Mary Ann

Have him order a type and screen,to rule out any antibodies,this will allow a units to be added on if needed. In regards to FFP,cryo,plts this sounds like DIC not a C-section.Anyways if he insists thaw 2 AB FFP and have plts a phone call away.The cryo thaw as needed-low fibrinogen or low angle read on a TEG.Did you mean type specific blood after 10 units of Oneg prbc's? Good luck:DHappy Thanksgiving!

Hi Malcom! Tell me about tile,is that another word for tube? I find you so fascinating it would be a real treat for me if I could someday visit your lab,I still can't get over the fact you knew Coombs.Happy Thanksgiving from Austin,Tx Ya'll:cool:

Hi, The cord blood provides enough rbc's for testing due to having a higher hgb compared to someone with a hgb of 3 and it is really nasty to pipet out the rbc's. I would like EDTA,although sometimes the clot is used for bili and thyroid testing. Happy Thanksgiving!

REALLY? Ask the Trauma committee,"how much training do they have in transfusion medicine",most will say very brief.What does the FDA and Joint Commision dictate,Yes identify your patient-assigned trauma name etc.The paperwork comes later? yea right,sounds like you will continue to label or tag units,don't worry-business as usual.

Yes,my facility issues cards and can be most helpful.

The patient is A pos with an acquired B due to the bacteria,thanks for sharing this.

The hardest part of my job is documenting and calling the floor for recollects,wrong identifier-typenex id torn from sample and patient's deciding on what name to use.I dislike hyphenated last names-keep it simple folks.OK, sometimes the name is like a novel and will not even fit on their hospital band.Blood bank must be labeled by the bedside taken from patient's hospital band.So if the band has Jane Plain-thomason... that's whats on the label with mr number specific for that patient with typenex id. 2. Hospital band is required-with typenex for proper identification in administering blood products.BLOOD.NO exceptions-in fact DNA testing labs will charge a fee for each incorrect identifiers.If govt wanted to fine for mislabeling-your manager would improve the process.Core lab has generated test labels.Remind your manager clerical error is the number one cause of transfusion reactions,sounds like they think blood bank is just too picky,what's there to it.I bet they have never worked bbk.SAD-we will continue being the safety police to cause no harm.

Does this patient have thrombocytopenia? WinRho requires the patient to be Rh pos for treatment and prefer Rh pos blood products to be administered if patient's vitals are unstable and include the path's involvement. Is his Dr an oncologist? Thanks for sharing:tongue:

Hi, We have the same requirement for incompatible blood,the path consults with the physician.

1 vial of rhogam-false pos on fbs due to Mom's weak D.

Thank you for the info and I understood your post.I will now go back to my emo corner.

Hi everyone, The SOP at my facility considers collection date as day 1 and clot expires day 3 at 23:59,if needed may extend to 11am(magictime) the following day. Then there's the 7 day clot for NPOTs to expire 2 days after surgery or on 6th day-extend to 7days if needed,depending on transfusion status.HCLL has an override option for 3rd day extension at time of issue. I have seen antibodies appear in 16 hours of transfusion from a patient whose band was cutoff,educational mishap.I look at the sample amount and if transfused with prbc's and don't do favors,follow your protocol.There is always emergency release-or 35 minute wait. Thanks,

Wishing all of you a safe and wonderful holiday! I am glad to have found this site, MERRY XMAS YA'll:) Mary Ann Hopkins MT(ASCP) from Austin,TX.

I'm with you on that one,I thought ABO type can change up to 3 yrs for newborns and our facility uses peripheral blood sample for neo transfusion never cord blood samples.Interesting! Have a good one.

The FBS will detect rh pos cells,your mom is weak D,cannot use test. The KBstain is used-neg would equal 1 vial.

Hi to everyone, I work in transfusion services for Seton Medical Ctr{500 bed hospital) in Austin,TX. We do not use automated testing,I like the opportunity to discuss bloodbank with people from all over the world and learn new things. Glad I found this site.Have a good one! Mary Ann Hopkins MT(ASCP)

The RPR rotator was the platelet rotator at some facilities.I understand that transport does not require rocking for 24hours-upon arrival the hospital is responsible for temp monitoring and rotating. The transport of blood products have different storage temps from blood fridge 1 to 6c and cooler transport 1-10c.

Yes,Doctors only receive 1 hour of bloodbank training and signing an emergency release form with a little knowledge is unsettling for them,have your path enlighten them on protocol and product availability.Education is the key,don't give up.

I had the strangest specimen sent for a type and screen,a clot from a colostomy bag. Excuse me, The nurse was told by the dr to collect clot for tys. After my long explanation of why we don't use colostomy bag clots for any blood bank tests.Arghh! So, I called the Dr. to question him about the order. His response was she did'nt collect it peripherally? I spoke with the nurse again,she was apologetic and told me it took her an hour to get that clot from the bag.Wewww! The order was for her to remark on the clot size in her notes and type and screen to be done.mmm! what do you say to that.I never saw that nurse again,imagine that! Thanks for letting me share, Mary Ann

The chemistry tests are appropriate for a hemolytic transfusion rxn for monitoring purposes,not to be used as standard practice for every reaction with blood products.Our facility lists these tests for further investigation if needed,to be ordered by the pathologist. Thanks