tricore

Ask the patient if they have ever been admitted with another name. We had a woman going for heart surgery and she told the phlebotomist she had antibodies. I asked her where they had been identified. She said this hospital. We could not find any records. When the antibodies were identified she had been admitted with a different name. No computer then. Could not search by MRN. (Note: it does not help when they have been given a new MRN, happens more frequent than I like judging by the number of patients I had to merge when I was in IT.) We had to go to medical records and search the microfiche. She had 3 clinically significant antibodies. Sorry, I don't remember the specificities.

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.

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.

It seems like a problem with the hydraulic fluid, not enough being pumped into the bowl.

I don't remember the original paper (>40 years ago) by Anita Lui using albumin.

I just answered this question. My Score PASS

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?

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.

Love it. And, snow flakes too. Especially needed. We are in the middle of a computer upgrade.

**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)

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!!!

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.

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

Long gone. Sorry

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?

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".

FDA usually says to follow manufacturers instructions.

You can use the pop up box that comes up after you issue the product.

I do not see one on the 2016 list.

This is from The Joint Commission 2011. I don't think it has changed, but, I don't have the latest edition of the Laboratory Accreditation Program for Blood Transfusion Service. "The laboratory has written policies and procedures for the blood transfusion service that are consistent with AABB standards."

Big brother is watching!

Is your printer only 203 dpi. Ours are 300 dpi. I am looking at the manual. It says accepted value for ZT410 Print Width 203 dpi = 0002 to 832. I don't see anything about max for label length.

View Printer Configuration ZT410 - I like the "refrigerator light" in this printer! +25.0 DARKNESS 3.0 IPS PRINT SPEED +000 TEAR OFF TEAR OFF PRINT MODE GAP/NOTCH MEDIA TYPE TRANSMISSIVE SENSOR SELECT THERMAL-TRANS. PRINT METHOD 1248 PRINT WIDTH 1222 LABEL LENGTH 41001-97/1408-02598 PRINT HEAD ID 39.0IN 988MM MAXIMUM LENGTH MAINT. OFF EARLY WARNING NOT CONNECTED USB COMM. BIDIRECTIONAL PARALLEL COMM. RS232 SERIAL COMM. 9600 BAUD 8 BITS DATA BITS NONE PARITY XON/XOFF HOST HANDSHAKE NONE PROTOCOL NORMAL MODE COMMUNICATIONS <~> 7EH CONTROL PREFIX <^> 5EH FORMAT PREFIX <,> 2CH DELIMITER CHAR ZPL II ZPL MODE CALIBRATION MEDIA POWER UP CALIBRATION HEAD CLOSE DEFAULT BACKFEED +000 LABEL TOP +0000 LEFT POSITION DISABLED REPRINT MODE 050 WEB SENSOR 080 MEDIA SENSOR 052 RIBBON SENSOR 050 TAKE LABEL 027 MARK SENSOR 027 MARK MED SENSOR 002 TRANS GAIN 017 TRANS BASE 058 TRANS LED 001 RIBBON GAIN 255 MARK GAIN 043 MARK LED DPCSWFXM MODES ENABLED ........ MODES DISABLED 1248 12/MM FULL RESOLUTION 2.0 LINK-OS VERSION V75.19.7Z <- FIRMWARE 1.3 XML SCHEMA 6.5.0 0x0012.0x0047 HARDWARE ID 4096k............R: RAM 65536k...........E: ONBOARD FLASH NONE FORMAT CONVERT FW VERSION IDLE DISPLAY 05/16/17 RTC DATE 19:58 RTC TIME DISABLED ZBI 2.1 ZBI VERSION READY ZBI STATUS 3,075 LABELS NONRESET CNTR 3,075 LABELS RESET CNTR1 3,075 LABELS RESET CNTR2 16,300 IN NONRESET CNTR 16,302 IN RESET CNTR1 16,302 IN RESET CNTR2 41,407 CM NONRESET CNTR 41,407 CM RESET CNTR1 41,407 CM RESET CNTR2 EMPTY SLOT 1 EMPTY SLOT 2 0 MASS STORAGE COUNT 0 HID COUNT OFF USB HOST LOCK OUT

We use the same codes as above. We also have codes for apheresis plasma, frozen within 24 hours, These are all in our current inventory E7644 E2121 ACD-A E7648 E5548 ACD-A E7646 E5548 ACD-A E7650 E5550 ACD-A E2619 E2737 PLASMA CPD

We have in our XM grid IS, AHG,CC. Tables are set up to allow IS only, AHG only, or both. We bill off of the XM result. ISCMP, ISICMP, BCMP, BICMP, ECMP We do use electronic XM.