AP44924
Content Type
Store
Profiles
Forums
Blogs
Events
Frequently Asked Questions
Gallery
Downloads
Glossary
Links Directory
Questions
Jobs
Vendors
Everything posted by AP44924
-
Thank You. I feel like I was lost, but oe found. Thanks again.
-
Thank You Malcom, I always worried about dilution factor. I mean we could potentially dilute the underlying allo, and therefore get a false negative? I currently recommend adsorptions with PEG, LISS, or WARM but not more than 4x, and still worry about missing something.
-
Malcom, At what point as a general rule of thumb, at what point do you consider sufficient adsorption vs. dilution due to multiple adsorptions. You mention adsorbing 8x.
-
My thoughts were along the same lines, but being a novice blood banker, I figured I am better off turning to the "pros" in blood banking. I did find papers about washing red cells before transfusing, but again a old paper. Thank You again. If I may also ask for links to some other papers?????
-
Hello, I am wondering about, a donor that has an antibody, and has donated whole blood that is seperated into plasma and red cells. Is it safe to tansfuse this unit of red cells to a patient who positive for corresponsding antigen without washing the unit or other modifications to the unit. Please help
-
I am unable to share the exact protocol, but here is the generic idea: ---O neg CMV neg, irradiated as fresh as possible ---depending of amount requested ( issue either entire unit, aliquot in syringe or satellite bag) --- label with either downtime labels or do computer prep ( downtime is preffered since this could be made ready in anticipation, especially if its a rare event) ----you may be able to get path approval to give non-irradiated depending on your situation (iraditor on site or not)
-
Is the name change in trail in the Information System? As long as you have something documenting that the name chage occured, you could use the same sample and subsequently re-band the patient. This is acpetable and infact a reccomendation to do, since there will be plently of coccasions with differetn last names due to marriage/divorce..
-
For a infrequent pediatric transfusion using syringes is also helpful and makes it easy on the nursing end to transfuse. I would also recommend using a closed (sterile docking) system to make aliquots. The advantage of the syringes is that you can give filtered aliquots. Charter med manufactures a 150 micorn filter syringes, you may want to consider.
-
I have used Terumo only and they are very easy to operate. the training time on using one of ht unit is no ore than 15 minutes per person. I have been working with these for 5 years now, and never once have they been placed out of service, no malfunctions, no other problems. hope this helps...
-
One of the thing post transfusions are useful is ot see if the products ordered are really needed, or this is part of a routine practice. Doing a post platelet count is helpful in determining platelet refractoriness, H/H is useful to detrmine if transfusion is really helping patients. However, these are all let fo rthe attending to decide. We routinely as for post platelet count if platelt transfusions fail to "bump" the count up. H/H after evidence of an delayed immune reposne, but not routinely.
-
Reference laboratories as a rule of thummb perform all the tesing i.e ABO/Rh and AB screen. I previously oworked at a facility where the labs had different CLIA license number, but same umbrella institution. Since, we did not want to double bill our patients, we repeated Type and screens, but did not charge the patients. there was a addendum out witht he results that the testing was performed at our lab and there was no associated charge. The only charges wer for Antibody ID, screen units nad performing XM's. The general laboratory had charges build in for specimen transfer and such.