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tricore last won the day on June 27

tricore had the most liked content!

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  • Gender
  • Interests
    Reading and more reading. Travel to national parks. Used to shoot sheet not really well but good enough that I didn't embarass myself in front of the "boys". Whatever sport my grandsons are playing, mostly baseball. former aaBB assessor, former Cap inspector.
  • Biography
    Grew up in northern New Jersey. College -Rutgers. Med Tech since 1966, blood banker (SBB) since 1978, IT analyst (blood bank) since 2003.
  • Location
    New Mexico
  • Occupation
  • Real Name
    Michele Landells

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  1. We started using the computer crossmatch in the old Hemocare system in 1997. Back then you had to apply for a variance from FDA. FDA made me jump through hoops before they would grant the variance. They did not publish the guidance until 6 months after we applied. Had to prove the system would not you set up and issue an incompatible product, i.e., issue an A to an O or AB, etc.; that you could not perform an EC on someone with an antibody; that there were two ABO/Rhs on file. We had to send them the evidence that we crossmatched every ABO group against every ABO group to prove the above. The next year I guess they decided that we were not killing people and so you did not have to apply for a variance anymore, but, had to have your validation available. Have to redo the validation with every software upgrade.
  2. I think Anita Lui was a blood banker in New Orleans. I was there 1977-78 when I first heard of the Lui elution. I believe it was first published in the South Central Association of Blood Banks' Journal.
  3. It seems like a problem with the hydraulic fluid, not enough being pumped into the bowl.
  4. I don't remember the original paper (>40 years ago) by Anita Lui using albumin.
  5. How many of your blood banks order the the RHIG (Rh Immune Globulin) workup (fetal screen) after performing testing on the cord blood (ABO/Rh, DAT) and finding that the baby is Rh Pos? Do you then look up the mother and if she is RH negative order the RHIG. Or, is it the responsibility of the physican?
  6. Document, document, document. I have had several employees who were hired by the evening shift and expected to work in blood bank (generalists) who were totally unsuitable to work in blood bank. Fortunately management listened. It helps to have a very involved Medical Director.
  7. Love it. And, snow flakes too. Especially needed. We are in the middle of a computer upgrade.
  8. **REVISED** 08/21/2017 TRM.41350 Compatibility Label/Tag Phase II A compatibilityBefore issuance, a label or tag including the following information is securely attached to each blood or component unit before issuance, and it remains attached until completion of the transfusion.: ● NOTE: A label or tag must be securely attached to every unit before issuance and remain attached untilIdentification of the transfusion is completed. The label must include appropriaterecipient with two patient and donor identifiers ● Blood (or component) unit identifier ● Recipient and donor blood groups, andtypes ● Interpretation of crossmatch testing interpretations.tests, where applicable ● Donor unit expiration date and time (as applicable) ● Special transfusion requirements (if warranted)
  9. Has anyone received a reply from any vendor as to why the disclaimer? Found this: http://nowiknow.com/the-war-against-pyrex/ ....For decades, Pyrex was made of borosilicate glass, a special type of glass in which boron oxide is added to the mix. The added boron allows Pyrex to handle heat much better than typical glass, ... As a result, the drug trade needed to find another way to obtain borosilicate glass.... An uptick in theft from an unlikely place. As PopSci so eloquently notes, “[the crack-making] industry was forced to switch from measuring cups purchased at Walmart to test tubes and beakers stolen from labs.” First it was the scales and balances now test tubes!!!
  10. Did we find out if we can get blood collected in glass bottles? Are they still manufactured? I haven't seen drawn blood that way since 1968! It is an open system since the needle does not come attached to the bottle.
  11. Format: Abstract Send to J Allergy Clin Immunol. 1978 Jul;62(1):30-2. Allergy to a product(s) of ethylene oxide gas: demonstration of IgE and IgG antibodies and hapten specificity. Dolovich J, Bell B. Abstract Patient D.H., on chronic hemodialysis, developed severe allergic reactions after exposure to articles such as plastic tubing and hemodialysis supplies which had undergone cold sterilization with ethylene oxide (EO) gas. It was shown that human serum albumin (HSA) exposed to EO (EO-HSA) in the usual sterilization procedure selectively elicited positive skin tests and in vitro histamine release. It is now demonstrated that D.H. serum reacts selectively in a radioallergosorbent test (RAST) which utilizes discs coated with HSA and exposed to EO gas. In addition, D.H. serum contained IgG antibodies reactive with EO-HSA. This antibody activity was not detected in the sera of 27 normal subjects and 25 chronic hemodialysis patients. EO-HSA and ragweed RAST inhibition tests with a number of proteins in native form and after exposure to EO demonstrated the EO hapten specificity of the IgE antibody
  12. Are you selecting from a list in the computer? If so, can you make it a requirement that the unit has to be bar code scanned into the issue program?
  13. missing serum reactivity, or apparent change in blood type following hematopoietic stem cell transplantation.Under those circumstances, your procedures should provide for compatibility testing using serologic crossmatch techniques." I haven't worked on the bench for a long time. Have I missed something? I fail to see how a serologic crossmatch technique will provide any meaningful information about compatibility if there is "missing serum reactivity".
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