Everything posted by LIMPER55
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Whole Blood for Traumas or MTP
Of course level 1trauma center stock 4 whole blood o pos low titer
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Rh pos to Rh neg patients
Basic guideline from our trauma center-- O Pos to all males and females over 50 Critical shortage--use O Pos. The Medical Director can sign after the emergent event
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IV vs IM Rho (D) Immune Globulin
mostly given IV cuz reimbursement is greater from insurance than I'm
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Factor Assay Testing for Trauma Patients
We use the Thromboelastograph and allow surgeon and anesthesia see real time results.
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DAT - ACCEPTABLE METHODS FOR PERFORMANCE
We do only the IGG in gel or tube and C3 in tube. The Poly has proven unacceptable.
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Whole Blood Products for MTPs
How did you get a supplier to support you? Ours says no way!
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Group A plasma for traumas
MTP POLICY IS IN PLACE: USE A PLASMA IF AB IS NOT AVAILABLE.
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monitoring units in coolers
The Sure-Cue indicators are touchy-but work ! We use them in our level 1 trauma center for MTP packs.
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RHIG stored at room temperature for hours
similar situation--Rn kept in her pocket for 12 hours after dispense. I wrote technical service at Rhophylac company--they said no worries--should be fine.!!!
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Temperature Indicator for RBC Units
Safe-T-Vue is the only brand to use for long term The HemoTemps do NOT stay activated. Safe-T-Vue -each box comes with validation! They are more expensive
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Eluate testing? Screens first or straight to a panel?
do the screening cells/control cells first--then if neccessary-panel
- Blood Bank staff
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Repeat Testing for FFP and Plts
No retype give product and have transfusion committee review
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Cleaning the Helmer Plasma Thawer
regular maintenance-drain weekly
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Rhogam testing
only perform the fetal screen on a post delivery specimen
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Antibody Screen before Issuing RhIg
We don't care what the type or antibody screen says. Issue it. That's only for trauma or ER patients that are not willing to wait for lab results.
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ANTI-a1
Yes because lis makes us but we crossmatch type O
- Combine or not?
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Alarm Activation
Our units have the peltier probes already test activated and performed by touching the screen validate annually with slurry of ice and thermometer
- Infant transfusion prep procedure
- Infant transfusion prep procedure
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Fisherbrand Hemo-Trac
These indicators are fine for surgery issued units. The indicators do NOT stay activated. We cannot use them on our units stored in the trauma refrigerator--we do not want to keep changing them out.
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Positive IGG -
I KNOW!! I'm wondering where and when this got put into the procedure!
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Positive IGG -
our policy for DAT tube investigation includes in the "limitations" area: Wash the patient's cell suspension with 37 degree to 45 degree C saline prior to dropping cells in the test tubes and washing eash drop in thecell washer to facilitate a valid test with a negative saline control. I cannot find any references to this technique. Can the blood bank community help?
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Continuing Issues with Ortho Gel Reagents and or Equipment
I have submitted several complaints on this topic. The company and our rep deny, deny, deny