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April 2024 Challenge

MAGNUM

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Everything posted by MAGNUM

  1. MAGNUM
    Its my understanding that the powers that be in our wonderful government will not approve any computer program that will actually identify for you and call the antibody.
  2. MAGNUM
    By all means finish, but chalk it up to a learning situation, you cant bill.
  3. MAGNUM
    If you are using the Echo from Immucor, is the PBS that is made up not a Phosphate Buffered Saline.
  4. MAGNUM
    We do pre, 15 min, 30 min, and hourly thereafter.
  5. MAGNUM
    We use Compliance 360, in fact the whole hospital uses Compliance. A little thought provoking when you begin, but as you use the system it becomes second nature. The nice thing is that when CAP or Joint visits and wants to see your audit trail on a certain policy, you can log onto to Compliance and Boom there it is. I personally love it. The system gives you 90, 60, 30 day notices and also a late notice.
  6. MAGNUM
    as I have found out in a previous thread. thanks James
  7. MAGNUM
    jayinsat, it does help, but still hard to stomach. during validation, we had no instances where we had this happen. the installer/tech trainer did tell us this, but since i had never seen it before i did not let this sink into my brain.
  8. MAGNUM
    First patient was indeed male, and the second female.
  9. MAGNUM
    Recently, while training a new employee on crossmatches performed on the Echo, I purposely pulled a AB+ unit and attempted to crossmatch it to a A+ patient. The unit should have been incompatible, right?? Not so. So I sent a tech service request to immucor, and the response that I received back was that this is just one of those unfortunate events because the crossmatch is only IgG it would not pick up incompatibilities. I then ran a totally different A+ patient, and lo and behold the unit was 3+ incompatible. I tested the unit against the original unit, and compatible again. Whats up with this? We do perform an immediate spin crossmatch on all crossmatches done on the instrument, and we should detect any incompatibilities at that time, but it just grates on my weak and feeble mind that the instrument will not detect this obvious incompatibility. Surely someone can give me an answer that I can live with, as it is, I may not utilize the crossmatch capabilities of the instrument.
  10. MAGNUM
    So what happens when you go away from gel and use the Echo for the main platform, and tubes as your backup? Are you not testing the same platforms since the Echo and the tubes use the same reagents?
  11. MAGNUM
    We do not accept any spiked units back into the blood bank, for whatever reason, they spike it they bought it. It is too bad that we cannot dock the offending person the cost of the unit.
  12. MAGNUM
    We have a policy that specifically notes that all policies will be reviewed by all techs annually. That being said, we include this as part of our annual competency and evaluation, if you have not signed that you have read the policies, you are graded lower.
  13. MAGNUM
    I have a new echo and have had this same problem. By looking at the picture of the individual well, there appear to be cells still present causing the false positive reaction. When we had install we were told to take the qc from the fridge and allow to warm to room temp, then spin, that is when I had the problem. If I remove from the fridge and mix them by inversion 3-4 times then spin them (cold) for 5 minutes I do not have qc failures. Also, I was told to store them laying flat every night, there again I have found that storing them in a rack standing up then mixing them just prior to centrifugation helps.
  14. MAGNUM
    I have used this procedure for about 10 years and love it. So simple and easy to use. The Technical Manual does have a procedure.
  15. MAGNUM
    if in fact your unit expires on said date, and you thaw it on same said date, the unit would expire at midnight despite the fact that you have 24 hours for thawed ffp.
  16. MAGNUM
    AMEN to that, there would be dancing in the streets, and general partying because less work to do.
  17. MAGNUM
    Thanks Mabel, this is good.
  18. MAGNUM
    When I took over as the BB supervisor here, I really got thrown into the mix. Within 6 months of accepting the position and taking over I went through my first CAP inspection for a department that I was in charge of. What a sigh of relief when it was finally over and I had no deficiencies to fix. I too am very hard on myself, so I take it as a personal affront when I receive deficiciencies.
  19. MAGNUM
    go with Helmer, they are the best money can buy, well maybe Sanyo is better, but for real people go with Helmer.
  20. MAGNUM
    Syringe aliquots are divided units.
  21. MAGNUM
    And you can add me to that list also.
  22. MAGNUM
    We use BCTA here, and have for about 2 years. The only department that is exempt (for the time being) is the OR, all others are required to use BCTA. I have found that a verbal counseling is usually all that is required for the care givers to be more compliant. If we do have a deviation from compliance, we have at least one nurse manager that will have her people come back in from home to complete anything that they have failed to complete as it pertains to BCTA. If there must be deviations from compliance because of equipment issues, the affected floor is required to get approval to "go onto paper" from me thru the nursing supervisor. So far I have had to approve only a couple of situations. If Meditech is down, that is a different story. I review all transfusions on a daily basis when the blood tags are returned to the blood bank.
  23. MAGNUM
    We use EDTA and do separate.
  24. MAGNUM
    We do this only for outpatients.
  25. MAGNUM
    Ok, so you know these have antibodies, what about those units that you do not know about.
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