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Joanne P. Scannell

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Joanne P. Scannell last won the day on December 4 2020

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About Joanne P. Scannell

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  • Birthday 10/10/1952

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    Blood Bank Manager

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  1. Of course, all this may be a moot point because at this time, it is highly unlikely that anyone in the US will have an 'overstock' of vaccine. Due to failures and incompetency I don't need to mention, we will be lucky to get a fraction of what we need just to protect our 'front line'.
  2. Congratulations, Malcolm! "For he's a jolly good fellow ... that nobody can deny!' ... so the song goes!
  3. All Blood Products: We require a current BB sample, tested, etc. Plasma, Platelets, Cryo: No time limitation as long as the patient is still wearing the matching BB Band. Plasma: If there is no current sample tested, it is given 'Uncrossmatched'. If I'm interpreting the 'rules' correctly, that's what we have to do for plasma. Platelets: We stock Group A Platelets so that is what they get. We obtain Group compatible if we have to order platelets for a specific patient or a neonate. Shortest outdate is used first. Cryo: There is no consideration for ABO Group ... shortes
  4. We change all batteries annually while we are doing the QA on them so it's not likely that a battery will fail during the year. However, things do happen and I agree with exlimely, if you do have to change or replace (say it fell out for some reason) a battery, then a 'calibration' would be prudent. Also, we are not talking high precision here, i.e. wider acceptability range than a pipette would be, i.e. testing is done in ranges of time, not exact seconds. This 'calibration' is just a simple check up to make sure the timer isn't totally out of range. Most of the time, the error is the
  5. There are actually 2 scenarios in this string: 1. Issuing plasma that you know is incompatible with a patient (i.e. ABO is verified) and 2. Issuing plasma when you haven't verified the patient's ABO with a current sample. For #1: If you are in the US, the CDC/FDA wants us to treat all incompatible plasma as if it were 'Emergency Release' so use your Emergency Release Protocol. For #2: If your patient's ABO Group has not been verified (e.g. sample tested using your protocol for verification), use your Emergency Release Protocol.
  6. We have found that washing the cells 3x with 37C saline will resolve this situation in just about every case where RT Saline wash doesn't help. If you are using Gel, there may be other reasons for the extraneous 'positive results' using your patient cells, e.g. sickled cells, acanthrocytes, protein coating. So, those must also be considered.
  7. We validated using Anti-C3 in a Neutral Gel card.
  8. Yes on every question except the 2u limit. If we have verified the ABO Group and we need to use 'incompatible' plasma (i.e. emergency), we use our Emergency Release Protocol, e.g. MD signs for it. If you want to view our policy, please message me.
  9. I hear there is some chatter/literature about immunizing Rh-Neg Females under 50 is, today, probably 'much ado about nothing'. Well, not nothing, but the argument is, with today's techniques (in utero transfusions, more sensitive monitoring, etc.), the risk of HDN is less likely than it was 'all those years ago'. Does anyone have any articles or insight about this 'new turn' to share?
  10. We switched to Rhophylac here in the hospital because 'everyone' likes having the option of giving the dose IM or IV. The MD's are still using RhoGam (no IV option) for their office injections (IM Only), e.g. Antenatal/Antepartum dose.
  11. Without some sort of 'vending machine' device to control and document the in/out/in/out/transfused to whom information, just leaving O Neg RBCs in a refrigerator somewhere for nursing to take/return at will is not a good idea. I'm not even sure if regulatory agencies will support that. Not only that, giving O Neg to 'everyone' is not good management of resources. We (and most hospitals in our area at) restrict the use of O Neg to Females <50yrs old. (And even that is coming up for debate in some arenas.) There are 'vending machines' out there that will interface with some Blood
  12. As you see from the posts here, there are various opinions of what to do. Correct =The regulatory agencies do state to run some sort of controls, etc. You are in charge, therefore you do what you believe is best within the guidelines when there are gray areas like this. If you believe you should change the protocol to 'QC for the Antigen', then do that. Validation? You have criteria, I'm sure, for the cells passing inspection for use. I venture to say that most hospitals don't keep reagent RBCs more than a month or two past their outdate. It would be interesting to hear ab
  13. 'Liquid Plasma' is never frozen so there's no need to thaw it therefore the outdate is not changed. 'Thawed Plasma' is the 5 Day product which results from Thawing Frozen Plasma (in all it's various forms, FFP, FP24, etc.). Note: When Frozen Plasma is thawed, it is assigned a 24hr outdate. You can extend that outdate to 5 Days IF you label it 'Thawed Plasma'. e.g. Frozen FFP is thawed to Fresh Frozen Plasma (24h outdate). You can leave it that way or change it to 'Thawed Plasma' (no FFP designation) and assign a 5 Day outdate to it. Most hospitals, if they go that route, just
  14. I think that is the point = remove the requirement for the hospitals to perform the Retyping. Motivation? I agree that it is a waste of time and resources. The labeling facility has already tested the unit and rechecked it how many times? How many discrepancies have you found in your career? In over 40 years of mine, I have never seen a discrepancy. That's not of the units I have personally rechecked, it's of the 100s of thousands of units I have overseen. And, please correct me if I'm wrong, I don't think they do this recheck in the hospitals in the UK, maybe all of Europe? H
  15. Good point ... but most MDs give the RhIg when Weak/Partial D is reported because they don't understand the situation even if we try to explain it to them.
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