MAGNUM

We leave them in the shipping box and take only 5 or so out at a time, then directly into the refer.

We use Capture, and we as well have seen an increased number of weak reaction at immediate spin.

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
 
 

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
 
 

I do not know what the "best practice" is but my experience is that unless the BB makes the (documented) phone calls to both RN and pharmacy the BB will be blamed when a dose is missed, whatever the reason.  

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.

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.
 

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.

I use the temp-chek, if they are issued in a cooler, otherwise 15 minutes.

I use BCTA also with the checks online.
I have looked at the Blood Locks but have not decided as of yet

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.

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.
 

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.
 

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.
 

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.
 

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.
 

I had always found it difficult to convince nurses that we were working with a person/patient and not a room/bed!  This became even more difficult after all the privacy rules and regulations came about.  It was almost as if they were terrified to say a patient's name aloud!

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.

My only thought is, "What is the motivation for such a change?"  The retesting will still have to be done and you will pay for it one way or another so what, exactly are you hoping to accomplish??  A little convenience for the transfusion staff?  

I would think that titers would be relatively constant across different platforms, but then again I am a blood banker. 
How do you get a titer of 12 (guess I'm used to serial dilutions 1:2)

I have no answers to your questions but instead have a question for you.  Are you aware of any bad outcomes which could have been the result of the practice at your facility?  

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?
 

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.

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.

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.