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April 2024 Challenge

Kathyang

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Everything posted by Kathyang

  1. Kathyang
    They come down to pick up the blood for the nurses. Sometimes they are nurses but most of the time they are either ward secretaries or patient techs (not hanging the blood). They bring the pick-up form from the floor and take it back up to the nurse who needs to hang the blood. They use 2 nurses to hang the blood.
  2. Kathyang
    I was wondering if anyone use O Cells as a negative control for Anti-A1 instead of A2 cells. I would like to bring in A1 testing but don't want to carry A2 cells since we wouldn't use them for anything else. Thanks
  3. Kathyang
    I was cited by our AABB Assessor for not having a competency on the people who come down to pick up blood for both AABB and CAP. I was wondering if anyone else completes a competency. Also if you do could you share a competency checklist with me? I was going to challenge the CAP nonconformance since that talks specifically about testing personnel. The people who come from the floor are doing no testing. I have been working in Blood Bank for 35+ years and never heard of this or got cited for this before.
  4. Kathyang
    When we order antigen testing, we don't re-test the unit. We do order historically tested units from our blood supplier and then we test it.
  5. Kathyang
    I use Hemotemps at both my jobs and we never have had a problem with them. They also come with validation of the lot.
  6. Kathyang
    My thinking would be if the electronic monitoring system would go down for some reason, do I know that my alarms will still work at the correct temperature?
  7. Kathyang
    The AABB Standards 3.7.3 just states that there is a process for immediate action, investigation, and appropriate corrective action.
  8. Kathyang
    We are switching to Epic in a few months. We are not dropping the band because there are ways around not using the system ID to draw the blood. Also unless all your nurses have printers that they can take into the room to collect the patients. they will be printing the labels at the nurse's station and then taking them into the room which to me is an accident waiting to happen. Also if Epic is down, again there is no best practice for making sure the correct patient is being collected. I would seriously wait until you have used Epic for a period of time before removing the bands. What Blood Bank system will you be using?
  9. Kathyang
    we use 4 hours after it is issued in the computer.
  10. Kathyang
    In my PRN job we use the Tango. There has been problems with QC working that it seemed for a long time it was down more than it was up. Also it is really not good for just 1 STAT since you waste plates. We want at least 3 patients to make it worth running the instrument. There also seems to be a lot more upkeep with it that the ProVue which I use in my full time job.
  11. Kathyang
    We are having a debate what should go on the Transfusion Slip that goes with the unit for a newborn up to 4 months. I would like anyone that gives blood to a baby to let me know if possible. Under the Crossmatch area on your slip, what does it say? Most places I know say "Not Required". The one hospital in the system wants to keep the Not Required. Another one wants to put in "Compatible test: Maternal". The whole system has to do the same thing. Thanks , Kathy
  12. Kathyang
    We have the same thing. We put ours into the Bactec bottles and place the Bactec bottles into incubate in our Bactec.
  13. Kathyang
    This happened in Gettysburg with the 150th anniversary of the Battle of Gettysburg. We got extra AB plasma and some extra blood for the week. Make sure that your blood supplier will let you return anything that you don't use. Plus all the stuff from above. The most that happened here was heat exhaustion, not lots of blood.
  14. Kathyang
    We do not test again after delivery. We only do the Fetal screen testing unless the mother delivered without testing being completed.
  15. Kathyang
    We also run our cord bloods on ProVue. Yes we do weak D testing in tube since ProVue doesn't test for all weak variants of D.
  16. Kathyang
    I haven't done a full crossmatch on everyone since 1990. Most places now do electrons crossmatches on negative screens as long as there is no history of antibodies.
  17. Kathyang
    We are sending out our patients with a 2+ for molecular testing.
  18. Kathyang
    I think it depends on how the nursing policy has the witnesses defined. Most places have it set up as 2 nurses with the witness being able to be a LPN. Also state laws need to be checked. In the state of Pennsylvania, there has to be 2 witnesses even with the electronic.
  19. Kathyang
    Why would you? It is not a true antibody. We don't.
  20. Kathyang
    We have not had any problems with either the ProVue or manual gel.
  21. Kathyang
    According to AABB Standards, FFP must be thawed between 30 and 37 or on a FDA-cleared device. We check ours at both 30 and 37 quarterly.
  22. Kathyang
    We use the Bridge Transfusion. The biggest plus to it, if used properly, is that the wrong unit can't be transfused to a patient. It uses positive patient ID to identify the patient before being transfused. One of the problems we had when we started was the scanners. They didn't seem to hold configuration for the nurses to use it. They also sometimes had trouble especially on off shifts and had nobody that could reset passwords for them. I would say the only place we have a problem with nursing using Bridge is the ER. Bridge does have a quick start if it is a true emergency. All in all I don't like it as well as our last system for transfusion which was SOFT but it does work.
  23. Kathyang
    We don't wash our cord bloods for gel. We spin the tube to get packed cells and use the Ortho procedure that David has mentioned. Works great!
  24. Kathyang
    We are inspected by TJC for the lab. They are citing some of the other hospitals in the system using this standard. QSA.05.06.01 The laboratory conducts reactivity testing on the potency and reliability of reagents used for ABO grouping, Rh typing, antibody detection, and compatibility determinations. 2 Each day the procedure is performed, and when a new lot of reagents is first used, the laboratory tests each opened vial of antisera, reactive cells, and reagents for reactivity. The reactivity results are documented. I guess it depends on the inspector but since we are inspected this year I would like to comply if they are really citing labs.
  25. Kathyang
    I was asked by another facility about the QC that should be done on a panel. I have never worked at a place that has run QC on a panel. The closest thing that we do is use the panel cells to run QC on our antisera when antigen typing the patient or units. This is supposedly a question coming with TJC inspections. If anyone is completing QC on panels, could you please let me know what you are doing. Also is this done when a panel is received or each day of use of the panel? Thanks
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