Deb
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Posts posted by Deb
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I'm if our experience will help or not, but we had a similar problem with an older model plasma freezer from a different vendor.
In our case, the temps kept "warming" up over a period of a week or 2. They cleaned the condensor unit out and replaced the Timer Clock for the defrost cycles--it was slipping gears and getting stuck in the defrost cycle. It has been working smoothly since.
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Does your facility have an online scheduling system? If so, what do you use?
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You any of you have any donor:staff ratios that you attempt to maintain at inhouse sites as well as blood drives?
I had found an older reference that indicated 1.5 donors/staff/hour as a mobile staffing tool.
Just wondered how everyone determines their staffing mix. Please also let me know if the staff are performing whole blood collections only and/or a mix of any other donor center tasks.
Much appreciated.
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Do your donors have the ability to schedule appointments via the internet (ie a web page scheduling system)? If you have such a tool what are you using?
If you don't have a tool, but are looking, what system are you looking at and what price range would you expect to have to pay?
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I have a form that "works" for us although it is cumbersome and tedious. If you send me an email I will forward the electronic copy to you and you can see if it would be helpful.
Cliff, I can't wait to hear more about the commercial product! Good for you!!
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We also use the Sysmex for our platelet QC. Our hematology supervisor found a high end calibrator that she will have completed at each 6 month calibration to verify the upper end.
If you still need info on this, contact me at dschue@altru.org and I will put you in touch.
Deb
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Laura,
We are a pretty small hospital blood center and are interested in becoming part of the PassPort study. We already collect in Trima...but have to get the BacTAlert in place (currently using the Palls system).....How much time (and effort) did it take you to become part of the study?
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We are using a one-to-one relationship with Component Type Misys code and ISBT product code. We elected to do this because of the way Misys will handle on-demand printing of labels using a new function BLP-Blood Label Print in 6.3 and printing automatically with BCP (6.4 or higher).
I do have a spreadsheet that we are using to develop our maintenance. We are currently moving from 5.4 (uffda) to 6.2...
If you send me an email, I can forward the spreadsheet to you. It might give you some ideas....it might not....?
Deb
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We "print" our Deferral List and procedure summary (today - 56 days) which include both temp and permanent defers to a .txt file each day. This serves as a back up inhouse in the event our computer system goes down. It is accessible on the hard drive of the PC and on a network drive.
When we go on mobiles, we print out a fresh copy of both reports (defers and donations w/in 56 days) to take along with us. In the past we were keeping this report until the next one was printed, but now we can discard it when we are done as we have access to a current defer list from the .txt file.
In addition, we pre-register those donors who have signed up for blood drives. That way the check is done before we even go out. The donor then gets this printed record and verifies data entry (i.e., name, DOB, SSN, address, etc.) is correct.
Deb
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12 month deferral.
Reference: FDA Recommendations for Donor Deferral 12/12/1991
Subject: Clarification of FDA Recommendations for donor Deferral and Product Distribution Based on the Results of Syphilis Testing
FDA's Final Rule: "Requirements for Testing Human Blood Donors for Evidence of Infection due to Communicable Disease Agents" June 11, 2001 (66 FR 31146) i
June 2003 FDA Guidance for Industry (appears to still be in DRAFT form) Revised Recommendations for donor and Product Management Based on Screening Tests for Syphilis.
Robin Biswas, M.D, (FDA) is an excellent resource for questions on infectious disease testing (301-827-3011)
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Wow...that is impressive looking! Are you able to share the tool?
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I recently asked this question of Dr. Ken Zeeman, CBER, FDA.
He is our Consumer Safety Officer and sits as a liason to the ICCBA committees.
If you are licensed for irradiated products...the license number remains intact.
If the facility irradiating the product is "not" licensed for irradiation, then you must cross out the license number on "any" facility label (including the original facility license)...leave the registration number.
You can add a second facility label indicating the unit was further processed by your facility to the side, below, etc. It just can't obscure the original collecting facility label.
...clear as mud right?
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We recently implemented the new UDHQ and the way I understand it is this:
As new meds are required to be identified, you would add them to the medication deferral list.
However, since some of these are not actually a "deferral" but just preclude someone from being a platelet donor, we have "added" them to the ASA ingestion question.
We do not ask about Doctors' care in the past 12 months We did, however add 3 additional questions:
1. Have you ever been told not to donate by a doctor or blood bank due to test results or significant health concerns?
2. In the past 24 hours have you had 6 hours of sleep?
3. Have you eaten a meal in the last 4-5 hours?
If you want to discuss our experience further, feel free to email me @ dschue@altru.org or telephone 701-780-5377
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We also record the lot number of arm prep scrubs/swabs on a daily QC sheet.
As well as listing when we open a new lot and put it into use.
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Our Medical Director has also decided to accept donors who have Graves/Hashimotos, as long as they are stable and well controlled
w/ or w/o meds.
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Rick, A lot of things can go wrong with counting platelet rich plasma. What type of tubes were being use, polypropylene plastic is the best. On occasion EDTA can cause aggregation of platelets in whole blood samples, I'm sure the same can happen in PRP. Are they using a liquid or dry EDTA? We don't dilute our PRP any longer because our hematology instrument has a high enough linearity...and any dilution step can lead to error. We also require that the specimens are well mixed; to ensure this they allow them to gently rock a minimum of 10 minutes on a tube rocker and then sample them immediately. Check you hematology instrument/manufacturer, does it count by impedence or optical method. We recently did a study with our Sysmex and found out that the optical method would at times give a count that was 30% higher than the impedence count.....but the impedence count was most accurate when validated against manual chamber counts. There is now a CAP proficiency kit for counting platelet rich specimens which I have asked our hematology lab to subscribe to as PRP is way different that WB.Deb
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We too collect the product QC sample on day 0 for our apheresis products. As these products are not centrifuged into a hard pellet like random donors, they should generally be well suspended at the end of collection. If we want a WBC count for QC we definitely do it on Day 0. If we see alot of clumping in the product....we let them rest for 1-3 hours before sampling (making sure they are very well suspended).
We have on occasion re-sampled after 12 or so hours of resuspension (ie. Day 1) if we don't believe the original QC plt yield....but unless the hematologist forgot to multiply out a dilution factor, the counts are almost always really close together.
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Cliff,
It can be really perplexing to know if you are doing too much or too little. But we too use a tracking sheet that allows us to see RBC and plasma loss (as well as the number of platelet donations) within a rolling 12 month period for our apheresis donors. (any WB donation/ apheresis samples /qns, etc would be logged on this sheet anyway). I guess we don't worry about the past 56 days as our apheresis machines have an extracorporeal volume of <100ml, which allows us to collect plasma in 28 days from a whole blood and/or platelets in 48 hours from a WB. Of course, any RBC collection has to wait until the 56 day (or 116 if double RBC) is up.....I've attached our tracking form and SOP in the event you might like to see someone else's imagination at work......D
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I don't know if you have resolved your search for an SOP for proficiency testing, but here is what we have in place.
Deb
P.S. If anyone has any suggestions on improving these documents...or something we missed, please let me know. We always appreciate comments.
Directed/Designated Donations
in Donor Services and Donor Recruitment
Posted
We are a Hospital based donor center and yes, we do collect Directed units as outlined below. Note, we have seen this service continue to drop steadily over the past several years.
We do NOT charge for the program...The patient is billed for the transfusion and extra processing (i.e., irradiation,etc.) if any.
We do require a physician's order along with the number of units, type of component, AND the names of the donors the patient has acknowledged and approved as Directed Donors for them.
We do cross over the unit if the patient does not need it.
We have not seen excessive numbers of donors come in for simple procedures. (I don't think we have ever collected a directed unit for a tonsillectomy!)
We try to keep communication timely between collection and compatibility and number of expected units so the patient could request more donors if needed, but this rarely ever happens.