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Kathyang

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Everything posted by Kathyang

  1. Kathyang
    I included this as part of my ABID policy. If the patient has received Rhogam, we only do the cells with @ in the Ortho panel. We use to call it a Rhogam-D in our old computer system but now it is called a Passive D since that was what was built in the system. We don't require a full crossmatch since it isn't a true antibody. I hope this answered all your questions.
  2. Kathyang
    I do the same as Eagle Eye above except we buy Alba-QC and take one of the tubes that is Rh positive and just add our Anti-D. This has always worked well. We have been inspected by CAP and Joint Commission and nobody has questioned us doing it this way. i also do AABB assessments and this works for that inspection also.
  3. Kathyang
    I was wondering if anyone was using the new Ortho Workstation and what you were doing about the temperature. The manufacturer recommends only as needed. I am thinking that it needs to be done at least quarterly if not more. If anyone is using the workstation and can give me idea about this, I would be grateful. Happy Thanksgiving to all!!!! Thanks, Kathy
  4. Kathyang
    Soft is probably the best BB system out there right now. I worked with Softbank but not with Epic. I know a friend of mine has Mediware and has had problems getting instrumentation to run with it.
  5. Kathyang
    How did the blood get back to the nursing unit? Didn't you say that they brought it back to the Blood Bank? If so, we would not reissue a unit that has been spiked or returned to us. We have had the situtation where they have stopped the unit for a little while and then re-started the same unit but it wasn't brought back to the Blood Bank. I agree that I don't think that is a good practice and is highly dangerous.
  6. Kathyang
    I have been using SoftBank for several years and it is a great system. We now have to switch to Cerner Millenium. It is not as easy to work around as SoftBank.
  7. Kathyang
    I have used Softbank for several years and it is one of the best out right now.
  8. Kathyang
    At my last job we had a OR refrigerator. The nurses were responsible for taking the temperature every day and changing the chart weekly. We did the alarm checks quarterly and any other maintenance on it. If the alarm went off, the BB was notified and we had to check it out. We had a small red boxes that would hold 4 units in each. We would sign the blood out when the OR tech came to pick the blood up at the begining of surgery. They were responsible to return all the unused blood at the end of the day. We would check to make sure in the evening that it had been either transfused or returned. The open heart surgery unit also had a small refigertor that we monitored. took the temps, chnaged the graph, etc. The OHS patients blood would go with them to the heart unit and a BB tech would pick them up the next day, We had little problems with the nurses not taking the temps since the refrig benefited them. Kathy
  9. Kathyang
    I was wondering if anyone has tried the new Hemobioscience complement check cells. I know the complement check cells in the past have not worked all the time and was wondering if this product was any better.
  10. Kathyang
    We issued our open heart surgery patients' blood to the OR and if not used int he OR, it went with them to the Open Heart Unit and was placed in their refrigerator until the next morning.. The next morning, if the blood had not been transfused, was returned to the Blood Bank. This was done in my last job.
  11. Kathyang
    We have, for our outpatient transfusion, a monthly account so we can do the type and crossmatch on the day the patient has their blood drawn and issue it the next day under the same account number. The only time we have a problem is if they come in the last day of the month and are getting transfused in the next month. We the use the work around by using the new billing number as the alternate number. Our hospital system is Paragon and we have Softbank. Our only problem with using the alternate billing number is that when the transfusion slips are placed in the electronic medical record it goes with the lab work and not with the transfusion billing number.
  12. Kathyang
    We just got an email about a CLIA Survey and weaknesses in labs. The one that I am questioning is about running an auto control with every antibody screen performed. I was wondering if anyone does it or just done an when completing an antibody ID. It stated that the "Product Insert" states that an auto control may be run with an antibody screen. Has anyone ever seen this or been "cited" for not running auto controls with every antibody screen.? Thank you for any information. Kathy Angel
  13. Kathyang
    We also require 2 nurses since if the electronic system is down ,they need 2 signatures on the manual form for it to be completed. Our system will allow for only 1 nurse check but I said no to that.The second nurse must scan her identification number, not just type a number in the device.
  14. Kathyang
    We are starting with The Joint Commission inspection in October and noticed they wanted saline QC. I would like to know what anyone is doing for saline QC. Thanks, Kathy
  15. Kathyang
    We keep our panels until they start to hemolyze. We do run QC on all our expired panels. We use Anti-Fya typing sera with a heterozygous positive Fya cell and a Fka negative cell. we have never been cited by CAP for this.
  16. Kathyang
    We use SoftBank. Let me know your specific questions and I will try to help. I have been in 2 different Blood Banks that have used Soft. I have been using the system since 1998.
  17. Kathyang
    We have been doing a Type and Rh on all admissions since CAP said that the Blood Bank is responsible to make sure all women get RhoGam if needed. We don't get all the prenatal work so we don't have history on about half of the women who deliver.
  18. Kathyang
    I was wondering what kind of protocol other Blood Banks use for Massive Transfusion. I work in a 100 bed hospital and we don't get trauma cases. Our protocol says to switch to uncrossmatched after 10 units in a 24 hour period. We had a doctor at the Transfusion Commitee meeting that wants to have the amount of FFP, platelets and cryo needed in the procedure. He is worried about a healthy female after a C-Secion bleeding and needs an emergency hysterectomy. This got into a discussion saying that if the patient is a normal , FFP wouldn't necessarily be needed, etc. They would like information for our Dec meeting. If anyone has any information on this, it would be helpful. Thanks, Kathy
  19. Kathyang
    I was wondering what everyone does to comply with the CAP regulation for identifying the patient. For our inpatients, we have handhelds that scan the patient and print out the labels. The problem is for our outpatient and ER, we aren't using the scanners. I just need some suggestions to comply. Thanks, Kathyang
  20. Kathyang
    When I worked in a city hospital, we had this happen especilly in the Labor and Delivery. Patient's would share thier insurance card with a friend or relative. We would always redraw the specimen of the patient that was in-house to make sure that we had the correct patient at that time.
  21. Kathyang
    We are a smaller hospital and we take the temperature. We actually have found units that have been out for only 15 minutes that are above 10C.
  22. Kathyang
    For QC, we get a plastic bag and put ice into the bag.We then add water to it. Then we take our thermometer from the refrig and let it sit in the ice water for 5-10 minutes. We place the bag on the temp button and the temp of the ice ater and Thermco need to be +/- 1 degree. We do this every Friday. We were worried with the infrared that someone might see it and it would walk. It could hide in a pocket.
  23. Kathyang
    We use it and like it very much. We QC it once a week since we don't get a lot of returned units. WE got this one since it probably wouldn't walk away. We have only had to send it back once to get calibrated in the 3 years we have had it.
  24. Kathyang
    We use the gel for everything. I agree with David that you can see what generalists are questioning. We also have all generalists in the Blood Bank. The pricing for the ABO gel is actually not any more expensive than the reagents since our reagent prices are high. We haven't had a problem with mixing of diluents since Diluent 2 is only used for auto controls and complete crossmatches. We also only need to complete QC by one method. If there is a real question about the ABO, we will go back to tube.
  25. Kathyang
    There is a company named BioAsset Technologies that has plt. agitators. Also I saw one called LABTOP.
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