bxcall1

Our Transfusion Service Medical director and the Transfusion Committee have decided that 24hr plasma and 5 day plasma are pretty much equivalent (with the exception of a few rare cases). We use them interchangebly to fill 'FFP' requests.

From Issit, Applied Blood Group Serology - "There is no need to type donor units for M and N and select those units that lack the appropriate antigen. Instead, the patient's serum can be used in IAT, prewarmed to 37 degrees if necessary, and those units found to be compatible can be transfused with impunity." From this we developed our policy re: anti M. "Patients demonstrating anti-M may be transfused using crossmatch compatible units. Screening for M negative cells is not required."

How about a little of your expired anti e in some e positive patient cells?

I actually happen to have a manual - dated Dec 1981. PM me with your fax # and I'll send you a copy.

Since everyone wants one why don't you just post them on this site?

Good to hear I'm not the only one!

Thanks for the reply, but about 5 minutes after I posted I found the parts at Ozard Biomedical. It was actually easy. The last time I looked, several years ago I had a hard time finding any spring clips.

I know they are antiques, but does anyone have any idea where I could find the spring clips for a Dade Immufuge ?

The only product on your list that we (BB) carry is the RhIg.

You can also try this web site; http://www.fda.gov/cber/biodev/biodev.htm

No, but I think you will find that patients that were 'weak D' in tubes will be Rh pos in the ABD/reverse cards. In a little more than a year we have found at least half a dozen patients that were Rh neg in tube testing that are Rh pos in gel. These were confirmed 'weak D' after the gel cards were Rh pos. ( we routinely do 'weak D' only for childbearing aged women and cord blood.)

Recently the JCAHO inspector strongly implied that there was a requirement for placing issued units in a secondary bag for transport to the patient. At the time we had no such requirement.Of course our Infection Control nurse who was present blurts out that 'of course we use a secondary bag!" Now they want to write our policy to make this a requirement. Can anyone tell me which regulation would require a secondary bag for blood units? All I can find is documentation that would seem to dispute this: AABB Technical Manual "Blood transported short distances within a facility, eg, to the patient care area for transfusion, requires no special packaging other than that dictated by perceived safety concerns and institutional preferences." CFR 1910.1030(g)(1)(i)© "Containers of blood, blood components, or blood products that are labeled as to their contents and have been released for transfusion or other clinical use are exempted from the labeling requirements of paragraph (g). (Paragraph (g) is the one that requires biohazard warning labels.) Any opinions would be appreciated.

If your computer system is Windows based both nurses should be able to log on at the same time.

Here is what we put in our nursing procedure manual for Blood Transfusion; "At the time of specimen collection for cross match, the patient will have a Blood Bank ID attached by lab or nursing staff. If it is necessary to remove this band for any reason, contact the lab to obtain a new Blood Bank ID band. It is the responsibility of the individual removing a Blood Bank ID to immediately replace it on the patient in a new location. Failure to immediately replace a BB armband will result in a significant delay in blood products being available for transfusion." Unfortunately, the band isn't always replaced. In these cases a 'significant delay' occurs because we will re-draw the patient and do all of the work on the new specimen.

Sounds unanimous!!! Let's BOYCOTT CAP!!!!!!

We use old patient specimens for ProVue QC. This is what the Ortho rep helped us set up. #1 - O neg with anti D for positve antibody screen and group and Rh #2 - O neg for our 'patient retype' which is the ABD card (negative results) #3 - AB pos for negative Type and Screen #4 - AB pos for our 'patient retype' which is the ABD card (positive results) #5 - AB pos for for our Rh pos unit type and O pos unit type. (AB card & ABD card) #6 - O pos with anti D added for a positve DAT #7 - O pos for negative DAT, unit type and O pos unit type. (AB card & ABD card)

link to abstract on the subject - http://www3.interscience.wiley.com/journal/121398204/abstract

SMW, Did the authors give an explanation as to why the Factor VIII levels vary in different blood groups? Enloe Medical Center uses 5 day plasma also.

I am currently having the same dilema. My plan is to see if our blood cneter will calibrate one or two of my thermometers so I can trace back to their NIST thermometer.

Make them buy you new refrigerators for the new Blood Bank! Then you can validate the new ones before moving your stock into them. If you do it right the refrigerators can be part of the building budget instead of coming out of your capital budget. That's the plan I have, as we will be moving in a couple of years to the as yet not completed building. I actually put in a capital budget request for new refrigerators for when we move and was told thay they already are a part of the new building budget...lucky me!

It happens here as well with PA's. I'm assuming that any orders they submit are eventually co-signed by their physician. Sorry, I don't know the rules re: this subject

I would stay as far away from Cerner for Blood Banking a possible!!! I hated Meditech when we first got it, but after awhile I've learned to adapt. The reason I hated Meditech was because I was spoiled by Informedics (used to be Western Star, it may now have been merged with HemoCare). Anything that is dedicated to Transfusion Service is going to be superior than an add-on module in a lab system.

For unit types Meditech requires that you use a barcode of the Specimen Number.

From our policy - 1. The Registered Nurse will ensure written consent has been obtained for a blood or blood product transfusion. a. Exempted from the consent requirement are factor concentrates, IV serum immune globulin, and albumin because prior heat treatment or pasteurization significantly lessens the risk of infectious complication.

Can you help me out on which AABB Standard would address this? The closest I found so far is 5.15.2.2 which addresses computer crossmatching. In this standard retesting the same sample is an acceptable method of recipient ABO group verification.