Dr. Pepper

Best wishes Phil/ Dr. Pepper - it was fun surprising you when I was on the CAP inspection team last year at your hospital.  Thank you for sharing some of your processes with me.  I should tell you that my end of the year report was very well received this year thanks to you!
Maryann/Bldbnkr

I am winding up 43 years of blood banking on Friday. I will still drop in to PathLabTalk from time to time but I'm not sure how frequently that will be. I would like to thank all of our BB Talk family for sharing their knowledge, insights, advice, hints, constructive criticism and everything else that makes this site so wonderful to us BB geeks. I would particularly like to thank Cliff, without whom this site would not exist, and Malcolm, for being himself, a consummate blood banker and consummate gentleman (even when he's dressed in my pajama bottoms - but that's another story!)

Thanks to all for the kind wishes. I have 1.6 days left to try to break people of the habit of leaving things on my desk. With no replacement in sight, it may take a bit for someone to do something about them.
We had dinner last night with an old friend who gave me a nice bottle of pinot noir and a splendid T-shirt which reads:
I AM RETIRED
Don't ask me to do a damn thing
I'm going to wear it under my dress shirt tomorrow and show it off at the obligatory retirement tea in the cafeteria. (I've always wondered why they give you a clock. I thought time was supposed to have no meaning when you're retired....)                                                                                    

I am winding up 43 years of blood banking on Friday. I will still drop in to PathLabTalk from time to time but I'm not sure how frequently that will be. I would like to thank all of our BB Talk family for sharing their knowledge, insights, advice, hints, constructive criticism and everything else that makes this site so wonderful to us BB geeks. I would particularly like to thank Cliff, without whom this site would not exist, and Malcolm, for being himself, a consummate blood banker and consummate gentleman (even when he's dressed in my pajama bottoms - but that's another story!)

Thanks to all for the kind wishes. I have 1.6 days left to try to break people of the habit of leaving things on my desk. With no replacement in sight, it may take a bit for someone to do something about them.
We had dinner last night with an old friend who gave me a nice bottle of pinot noir and a splendid T-shirt which reads:
I AM RETIRED
Don't ask me to do a damn thing
I'm going to wear it under my dress shirt tomorrow and show it off at the obligatory retirement tea in the cafeteria. (I've always wondered why they give you a clock. I thought time was supposed to have no meaning when you're retired....)                                                                                    

Just had an AABB assessment - her take on this subject was to follow the manufacturer's recommendations to the letter. If they say go one way or the other, go that way. If they give you options, then you can take your pick.

Technically, its not "necessary" to do either....
But to answer your question: No.  
A patient who has developed anti-E has a high chance a having been exposed to the c antigen.  That is why "some practitioners" recommend typing for c, and if the patient is negative, giving c- and E- units even if the anti-c is not present.  This practice is not a requirement!  
The same is not true for a patient who has anti-c; the chance of being exposed to the E antigen are less, so this situation is not treated in the same manner.

Thanks to all for the kind wishes. I have 1.6 days left to try to break people of the habit of leaving things on my desk. With no replacement in sight, it may take a bit for someone to do something about them.
We had dinner last night with an old friend who gave me a nice bottle of pinot noir and a splendid T-shirt which reads:
I AM RETIRED
Don't ask me to do a damn thing
I'm going to wear it under my dress shirt tomorrow and show it off at the obligatory retirement tea in the cafeteria. (I've always wondered why they give you a clock. I thought time was supposed to have no meaning when you're retired....)                                                                                    

Congrats Phil!!!

Yes. I am sure you guys can not go for more than 7 days(?) without visiting us!!!
Please please visit this site and give us your knowledge....congrats...

Awww, thanks.  We're a hard habit to break, you'll still be here.  

I am winding up 43 years of blood banking on Friday. I will still drop in to PathLabTalk from time to time but I'm not sure how frequently that will be. I would like to thank all of our BB Talk family for sharing their knowledge, insights, advice, hints, constructive criticism and everything else that makes this site so wonderful to us BB geeks. I would particularly like to thank Cliff, without whom this site would not exist, and Malcolm, for being himself, a consummate blood banker and consummate gentleman (even when he's dressed in my pajama bottoms - but that's another story!)

I am winding up 43 years of blood banking on Friday. I will still drop in to PathLabTalk from time to time but I'm not sure how frequently that will be. I would like to thank all of our BB Talk family for sharing their knowledge, insights, advice, hints, constructive criticism and everything else that makes this site so wonderful to us BB geeks. I would particularly like to thank Cliff, without whom this site would not exist, and Malcolm, for being himself, a consummate blood banker and consummate gentleman (even when he's dressed in my pajama bottoms - but that's another story!)

Phil, welcome to my world.    My only regret so far is not being able to do it sooner.  Obviously I'm still lurking around here on occasion and I hope to be seeing you do the same. 

Dr. P:
Thanks for all of your posts, Phil!  You will have to check on us once in a while to make sure we are still on the up and up!  Have a good one!
Scott

I am winding up 43 years of blood banking on Friday. I will still drop in to PathLabTalk from time to time but I'm not sure how frequently that will be. I would like to thank all of our BB Talk family for sharing their knowledge, insights, advice, hints, constructive criticism and everything else that makes this site so wonderful to us BB geeks. I would particularly like to thank Cliff, without whom this site would not exist, and Malcolm, for being himself, a consummate blood banker and consummate gentleman (even when he's dressed in my pajama bottoms - but that's another story!)

Thanks Malcolm. I will certainly give Sue your regards, and definitely will drop in to the site. I plan on staying active in our local professional society for this year at least, will offer CAP my services for a couple of freelance inspections a year, and try for a couple of overseas volunteer gigs a year. Otherwise, it's time to spoil the grandkids,  indulge in hobbies, and chip away at a honey-do list that's been accumulating for, oh, some 43 years..........

Enjoy a long and successful retirement Phil.
Thank you for organising my first ever visit to your wonderful country, and give my kindest regards to Sue.
Make ABSOLUTELY sure that you keep your promise to drop in to this site from time to time.

I am winding up 43 years of blood banking on Friday. I will still drop in to PathLabTalk from time to time but I'm not sure how frequently that will be. I would like to thank all of our BB Talk family for sharing their knowledge, insights, advice, hints, constructive criticism and everything else that makes this site so wonderful to us BB geeks. I would particularly like to thank Cliff, without whom this site would not exist, and Malcolm, for being himself, a consummate blood banker and consummate gentleman (even when he's dressed in my pajama bottoms - but that's another story!)

Just had an AABB assessment - her take on this subject was to follow the manufacturer's recommendations to the letter. If they say go one way or the other, go that way. If they give you options, then you can take your pick.

Just had an AABB assessment - her take on this subject was to follow the manufacturer's recommendations to the letter. If they say go one way or the other, go that way. If they give you options, then you can take your pick.

You have probably transfixed the vein, half in and half out, so the bag is filling but they're also bleeding into the surrounding tissue, as David suggested. Goodchild's advice about the shallow angle is right on. Your insertion should be like tracing a J that's lying on its back. Down and in to puncture the vein, then slide the needle a bit into the vein parallel to the arm. It's a big lumen to the needle and needs to be all the way in the vein.

You have probably transfixed the vein, half in and half out, so the bag is filling but they're also bleeding into the surrounding tissue, as David suggested. Goodchild's advice about the shallow angle is right on. Your insertion should be like tracing a J that's lying on its back. Down and in to puncture the vein, then slide the needle a bit into the vein parallel to the arm. It's a big lumen to the needle and needs to be all the way in the vein.

We are lucky because our blood supplier sends us a historical antigen database with each shipment.  Of course not all units are on there, but I can quickly sequester Jka- units with a tag that says historically negative.  I print out the database each week, separating units by antigen, so you can look down the list for the right type and antigen and then check to see if it is negative for any additional ones you might need. Our supplier will also send us historically negative units if we ask for them for no extra charge.  We have to type them in house and tag and charge for them.  We also put a copy of the antigen typing worksheet in the patient's antibody folder.

You could always make your beef wellington look like this.....