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tkakin last won the day on February 18 2014

tkakin had the most liked content!

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About tkakin

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  • Birthday 07/13/1974

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  1. tkakin

    Gold Medal.

    Congratulations. I appreciate you and all you know. You have helped me enormously to make good decisions in patient care.
  2. tkakin

    TM Data Logger Evaluation

    I use log tag and I am very happy with them
  3. tkakin


    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.
  4. tkakin

    transfusion reaction post draw

    Yes our policy states to leave the line open with saline. Thanks for your input, much appreciated.
  5. 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.
  6. tkakin

    Cooler Validation Question

    I do not open the lid intermittently, not a bad idea though
  7. tkakin

    Return of used blood

    We save segments
  8. 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.
  9. tkakin

    Bubbles/Foam in platelet products

    I recently had an issue with this. How many bubbles is too many bubbles. I contacted our blood supplier and this is the answer I got. There is no gauge on bubbles. What they explained was the protein content in platelets can cause all the bubbles. If there is nothing else abnormal about the platelet (discoloration, distended bag, etc.) then it would be acceptable to use it. If this were me and I had any questions about the quality/safety of the blood product I would send it back.
  10. tkakin

    Occurrences to the FDA

    I wrote a procedure following the FDA reporting website instructions and by creating a report (not saving it at the end) in order to have step by step instructions. I also copied the list of FDA reportable offenses to the back of the procedure.
  11. How do I know when a lot to lot correlation is needed? Is there a standard that says a lot to lot is required? If yes what is it? I could not find anything in the AABB standards, CFR, or The Joint Commission. I could have missed it or misinterpreted it.
  12. tkakin

    plasma thawers

    I am looking to purchase a new plasma thawer. I have the Helmer DH4 water bath. I read your reviews on the microwave and it will not be a good fit for us, because we do not thaw enough plasma to warrant having a water bath and microwave. I read Aunte D's post that you use the Sahara III and I am intrigued. I looked it up online, but it doesn't give much info such as maintenance, limitations to products like the microwave has. I would be most grateful if you could elaborate on your thoughts on this plasma thawer and some of the problems you have run into with its use. I didn't see that it was FDA approved?? Does anyone use the Cytotherm if yes same questions as above. I appreciate your help
  13. tkakin

    Blood component order in the O.R.

    I have seen a vast improvement in physicians ordering unnecessary crossmatches by having the crossmatch to transfusion statistics, with a goal c:t ratio, reviewed at the Transfusion committee meeting. The hospital provides an anonymous list of physicians (they know who they are, but no one else knows who they are) so they can compare the data (competition). There are still a few physicians who order unnecessarily. We know who they are, and we set up units with long exp dates.
  14. tkakin


    I could not get my igloo coolers to maintain temps between 1-6 C. I found these really neat coolers from Camp-Zero. I am going to use the mint green for plasma and the pink ones for red cells. 2 Down falls 1. The latches are meant to keep the bears out! I figured it would probably keep the Dr.s and nurses out too, so I validated them for 24 hours with the lid closed, not latched. They maintain temps beautifully with the lid not latched. 2. Stickers don't stick to the plastic very good, so I am gluing the stickers on.

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