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MAGNUM

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Everything posted by MAGNUM

  1. I have 2 or 3 phlebotomists that have been deemed competent to perform these procedures, but then again the bb path has to review. Of course, we only do inpatients. Plus, we have only done 1 this year.
  2. We only give CMV negative specific units upon the physician order.
  3. I am kind of old fashioned, so I elected to stay with water. I just installed a Helmer DH8 plasma thawer. 8 units in approximately 18 minutes.
  4. Ditto for mom, it is after all probably the best specimen.
  5. No, I havent heard this yet, but thanks for the heads up.
  6. I use the Immucor CorQC and dilute the QC serum 1:10 with albumin and use the MTS diluent for the negative control.
  7. To remedy this, and keep the nurses from having to think toooooooooooo much, we weigh our units prior to issue, so that is the volume that is charted in BCTA to finish transfusing the unit.
  8. BCTA is very easy to use. We implemented about 1 year ago. When scanning we use the hospital band which is barcoded, but we also have a unique blood bank band that is also barcoded. We set up our BCTA to scan the hospital band, then the bb band, then the 4 quadrant barcodes. I looked at several different bands and due to ease of use I chose to use the Typenex flexiBLOOD system. I use their red armbands product #FLX999, their large bb card that includes 16 individual barcoded labels for the units, 2 barcoded band inserts, and they even include instructions for use on the back of the card product #FLX001, for cases where the band must be removed in the OR or the patient is exceptionally large I use the Typenex R3 system product #4R4700. There are 10 of the R3 bands to the box, 100 cards to the pack, and 200 bands bundled 10 to the bundle per box of bands. Hopefully this helps.
  9. I do believe it could be relaxing to collect your own rabbit cells, then a hearty dinner, yum.
  10. I would not think so, so long as you can prove beyond a shadow of doubt that it is the same unit.
  11. Immucor has a product that uses rabbit erythrocyte stroma called REST for removal of colds
  12. I just recently ordered and purchased a DH8. My question is what are the steps to putting this piece of equipment into use. Is it similar to the refers and freezers in taking of temps etc? :confused:
  13. after a near miss several years ago, it was decided that for "every" transfusion, the nurse must bring the physicians "written" order for the ordered product AND the transfuse order so that we are able to determine if we are issueing the correct product as the physician has ordered. We have caught several orders in which the physician has ordered one product, but the nursing department has ordered something different, i.e. irradiation vs nonirradiation, cmv negative vs regular units, etc. although it creates a delay in transfusion at times in the long run we come out ahead. plus our techs are required to date and initial the order each time.
  14. I do use Meditech, but do not use meditech to determine my antibodies. The user has to input the reactions from the antigram for each cell, so if in the past anyone has just put a number in so that they may build their panels, meditech will look at the donor antigram that you have input if it matches there you have it, but like I say if there is a wrong value for the donor, well you can only get out what is put in.
  15. We too give O positive units in trauma/mass casuality situations. We can worry about the antibody when the patient is under control. Our main reasoning is to get some oxygen carrying capacity to the patient thereby getting them over the hump until we can better manage them. Incidently, we give Rh positive blood to males and females past child bearing age which is normally thought to be 50.
  16. I would love to see your audit tools. I tried the email, but it imediatedly got bounced back, so if you could send them to me. email: jeffrey.leeper@hcahealthcare.com
  17. We had this same "problem" when I took over the blood bank. Sometimes the phlebs get lazy or dont want to hear the patient complaints about another stick, but they have been shown the error of their ways. The main reason is "because I say so!"
  18. We are using BCTA, and have been for about 1 year. I still have the nurses return the cards, because I verify that there are 2 signatures on the cards. We opted not to use the second cosigner in the BCTA module since anyone with a computer signature could be pulled from the drop box, this includes any EVS personnel. We still do use a 2 part carbon on a Lexmark 2480 dot matrix printer. The top copy goes on the chart and the back copy is returned to me. I have approximately 95 - 98% compliance.
  19. try the AABB Techinical Manual 9th edition from 1985, pages 310-316.
  20. They are in order of Unit number, product, type, and exp date.
  21. The UTube version only includes about 9 minutes of the 18 minutes. So if the price is 20 pounds British sterling, what would that be in US dollars. I watched the short version on UTube, hilarious.
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