cassiepenn

Hello, I am curious to see how many Critical Access Hospitals have a Blood Bank System. If you have a system what are you using and how did you get administration to approve the system? Thanks, Cassie

We currently do skin grafts with AlloSource. We have a surgeon that wants to bank the left over skin. According to the package insert the skin is only good for 24 hours once thawed. However, he says at the other hospital he does surgery's for they allow him to keep them 7-10 days in a special solution. My question is what is the liability of not following package insert? Any comment will help

I was wondering if there is anyone still doing antibody screens on postpartum RHIG workups? Anyone still doing 1/8 dilution?

How do you do your antibody screens gel or tube?

Quick question about the CLIA regulation. We use gel for out antibody screens and crossmatchs. CLIA is saying that if you are using gel for crossmatching then you wil not detect ABO incombatibility. I am wondering how othe labs are handling this. You can do an immediate spin crossmatch in the ABO gel card. We do not currently do ABO gel we do tube method. I am tring to find out if it would be better just to go to immediate spin crossmathing and if all is negative then stop there. Or do I go to doing ABO and immediate spin crossmatching on gel and do the IGG crossmatch. What are others ****? Thanks, Cassie

We are a 20 bed critical access hospital. We do not do many massive transfusions. We recently have had a patient that we have given a lot of units. Looking at our procedure it does not say when you should collect a new specimen. We currently go with the 72 hour rule. My question is should we redraw the patient and redo type and screen and more crossmatches on a new specimen. Thanks for any input. Cassie:confused:

Thanks everyone for the ideas and thoughts. ARC was able to id anti-e unable to say for sure if allo or auto. They are pretty sure it is auto because every crossmatch is incompatible. They sent us units that are negative for anti-C, anti-e, anti-JKa. Our pathologist talked the oncologist out of the transfusion for know. They are going to recheck hgb on monday. One question I do have is if it is a auto antibody then why did we have one unit that was compatible with gel. She did recieve this unit last sat 7/4/09. She did not have any problems. Thanks Cassie

We recently have a patient that we frequently transfuse that has developed anti-C and anti-JKa, this last time we sent her blood into ARC to work up and they say she has a warm autoantibody. We use gel technology 4 out of 5 units were incompatible. They did the crossmatch on three of the units with tube method and liss and got compatible. How is this possible and is this acceptable. I am tring to figure out a safe way to transfuse her. We have not had any one with an warm autoantibody so we are usure on our next move.