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tkakin last won the day on February 18 2014

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About tkakin

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  • Birthday 07/13/1974

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  1. I frequently see cold auto's with negative gel....The gel is negative because incubated at 37 then spun. We would then detect the cold in the back type and/or immediate spin crossmatches. Sometimes I do detect colds that carry over into the gel and they are nonsense reactions. I tell all my staff, if you get crazy reactivity in gel try doing a short cold panel.
  2. We do not draw a post transfusion specimen on platelet or plasma transfusions, when a transfusion reaction is initiated. I was wondering if others have a specimen drawn for DAT testing? Or if it is standard practice to do only the clerical check? Thanks in advanceTeresa
  3. We use ice/water for quarterly temp checks.
  4. I do not use either of those computer programs, but we do have a procedure for emergency issue without patient ID that we use when a trauma is called that is likely to use blood...and w do not know who it is. Basically we send 2 uncrossmatched units to the ER, and find out who they went to when the specimen is received. Once we have patient ID we always emergency issue through the computer and label the units. A paper request slip is received each time products needed. However with an MTP we require only 1 initial paper request form for product then we auto fill the coolers with product...also all emergency issued with patient ID. MTP's can get pretty confusing, so we use a checklist to keep track of what we have sent out the door.
  5. No they are using Meditech. We are the primary lab for 2 different hospitals.
  6. We are currently moving from Meditech to HCLL. We are a unique situation, because we are 1 facility, however we do provide services for other facilities. this means our HCLL is set up as one location doing testing....only likes 1 medical record number. Sometimes we provide service for Hospital A and they transfer that patient to Hospital B. 2 different medical record numbers. Is there anyone else in this type of situation? If yes how do you manage patient histories. I was told we cannot merge them because it would archive one of the MR#'s and it would no longer be usable. Thanks
  7. For those of you who still use the Blood Bank armband. Can you give examples of how the Blood Bank banding system has stopped patient identification errors? Thank you in advance for your input
  8. Congratulations. I appreciate you and all you know. You have helped me enormously to make good decisions in patient care.
  9. I use log tag and I am very happy with them
  10. Would your freshly thawed plasma warm up your red cells, if they are in the same cooler? I am in the process of changing coolers from transport to storage.
  11. Yes our policy states to leave the line open with saline. Thanks for your input, much appreciated.
  12. I have a Pathologist who is requesting that all transfusion reaction workup draws be done peripherally instead of through a port/line draw. The concern by the Pathologist is that the product was transfused through the port, so the transfused product could be contaminating the draw. I have done a little research and have not found any info to support one over the other. As long as the port/line draw is done properly there should be no more contamination line draw vs. peripheral draw to influence the work up testing...right? The entire patient is "contaminated" with the transfused product.
  13. I do not open the lid intermittently, not a bad idea though
  14. I was wondering how other labs manage crossmatches with patients that have HTLA antibodies. I understand that if you had pan reactivity in the ID you would not expect there to be much chance of finding crossmatch compatible units and may give least incompatible and have the Dr. sign an increased risk form. But if you have variable reactivity including negative reactions in the panel and you are able to find crossmatch compatible units (but you have to test many units to find 1) would you try to find them or would you not look and just give Least incompatible and have Dr. sign an increased risk form? Personally I would test my entire inventory to find one that was compatible but I am not a blood supplier/reference lab.
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