Posts posted by BankerGirl
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This question was raised recently: why do we always place Red Cells in the upright position for storage and shipping? The shipping part is easy--that's the way the Blood Supplier says it is supposed to be. I cannot find an answer to the storage in the refrigerator. Does anyone know of any standards, recommendations, etc for how to store Packed RCs in the refrigerator--and why?
Thank you,
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This does not happen often at my facility, but our policy is similar to AMcCord's. If already infusing, the nurses continue the transfusion and document that. If not infusing on arrival, we are rarely notified prior to the ambulance departing, so we rarely get to send the units back. If there were appropriate shipping conditions/paperwork, then we would accept into our inventory; if not then the units are discarded and the transferring facility notified.
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We also have a communication log. It doesn't have to be anything fancy, ours is just a spiral bound notebook. We also give verbal report to the oncoming shift. This isn't fool proof, but it helps.
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On 4/11/2019 at 9:09 AM, NicolePCanada said:
We use Immucor for our reverse (back) type and the package insert indicates that we need to confirm the reactivity of the A1, A2, and B red blood cells, not the negative results. So, we only daily QC that they are reactive.
We do the same.
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6 hours ago, Malcolm Needs said:
CMV Negative blood is most certainly not the same as CMV Negative blood...
Really Malcolm?
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On 2/13/2019 at 4:18 PM, Cgore said:
BUT how else do you detect weak Rh D? If we had followed the macroscopic only rule, we would have missed the weak Rh-D and the mother could have been sensitised. Is weak Rh D in a foetus less likely to cause sensitisation?
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.
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On 1/31/2019 at 8:32 AM, Kathyang said:
We treat the OR patient like any other patient that gets blood. They can ask for an emergency release but we still require them to bring a piece of paper with patient's name, medical record number, date of birth, and Blood Bank ID if the patient has a BBID wrist band. They may bring a chart sticker down to get blood since it has all but the BBID number on it. The BBID number must be written on the piece of paper. They don't always like this process but we need to know which patient since they will probably have more than one patient. It is our way to cover for legality purposes.
We do much the same, except we don't use the BBID numbers.
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On 10/10/2018 at 8:31 AM, JPSCANNELL f. CROKE said:
Given that the BB/BB Medical Director has the knowledge and background to determine transfusion safety and is responsible for blood transfusions that the MD's order, we simply wrote our policy. Yes, sometimes we get questions from the infusionists, but the BB Staff can easily answer them.
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.
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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?
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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!
- Malcolm Needs and AMcCord
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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.
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22 hours ago, R1R2 said:
PERHAPS weak D was included because a positive weak D would alert you to a possible false positive fetal screen.
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.
Non cellular component transfusion and historical ABO/Rh
in Transfusion Services
Same here.