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jcdayaz

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Everything posted by jcdayaz

  1. jcdayaz
    Are you using the software? It is phenomenal!
  2. jcdayaz
    We also charge for only 1 panel if we resort to our Panel C-- ie. ficin treated panel along with a non treated of the same antigen status. Are we technically running 2panels, yes, but they are designed to be processed together.
  3. jcdayaz
  4. jcdayaz
    We also will issue multiple products on the same patient at the same time. Only in certain circumstances, however. As stated in previous posts, we confirm the patient has multiple infusion lines before doing this. We have blood coolers for transporting blood to the OR, ER, dialysis, or in rare circumstances the ICU. We try to never send products in a cooler to the regular floors of the hospital. Of course, we use our judgement to ascertain whether or not the cooler request is one made out of convenience or true patient need. We have had to discard several platelet pheresis units that were put in the cooler for "safe keeping" during surgeries. Therefore, we will not normally issue platelets with a cooler containing blood and/or FFP.
  5. jcdayaz
    Have any of you checked out the Antibody Identification Software at www.AntibodyCheck.com? If you NEVER again want to spend hours searching pages of panel antigrams for select cells you should look into it. It is reasonably priced (believe it or not) and has saved us in the last 3 years countless hours of Tech-time.
  6. jcdayaz
    We all also found this particular scenerio "odd" to say the least....We all fought over who was going to issue these products to this patient. We all refused. The BB Pathologist had to come issue them herself...This was in @ 1995 or so. Perhaps technology/anti-rejection drugs/whatever have significantly improved since then? I certainly don't know that to be a factual statement...just a thought. It was the ONLY experience I have ever had like that. We had never had another order for such a transfusion before or after this incident! Perhaps even the HLA wasn't a good match?? I certainly don't know..just another of my useless thoughts.
  7. jcdayaz
    Ha! My first job after college as a "real" MT was graveyards also--by myself I might add...Anyway, all the ancillary service people would hang out in the ER lounge if we weren't busy. We were all gathered around the pizza we had ordered when in ran this fairly young girl excitedly telling EVERYONE that she had a "rub.er" stuck and needed help!!!! I still remember the look on her face 17 years later!!!
  8. jcdayaz
    Oh!! How did I miss that?? GOOD ONE JOHN!! Oops. "How did I miss that?" is not one of those questions you want to hear from a Blood Banker!!! Or, I also dread hearing "ooops" and/or "Oh no!":eek:
  9. jcdayaz
    Okay, I have to stoop to ask....what is your "golf" statement in reference to? My husband? He is most assuredly not "one of those" DR's that we all hate!!! By the way....I have no doubt I would not have forgotten so soon had such an event happened....
  10. jcdayaz
  11. jcdayaz
    Refer to Malcolm's post. It is indeed true there is no such antigen as d. d, to my knowledge, is defined as the absence of D. Since it is so defined, I don't have any problem using d in my terminology.
  12. jcdayaz
    Nice paper, Malcolm. I enjoyed reading it. Thanks.
  13. jcdayaz
    I am also almost on the ground laughing!! This one is great!! Godd thing you had an inspector with a good sense of humor!!
  14. jcdayaz
    My experience with massive transfusion protocols refer to massive transfusion as the need for >10 units of blood within a 24 hr period. However, after 6-8 units of blood we would call the DR and "suggest" he/she begin replacing the other products as well. The DR's have always listened to any "suggestion" we have ever made. (In some small portion of their brain, I think they know what they don't know!!) At 10 units, I would add cryo to the list of necessary products....
  15. jcdayaz
    Wow! Scary! Both of my boys had this happen. Yes, I said BOYS!! With my first boy I freaked out and called his nursery nurse into the hospital room when I saw blood in his diaper. She calmly told me it was very normal and very frequent for even a male child to have one "period". My experience was just a "spot" of blood also. Apparently it is due to our hormones being transferred to them? I know..sounds crazy!!!
  16. jcdayaz
    Oh My...Malcolm.. I was trying to reinforce John's "what did I have for breakfast" statement. I felt I went a smidge overboard in my response to his post. Joke, TOTAL JOKE!! No Tryst. NEVER!! I know you were joking, but I wanted to clear it up for everyone else!
  17. jcdayaz
  18. jcdayaz
    We have had multiple presentations of + fetal screens with Immucor and negative Kleihauer's. After the trend was recognized, we called Immucor. Their response was "If the patient's reaction is not AT LEAST as strong as the positive control, call it negative".
  19. jcdayaz
    On another theme running through this thread, Dr Brian McClelland, writing a chapter in "A Manual for Blood Conservation" (and not, as I put in my book review by error, "A Manual for Blood Conversation") edited by Dafydd Thomas, John Thompson and Betty Ridler, 1st edn, tfm Publishing Limited, 2005 (and a thoroughly good read, I might add) said, "Transfusion has risks, but bleeding to death is fatal." :D:D:D:D:D
  20. jcdayaz
    HaHa! Perhaps some over-powered Wheaties for breakfast??! I agree entirely with what you have posted. Yes, we should always try to give antigen appropriate blood if we are able. However, we should not let a patient die because we have run out of c neg units (or whatever the specificity)!! Your "wise old ER DR" was indeed VERY wise. We have to be able to use our training and experience to make these sometimes difficult decisions. When a patient is in a crisis situation...your wise BB'r is right...get the blood type right and you are good to go. Esophageal varacies=BADNESS. I have UNFORTUNATELY seen a few of these patients in the acute phase....it is UGLY!!!!! Wow John, did you and I have breakfast together this morning and I forgot all about it?
  21. jcdayaz
    I believe you are correct. My husband is a pediatric ophthalmologist. In dealing with the pediatric population he has mentioned in the past the potential "legal issues" he could be faced with if he botches a surgery or whatever. I have heard reference to the 21 age limit several times. I would presume it to be universal among all types of pediatric practices.
  22. jcdayaz
    Malcolm, Does "Consultant" mean DR or Pathologist in the UK? I must confess to enjoying seeing the different terminology used in our countries!
  23. jcdayaz
    We do the same at our facility. We no longer antigen type donor units for M, P1, Lewis's, and more I am not remembering right now because I should still be in bed. We give AHG compatible units for those antibodies.
  24. jcdayaz
    In the UK is your source of "AntiD" not Rhogam? Ours is and has been proven to be VERY safe. I have seen several presentations, back in the day of tube testing, of both weak D's and mosaic D's present with an Anti-D. Yes, very rare...but I have seen it.
  25. jcdayaz
    I concur with Malcolm. You can potentially get all different strengths of D reactions depending on which partial/mosiac/etc types you are dealing with. We do all our testing in gel..so even weak D's and Mosaics typicaly react @2+. We would just result them as Rh Pos. It never hurts to give a patient Rhig if they didn't really need it...It does hurt the patient if you don't give it when they do need it!!
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