MAGNUM
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Posts posted by MAGNUM
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Been using it for about 4 years now, and still no.
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Issue until the specimen expires. Pretty much that same as everyone else.
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I get mine from Cardinal
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no, we issue by group and all the red cell products are grouped as packed cells, plasma products as plasma, etc. makes it so much easier this way.
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I don't know about the Mesa system, but stay away from Freshlock it is a horrible system for many various reasons.
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My day shift (normally me) does the QC on the Echo, and the Evening/night techs do the rack QC, and since they sometimes alternate their shifts, everyone gets a chance to do the QC/maintenance.
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We perform cord blood workups on EVERY baby born here. For the longest time we did the workups on all babies then it was decided that we would only do it on babies with O moms and babies with Rh negative moms, then out of the blue the neonatologist that pushed the limited testing decided that he needed ALL babies again so he pushed his agenda thru the MEC and suddenly we are doing ALL babies again. Our cord workup consists of a ABO/Rh and DAT. If the DAT is positive, a heelstick is performed on the baby for repeat DAT (including IgG). If the repeat is still positive and the mother has a significant antibody, we do a Lui Freeze elution (but those are few and far between).
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Please, inquiring minds want to know.
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I designed my own simple card that I either mail to the patient or deliver to the patient if they are still an inpatient. My design is very simple in that on one side of the card is the hospital name, address, phone number, fax number, and the statement to present to the person drawing their blood. On the reverse side has the patient name, blood type, antibody(ies) identified, and the date. I just buy business card stock from our office supply and on one side of the card print the front side of the card, and on the opposite side I print the reverse side of the card. I print the number that I need, then turn the stock over and print the same thing again, that way I get 10 cards that are printed on both sides of the business card.
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CONGRATULATIONS on your retirement. But at least we still have your wealth of knowledge to impart upon us.
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On 3/28/2010 at 6:57 AM, yiams said:
A question just came up in our transfusion service regarding the CAP Comprehensive Blood Bank survey. We have traditionally assigned this to one individual to perform all testing. The question is: Can we split this survey to test five different techs by assigning one specimen to one tech? We've been debating this. Has this happened at your facility? How did your inspectors look on this action? We'll accept all opinions!
Thanks
That is what I do, I split the survey and give to 5 different techs. Not only does this keep one person from performing all of the survey, but it can also be used to show competence where it applies to technical skills. My last survey team liked the idea of splitting it up.
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I also use the Hematrax BT-10 temperature indicators. Very simple to use and not too costly. $100 for 100, but you do not have to really do anything to them except "pop" the bubble and attach to the unit. If the core temperature of the unit exceeds 10C, the indicator turns blue, and this is irreversible.
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On 11/10/2016 at 1:47 PM, Cliff said:
Does anyone use one of these?
https://www.hampshirecontrols.com/rapid-response-temperature-verification-system.htm
I do and I love it. Plus since it is digital, Biomed has to do the temp calibration/verification when necessary.
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We work them ALL up! If the patient has a reaction either immediate or delayed we work them up. We took the thought process out of the picture for the nurses, if they suspect a reaction (and we do provide them with a chart of reactions and how they may present) they order it. They can call the patient's physician, but we wrote it into our policy and had it approved by our MEC to order it if they feel a reaction is happening.
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21 hours ago, DPruden said:
My interpretation of these two standards is that eye protection must be made available and instruction on proper use must be given to all the techs. But not that goggles/glasses must be worn at all times in a clinical laboratory regardless of the risk of splash/spatter/aerosol formation.
Do your facilities require that techs wear eye protection at all times or only when performing tasks that have a high risk for exposure? Thanks!
GEN.74100: Appropriate personal protective equipment (gloves, gowns, masks and eye protectors, etc.) is provided and maintained in a sanitary and reliable condition in all technical work areas in which blood and body substances are handled and in circumstances during which exposure is likely to occur.
GEN.74200: Personnel are instructed in the proper use of personal protective clothing/equipment (e.g. gloves, gowns, masks, eye protectors, footwear) and records are maintained.
NO!! Mutiny would ensue should we require they be worn at all times. Lab coats, gloves, yes, but not shields.
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On 5/18/2015 at 7:27 AM, SMILLER said:
We've been converting FFP to TP directly for some time now. All of our thawed units start with a 5-day outdate.
Scott
We too change directly from FFP to Thawed Plasma, and have been doing so for at least 15 years and possibly prior to that also.
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I wash once, mainly due to habit.
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Many years ago when I was a baby tech, I remarked to the BB supervisor about this. I asked her why I would want to use these units when I had units available that did not have antigen typings available. her response was "Why be concerned because what would you do if you had the same unit but you did not know the antigens on the units?" I have used that thought for approximately 30 years now, but not for my NICU babies.
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4 hours ago, cam1987 said:
We report the positive antibody screen and add a chartable comment that the patient demonstrates anti-D and it may be due to Rh Immune Globulin given (date) at (facility). Our LIS will allow us to do an electronic crossmatch in the future when her antibody screen returns to neg.
We too report them as Anti-D, probably due to rhogam administration, plus the date of administration. followed by the nurse initials and the tech initials.
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We are a 120 bed hospital with the only level 3 NICU in the area, and we do approximately 1 a year, so 1 in 18 months from a 600 bed facility does not sound far fetched.
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We have used BCTA since 2008, and also have used Typenex bands as part of the scanning process.
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19 hours ago, tricore said:
Now you just have to make sure that no one stores their lunch in the BB refrigerators.
Don't laugh, I found a copy of a very old inspection and it was written up that food was found in one of the BB refrigerators. I also found an apple in one of our reagent refrigerators.I found a box of popsicles in the plasma freezer on the bottom shelf at the very back, whoever stored them there (no one fessed up) knew they were wrong.
Don't laugh, I found a copy of a very old inspection and it was written up that food was found in one of the BB refrigerators. I also found an apple in one of our reagent refrigerators.
Draw and Band charges
in Case Studies
Posted
This is a no charge test at our facility.