In the latest edition of the Technical Manual, the phrase "if the receiving facility does not allow crossover of autologous units," page 250 wondering how many facilities allow crossover of autologous units into the general inventory. Thanks

how are people reporting their IS XM when it is paired with a gel crossmatch. In CErner Millenium we cannot order a IS XM and Gel XM on the same accession number and are you charging the patient for both tests?

Are you charging patients for both an IS crossmatch and igG gel? Also, how are you ordering and resulting, we have Cerner Millenium and it seems I cannot order an IS XM and IgG gel XM on the same, what we call accession numbers?

I give up! Even though I know that between my gel crossmatches and computer the ABO incompatibility would be detected, as of yesterday we are doing IS on all patients. I don't do electronic XM and don't see an alternative.

And so it goes.........

Who said it had to make sense?

:confuse::sarcastic:sarcastic

We will start receiving frozen pooled cryo from our supplier, does any know what HCPCS code (P code) APC code you use for thawing and charging for the product itself?

Thanks

Do most people practice pooled platelets/pooled cryo expiration date at dispense or infusion, in other words if a pooled platelet expires at 8pm and it is dispensed at 750, would you still dispense it even thought it probably would not be infused completely by 8pm.

Hello-

looking for input on drawing post-specimen for transfusion reaction investigations when the patient has expired? Some nurses are hesitant to drawing the post specimen leading to incompletion of transfusion reaction report.

VH

Do you test compatibility for each blood type?

Good Day-

interested in what people are doing in regard to LIS upgrades and validation testing, specifically are you testing every possible product, ie LPC CP2D AS3, AS1, AS5 etc... with every possible compatible and incompatible type in documenting built in flagging systems where applicable or are you only testing a subset of products/blood types. In your response could you indicate if you are currently AABB accredited.

Thanks....

VH

The provue cannot detect weak D. For pregnant patients, do most places do a tube test for weak D or do you accept the Rh negative result to protect against fetal bleeds. The weak D in the tube method could be from a fetal bleed in which case the weak D result would be inaccurate. What policy do most places follow in this situation?

Thanks

Hello-

wondering for those using this assay if you are testing random donor platelets individually or as a pool. If using a pool how many units are in the pool that you test?

Thanks

no, staff is not required to see the written order, they only see the product order which directs them what to set up.

Kim,

are you testing every RDP in the pool, or just sampling the pool? Thanks

I really like the current name, Blood Bank Talk. It just fits and its current name facilitates its mojo of being the goto site for blood bank issues

Hello-

what is everybody using for validation testing for RDP and Verax PGD assay when you use apheresis plts 98% of the time. Is there a substitute substance to purchase, just for validation purposes? Thanks

Hello-

what is aabb looking for if a patient has to be shipped out with blood products hanging or boxed up, does anyone have a policy written to that effect and do you require the blood tag to be returned to you filled out.

Thanks

Chris,

is your blood bank staff doing the testing of new products in Gold or test domain or is the LIS team taking care of that.

wondering how much support LIS gives on average to facilities out there; I am sure in the larger medical centers they pretty much do it all. To the viewers out there what tasks has your LIS team done and what have blood bank staff had to do.

Thanks

Hello-

is a second check for lableing products required for thawed FFP where the only change would be the expiration date on the bag?

thanks

In satisfying AABB standard 5.1.6.3.1 how do most places document the second check or does the process just need to state the process of the second check on modified products like pooled cryo.

Thanks

Is there any reason a rbc crossmatch would be incompatible on manual gel but compatible on provue?

VH

Like to take a poll of those who have validated coolers, igloo containers, to satisfy aabb. Have you done it in a real transfusion scenario, following the transporter to the unit and taking temp or have you done it in a non-transfusion scenario, taking a unit out, putting it in an igloo and going to the floor to take temp when a patient was not being transfused.

Thanks

Your medical director would likely refuse issue of Novoseven in a trauma situation if they knew the patient was on Coumadin, since they have to approve it, I can only think they have to look at patient meds before approval.

Would you be able to differentiate your OR patients that are on Coumadin, in other words regardless of the trauma, you would never give NovoSeven if you knew they were on Coumadin in an OR bleeding situation?

Does anybody issue NovoSeven for the OR in emergent cases for patients on Coumadin?

Thanks,

VH

Given a standard volume for exchange, what is the ratio of red cells to plasma, 50/50?

VH