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Everything posted by R1R2
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I agree with you and don't they keep the line open with saline or is that old school?
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Transfusion Administration Records (TAR)
R1R2 replied to ADawson's topic in Computer Systems / Software / ISBT128
What is Mobilab? Bedside labeling system? -
Could be an anti A1 but curious as to why this did not show up in reverse type? Also, what type of crossmatches are you doing? Immediate spin?
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Let's say the specimen is going to expire at midnight, the red cell is still good for a couple of weeks, will you issue the product at 11:45pm knowing they will not infuse it before the outdate of the specimen? Yes, I would issue the product with 15 minutes left on the clock. The patient requires a washed platelet. It only has a four hour outdate from the time you start washing it. It's going to outdate in 10 minutes, do you still issue it? Yes. but transfusion must be started before product expiration per Circular of Information. Close communication with nursing is important.
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Good 1st question and I don't know. For the second, if the reagent is licensed and approved for what you want to use it for I would do QC with current and new reagent and quickie comparison .- say a weak, mid strength and strong reaction on a couple of samples. The goal would be that the new reagent compares with the current and reaction strengths do not differ by more than 1 (or whatever you decide).
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Gel and tube discrepancy in antibody screen
R1R2 replied to radwan1411's topic in Transfusion Services
There is no required number of samples to use for method comparison. I would suggest 1 pos, 1 neg for Rh and antibody screen and pick your samples wisely - a nice strong K or anti D to eliminate those pesky (expected) discrepancies between different methodologies and required corrective action. -
Hi all, How are you complying to GEN.43825 Result Verification - Manual and automated result entries are verified before final acceptance and reporting by the computer. This verification is by the POC tester and not the POC Coordintor or other supervisor. The CAP inspector suggested a pop up box to prompt user to verify results before accuracy. Thanks in advance
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Returned blood bags are a risk and an outdated practice IMO. I have never seen one that didn't leak all over the place, floor, bag counter, fridge, even when placed in a plastic bag. And then there was the occasional needle to deal with. We save segments.
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can we use hemolysis sample to prepare blood units ?
R1R2 replied to emadlabs's topic in Education / Quality
I will use the hemolyzed for testing unless it has gross hemolysis. We use gel and the cell button/agglutination is rarely obscured due to hemolysis. I rarely have had to ask for another sample. -
I don't think you are violating any regulatory requirement to return blood within 30 minutes if they can't start the unit and they still want to transfuse. I think you are correct in encouraging them to complete within 4 hours instead of returning to BB and almost certain discard by BB.
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Just out of curiosity and in your experience - do you think most establishments report errors to the FDA or not?
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Thanks Cliff for the link. Lots of great information.
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I don't routinely perform linearity on our glucometers since it is a waived instrument and linearity on new meters is not required per the manufacturer. We use Nova StatStrip meters.
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Hi all, I am starting to see QC logs with an additional column to document that QC is acceptable to satisfy the CAP requirement below. I can see the usefulness of an additional QC acceptable column on logs in which staff record numbers, like ACT, that must be within a certain range. I see the extra column as a way to remind the user to go back and look at your results and do they fall within the acceptable range. Does anyone else do this? TIA POC.07540 QC Confirmation of Acceptability Phase II The results of controls are reviewed for acceptability before reporting results. NOTE: It is implicit in quality control that patient test results will not be reported when controls yield unacceptable results. Evidence of Compliance: ✓ Written policy stating that controls are reviewed and acceptable prior to reporting patient results AND ✓ Evidence of corrective action taken when QC results are not acceptable
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physician responsibility but blood bank pulls a report of baby/mom blood type next day to review and make sure that RHIG was given.
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With your many years of work experience, have you thought about studying on your own and taking the exam?
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You may want to drop CT ratio since you implemented electronic crossmatch. Generally, it usually drops close to 1:1 if you are not setting units up in anticipation of usage. Your computer system will check to make sure that patient is eligible so that is probably not a good monitor. I can't think of a thing to monitor for electronic crossmatch.
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Are you performing electronic crossmatches? How about autologous blood use/waste, corrected reports, FDA reportables?
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corrected reports, FDA reportables
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Yes, what he said.....
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agree with pinktoptube
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Don't know if someone mentioned this idea earlier, but did you try serum? Reactions may be inhibited or weak if using EDTA plasma.
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we use a dilute anti-D with a 2 cell screen.
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makes sense, I did the same for blood gas tests.
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your state health department, i.e., CLIA. There are forms on the state website.
