortho, but they weren't able to provide us with another full panel set until the next week.
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We use regular armbands and we receive requisitions with the sample. Most of the time the req is stamped with the same stamp that is used for the armband, but sometimes they write the pt name/reg # on the req and it is misspelled...then we have to either ask for a redraw or check in a different computer system under "alias names." (i.e., sometimes even misspellings are under the alias name category).