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jayinsat

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Everything posted by jayinsat

  1. jayinsat
    We accept results from our sister facilites as our databases are linked. However, those results serve as our "retype". We still must perform our own testing. Antibody/antigen testing is also trusted from our sister facilities as well as our reference labs. As long as you are using outside results as a confirmation of your testing, you should be good. I don't know of any facility that would treat based on results not performed in their own laboratory, at least from a blood bank perspective.
  2. jayinsat
    I too was under the impression that plastic tubes were not approved for use in blood bank.
  3. jayinsat
    This has not worked for us! HCA continues to balk at our attempts to get IMMUCOR a high-speed connection. :mad:
  4. jayinsat
    Our system is an HCA partnership. This has been the most frustrating thing! :mad: I don't understand why our Chemistry department with their Seimens analyzers can have network access but Immucor can't. The dial up connection does not work.
  5. jayinsat
    My hospital system, with 5 campuses, has a total of 9 ECHO's all interfaced with MEDITECH 5.6.4. It works flawlessly. Only GROUP/SCREEN AND DAT requisitions upload to the ECHO and only GROUP and CONFIRM testing export to MEDITECH. This is because of how our SCREENS are set up in MEDITECH. The reactions for the antibody screens are resulted as a sub screen and it would have required us to build all new tests, etc to make that work, or something like that.
  6. jayinsat
    Tell me about it! I had to splash cold water on my face after typing that.
  7. jayinsat
    In the states we typically do as your reference lab suggested and give phenotypically matched PRBC's. We normally DO NOT send the original sample we discovered the reactions with. I highly suggest you redraw and send new samples so you have something left to use. We perform our crossmatches on the screened units and label them "Least Incompatible". The physician is required to sign an emergency release form acknowledging that the units are phynotypically matched/least incompatible. We have done this many times without incident. At one facility I worked, we performed In-Vivo crossmatches. This is where you give a 10cc aliquot of the unit and measure pre/post haptoglobin levels.
  8. jayinsat
    This is from the Rhophylac insert: "Rhophylac can contain antibodies to other Rh antigens (e.g., anti-C antibodies), which might be detected by sensitive serological tests following administration".
  9. jayinsat
    This is from the Winrho package insert: "After administration of WinRho® SDF, a transitory increase of various passively transferred antibodies in the patient’s blood may yield positive serological testing results, with the potential for misleading interpretation. Passive transmission of antibodies to erythrocyte antigens (e.g., A, B, C and E) and other blood group antibodies [for example, anti Duffy, anti Kidd (anti JKa) antibodies]5 may cause a positive direct or indirect (Coombs’) test."
  10. jayinsat
    I have seen actual cases (or journal articles-too long ago to remember when/where) where Rhogam, Rhopylac and WinRho have contained Anti-C. I believe the package inserts of all three state that they can contain C,D and/or E.
  11. jayinsat
    Unfortunately, I think these are common issues in hospital blood banks of your size. My situation mirrors yours ALMOST EXACTLY! We have the same issues. I'm not in charge but am the one responsible for most of the work and the one who catches all the errors. Communication is a huge problem. Doesn't seem how many notes I post, messages I send or people I talk to, the problems persist. Real continuing education is resisted by my superiors, therefore, training is always wanting. If I had your authority, I'd handle it the same way, but I would implement a mandatory monthly proficiency exercise that focuses on the prevalent problems.
  12. jayinsat
    SBB can be achieved at the Bachelors level by challenging the exam from ASCP (American Society of Clinical Pathologist). Any registered Technologist having met the time in service requirement can challenge the exam. Alternatively, a registered Technologist may complete a SBB program offered at a University that MAY lead to a Masters degree. Some regional donor centers and Universities partner and offer a program that prepares the Technologist to challenge the SBB exam without conferring the degree. Hope that clarifies.
  13. jayinsat
    Understood. But the situation presented by the O.P. would be missed by the electronic crossmatch.
  14. jayinsat
    GEL and Solid phase (ECHO) crossmatchs are designed to detect IgG AHG inompatibilty, not ABO incompatibility. For sites that only do Electronic Crossmatches, how do you address this possibility of ABO incompatibility?
  15. jayinsat
    I always seem to miss a few when swiping. Going left to right is even worse. It's slow here on christmas eve. :tongue: Merry Christmas.
  16. jayinsat
    Hello everyone, My name is James and I am a smash-the-lights-aholic. It's been 10 seconds...oops...1 second since my last destructive light episode. I can't seem to stop myself. I refresh the screen multiple times/shift just to pop those little buggers. If only the filled the entire screen. Anyway, Merry Christmas
  17. jayinsat
    This made my brain hurt and gave me nightmares of Chemistry and College Algebra.
  18. jayinsat
    Ah! Now I understand.:ohmygod:At first I was like: "what is this guy talking about?" That's an awesome way to run select cells on the ECHO to help i.d. antibodies without wasting a bunch of plasma doing full panels. I don't know how often I'd use this technique though as it is easier to do in Gel or tube as backup.
  19. jayinsat
    Remember ABO antibodies are primarily IgM. The ECHO crossmatch is IgG and CAN miss IgM incombatilbity. This is why the results upon completion state:"IgG Comp (Check ABO Comp). Your installation Tech/Trainer should have explained this to your super users. When we validated our ECHO, we experienced this as well. It is the Techs responsiblity to ensure the units placed on the instrument are ABO compatible. Hope that helps.
  20. jayinsat
    This is the problem. The automated methods are set up to detect IgG incompatibility, not ABO (IgM) incompatibility. That is why the immediate spin crossmatch is still important (unless you do Electronic crossmatch). However, the bigger issue of the mislabeled unit of blood scares me to death! When we validated our ECHO, we had a crossmatch that was ABO incompatible test IgG AHG compatible on the analyzer. I don't believe this is wholly uncommon. That is why you must select compatible groups to perform crossmatches on automation. The ECHO actually reports "SEROLOGICALLY COMPATIBLE: VERIFY ABO COMPATIBILITY".
  21. jayinsat
    Doggonit! I haven't had this problem in quite a while. I read this thread yesterday and guess what? Came in this morning to a wasted unit because the nurse lost I.V. access and couldn't get it restarted. Thanks for the jinx!
  22. jayinsat
    They told us to do that after we were having issues with one particular lot of WBCORQC. A week later they issued a product recall on that lot. It didn't help one bit! Other than that bad lot our issue has always led back to contaminated reagents due to splashing.
  23. jayinsat
    I had the same issue. It turned out my Anti-A was contaminated. I performed postive and negative controls on the in use bottle of Anti-A, in tube, and got weak 1+ reactions. My guess is that someone removing the reagent rack was too aggresive, causing splashing of the Anti-B into the Anti-A. My off-shift techs are real bad about "yanking" racks of and catching that guard, causing splashing.
  24. jayinsat
    I backup our files to my pc and upload it as a .txt doc to our lab portal on our intranet. That way it's on an offsite server and accessible from any network terminal by any authorized user.
  25. jayinsat
    It is a custom report for us.
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