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ANORRIS

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Posts posted by ANORRIS

  1. AABB no longer allows this "30 min rule" to apply. They want temps taken anytime a product is returned.

    16th ed AABB Tech Manual, page 298 still states "the appropriate transport or storage temperature has been maintained or the component has been returned within a prescribed time frame from issue"...does this not mean a 30 min rule still can apply? It doesn't even state validation must be done on this time frame.

  2. This is all "OK" per AABB? Even changing the specimen draw date to a false one?

    We have Meditech and this is what we do. In Meditech, we have autorelease set to release a crossmatch at 2359 on the 3rd day after the date of phlebotomy. So everyone falls in the 72 hour limit. We use a spec up to 14 days with no history of pregnancy or transfusion. We crossmatch the day before surgery, but not on the original type and screen specimen number. Regardless of issues of ordering on the wrong account, if you do crossmatches on a sample that's past the 72 hours Meditech will autorelease them at midnight anyway

    So we make a new specimen and order the XMs and RBC on the surgical acct # (not the outpaient acct # that the preop testing was originally done on). We add a test "SPEC USED" where we record the original spec # of the sample used (helps with tracking). If you order this with the collecrtion date of T-1, T-2 etc, you can get them to autorelease at midnight the day of surgery, midnight the first day post-op etc, whatever your policy is.

    You can use this mechanism with any sample that's past the 72 hours. If the sample can still be used according to your P&P, just order your XMs on a new specimen number and start the 72 hour clock ticking again.

  3. How is this done in the computer? Does it separate them from other patients that do not fit into this catagory? We have Meditech and it will give ALL BB pateints the chance to have no 72 limit, even those transfued in the past 3 months.

    Do you keep the specimen for that long and XM at the time of surgery or XM it that far in advance?

    Can anyone help me here???

  4. We allow one month. We antigen type any units needed (if the patient has an antibody) and have them ready for the date of surgery. However, if blood is needed at the time of surgery and it is beyond 72hrs since the Pre Op T/S was drawn, we require a new sample and repeat the entire work up.

  5. My question does dot really relate to this thread, but for lack of knowing where to place it, I am placing it here. LOL When performing a T/S and an antibody is detected and identified, we automatically screen for 2 units og antigen negative blood to the corresponding antibody, as I am sure most do. My question....do you charge for this screening or do you have a doc place an order it first? In my opinion, for what it is or isn't worth, it is the same as performing an antibody panel automatically when you get a positive antibody screen withpout a doc's order. Is anyone charging for these antigen screens?????

  6. I have a question. When thawing FFP and placing a new label on it with the new exp. date I cross off the old original 12 month exp. date. Is crossing off the original date a no-no with AABB? I can not find this in the technical manual any where. Another Blood Bank said this is "off limits" with AABB. Does anyone know if this is true?????

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