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Everything posted by MAGNUM

  1. You are most definitively preaching to the choir.
  2. It's because cardboard boxes or shipping containers can carry dirt and other contaminants and introduce them to new environments. Also, nasty vermin such as roaches love cardboard.
  3. We leave them in the shipping box and take only 5 or so out at a time, then directly into the refer.
  4. We use Capture, and we as well have seen an increased number of weak reaction at immediate spin.
  5. I actually pulled the package insert for our panoscreen cells from Immucor, and on page 2 the insert actually says add plasma, then cells and mix. The the next line says add potentiator, the step to do the immediate spin is no longer present. I would never have noticed this if not for this blog. There is a note that if desired the immediate spin can be performed. I do believe that I will be having a discussion with my Director and Medical Director so that I can change the procedure because if it is not needed (which in my humble opinion it is not necessary) then we need to get rid of the steps. scott
  6. We stop the transfusion and initiate the transfusion reaction procedure. And until the workup is complete (minus any micro), the patient is unable to receive any other products. Normally it is just something with the donor plasma and Benadryl should cover and propholactically thereafter prior to transfusion. Normally the physicians order Tylenol before the transfusions, so adding Benadryl is not an issue.
  7. I use BCTA also with the checks online. I have looked at the Blood Locks but have not decided as of yet
  8. I use the temp-chek, if they are issued in a cooler, otherwise 15 minutes.
  9. I have even gone so far as to tell the nurse taking care of the patient that when they learned the patient's name and not the room number to give me a call back and we will discuss the patient at that time.
  10. We send our KB's to another hospital in our division and get nice 2-4 hr turn around time. They use flow. We started using them because the local ARC does not perform KB's, and with only 6 or 7 a year we couldn't justify the cost for performing them inhouse.
  11. I have wondered that myself, it just suddenly appeared when we bought our new hematrax printer.
  12. ARC does not allow stock supplies of the COVID plasma. On the somewhat same note, how do you take care of your AB patients when the blood center cannot or will not supply AB convalescent plasma?
  13. We too use ARC. The pack slips have the order number on them so that you can match up the order numbers. When we get orders for the convalescent plasma, we order the plasma and on the order printout, we note the patient name, then once the plasma arrives, we match up the pack list with the order printout. In the meantime, we keep all the orders and their respective printouts on our metallic white board, that is basically the only way that we have found to somewhat keep abreast of the orders.
  14. I marked it down as N/A since it has to do with AMR's and such. At least that is my thinking. During our CAP inspection in September, my inspector didn't give it a second thought.
  15. As of yet, we have been unable to migrate BCTA into the OR. But our division is looking to force the issue and put it in the OR regardless.
  16. I use Meditech and do not have any paper. As to histories, we look up each patient history when we get specimens on the patient. Normally on Monday, Wednesday, and Friday, I download a copy of patient histories onto a DVD in case of Ransom Ware Attacks. The file is downloaded and saved as a Word file that is accessible from any PC.
  17. I am not aware of a free PDF download of the TM. I guess you will have to purchase the TM.
  19. Issueing a full unit for approximately 30 ml and discarding the rest is such a waste. Surely there is some other alternative.
  20. I purchase 5 unit pools of cryo from the blood supplier, no more pooling. The physicians seem to appreciate the pools. I do keep 1 or 2 units of AB cryo for emergent situations such as liver lacs and such to be used as emergent glue.
  21. Since we have the only Level 3 NICU in our county, we keep a pedi unit at all times. We have our blood supplier sterile dock aliquot bags onto the unit. The unit is irradiated, CMV negative, Sickle cell negative, and Zika negative. I order a fresh unit every 14 days, if it lasts that long.
  22. Let me play the devils advocate when it comes to using the historical type. What happens if the patient is not really the patient that the original ABO was performed on? What about the times when the ID number is bought and used by multiple people especially where there is a large community of people who are not necessarily legal to be here? For these reasons and a few more, we require a current type.
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