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May 2024 Challenge

jcdayaz

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Everything posted by jcdayaz

  1. jcdayaz
    Esther, Please do not rely on the advice of your pediatrician in this case. It is most assuredly NOT wise for you to donate blood for your baby. Consider this...if your baby does have an "issue" due to your antibodies, you don't want to potentially introduce more of those same antibodies into the baby's system. Yes, washing removes almost all of the plasma from a unit of blood--ALMOST being the key term here. Also, it is not standard practice for any Blood Bank I have ever worked in to wash cells. Now it is left to the reference labs--you are looking a huge time delay there. It is most certainly better to have your baby transfused with donor blood that is negative for the antigens that you have antibodies to.
  2. jcdayaz
    Do you have any choice about using Cerner? If you do--RUN from it. I have been a BB speciality Tech for 16 years. It is THE WORST computer system I have ever worked with.
  3. jcdayaz
    AHG crossmatches on the PV are the way to go. We affix a barcode from the back of the unit (ISBT is not fully in place yet) and the PV reads the numbers just fine. You always have the option of entering the numbers manually if that doesn't work for you. Our PV's are not interfaced with our LIS at all. We print results and then enter everything manually into LIS. Just another downfall of our "new and improved" computer system.--- Really? There are some of you out there still doing IS crossmatches? I thought that practice was dead and gone years ago!
  4. jcdayaz
    We call L&D and/or the DR's office anytime we get a positive screen that appears to be "Anti-D". We don't work it up at all. We note the date of Rhig administration and add to the patient's report that it is "presumably due to Rhig administration on _____date".
  5. jcdayaz
    Whoa! We changed to Cerner from Meditech @ 1 1/2 yrs ago. It is THE WORST computer system I have ever had the misforturne of working with. I have worked with multiple systems....and I say honestly--Cerner is horrid. Save yourself a lot of heartache and don't switch!! Their tech service is horrid, response time is horrid, there are too many "steps" involved in performing ANY function...ugh..SO not user friendly. We all hate it!! Don't do it!
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