cinbb

Thanks for sharing. Like the previous poster I shy away from re-inventing the wheel. So many tasks,,, too little time. This will give me a jump start on my outline.

Special Congratulations on Passing the SBB! I studied the same texts in minute detail along with the Standards. I did not take any special courses. Just studied A LOT on my own. It took me 2 tries but it was a total feeling of ELATION and PRIDE when I saw that PASS flash on the exam screen! This Site is fantastic for information helpful to passing the exam. At least 3-5 questions were related to Malcom Needs' posts. Everyone here is so helpful and Blood Bank intelligent I don't think I would have passed without the support of Blood Bank Talk members. So Celebrate! You earned it! Best Regards:D

A question for all transfusion services. Do you perform weak D tube testing for all prenatal patients (no previous history) presenting as Rh negative by MTS gel ABD Reverse Cards? If the answer is yes, how many have you documented? Thanks!

Just a "Shout Out" to all the great folks on Blood Bank Talk who helped, and supported me, in achieving a passing score on the ASCP, SBB exam! I started studying in March of 2009 and never stopped until today. I passed the exam yesterday. Thought I'd never be able to Pass, but I did!! I am very proud of my accomplishment and encourage all of the folks out there who are currently studying to stick with it. Schedule your exam, and go for it. Thanks again to all who supported my efforts. Special thanks to Malcolm Needs! Your excellent instructional aids, posted in the Document Library, helped me answer at least 5 of the SBB questions correctly, without hesitation. Best Regards,

This is great info! I have as one of my goals for 2009-2010 to get our procedure/policy manuals on line. Is Sharepoint a PDF style format? Would you be eliminating all hard copies? I am in favor of totally eliminating the paper binders. Thanks for initiating this feed. I too am anxious to hear what other facilities are implementing in regard to on line manuals.

Gladl to have you on board. Good luck with your career in the States!

We do not use a secondary bag. If the nursing staff picking up the unit of blood requests, we place the unit in a biohazard bag. Again, I do not know of any regs requiring this secondary bag. I have experienced a broken unit of RC and it is a major mess to clean up. Also, have experienced broken RC in boxes received via airlines from the blood supplier. Talk about a HUGE MESS this is it! My take on this is, why fight it, it's not worth the aggravation, just bag it.

I concur with aakupaku. We also perform IgG gel IAT crossmatch for patients with Anti-M. Then issue only IAT crossmatch compatible units. We do not antigen screen the recipient or the donor unit for M antigen. Again, most experts conclude Anti-M is not clinically signifigant. Performing the IAT crossmatch would eliminate any donor unitreactive at 37 degrees/IAT. Good reference: "Blood Group Antigens & Antibodies" by Reid and Lomas-Francis

I am in the process of gathering materials and studying for the SBB. Does anyone have a copy of the following they might be willing to share via email? 2008 AABB Annual Meeting, Montreal Handouts, 9230-QE, SBB BB Exam Review. This is and 87 page pdf , file from the meeting session held 10/5/08. I checked online but could not find the doc. Thanks! xphyle39@aol.com

Eoin, it souns like your audit checklists are popular. I too would like to get a copy. It would serve as a guideline to help me update our process. Thanks!

Thanks for the feedback on the labeling of cord blood samples. Our facility labels with Mom's info, baby's sex, date and time of collection. For multiple births they number 1-2 etc...

We use cord for ABOR and DAT only. If cord sample is >24 hrs. old we require a heelstick sample. For crossmatch we prefer Mom's sample to crossmatch, but will use heelstick when Mom is not available. Do other facilities have the cord blood labeled with Mom's info or Baby's info? This is a point I'd like to hear about.

I like Lara T23's solution. We recently had a teleconference about the barcode method for patient ID/transfusion Sunquest/Mysis. I can't wait till we get that system on board at our facility! We have the same issues with the armband system. Surgery is really very good. Our issues are with the floors! CA's are constantly cutting off armbands. Finally I told one Resource Coordinator just have the CA's "CALL BEFORE THEY CUT"!!

Just had another idea for helping to meet the competency requirement. Mock panels. I use them in training. Panels are fun and challenging! I use the mock panel then list 10 questions about rationale in regard to the ID, further testing and providing appropriate units for transfusion. All the techs I have trained really thought the mock panels were very helpful. Mock panels might be a good way to document competency. Might as well keep it fun!

We just had our CAP inspection on Friday and the inspector really quizzed me on the competency issue. Some of the things I have implemented are: 1. Rotation of the CAP Survey. I use an alphabetical list of techs and everyone gets a chance to perform. 2. As a client of United Blood Services we have access to online CEU courses. One of which is a great PDF/Slide presentation on Antibody Idetification. I made that mandatory for all the BB staff to complete. Then use it as a BB competency. 3. Last year we used the CAP online assessments to help meet competency in BB. The inspector said she designed observation checklists for all of her procedures. Every year each BB staff member is observed by her and must perform each procedure correctly (as per checklist) in order to meet annual competency in BB. It seems like there are many different routes to the same destination. Cinnbb