
Everything posted by R1R2
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Hi and Low alarm checks on new refrigerators/freezers
I would check with the manufacturer. Also, be sure to modify your SOP if you do this. I once sited a facility because they were testing electronically but the SOP had not been updated.
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Electronic Temperature Monitoring
IMO - If you are using your electronic temperature system for alarm notification then you should test it quarterly. If you are just using it to record temp then compare 1x per year with NIST.
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Unlabeled specimens
Big NO. I think there is some standard of checklist item out there that states that specimens are labeled in the presence of the patient.
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FDA reportable or not
I agree with Katie. It is reportable.
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FDA reportable or not
Was the paper work issued with the units correct? What LIS system do you have?
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Frequency of Antibody Workups--revisited
Thanks for the additional info. Additional testing was warranted.
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Frequency of Antibody Workups--revisited
Was your 3 cell screen on 4/18 now negative? If so, I would do as your friend suggested.
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anti-M
Be careful with the reagent anti Ms out there. Some only require a RT incubation with no centrifugation before reading. I have found that centrifugation may cause false positives. Read those package inserts!
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Charging for antigen typings
I agree with BBGuy
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freezer temperature checks-acceptability
If your digital read outs compare favorably to NIST then you don't need any other thermometer, liquid in glass or digital. In most blood banks you don't need both top and bottom thermometer either.
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freezer temperature checks-acceptability
I have not found any standard or checklist item that requires daily readings of graph/digital/thermometer to agree within any variance. As long as all temp readings are acceptable then you are good to go. Quarterly, all temps are compared and should agree within +/- 1 C.
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Emergency Neonatal Transfusion
I agree with David and have done the same.
- Positive A1 and B Cells on a Cord blood eluate
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Charging for antigen typings
I agree with your billing procedure.
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Saving Anagrams for Outdated Panels
I would toss them. Why would you ever need to go back to them? I don't know of any reg to keep blank sheets.
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Being unable to rule out an antibody
I agree with Dansket, patient will receive e,C,Knegative blood forever and ever regardless of what is "showing" or "not showing" now.
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How old does the patient have to be before you toss a clin sig card?
If there are not too many cards can you enter the patient/antibody into your current LIS?
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QC of manual-tube panels- a poll
No new standard that I know of. I would drop this practice.
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Clarification? Sample guidelines for FFP/cryo and platelts - UK
same as Donna
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Non-RBC transfusion reaction
Same as DPruden
- Engineering controls/barriers to prevent errors
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Product Read back content- at Issue and Bedside---Question?
My answers are below When issuing to a runner, does the tech issuing blood do a readback of patient and product demographics, blood type, DIN, etc. when they pick up blood?NOFor Patients with antibodies, ( if you issue to runners vs. through pneumatic tube) do you include patient antibodies on the crossmatch tag/label, and if yes, is it part of a readback between the tech issuing and the runner?Results of antign testing are included on the label. We do no read backIf you do not perform a readback at issue with the runner or you use the pneumatic tube, is the antibody status, or antigen negative blood requirement verified at the bedside by the transfusionist during the readback prior to the start of transfusion?No
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MTP and Return of Plasma
Hi Lisa, what blood type of plasma do you have thawed?
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NHSN Hemovigilance Module
I agree with all posts. It took too much time and good luck trying to install on your computer.
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Ever have antibody panels not reacting the way you suspect?
...but techs read the SOPs. Maybe your SOP needs to be rewritten for cases like this?