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flaminredfirebird

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Everything posted by flaminredfirebird

  1. Thanks for the replies. Likewine99 what is the "appropriate stuff" that you are referring to?
  2. We do not deal with many traumas at my hospital but we recently had a trauma situation in which the patient got 6 units of uncrossmatched type specific blood. We had the doctor sign an emergency release form stating that "routine crossmatch procedure has been omitted under my responsibility" the physician signs and dates, the tech signs and dates, and the unit numbers are listed along with expiration dates. During routine transfusions we complete a manual form where part is filled out by BB tech when nurse picKS up blood from blood bank, nurse and tech both sign, then form is taken to bedside where unit is checked with another nurse and both nurses sign, then all vitals and times are recorded on this form and the original goes on chart and a copy is sent back to BB. This form was not completed during this emergency release trauma. My question is, do we need to try to complete these forms for each unit now after the fact? Or is the emergency release form sufficient? What is the minimum paperwork required? Thanks.
  3. Hi all, I was wondering what you all are doing for verification checks on pipet calibration? It is my understanding that TJC requires a verification check every 6 months? We have a very old Streck VC-100 Pipettor Calibration System that we have used in the past but it is very time consuming and we are minimally staffed. I have ran across the Pipet Verification Service from Streck where they send you the solution, you pipet into it, and send the vials back. They verify accuracy, reproducibility, SD...etc. Is anyone using this? It is $42.00 per pipet. We have about 25 total pipets. I have contacted our Bio-Med department as I was told that this was one of their responsiblities most places. Is this true? I have had no response from them. We have mostly MLA pipets and a few Thermo I believe. So what is everyone else doing? Thanks in advance!
  4. We have a nurse midwife who has just opened an office adjacent to our hospital. When she needs Rhogam for the 28 weeks gestation dose she brings an order to us and we give it to her. On most patients we have already done an Rh type in house but on a few they are going on the results from the state health department. My question is, do we need to have an Rh type done on the patient in house? and is there a certain time period that the Rh type should be done in relation to the patient getting the dose?
  5. Thanks for the quick replies! I don't know why I didn't consider the A/B as a control. David, as far as us ordering the A/B/D cards, I was told that these could only be ordered in a box of 100 rather than a sleeve of 20 as the Anti-D are. We are a very small hospital and only receive approx 50-60 units per month with not even a third of these being Rh negative. I am afraid the A/B/D cards would expire way before we could use all of them. Thanks for your help!
  6. We currently are still doing our confirmatory testing on our units from our blood supplier in test tubes. I just ordered some A/B and Anti-D gel cards from Ortho to begin typing these units in gel. While reading over the Anti-D gel card instructions for use I noticed that the procedure calls for the use of the Monoclonal Control Card along with the Anti-D card. My understanding is that the control card is only used to check for false positive test results on Rh types. Since these cards will only be used for unit confirmatory testing and we only do Rh typing on Rh negative units when confirming them, is the control card still necessary?
  7. We recently received notification from our blood supplier that a donor of a blood product we transfused tested positive for Anti-HCV EIA, Intermediate RIBA 3.0, Negative NAT. The patient that received the blood has deceased. According to AABB Technical Manual 16th addition - "In case of HIV and HCV, notification of relatives or legal representatives is mandatory if the recipient is deceased or judged incompetent". Our Medical Director is just wanting to send a letter to the deceased patient's physician. Is this acceptable? Does this count as the legal representative? Also, I have tried to 'google' for an answer and it looks like the FDA may have done away with this policy on the deceased anyway but I can't find anything that clearly says so. I am finding a lot where they have "proposed" to do away with it. We have not received our 17th addition tech manual yet, does anyone know if they have done away with it in there? Any help is appreciated!
  8. I was wondering how most of you QC your blood bank saline? We are a small hospital and typically only use gel testing. The only time we use our saline cube is when we wash cord blood, when we re-type our blood upon arrival, and then occassional antibody workups/problem crossmatches. Our daily QC for tube testing currently only includes testing of Anti-A,-B,-D,-Rh control, and AHG. The only procedure I can find for testing the saline is to test it against screening cells, incubate, wash, so on and so forth. It just seems to be a pain to have to carry that out when the other tube testing is done in a minute or two. Does anyone have a better procedure to QC the saline? Thanks.
  9. We use the gel system for most all of our testing. Occassionally we have problem false positives that occur with the gel. When sending out "positive" antibody screens for identification the reference lab blood bank will recommend we re-screen the patient using tubes since they got negative reactions using tubes. Our problem is that we only have the 0.8% cells. We don't do a high volume of blood banking at our hospital and it would not be economical to keep the 3% cells on hand. Does anyone convert their 0.8% cells to 3%? If so, how? and is this acceptable?
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