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jayinsat

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jayinsat last won the day on July 16

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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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    James Williams

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  1.    Annjojo reacted to a post in a topic: Anti-CD38 therapy discontinued
  2.    BldBnker reacted to a post in a topic: Anti-CD38 therapy discontinued
  3.    jayinsat reacted to a post in a topic: Saline incubation...why is this SOP still allowed?
  4.    jayinsat reacted to a post in a topic: Consent for Blood Transfusion
  5. jayinsat
    We do not unless the patient has Anti-K. Darzalex is just a transient interfering substance. If there is no DTT neutralization required and no antibody detected, it is not necessary. Plus, I don't see how I can charge for the antigen typing in that scenario. I think that risks fraudulent billing.
  6.    AMcCord reacted to a post in a topic: Documents - How long do we need to save ?
  7. jayinsat
    I agree with David. Pick-up slips information and blood orders are all electronic and maintained in the LIS or the donor centers order website. CAP requires 10 years for blood and inventory inspection records, which includes shipping documents, since they usually contain a message about shipping, storage, and inspection.
  8.    jayinsat reacted to a post in a topic: Documents - How long do we need to save ?
  9.    Ensis01 reacted to a post in a topic: patient history cards
  10.    jayinsat reacted to a post in a topic: patient history cards
  11.    John C. Staley reacted to a post in a topic: patient history cards
  12.    jayinsat reacted to a post in a topic: Second ABO/Rh tests prior to transfusion
  13.    jayinsat reacted to a post in a topic: Second ABO/Rh tests prior to transfusion
  14.    jayinsat reacted to a post in a topic: Second ABO/Rh tests prior to transfusion
  15.    AuntiS reacted to a post in a topic: patient history cards
  16. jayinsat
    BB.rick, I would have no problem retiring the card system in your case provided that you are regularly (daily) downloading a copy of the records to a secure, accessible file for downtime. Also, make sure all staff know how to access that data for prolonged downtime. There is no reason to have a card system with Meditech. BTW, my previous position was in a place where the manager refused to stop using the card system. It was mainly because they were not familiar with how to access the information during Meditech downtime. Even when shown how, they still refused. It is still in use today at
  17.    Sonya Martinez reacted to a post in a topic: transfusion competency of on-call staff
  18.    BldBnker reacted to a post in a topic: transfusion competency of on-call staff
  19. jayinsat
    In the USA, there is an extreme shortage of techs that are blood bank competent. The ones who are are working regular overtime to fill in the shifts to provide 24/7 coverage. They are normally working at least two jobs. The field is facing a crisis as these techs who are qualified are now retiring. We just lost two of our best this year and are struggling to keep the younger, promising techs in the field. I'm afraid you won't really have a choice soon. You will have to take what you can get tech-wise and train them as best you can.
  20.    kaleigh reacted to a post in a topic: Thawed Plasma ISBT Code
  21.    David Saikin reacted to a post in a topic: Thawed Plasma ISBT Code
  22.    jayinsat reacted to a post in a topic: CAP staff competencies
  23. jayinsat
    You cannot use E2121 for all of them. Each of those frozen products have a corresponding thawed 24hour and a thawed 5 day plasma code of their own. You have to use those. We go straight from frozen to 5 day thawed so we only use those two. Here is a screen shot of our database.
  24. jayinsat
    CAP competency requirement is labor intensive, regardless of how you document. I have been trying to put more on their competency assessment tool they offer. Setting that up alone is labor intensive. It is the number 1 cited issue of most labs in America. It is not that we are not competent, of course. We have a hard time showing it the way CAP wants it. It really requires a full time QA position just to keep up with the competencies of all the staff in every department.
  25. jayinsat
    We use the BCTA (Barcode Enabled Transfusion Administration) module in Meditech.
  26.    jayinsat reacted to a post in a topic: Thermometers for taking temp of returned blood products
  27. jayinsat
    We just switched to the MaxQ MTP coolers and love them! My validations showed it held temps for 24 hours, even when opening the lid every 15 minutes for the first 2 hours and hourly after that. Plus, we filled the cooler with warm FFP (4 units @37C) and cold RBC (4 units @4C). The cooler cooled down the FFP units to 6C within 3 hours. The RBC'S never went above 5C.
  28. jayinsat
    We use 1-6 for coolers, however, the BT-10 only shows breach above 10 so, there's that. We place a NIST certified thermometer in the cooler to show that it is 6 or below upon return. We do not scan these units with the temp gun. It's 1-10 for anything returned not in a cooler.
  29. jayinsat
    We use one from Fisher. It is certified and we replace it every 2 years when the certificate expires. I am curious, for those who have the 15 minute limit, did you validate that in all scenarios in your hospital?
  30.    jayinsat reacted to a post in a topic: Micro only reactions
  31. jayinsat started following Use of negative (diluent) control in blood grouping
  32. jayinsat
    I believe he is asking about blood grouping. That is what the title of the message suggest, "Use of Negative Control in Blood Grouping." I'm so confused.
  33. jayinsat
    I don't follow. Like you said, all the available automated platforms incorporate a monoclonal control in blood typing. Are you suggesting removing the monoclonal control from the blood grouping test on automated platforms?
  34. jayinsat
    We use MEDITECH MAGIC 5.6.7. Long ago, we started entering our Immucor Cell Panel lots into the QC function, along with the individual donor cell reactions. Over the years, our database has grown to where, every month, we only have to enter 1 or 2 new donor cell, out of the 16 on the panel, into the database when entering the new months donor panel. When we have a Passive D, we enter the cell reactions from the panel in the antibody ID field, which stores the reactions indefinitely in MEDITECH. That allows us to not have to keep the antigrams for passive D's. Everything is in the computer and
  35. jayinsat
    Though it's not FDA, this webinar was put out by CAP and may be helpful addressing issues of data security and ways of submitting. https://www.cap.org/calendar/virtual-cap-inspections-two-laboratories-shared-perspectives CAP Virtual Inspection Webinar
  36. jayinsat
    What methodology are you using? Are you using tube reactions, Gel technology, or solid phase? If tube, what enhancement medium: PEG, LISS, Albumin? My vote is for an auto antibody, either cold or warm. I would doubt that these are antibodies against high frequency antigens showing up in the proportions you describe.
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