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butlermom

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About butlermom

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  • Birthday 12/30/1951

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  1. Our digitrax printer needs a software upgrade to be able to print the labels for the newer CCP products as well as the new platelet products that will be available soon. We have contacted Henry at digitrax and we have to have some sort of credentials to be able to do this. We are up to date with our registration for the ICCBBA database, so is it the same username and password that we have for ICCBBA? Thanks, Kathryn
  2. John, no, there were no temperature monitors attached. Also, our supplier says they cannot accept it back because it was transferred within facilities. I do hate wasting the units, however, I cannot 100% guarantee the storage conditions of the units during transport. Specifically, were they removed at any time for a prolonged period of time then put back into the cooler. As much as I hate to discard them, I believe the safety risk outweighs the benefit of keeping them. Thank you all for your responses.
  3. What do you do when you receive blood from another facility that comes with a trauma patient who is brought to your facility? The blood came in a Styrofoam cooler with the solid ice packs that our supplier uses in their red cell transport boxes. The units are from the same blood supplier that we use. Thanks for your insight. Kathryn
  4. I will add some info here to clarify our situation further: We do not have a helicopter. It is a local company that wants us to provide the blood to them and administration wants us to do this. If our blood is on the chopper but they pick up a patient and take him/her to another hospital, the patient would not be registered here and there would be no record of us giving the blood. Possibly we could have documentation from the helicopter personnel with patient info and the unit they gave and we could have some sort of quick-registration process on our side so we could at least show the patient
  5. We are being asked to supply blood for a helicopter. My question is, how do we properly account for the unit(s) if a patient is picked up from an accident scene, transfused in flight, but taken to another hospital? The patient would never be registered at our facility so would we then make a “transfer” of the unit(s) to the receiving hospital? I’m just trying to figure out how to keep track of the blood since it’s from our inventory.
  6. We are a 540-bed Hospital functioning as a Level I Trauma Center. I need help with setting up an MTP for infants and small children. Recently we had a two-year-old who had been hit by a car. They could not use the rapid infuser on her because it would be too much too fast for her weight so they pulled blood from the bags with syringes and pushed it in. The trauma team is asking me what supplies they need to handle pediatric traumas. All we have are syringes with an in-line filter that we aliquot for our NICU babies. How do others handle small pediatric patients? Do the nurses use syringes to p
  7. We are a 540-bed Hospital functioning as a Level I Trauma Center. I need help with setting up an MTP for infants and small children. Recently we had a two-year-old who had been hit by a car. They could not use the rapid infuser on her because it would be too much too fast for her weight (which I don’t remember)so they pulled blood from the bags with syringes and pushed it in. The trauma team is asking me what supplies they need to handle pediatric traumas. All we have are syringes with an in-line filter that we aliquot for our NICU babies. How do others handle small pediatric patients? Do the
  8. I tried validating antibody titers when we first got our Visions. I had the same issue as you due to the sensitivity of the gel. I listened to a webinar on the subject once and those who have successfully done it recommend contacting the clinicians to inform them of this significant change in test method. This would come from your blood bank medical director and he or she would have to work closely with the OB/GYNs. Therefore, I decided to continue doing titers by tube method. Good luck if you do decide to pursue this further.
  9. Malcolm, thanks so much for the article. It was very helpful. As it turned out, we sent mom's sample to our reference lab for MMA testing, and we also antigen typed her 2 brothers and her father. One of the brothers matched her Duffy and Kidd antigen types and was Coombs crossmatch compatible with her. He donated two units of packed red cells (at one donation) and was also confirmed to be Diego b negative. The patient's anti-Dib came back as clinically significant based on the MMA test. She did have a C-section after all and did not require any blood! The baby had a negative direct coombs so t
  10. Our Reference Lab has informed us that a patient's sample we sent to them has anti-Dib (Diego b), anti-Fya, and anti-Jka! The patient is pregnant and due the end of July. All 3 antibodies are capable of causing HDFN, although usually mild from what I have read. My concern is if we have to transfuse the mother. The prospect of getting blood is problematic. Most likely the units would be frozen and our local supplier would have them shipped in already thawed and deglycerolized, plus the time of flying them here is a challenge with flight schedules to our area. From my reading the Diego antibodie
  11. Does anyone know a vendor that sells a heat block that will reach a temperature of 120C? Our pathology department is looking for one. Thanks.
  12. Does anyone know if there is another company in the U.S. that distributes the plasma thawing devices, i.e. microwave? We have been wanting to order two more (we currently have one), but there is an FDA hold up on it right now for the device that comes from Canada. It has something to do with paperwork, nothing to do with the device itself!
  13. My hospital blood bank has only been in existence for approximately 11 and a half years. I have been the only supervisor for 11 of those years. During this time we have grown so much so fast, that it has been all I could do to keep up and stay ahead of inventory, procedures, staff training, competencies, teaching students, all while moving 3 times, designing and implementing the blood bank section of our LIS, bringing in and validating two generations of automation (8 years apart), and working the bench when needed. We are a CAP accredited laboratory and it has always been my desire for my bl
  14. As for the signed Emergency Release form, we have always sent the original to the chart and kept a copy in the blood bank. CAP says that "records" of the emergency release must include the authorization of the physician; AABB says the "records" must contain a signed statement from the requesting physician, etc....... . Does this form actually need to be placed in the patient's chart or is our blood bank file a sufficient "record?" We are exploring the possibility of obtaining an electronic authorization and signature for emergency release. Thanks
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