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kim

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Posts posted by kim

  1. We have been having a few false Positives that have been very frustrating. The test is a bit tedious and you really have to keep an eye on your Plt inventory because the test is only good for 24hrs. The test takes about 45min for a batch of 6. I did not know if other hospitals use this testing system and if they did maybe they could shed some insight on getting less false Positives and invalid tests!!!!

  2. Our blood bank just approved a new massive trx protocol with our trauma team a few weeks ago. The ER will call us telling us that they are implementing the massive trx prot. They then have to send up the Emergency Release request with the massive Trx Products box checked. The products that we release are 6 O RBC's,4 FFP and 1 plt. We then call the Blood Bank resident on call and let them know the situation. We also will not release another set of products until we get a sample or the blood bank resident approves it. We also keep thawed O's and A FFP on the shelf at all times. If we get a request for Emergency Release FFP without a type on the patient we first will give AB's only if we have them thawed if we don't have any thawed we give A's then B's.

  3. At our hospital we do not require a new type for either plasma or platelets. As long as the patient has a historical type in the computer we release the products. When I started working here I thought it was a tad bit odd because what if the patient really was not who they said they were and how do you work up a transfusion reaction without a new sample. I still think its a good idea to draw a new spec!

  4. In a hospital I used to work in if the ER wanted Rhogam on a women that had miscarried

    they could request it from us without a blood type. The reasoning behind this was many of these kids would not want to wait and take off. So rather being safe then sorry they would err on the side of caution and give them the injection.

  5. Thanks for replying,

    This is driving me a little crazy only for the fact that I know that plt vol and plt count should be taken in account when deciding if they should be put in one bag or left in two until issue. Recently our compliance person told us it would be fine to put the platelets into one bag because it is a closed system, so we don't have outdate them in 24 hrs. I know there is other factors influencing this than just putting them in one bag. I am just trying to get my facts straight befor I say anything. Thanks for the manufacturer suggestions I'm going to take a peek at them ASAP!

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