[References]

Hi.  I am trying to decide how to cite references for the AABB technical manual and the Standards for my SOPs. Currently I cite the actual edition we are using however when I had my most recent inspection, the inspector suggested I use "current edition" in my references.

Does anyone do this and do you have a form that cites the current references in use? If so I would love to see your form.

Thanks.

[Internal Disaster Drill]

Does anyone have a could worksheet or form to use for a mock internal disaster drill? I am looking to address this AABB standard:

                                 

1.4.1

 

The emergency management plan, including emergency communication systems, shall be tested at defined intervals. 

[Downtime Labeling]

Hi. The assessor looked in our label book and all we had were codabar labels and no ISBT labels. That is why she cited us.

[Downtime Labeling]

we are a transfusion service.

[Downtime Labeling]

hi everyone! We had our AABB inspection yesterday and had one deficiency for labeling during downtime. Since we are on ISBT now, how do people ensure appropriate labeling of products during a downtime?

Thanks for your help!

[Uncrossmatched Blood FOrm]

We are working on our emergency release form for dispense of blood that is either not crossmatched or type specific. I would like to see what others use out there. If you are willing to post yours, please do so.

Thank you!!

[Positive DAT on Cord blood intefering with weak D test]

We consider the baby Rh neg Weak D unable to determine and do a FTLS and give Rhogam. Better safe than sorry.

[Yeast in screen cells]

Actually we have had trouble with Immucor cells becoming brownish. And yes there was yeast when we did a gram stain. I have had the techs place some drops of cells in a separate tube before entering with a pipette to see if it helps with contamination. We found that people were most likely contaminating vials when they went directly into the vial with a pipette.

[Patient information change]

If the name, MRN or birthdate changes, we require a new sample to be drawn.

[Rhogam Post Amnio]

We do an ABO/Rh/ antibody screen and fetal screen.

[Rhogam Post Amnio]

All,

At our facility we require a "post" amnio sample before we dispense Rhogam. This is for patients over 17 weeks. What does everyone else require? I can't find anything in the literature stating the sample has to be a "post" amnio sample.

Thanks!

[FDA reportable?]

the physician did approve release of incompatible units, however was unaware the absorption had not been completed.

[FDA reportable?]

Do you think this is FDA reportable? I am leaning toward "yes". A patient had a WAA. It was positive in gel, LISS and at 30" saline. Patient has not been transfused since 2005. Our SOP states an absorption needs to be done to rule out clinically significant antibodies. Absorption was not done. Physician signed form for incompatible blood. Two units were dispensed to the patient.

Thanks!

[Quality Control of Washed Cells]

Thank you for your help. We took off a sample from the post washing and it was grossly hemolyzed, which doesn't make sense to me. Do you use the supernatant from your waste line or do you go directly into the unit?

[Quality Control of Washed Cells]

We have the Cobe 2991 Cell Washer and support 1 patient at our facility with washed red cells every 2-3 weeks. Our current Quality Control procedure is 80% red cell recovery using pre and post hematocrits on the unit that is washed. I can not find any literature stating the standard for acceptance. Our QC is running lower than 80% and we have had the machine serviced by Cobe. We

were trying to use protein removal as a standard however all samples we use are grossly hemolyzed.

Does anyone still use the Cobe 2991 Cell Washer and what do they use for a standard for their QC?

Thank you!!