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Everything posted by R1R2
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I was not going to say that I promptly threw it in the circular file because I was afraid of being "shamed" for doing so but I threw it in the circular file promptly.
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Are you sure that the survey is required by the FDA? I remember one from a few years ago and it was from the AABB and not required so I did not do it.
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as well as you and your family Malcolm
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I think upon hire. Not really a competency, more like training.
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I implemented training for the couriers. It was a PPT that their boss gave them to read and sign off on. Basically, go directly to department promptly, avoid hot or cold temps, give to responsible person.
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For Type and Screen we use ambient 1 day and refrigerated 3 days.
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Agree with John.
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How do you handle blood issued and in remote storage, i.e., a cooler? -
We are not informed of transfers and the status of blood products to be transfused or transfusing. Can you change that time limit in EMR? If not, what happens if it is greater than 30 minutes? Are they unable to start the transfusion or they just get warnings?
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I have seen dosage a couple of times and a >K reacting at room temp only. I agree with Malcolm and his reasoning why K+k- cell is not required to rule out >K.
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One reason may be that a lot of labs can't afford a staff member to "disappear" for awhile.
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Rh-negative: Positive anti-body screen first pregnancy
R1R2 replied to Kimber2018's topic in Patient Questions
Congrats!!! If by "weak antigen positive; unable to isolate" you mean positive antibody screen unable to determine specificity - I would not worry about this. There are many reasons for a result like this., too many to go into detail. IF you are in the US, the methods used in antibody screening and detection are very good but false positives do occur. A repeat at 16 weeks is a good idea. Don't worry and keep us posted. -
I am curious...how are you doing the test, I am assuming slide, and how are you recording the results?
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this frequency increases as it gets closer to the end of the shift and time to go home in my experience.
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we use QuickVue+ from Quidel. 4 drops, 3 minutes.
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It is mentioned in the Circular of Information which is prepared jointly by AABB, the American Red Cross, America’s Blood Centers, and the Armed Services Blood Program. https://www.aabb.org/tm/coi/Documents/coi1113.pdf "Aseptic technique must be employed during preparation and administration. If the container is entered in a manner that violates the integrity of the system, the component expires 4 hours after entry if maintained at room temperature (20-24 C), or 24 hours after entry if refrigerated (1-6 C)." "Transfusion should be started before component expiration and completed within 4 hours. " Not sure where the 30 minutes comes from. Some institutions have used "promptly" and then have gone on to define what promptly means, i.e., 30 minutes, 20 minutes etc to allow time for patient identification etc.
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I think your process is OK. If they are already being assessed on indirect coombs in gel, tube or whatever, giving them a panel sheet with reactions to identify the antibody is acceptable IMO.
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incompatable ABO transfusion to sickle cell anemia patient
R1R2 replied to emadlabs's topic in Case Studies
perhaps her titers of anti A and anti B were low? -
Proficiency testing with different analyzers
R1R2 replied to DPruden's topic in Transfusion Services
agree with Kate and exlimey -
We solved that problem by dc'ing the policy that 2 must identify patient and include initials on the tube.
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Do you get a paper RBC orders?
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incompatable ABO transfusion to sickle cell anemia patient
R1R2 replied to emadlabs's topic in Case Studies
Very interesting. Do you know the reason for the incompatible transfusion? Can it be traced to a lab error? -
Yes it is an FDA reportable. Not issued in the LIS.
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What were the blood types of mom and baby?
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welcome James!
