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May 2024 Challenge

R1R2

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Everything posted by R1R2

  1. R1R2
    So AABB, CAP go see what is going on in Dialysis in respect to stem cell collection?
  2. R1R2
    There are some cheap min max thermometers out there that now have an alarm feature. If your fridge is close enough so that staff could hear an alarm you could probably get away with that. I also saw this recently and thought is was "nifty": http://www.thermoscientific.com/en/products/wireless-monitoring-solutions-cold-storage.html Smart-Vue wireless temp monitoring
  3. R1R2
    Hi all, The apheresis (stem cell collection only) part of the Transfusion Service is splitting off and will now become a separate hospital department. In the past, CAP would inspect the apheresis department with the rest of the Transfusion Service as well as FACT. After splitting off, what is the minimum that will be required for certification or accreditation. FACT will continue to inspect.
  4. R1R2
    Did you inspect the A units? Can you run them in gel without patient plasma or with a different patient's plasma and see what happens?
  5. R1R2
    What was the immediate spin crossmatch reaction with A cells?
  6. R1R2
    I would also suggest you run your old system in parallel with the new system for a few months to identify any issues.
  7. R1R2
    1. How many sensors per device did you install? 1 sensor per device. We have single, double and triple door units. We do not have any walk in units. 2. Do you maintain liquid in glass thermometers and record those temps in your devices after validation of system? We refer to a backup (liquid in glass thermometer or calibrated digital display) in the event of an alarm. 3. Do you physically observe temps daily or do you access the remote monitoring data? We take temps by logging into system. 4. What are inspectors (AABB, CAP, FDA) looking at during your audits after system go-live? CAP/AABB/FDA barely looked at anything and I was ready! I can't help you there.
  8. R1R2
    ditto
  9. R1R2
    Me too, we sent it back to the manufacturer.
  10. R1R2
    What do you do for other send out tests? Somewhere, somehow agreements have been made with these facilities, mostly for billing purposes though. Maybe look at it from that angle.
  11. R1R2
    I would talk to your lab manager/Risk department.
  12. R1R2
    I assume that your lab has some sort of agreement (contract) in place? I would have an SOP at your facility and a corresponding SOP at the other facility spelling out who does what and when. I would make sure that the hospital is up to date with their accreditation too. We supply blood to a rehab facility. I review their blood admin policies, transfusion reaction policies and specimen collection policies. I provided training to the rehab facility on using the blood transport/storage coolers. I perform blood administration audits at their facility and provide quality data for their quarterly QA meetings.
  13. R1R2
    I just reviewed the insert and controls are recommended, not required. You will have to decide if you want to use a weak D cell as a positive control.
  14. R1R2
    In my experience, most of these babies are truly Rh negative. I think cost and time are major reasons for resolution for positve DAT when weak D typing needs to be performed. KB is expensive and time consuming. Each vial of RHIG is >$400. EGA treatment is less than $100 and takes just a few minutes. I like the mild heat elution method too
  15. R1R2
    I would validate with cold FFP otherwise your cooler probably could not validate past one hour. I wouldn't extend cooler validation time past 6 hours. After MTP, I would take the temp of returned FFP and discard any not within acceptable temp.
  16. R1R2
    we have prepackaged/pretagged O negatives ready to go. I think it is a good idea to record visual inspection of these units before issue. This inspection can be recorded on a log somewhere or on the emergency release paper work. We obtain physician signature after emergency is over.
  17. R1R2
    I understand your concern and would first want to identify a cold by running appropriate tests before jumping right to prewarm and assuming that because reactions went away that it was due to a cold. Many years ago when I was a new supervisor, I observed exactly what you described and was bothered by it. I reviewed past workups that were identified as cold abs and found that many were really wishy washy anti M's. I did find one Fya that was reacting sporadically with only double dose cells. The way they performed antibody id was quickly changed to stop the practice of prewarming away unexplained reactions.
  18. R1R2
    I agree John, I don't see a problem either.
  19. R1R2
    we don't keep thawed AB plasma on the shelf because of limited availability but we do keep the other types. We waste several every month doing this. I am OK with the waste. Having thawed plasma on the shelf, ready to go, helps with the workload when I have limited staff on some shifts.
  20. R1R2
    It is not very often that I make a copy of a record. What are you copying? I would think this may apply to scanning records too. Sorry, I am no help.
  21. R1R2
    I like your last sentence!
  22. R1R2
    we would start with O neg.
  23. R1R2
    I agree Malcolm. I thought of that right after I clicked on "Post". May answer is based on a 300 mcg (or 1500 IU) dose.
  24. R1R2
    For determination if fetal bleed occurred a KB should be ordered. For RhIG administration, neither test is required becuase 1 vial should cover any amount of bleed.
  25. R1R2
    keep us posted
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