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Everything posted by R1R2
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Nonspecific Reactions with Ortho VRA panel
R1R2 replied to Erin's topic in Immunohematology Reference Laboratories
Yes, we are seeing nonspecific reactions, sometimes in a C pattern. -
Is yone using the Helmer remote alarm monitoring system RA1 or RA4. What do you think of it? Easy to set up and use? How far is the blood bank from the fridge?
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You should have a process in place to monitor temps of units sent to the OR and then returned to you if you plan on returning them back into inventory, i.e. Safe-T-Vues
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I agree with Dansket.
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I didn't think you could do a rosette test predelivery, regardless of gestation age?
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We may run an autocontrol if the specimen is grossly hemolyzed, but not for slight hemolysis.
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How do you transfer the units to the real patient?
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Too many inspection agencies, IMO. I would think that an OK from AABB would trump TJC.
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Competency Assessment in the Transfusion Service.
R1R2 replied to goodchild's topic in Transfusion Services
Excellent article with a lot of valuable and useful info. -
unstabe patient and they wanted blood at the bedsidesatelite fridge out of orderMTPstore blood at bedside for red cell or plasma exchange transfusionsend blood with unstable patient to another hospitalship blood to another hospitalWhat type of situations were you asked to provide a cooler of blood?
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Did you try anti D and c combo?
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I can't find in any checklist that this test is required at the site where the crossmatch is taking place. The only requirement is that the test is performed on an integrally attached segment before crossmatch. Perhaps I am missing something?
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A contracted agency performs inpatient therapeutic phlebotomies. They also perform plasma, red cell exchanges.
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Does anyone's blood center or blood supplier perform donor retypes (from an integrally attached segment) for you?
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Thank you for your response. That was my thought but I wanted to make sure. Actually, the infusion center is inspected by DNV.
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Hi all, The laboratory currently performs therapeutic phlebotomies on outpatients. We will be discontinuing this task and it will be taken over by an outpatient infusion center. In the past, CAP inspected the laboratory and their therapeutic phlebotomy activities. The outpatient infusion center would like to know who will be responsible for inspecting them now that they are performing therapeutic phlebotomies. Does anyone have a similar setup?
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I agree 100% with you on this one Malcolm. This is something I have experienced in the blood bank many times.
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I mean one person checking TAR, tag, blood label and patient armband and then giving the TAR, tag and blood bag to another person for them to check TAR, tag blood label and patient armband.
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Hi all, Do you know of any nursing staff/transfusionists performing an independent double check of transfusion administration record, unit tag, blood bag label and patient armband as opposed to a read back method to confirm all information is correct? Do you think an independent double check is a good method to check for errors in this part of the transfusion process?
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I heard the same. Do you have a tube system?
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Are their legs broken? Who's going to prepare the products if the blood bank tech is delivering blood products?
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Complaining to the director already, during training? That's a big red flag!
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IMO, I would keep it. You issued blood without completion of pretransfusion testing. If you didn't have the form, how would you show an inspector that is was an approved deviation? Also we allocate the unit(s), issue and return them in the LIS with appropriate comments that this was an emergency release.
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Spiked units of blood - return/reissue question
R1R2 replied to Amber Gaucher's topic in Transfusion Services
we would not accept it back. We would advise that any blood left after 4 hours of starting the transfusion be discarded. -
I agree with Pavel and thank goodness most of us have computer systems that would not allow #1.
