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BankerGirl last won the day on January 21

BankerGirl had the most liked content!

About BankerGirl

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  • Birthday 01/18/1967

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    Medical Technologist/ Blood Bank Supervisor

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  1. I have a question about the "newborn card". I am not familiar with this card, so forgive me if this is the case. Does this card contain IgG, and is it incubated at 37 prior to centrifugation? And when you perform the testing in tube, do you incubate and carry it through AHG phase? This is how we detect weak D.
  2. Yes, why would this be different than any other physician's lab order?
  3. We do much the same, except we don't use the BBID numbers.
  4. We did the same. Our Medical Director did send out a letter to all the physicians notifying them of the change, and we heard nothing from any of them about it.
  5. I just answered this question. My Score PASS  
  6. 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?
  7. 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!
  8. 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.
  9. 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.
  10. 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!
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