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R1R2

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  1. R1R2

    CORRECTED REPORT

    R1R2 posted a topic in Equipment

    2 samples are drawn at same time and are labeled with the same accession number. 1 tube is meant for one area of the lab(like RPR) and the other for the chemistry analyzer (EXL). Occasionally, both samples end up on the EXLs, one sample on one EXL and the other sample on the other EXL. Both instruments are set to autofile and if both samples come off within seconds to minutes of the other the second result over-writes the first resulting in a corrected report. Has anyone experienced this type of situation and how did you solve this problem? Thanks in advance for your response.
  2. R1R2
    agree with Malcolm. See this a lot with cord bloods.
  3. R1R2
    AGREE WITH DAVID
  4. R1R2
    only 1 thermometer in each device.
  5. R1R2
    I DON'T THINK ORTHO GAVE ALL THE DETAILS. THIS IS WHAT THE CFR STATES: § 606.151 Compatibility testing. Standard operating procedures for compatibility testing shall include the following: (a) A method of collecting and identifying the blood samples of recipients to ensure positive identification. ( The use of fresh recipient serum samples less than 3-days old for all pretransfusion testing if the recipient has been pregnant or transfused within the previous 3 months.
  6. R1R2
    we do everything except post screen, XM and UA. We continue to use pre sample unless something is found in the post.
  7. R1R2
    No DAT?
  8. R1R2
    Agree with Marianne about segregation and you would set alarms for 2-5.5 unless RHIG is stored in same fridge then it would be 2.5-5.5
  9. R1R2
    You may want to check with the blood supplier or bag manufacturer about a minimum volume of product/bag.
  10. R1R2
    No it is not required but some hospitals do this. It can be documented in an endorsement log or other forms. Tech reviewing endorsement log will pass on info to BB medical director who can follow up with patient/patient's physician and start a transfusion reaction investigation if needed.
  11. R1R2
    I would think the KB would have the same limitation. JB
  12. R1R2
    It is not required to save blank antigrams.
  13. R1R2
    Some may continue to give M nagatve RBCs after it is no longer demonstrable depending on initial reactivity. It is OK to give immediate spin XM compatible for Lewis, P1 and RhIG when antibody is no longer detectable, IMO.
  14. R1R2
    No I don't think it is harsh. I often wonder about hospitals validating reagents/tests off label becuase I don't think they even come close to the numbers/types of specimens that the manufacturer uses to validate and submit to FDA. This is just my opinion. I caution anyone using reagents for purposes other than those intended by the manufacturer.
  15. R1R2
    I agree that it was odd. I would give the blood and ask questions later or better yet have your medical director or manager get involved. If you never get a sample and no more blood is required you should document appropriately and move on.
  16. R1R2
    Blood Banks should not be using Fetal Screen on any sample except post delivery per the manufacturer's insert. We learned that the first day of med tech school. If I inspected a blood bank and they used Fetal Screen on any samples other than post delivery I would give them a deficiency.
  17. R1R2
    I always thought anti-H was IgM and therefore not capable of causing HDFN. I am not aware of any cases of HDFN due to anti-H.
  18. R1R2
    2 samples tested on both Provues, manual gel, peg, saline and prewarm. No antibody identification. AB+, neg screen O-, pos screen Don't forget your DATs if you use different methods
  19. R1R2
    In our policy it states to consult with medical director. For a small amount, like what is in an Rh positive platelet product, administration of RHIG is simple solution and usually safe. For larger volumes of Rh positive cells, like a whole unit of blood or more, administration of a large amount of RHIG can produce a transfusion reaction-like situation. Like John said, formation of anti D is not an automatic kiss of death.
  20. R1R2
    Not quite sure what the DAT is adding to the mix. I could see if you are using AHG antisera but even then, the negative control would not be negative. A positive DAT may also interfere with RT antisera (rare but possible) but then again, the negative control would not be negative. If controls work you should be good to go.
  21. R1R2
    I agree - don't pool them. You only have to waste one unit due to pooling/shortened expiration to figure that one out.
  22. R1R2
    In my BB we would have discarded them but not for the reason you mentioned. We use individual temperature indicators anytime a unit is issued to a remote storage unit. No indicator or activated indicator = discard.
  23. R1R2
    I would think that it is fine to do a pregnant woman unless there is reason to believe that there was a massive fetal bleed. No reference that I know of.
  24. R1R2
    I like that Teristella!
  25. R1R2
    I never tell them anything
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