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BankerGirl last won the day on January 21

BankerGirl had the most liked content!

About BankerGirl

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    Senior Member
  • Birthday 01/18/1967

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    Medical Technologist/ Blood Bank Supervisor

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  1. I just answered this question. My Score PASS  
  2. BankerGirl

    Automation Daily QC Documentation

    We do the same as cswickard.
  3. BankerGirl

    Elution on DAT positive Neonates

    When I started here we performed elutions on all positive DATs as well, but when I became supervisor we put an end to that. Busy work for no real benefit; like your Pediatrician, they treat the babies the same. Just this year, our Pediatric Subsection decided to start performing cord blood evaluations on all babies of O Pos moms. I know there are several facilities that do the same, but we never have. I asked our Mother/Baby nursing coordinator for the evidence they used to make this change and have had no response. I have never understood the long standing practice of performing the cord blood workups on jaundiced babies either. It seems to me this is all academic and of no real clinical value, but what do I know. Does anyone have any Best Practice guidelines with supporting evidence for any of these practices? The only thing I can come up with is that if the baby turns out to be O as well, that may steer them to investigate alternate explanations for the jaundice; but even then, unless the baby is having continued problems, is the information actually used to determine treatment?
  4. I just answered this question. My Score PASS  
  5. BankerGirl

    The moment when the glass broke

    I forgot about the breaking glass sound! I have my volume muted most of the time because my computer is constantly making annoying noises. I get so (disturbingly?) excited when the Christmas lights appear, so thank you Cliff!
  6. BankerGirl

    False Positive DAT CAP Survey

    Logan 51: I don't understand why you are thinking about changing anything. You have the notice from your survey organization that the sample was contaminated, and I am assuming that your testing showed reactivity with Anti-IgG? I do understand you being troubled by the C3d control cells reacting with anti-IgG, but it seems that you got the result that you should have gotten.
  7. BankerGirl

    RHoGAM work up post partum Weak D

    That is what I always thought. We dropped it when we went to our new computer system in August UNLESS the fetal screen comes up positive. That hasn't happened yet.
  8. I just answered this question. My Score PASS  
  9. BankerGirl

    Transfusion documentation

    You don't say who "upper management" includes, but this might help. We struggled greatly when I first started doing the transfusion review several years ago. The Quality Review department (all nurses) used to do the reviews and we were always at 100%, partly because they didn't audit all transfusions but mostly because they only looked at blood pressure for vitals documentation. I couldn't believe that a nurse didn't know that temperature is part of vitals! When I started doing it they were shocked that our compliance was <50%. Fortunately for me, our Director of Nursing and Risk Manager were appalled and very adamant that we fix this. It wasn't easy, but we have been at >95% for several years now. I would enlist the help of your Risk Manager if you haven't already. I became a pro at completing incident reports in several systems over the years, but writing up every single instance was what finally turned the tide. The nursing managers were fed up with investigating incident reports very quickly!
  10. BankerGirl

    Stat Centrifuge

    I do not know the g-force. I found an online g-force calculator but since the model we have doesn't seem to be still available, it probably wouldn't help you much. I'm sure if you looked at the specs of the ones they have now, you could find out.
  11. BankerGirl

    Stat Centrifuge

    We use the Hettich and spin at 8000 rpm for 2 minutes. Works great but it does has a latch check that takes a about a second to complete, so if you are really fast at pressing the start button, it won't start immediatedly. I don't usually have a problem with it because I let it do it's thing, but occasionally I will be too fast and have to press start again.
  12. BankerGirl

    Addition of sterile saline when pooling cryo

    We also order only pooled cryo from our supplier, but our previous pooling procedure stated that a small amount of sterile saline should be added to each bag after adding it's contents to the pool bag to remove additional cryo. At the facility where I trained, we did not do that. I don't know if the additional recovery is worth it or not.
  13. BankerGirl

    BloodBankTalk: Allergic Reaction

    I just answered this question. My Score PASS  
  14. BankerGirl

    BloodBankTalk: Allergic Reaction

    I just answered this question. My Score FAIL  
  15. I just answered this question. My Score PASS  

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