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Everything posted by Mehaffey
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Temp of units while receiving to inventory
Mehaffey replied to pbaker's topic in Transfusion Services
We use "cold blankets" that we place on a cart then cover the units with additional blankets while we work on them. The "cold blankets" are plastic sheets of liquid in little squares. We keep them in the refrigerator and use them at the bench as well as when logging in. -
I was wondering if those of you who have irradiators in their blood banks have had to tighten up the security of the area? If so, what measures have been required? I am wondering also if the requirements vary with the type or size of the facility. For instance, I work in a large teaching hospital affiliated with a university that holds the license for the irradiator. Our irradiator is in a room behind a door guarded by an electronic pad which requires us to wave a "fob" at it to disarm the motion sensor alarm within; then we have to have our iris scanned before the door unlocks. There is also a camera within the room and a "panic bar" to push that calls security if we are attacked while inside this room. We are fingerprinted and have FBI checks before being allowed access. I have friends working in a smaller, non-university hospital that only requires a locked door with a keypad. Just wondering how everyone else is fairing under Homeland Security's new regulations...
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I work in a hospital that does differential adsorptions for warm autos. We identify and/or rule out alloantibodies and crossmatch using the adsorbed plasma. My question is: even though the crossmatches may "appear" compatible in vitro, they are not really compatible in vivo. All we have done is to make sure there are no alloantibodies present. The patient's autoantibody will react to the transfused cells, causing further hemolysis. The units go out on these patients as compatible, and the doctors do not have to sign for them, even though they are not truly compatible. I am wondering what the policy is in other hospitals regarding these adorbed-plasma-crossmatched units being called "compatible" vs. "incompatible" and the doctors having to sign for them. I'd appreciate hearing everyone's idea on this. Thanks.
