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Posts posted by ANORRIS
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check your email.....
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The Helmer rusts
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We use a screening cell for the neg control and Ortho Coombs Control (made to 0.8%) as the pos control for both poly and IgG Gel cards. We only perform IgG and Poly DAT's.
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ORTHO CONFIDENCE
- JasonS, jojo808 and John C. Staley
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Off to reference lab...LOL We are very limited with what we can do. 2 panels...Enhancement only
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AABB---Quarterly....states in the front of the Tech Manual. 19th Ed pg. 30
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On 3/23/2019 at 10:42 AM, mpmiola said:
I am researching a good option to confirm the ABO typing of patients who are in the first care. We would like a bedside test, realized before infusing the blood into the patient. Does anyone know of a practical, quick and safe method that can be performed by nursing professionals, with no immunohematology laboratory experience?
If you have any other ideas for patient safety and can share, I'll be grateful.
Best patient safety care..DO NOT ALLOW NURSING TO DO THIS!
- AMcCord and Malcolm Needs
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3 hours ago, srichar3 said:
But what is the acceptable temperature limit for a 30 minute excursion? If it was in a validated transport box with a logger inside that remained between 1oC and 6oC then it wont be considered to have left cold storage hence the 30 minute rule wouldn't apply. We have transport boxes validated for 8 hours that we send to OR. So that fact that a limit to "30 minutes rule" exists suggests that the unit does not need to be kept at cold storage temperatures, but what would be acceptable? temperature for the unit to reach for 30 minutes? For example UK guidelines state that a unit of PRBC can be used with temperature excursion of up to 10oC for up to 5 hours.
Some interesting info in this document for the UKBTS reviewing the evidence of various studies,
Ramirez-Arcos and colleagues from the Canadian Blood Service reported on two studies
using red cells in SAGM. In the first study, a single five hour exposure to room temperature
showed no immediately significant effects on the in vitro quality of the red cells, although six
days after the exposure ATP and K+ levels were significantly lower than in unexposed
controls[22]. In the second study, units were exposed to room temperature for 30 minutes
on each of five separate days, and no significant effects on in vitro red cell quality markers
were reported[23].Steve
We dropped the "30 min rule" years ago and use actual temp only with Blood Temp Indicator and take temp manually when returned.
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So no new specimen is required when they come into the OR and need blood???
Do you have an extra refrigerator for all of these specimens being held that long?
What if they were transfused during the time of the T/S and their surgery and they do not inform you?
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We have been AABB since the 70's. My manager dropped it last year. He dropped CAP also. We are just Joint Commission.
- John C. Staley and Dansket
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Fetal Screen Lot-to-Lot QC
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Does anyone have a reference on this?
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On 12/14/2018 at 9:02 AM, ANORRIS said:
Then still follow up with a Fetal Stain? On all future pregnancies also??
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Has anyone heard of the Blood Bank supervisor being required to be proficient in another department?
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On 12/10/2018 at 8:32 AM, AMcCord said:
We would do weak D on a post-partum patient only if the fetal screen is strongly positive.
Then still follow up with a Fetal Stain? On all future pregnancies also??
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ONLY if the FS is a strong positive.
- AMcCord and Malcolm Needs
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hemo temp II
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manufacturer's individual instructions ...always
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COME ON Y"ALL...ALL I WANT IS AN ANSWER...
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On 8/15/2018 at 12:30 PM, Kathyang said:
We bought a thermometer with the wire probe. We insert it into one of the gel wells and place it in the workstation.
Where did you get it? Company?
18 hours ago, Avid1234 said:I know of another hospital that just documents that the temperature indicator on the device was acceptable.
Are they AABB? Joint Commission?
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16 hours ago, JasonS said:
We also do this.
Where did you get it? Company?
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Where is everyone/anyone purchasing their internal thermometer to check the temp on the new Ortho Gel work station?
Antibody Enhancement
in Transfusion Services
Posted
I only QC my Enhance on the day of use of a tube antibody screen, which is rarely. I use a negative patient for my neg control and Ortho Confidence for the pos control.