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sblanchard

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Everything posted by sblanchard

  1. We do a manual weak D by gel method using Biorad anti-D.
  2. This topic comes up often at the AABB inspector CE events. The AABB says that the facility gets to decide if the cooler is transport or storage. Blood supplier boxes are packed sometimes for many hours and are considered transport. If you define your cooler has transport (even if it is in OR for several hours) the temperature range would be 1-10. We also have a refrigerator in the OR (with Safe-T-Vue 10 on them). We monitor the refrigerator for 1-6 but the indicators are to see if the unit was out too long and increased above 10. Basically, you get to define "cooler" for your facility and as long as you stick to the appropriate range and your SOP, there should not be any citation from AABB or anybody else.
  3. Bankers, We were purchased by a larger hospital system and are converting from Mediware (HCLL) to Sunquest. We have over 30 years of patient/inventory data that needs to be converted from HCLL to Sunquest. Are there any sites that have data converted from HCLL to Sunquest? If so, did you use a third party to extract the information? Thanks.
  4. Haven't done a customer survey for the Physicians etc but have done one for the nurses etc in the Cancer Treatment Center. Had questions about TAT, phone interactions etc. Pretty short survey but was afraid if it was too long they would not take it.
  5. We have been using a transfusion slip (single page) that has a Blood Bag label ( with acceptable glue) on the form. We then peel the Blood Bag label off the transfusion slip and place it on the units. Our supplier (Staples) is having trouble getting an acceptable label going forward. I was wondering if other places are using somethings similiar and if so- who is your vendor? Didn't get much notice about the product being unavailable so need help asap. Thanks.
  6. Helmer fan. We have 3 double door refrig., a single door refrig, freezer, plt incubator, 2 Helmer thaw systems and a cell washer. Good company.
  7. We use compatible. It is noted on the transfusion slip if it is an EC "electronic crossmatch" vs Gel XM vs IS XM etc.
  8. Everyone would bill for the original T&S right? That testing was complete and was a valid order at the time of testing. I agree that I would not charge for an ABID workup.
  9. We have been looking at Knowledge Trak by Mediware.
  10. Sheryl Blanchard and Paula Hartman will attend. We don't post often but use the site on a regular basis. Will mail you a check. Always good to get together w/ fellow bankers.
  11. We have the same lot number and I was just calling Ortho about cells #6 and #10. Waiting for a call back. We have had these cells pop on multiple patients with no specificity identified.
  12. The Blood Bank supplied the drinks one year so we took 2 liter bottles of pop and relabled them as anti-sera. Anti-A- blue mt dew Anti-B reg mt dew or lemonade Anti-D- sprite etc. Also had fruit punch for the A and B cells. Seemed to be well received. We had a spud contest for the best decorated potato and then had a big baked potato bar with all the fixin for lunch. This year, we are partnering up with the other two hospital labs in the area and trying to collect 5000 pounds of food for the local foodbank. Should get some publicity for lab professionals.
  13. I would only validate the TT's at the sites that are actually performing testing. It would be easier for the team if all sites used the same TT so you could use that same validation scripts etc. I would think that the sites that only do receiving, issuing etc would only need to validate those functions when something in the upgrade release notes affects those areas. We just upgraded to 4.7.0 and have been on HCLL since 2007. We use the Provue. If you have any additional questions- just contact me.
  14. We do Poly and IgG DAT's on the Provue (interfaced w/ BB application) and use tube for the C3. Have not had any problems. We also do IgG DAT's on our Cords.
  15. We require a different draw on all non-O patients prior to transfusion type-specific blood. If the patient has no history and is an O we do a second type on the same specimen. Akron General Medical Center
  16. We have had the same problem for the last 3 months. It seems to start about 2 weeks after we receive the new lot. Our storage practice has not changed. We have had the Provue serviced and the cameras have be adjusted multiple times to no avail. Ortho hotline acts as if this is not occurring all over the country. I think this is a reagent issue for Ortho to resolve. I don't believe all these instruments have suddenly changed. We review the card and move on but I too worry about techs getting complacent about the "?".
  17. Agree w/ Mabel. Electronic crossmatch is awesome for eligible pts. Well worth validating if your computer system can support it. This eliminates specimen volume questions and saves segments for full xms.
  18. We validated Diluent 2 for manual Gel ABO in 2005. Ran types in Dil 2+ and Dil 2 for validation purposes and then purchased just Dil 2. We have had the Provue since 2010 and now buy both because the instrument requires both. However, we did not change our process for manual testing even though we have both reagents now.
  19. We have been looking at this filter/syringe as well. Our question is about the 150micron filter. The tech manual says blood should be filtered with a 170-260 micron filter. Would this 150 micron filter be acceptable for neonates and if so what would you have to do to prove it is ok? We have tried to contact the manufacturer about the filter but no one seems to know much about it. It was our belief that the filter/syringe system was designed specifically for neonate transfusions.
  20. We do a 2nd abo (ABOCK) on pts with no historical type and that are not type O. We do not redraw type O as we will be transfusing O blood. The standard for risk reduction at this time only speaks to Blood type. We perform the initial type and then determine if a recheck is needed. We order an ABOCK (no charge) and send a 2ml pink top tube and the patient label to the floor. We use the 2ml as nursing tends to want to draw both specimens at the same time so this helps us make sure that the draw was done at a different time. A full type is done. So far the only misdrawn specimens we have found have been the second draw. Still an indication that there are identification/labeling problems.
  21. Hi All, Been viewing the forum for ages but first time to start a thread. Recently went up on the Provue and occasionally have trouble with the specimen barcode. Some issues we see- phleb id too close to the barcode, barcode too light, barcode crooked, flagged barcode, etc. My question is - how do you go about fixing the label. It makes me nervous to have staff print a new barcode and relabel but not sure how to get past the above issues. We have addressed these things with nursing (do all of the draws) but have had little success. I know many folks have been on instruments for a long time and this can't be a new problem. Thanks, Sheryl
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