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blut

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Posts posted by blut

  1. Canada has had TSOs since ~2000. They were first instituted in Quebec where there are now 54 TSOs. In Quebec a technologist TSO is always paired with nurse (RN) TSO. The situation varies in other provinces, with technologists forming the majority, also sometimes responsible for lab quality assurance.  We've had a mailing list since 2000 and a website since 2002 (I'm the webmaster, list manager): http://www.transfusionsafety.ca/

    For interest, sample job descriptions:

    Cheers, Pat

    http://www.ualberta.ca/~pletendr/

  2. Hi all,

    The following free educational videoa are available on the website of the BC Provincial Blood Coordinating Office in Vancouver, BC, Canada:

    Transfusion Medicine Educational Videos

    Transfusion Reaction Overview

    Acute Transfusion Reactions

    Case Studies of Acute Transfusion Reactions

    Delayed Transfusion Reaction and Case Studies

    Quality Management Systems

    Root Cause Analysis

    Visit goo.gl/Mp4Dt

    App for iphone & ipad also available.

    Cheers, Pat

    UA: http://www.ualberta.ca/~pletendr/

    Twitter: http://twitter.com/transfusionnews

  3. Hi all,

    TraQ's Sept. newsletter and blog are now available:

    Sept. Newsletter: http://goo.gl/rtVV0

    Sept. blog: I heard it through the grapevine (Musings on transfusion professionals & Twitter)

    http://traq.blogspot.com/

    For interest, Aug. blog: When sweet dreams become nightmares (Musings on health officials & Big Pharma)

    http://goo.gl/C4HCY

    Cheers, Pat

    UA: http://www.ualberta.ca/~pletendr/

    Twitter: http://twitter.com/transfusionnews

  4. Hi all,

    Terry K posted info on the educator's list CLSEDUC about 2 free mobile apps:

    OCD bloodbanker:

    http://itunes.apple.com/ca/app/ocd-bloodbanker/id493975110

    Hemobioscience:

    http://itunes.apple.com/us/app/hemo-bioscience/id463637695

    HB app is better I suspect (just did a quick tour). Also embarrassing that Ortho misspells Alexander Wiener's name throughout (as 'Weiner').

    For interest, last year I wrote 2 blogs on TM apps. The last was "Where's the beef?"

    http://traq.blogspot.com/2011/10/wheres-beef-musings-on-2-transfusion.html

    Cheers, Pat

    UA: http://www.ualberta.ca/~pletendr/

  5. Thanks, Likewine. Sure agree about too much time at the computer screen - not enjoyable nor healthy.

    Maintaining a blog takes time but it's fun and I'm fortunate to be semi-retired so have more time to get into mischief. <8-)

    Cheers, Pat

    UA: http://www.ualberta.ca/~pletendr/

    Twitter: http://twitter.com/bogeywheels

    TraQ: http://www.traqprogram.ca/

    TM Blog: http://traq.blogspot.com/

  6. Thanks, Mabel. Didn't know that about AABB not letting institutional members use the forums. Seems counter-productive as few would sign up just for the forums.

    Agree that being busy makes participation harder. The bench techs I know hardly have time to do the real work and supervisors are swamped by meetings, e-mail (most of which is clutter), paperwork and HR issues. To go online typically means their days are longer and my experience is that ones who do participate are dedicated and typically give above and beyond.

    For interest, with the TM blog on Blogger, you can comment without signing up by choosing the 'anonymous' option.

    Thanks again. I enjoy your posts here.

    Cheers, Pat

    UA: http://www.ualberta.ca/~pletendr/

    Twitter: http://twitter.com/bogeywheels

    TraQ: http://www.traqprogram.ca/

    TM Blog: http://traq.blogspot.com/

  7. For interest, Alba Bioscience began in Scotland in the 1940s as part of the Scottish National Blood Transfusion Service to manufacture blood typing reagents and was privatized in 2007.

    http://www.quotientbd.com/about/history

    Quotient Biodiagnostics Group was formed in 2009 to expand Alba's product reach internationally.

    http://www.albabioscience.co.uk/en/page/quotient-group

    Just for fun, attached is a 2012 price list in Canadian $ (currently ~par with the US $). That's if I managed to attach it. <8-)

    No doubt these prices are like hotel 'rack rates' - no one but the naive or desperate ever pays them.

    Cheers, Pat

    UA: http://www.ualberta.ca/~pletendr/

    TraQ: http://www.traqprogram.ca/

    TM Blog: http://traq.blogspot.com/

  8. So would it be correct to assume that when anti-Chido or anti-Rodgers is identified that, for most platelet and plasma transfusions (not 'large volume,' however that is defined), that the antibodies are ignored? And typically, would the antibodies be neutralized by the recipient's plasma, positive for Chido/Rodgers?

    FYI:

    Mougey R. A review of the Chido/Rodgers blood Group. Immunohematology 2010; 26: 30-38.

    http://tinyurl.com/6d8ygot

  9. Brenta,

    To my knowledge, various international standards and guidelines all require monitoring before, during, and after transfusion, but none specify specific time frames for during the transfusion, other than for the first 15 minutes (where monitoring should be close), although by 'during' they mean throughout, including after the first 15 minutes.

    My guess is that they do not want to handcuff staff by mandating too many specifics for the throughout part and thus leave it to institutions to develop suitable guidelines for when to monitor the 'during' part, after the first 15 minutes.

    For reference, TraQ has many excellent nursing resources that you may want to bring to the attention of Nursing at your hospital. They clearly indicate that best practice for throughout does not mean only for the first 15 mins.

    Cheers, Pat

    UA: http://www.ualberta.ca/~pletendr/

    TraQ: http://www.traqprogram.ca/

    Twitter: http://twitter.com/bogeywheels

    It was just brought to my attention that Nursing in my current Hospital, only monitors trasfusions at the initial 15 mins. (and after the transfusion)....In looking in the Technical Manual, AABB Standards, CAP Checklist, and Circular of Information, ....there are "vague" statements about monitoring throughout the tranfusion (such as the recommendation for periodic observations); but I do not find any place where monitoring after the 15 mins. is "mandated;" nor are there any specific time-frames mentioned....
  10. Thanks once again, Malcolm. I haven't see one of those for more than 30 yrs. I had not realized capillary tubes were adopted to some extend in the UK. In Canada, only workers in Winnipeg used them, as the "Rh Institute" with Chown & Lewis had great influence.

    As it turns out, unlike many of the physicians who developed Canada's fledgling blood system in the 1940s and 50s, Bruce Chown was born a Canadian. Many transfusion specialists were British, since that's where our immigrants mostly came from in the early post WWII years.

  11. Thanks, Malcolm.

    I figured enzyme-IATs.

    For fun, a trip down memory lane....I'm so ancient that when I first started in the mid-60s as a child prodigy at Canadian Red Cross BTS (now Canadian Blood Services) in Winnipeg, Canada, where the BTS was (and still is) a combined blood donor centre and transfusion service for the entire city, we used capillary tubes to determine ABO and Rh groups, but also for antibody screening (IATs, enzymes, saline)

    For enzymes, I believe the order was serum, enzyme, rbc suspension, then invert and stick the capillary tube into plasticine on a special box with a back light, let sit, and read with a magnifying glass. Quite often index fingers would get punctured (enough to draw blood) as some cap tubes were jagged. All this a "good grief" to today's workers.

    Prehistoric paper by Brits evaluting the capillary method:

    http://tinyurl.com/3sj2lar

    Cheers, Pat

    UA: http://www.ualberta.ca/~pletendr/

    TraQ: http://www.traqprogram.ca/

  12. Thanks, Malcom. See reply to Robina.

    About doing an enzyme *panel* with all investigations submitted to your reference lab - I'm curious, as to my knowledge this is not standard practice in Canada (or the USA), where typically enzymes are used when initial panel results are not clear cut.

    Why was this implemented, e.g., based on experience, it turned out to save time in the long run? Or you wanted to be sure you had covered all bases when reporting antibodies found? Or?

    Thanks.

    Cheers, Pat

    UA: http://www.ualberta.ca/~pletendr/

    TraQ: http://www.traqprogram.ca/

    TM Blog: http://traq.blogspot.com/

    Twitter: http://twitter.com/bogeywheels

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