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cassinnc

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Everything posted by cassinnc

  1. We have always separated our serum from the cells for testing and storage. We now use EDTA pink top tubes for testing and I was wondering if we still need to do this. What is the practice in your facility? Thanks!
  2. I am wondering if anyone else using Meditech for their LIS and HCLL transfusion in their blood bank. If you do, how do your phlebotomists get a label to draw patient specimens? We currently have a duplicate order that generates a label in Meditech and then an order in HCLL. We would like to get rid of the duplicate orders. Any suggestions?
  3. I have been a BB supervisor for 15 years. One thing that has worked for me is to include the staff in the changes that you intend to make. Tell them your ideas and get their feedback. Sometimes they have good ideas that you may not have thought of. Another thing that has worked for me is to be a team player. Let the staff know that you are approachable. Always be willing to help when they really need you. If you show yourself as a team player, you will always have their help when you need to get projects done. " Do unto others as you would have others do unto you." As far as your family life, make sure you make time to enjoy your family. Your toddler will soon be in first grade and you will look back and wonder where did the time go. Do not take work home with you, if at all possible. Once you clock out, your time should be dedicated to you and your family. I wish I had done this. I tried so hard in the beginning to do the impossible and I have so many regrets. For your CAP accreditation, take each checklist question and answer it with references from your SOP's, documents, and records. Have this documentation ready and available for your inspector. It will show that you are prepared and the inspector will not be so eager to find a problem area. If your facility is AABB accredited then you should be in good shape for a CAP inspection. I hope all goes well for you! You made a great choice and it appears that you have a good support team. Welcome to BB talk. This site offers great information!
  4. Thank you for supplying this reference!
  5. Sorry you had a bad day! I have had to throw in the towel on some of these type things myself. If the other facility comes up with something, can you post it? I am curious to know how this comes out. I hope you have a better day tomorrow.
  6. Are you using Immucor screening cells for your tube testing also? If you think the problem is with your diluent, then I would not use the diluent to resuspend the cells after washing them. If you are using Immucor cells in the tube and the Gel, I would try using another manufacturer such as Ortho for the antibody screen if you have them. If you have Immucor panel cells, I would run a few of them also. If all Immucor cells come up positive and other manufacturers come up negative, then you can assume that the patient's plasma is reacting with a component in the Immucor reagents. I hope this makes sense and helps.
  7. Thanks Terri! This is the same formula I have with similar sensitivity and specificity expectations.
  8. If you have performed studies to correlate the tube and gel methods, did you determine the sensitivity and specificity for the individual methods? If so, how did you perform the calculations? If you did not determine the sensitivity and specificity of the methods, how did you state your conclusion at the end of your correlation studies? We do not have a transfusion medicine pathologist and I want to make sure my statements are clear in my validation summary. We are switching from Immucor to Biotest in the tube for back-up, from serum to plasma, and from tube to Gel as our primary test method for antibody screens and identifications. Any help with this is greatly appreciated!
  9. I had a physician request O neg uncrossmatched blood for a patient. We had a current specimen and a blood type on the current specimen for the patient, so we sent type -specific blood to the ER. The ordering physician called and was angry that we had not followed his orders and refused to give the patient anything but O neg. He stated "I ordered O neg blood not type-specific."
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