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YorkshireExile

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Everything posted by YorkshireExile

  1. YorkshireExile
    Thanks for the information.
  2. YorkshireExile
    We simply remove all the plasma and add additive solution. Whether red cells are affected in any way I`m not sure. Anyone know?
  3. YorkshireExile
    We have recently installed cerner Millenium. Cerner people told me I had to print these reports out, I couldn`t view them on-line. More wasted paper. As for exception reports, we have a drop-down menu to pick from, so I choose whatever is relevant to my lab.
  4. YorkshireExile
    Interesting blog. Why have you stopped?
  5. YorkshireExile
    I asked for this over a year ago from the cerner people................Still waiting..................Sigh...............
  6. YorkshireExile
    I know its not really an answer to your question, but we recently installed Cerner Millenium and were advised that the Cerner QC module doesn`t work very well and would be problematic for a multifacility like ours. And this advice came from the cerner person who helped to build our system! Good luck if you manage to make it work.
  7. YorkshireExile
    What information do you need exactly? We use Cerner Millenium and we can get limited information from a very poor system.
  8. YorkshireExile
    Hi Angela
  9. YorkshireExile
    Not sure where to put this topic, so hope this place is okay. One of our OB/GYN doctors has expressed her concern to me as to what she thinks is an excessive use of blood units by other doctors when there is a major bleed in OT. (Something that I have also been concerned with.) She tells me they estimate that for every litre of blood lost the Hgb will drop by 2g/dl. This seems a bit high to me, and I remember being told a long time ago the expected drop should only be 1-1.5g/dl. I cannot find any literature or references anywhere though to back this up. Anyone have any thoughts on this? I`m trying to conserve my precious blood stocks!
  10. YorkshireExile
    Malcolm, Any chance of attaching the actual panel sheet results so we could take a look?? Or would that not help in working out the specificity in this case?
  11. YorkshireExile
    At my previous hospital we would sometimes get antibody identifcation panels that were scruffy or weak reacting 1+ with very few cells. Rather than do complex further investigations we sent them out as non-specific. In the lab we called them either: Serological Haemagglutination of Indeterminate Type... or ...Cold Reacting Agglutinating Phenomena. You do the abbreviations
  12. YorkshireExile
    If only I could Malcom, if only I could....... Lack of hospital sponsorship and lack of holiday time are my main problems. If only my hospital could have realised that this meeting is actually educational and would benefit them in the long run. I`m already working on convincing them about letting me attend the meeting next year.
  13. YorkshireExile
    This scenario actually happened at our hospital. An R1r` mother gave birth to an O Neg baby with anti-c. We had debates about what to give and decided the best would have been to give R1R1 blood and then consider giving Rhogam. We thought it is best to possibly alloimmunize the baby and have it survive rather than die or get brain damage and not make anti-D. Hopefully it wouldn`t have made anti-D anyway due to immune system immaturity. Fortunately the baby responded well to phototherapy and we managed to avoid a transfusion. Gave us plenty of food for thought though!
  14. YorkshireExile
    We have the Diamed Technotwin and found it to be excellent. Easy to use and excellent reproducibility of results.
  15. YorkshireExile
    I would be very interested too. Thanks very much! syliu61@yahoo.com
  16. YorkshireExile
    Is it too late to send me a copy as well? Just came upon this topic. syliu61@yahoo.com
  17. YorkshireExile
    From the IBMS website I think. Great site, and Malcolm is a goldmine of information!
  18. YorkshireExile
    Presumably people will centrifuge the platelet unit, then remove some plasma, and resuspend the platelets. Is this how it`s done? I was always told this may activate the platelets and lead to a reduction in viable platelets, so this was not recommended where I used to work. Is this reasoning correct? The maternity hospital I am now at will try its best to give group-specific platelets. If they are not available, we would give other groups only if absolutely necessary - except we would NOT give group O platelets to a non-group O recipient. Whilst on this topic, would you give Rh Pos platelets to a Rh neg female baby (assuming no Rh Neg platelets are available)?
  19. YorkshireExile
    We wouldn`t bother doing an eluate. We would just report the DAT as positive and give Group O positive, Fya negative cells if required. I`m all for reducing the workload!
  20. YorkshireExile
    From a first-time poster - thank you Malcolm for your excellent reply. I was beginning to wonder what was going on with people talking about 60 minute incubations and only using tubes!
  21. YorkshireExile
    So is it wrong to use the Diamed cells and reagents for an antibody titration? We do the doubling dilutions in saline, pick the appropriate Diamed Screening cell reagent, add them to an AHG gel card and then incubate for 15 minutes, then spin and read. Just like the procedure for the routine antibody screen. End point is a 1+ reaction. Should we be resuspending our cells in saline and using a longer incubation time with tubes??
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