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Posts posted by R1R2
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On 12/25/2017 at 11:25 PM, Jane12 said:
Hi,
Happy Holidays to you all! Has anyone done a blood utilization survey required by FDA? My manager assigned me to do one for 2017. I have no idea what information is needed. I was wondering if you guys have any previous experience with it? Thanks for your time and attention.
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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For Type and Screen we use ambient 1 day and refrigerated 3 days.
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Agree with John.
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13 hours ago, Candybar said:
They are not able to start it. Hospital policy says the unit must be spiked within 30 minutes of issue or it is to be returned to blood bank.
How do you handle blood issued and in remote storage, i.e., a cooler?
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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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On 10/13/2017 at 11:03 AM, BldBnker said:
Why is the bedside type "going away?" We do that and have for years (decades), which has saved us on several occasions. It's cheap, easy and quick. Just curious.
One reason may be that a lot of labs can't afford a staff member to "disappear" for awhile.
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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.
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On 10/13/2017 at 11:03 AM, BldBnker said:
Why is the bedside type "going away?" We do that and have for years (decades), which has saved us on several occasions. It's cheap, easy and quick. Just curious.
I am curious...how are you doing the test, I am assuming slide, and how are you recording the results?
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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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On 10/1/2017 at 5:36 PM, EAB81 said:
So when you guys say for each method-- your techs are actually doing the physical work up? I'm asking because before I took over as BB Super, we were just getting panels already filled out with reactions, and we ID'd the AB. I'd like for all of us BB techs to be proficient as possible, but I don't think the previous method worked out real well. Any suggestions are much appreciated.
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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agree with Kate and exlimey
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Do you get a paper RBC orders?
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Very interesting. Do you know the reason for the incompatible transfusion? Can it be traced to a lab error?
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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!
Blood Utilization Suyvey
in Accrediting Agencies
Posted
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.