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jayinsat

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jayinsat last won the day on November 23

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About jayinsat

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  • Birthday 07/04/1967

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    Weight training, Mountain biking Worship, Teaching the Word, Billboard charts, American Sign Language Wild at Heart, John Eldredge, Rich Dad Poor Dad, Robert Kiyosaki, The Christian Husband by Bob Lepine, Strong Fathers Strong Daughters by Meg Meeker, Left Behind series, This Present Darkness, Piercing the Darkness, Frank E. Peretti 13 Assassins, Warriors, Open Range, Enter the Dragon, Gladiator, Return of the Dragon, Taken, Gordon Pictures presents "Without a Father", Yojimbo, Star Wars Gospel music, Praise and Worship, Jazz blues, Nick Jonas, Travis Greene, MFH Music, CBC Music, Lindell Cooley, The Official James Fortune Page, The Newjack Preacher
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    San Antonio, TX
  • Real Name
    James Williams

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  1. I just finished listening to this webinar. Excellent Job @Malcolm Needs. Your south London accent was not at all distracting and your presentation of the material was sufficiently thorough and relevant. Hopefully I get to meet you face to face one day.
  2. The product under question was thawed FFP, not thawed CRYO.
  3. I just saw this seminar being offered by Bio-Rad with our own, infamous, Malcolm Needs as the presenter. I registered and thought I'd pass the word to all of us here. Here is the link:https://info.bio-rad.com/ww-IHD-transfusion-w-registration-lp2.html?elq_mid=48765&elq_cid=10201434&elqCampaignId=30837&utm_campaign=30837&utm_source=eloquaEmail&utm_medium=email&utm_content=Email 13ER EM-R-CM-385201-FY21-TCHS-AWEN_BR-JRNL-TRF News 19 Nov&elqTrackId=6ecbbea5f2bb46849981687404578a8e&elq=7c5f74470efa434dbd4351e512f7ae7a&elqaid=48765&elqat=1&elqCampaignId=3
  4. The age old problem of how do you make people pay attention to the details...If you figure this out, let me know. I haven't yet. Do you not have an "IRRADIATED RBC" product in your dictionary that the physician could have chosen? That puts the responsibility on them, where it should lie. A comment is not an order and, if they are relying on that, they are forcing your techs into a position of failure. I would suggest you add an irradiated product order to your dictionary. If the physician wants that product, they must order that product that way.
  5. Yes. I missed that part about it being crossmatch incomplatible to other normal donors. I would definitely return the unit to the supplier.
  6. I would suggest running a select panel of low-frequency antigens against your patient's plasma (V, Cw, Jsa, Kpa, LUa, Bga, Ch, etc). If the patient has one of those antibodies, the antibody screen would still be negative and, likely, so would your panel if there is no positive cell included. The unit may have the corresponding antigen. I have seen this several times. Since we don't routinely do serological crossmatches in the presence of a negative antibody screen, these antibodies are normally not found until a transfusion reaction investigation.
  7. The current COVID crisis has exacerbated the ongoing issue of the shortage of technologists in the field. In San Antonio Texas US where the virus is peaking, our systems are strecthed to the limit and many of our techs are burned out. Most of our techs are 50 years old or older and just can't work anymore hours. The younger ones are doing as much overtime as possible but they are complaining. We cannot fill any new positions because, frankly, there is no one. Is anyone else experiencing increased staffing issues highlighted by COVID?
  8. What is the patient's transfusion history? Did you perform a DAT or elution? These tests need to be done next. My initial thoughts are you may have a warm autoantibody and, if the patient has not been recently transfused, try a W.A.R.M. adsorption. What enhancement medium are you using? Try to run the screen using a different enhancement (ie LISS vs PEG).
  9. At our facilities last week, we implemented a temporary "no return" policy during this COVID crisis. Only exceptions are those issued in ice chest to O.R., massive transfusion, or ECHMO, provided they are not COVID patients or patients under investigation. The nurses have become much more compliant with completing the pre-transfusion checklist before picking up the unit as a result.
  10. UTMB is an excellent program. I have not been through it but, living and working in San Antonio TX, I know many CLS and SBB's that have. I considered it myself but decided to go a completely different way and pursue ministry, earning my M.A. in Theological Studies and working on a PhD now.
  11. Our supplier is looking at adding a COVID modifier like CMV to existing plasma products. Thant was the direction they were leaning in our conference call yesterday.
  12. We are not AABB accredited. Only CAP. We do, however, comply with the two determinations of blood type. My point is, we would never issue plasma products based on historical blood type ONLY. We require a current blood type on that admission before plasma products can be issued to mitigate the risk of erroneous admissions due to name similarity. sorry for the late reply.
  13. This may be a silly question but are you sure the patient was treated with DARA (CD38)? Could they have received the new CD47 drug that is not neutralized by DTT?
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