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velliott

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About velliott

  • Birthday 05/22/1954

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  1. We have changed from serum to plasma, using manual tubes, for anticipation of automation with Tango. We seem to have improved our issue with specimens that don't clot and replaced it with a lot of rouleaux. We also are using pink tubes and did see a few specimens when we were validating but now it seems like we see several a day. Is this just a given when using manual tubes and an issue we would not see if we were using manual gel?
  2. Your CSO can help with trying to figure out if something is reportable or not. If they don't know the answer they can point you in the right direction. It might also be good idea to start a dialogue with your CSO. You don't want to put too much attention on the past but having them as a resource can be positive.
  3. I've gotten a contract price, you know how those things go - someone else is making decisions, and I hadn't ever heard anything about this vendor. Seen alot of good testimonies about Helmer. Which the CytoTherm is cheaper...
  4. Anybody have any experience with this plasma thawer Thanks
  5. Does anyone have a SOP for homemade check cells that you could share? I've changed vendors and may not get my check cells in time.
  6. Has anyone had any issues with accreditating agencies regarding non-hospital personnel monitoring transfusions during transport? We have always required that the patient cannot be handed off to the EMS and that a nurse from our facility must accompany the patient. The Joint Commission standards state that persons who transfuse must be competent in recognizing transfusion reactions and with the wide variety of skills in EMS and with our group being volunteer it would be difficult to provide records for an inspector. But, it presently is met with many obstacles in having available nurses to ride in ground transport. If patients are air transported those folks have this type of documentation.
  7. You need to reference your manufactures recommendations. Usually your vendor is very good in helping you get the process started because they have done a lot of validation and they have many clients that they can help you network with. Our policy is to count / split before the platelet is 24 hours old. We let the platelets rock over night to allow all the clumping to dissapate. We have a sample tube we collect the plasma / platelet in and then perform the count. This is also the sample we perform our WBC count on. At this time we also get a rough volume and estimate whether the product will be a single, double or triple. We do bacterial detection by BacTech Alert and then wsample off the 10 mls after the unit has been collected for 24 hours. Then we start to we divide up our units or dock on an additional bag if the collection qualifited for a triple. Our products are FDA licensed and I was told that the bags have to agree within 10 mls of each other.
  8. Can anyone tell me what P code they are using for pre-pooled cryo?
  9. For those who buy cryo already pooled, do you use E3591 for the thawed pooled product code?
  10. Can someone tell me what the Ortho package insert states about the age of a sample in order to perform an ABO / RH on a gel card? My manufacture, we are doing tube testing, states the sample should be less than 10 days olds. My concern is in pre-admission testing where you allow a type and screen or crossmatch to be drawn several weeks before the surgery if the patient has not been pregnant or transfused. Most of the time the tech crossmatching additional units will repeat an ABO / RH.
  11. I need help with the particulars in shipping/ issuing blood products for patients that are at one of our remote locations that is an oncology center (the center is 6 miles from our hospital). The center is part of our facility so the employees will be under our regulations but my concern is packing units to send to the center and then they sit there for several hours during the transfusion process. My concern, well actually I have a bunch, but the one right now is a patient who gets 2 red cells and 1 platelet. They typically transfuse the red cells first and finish with the platelets because they get a 1 hour platelet count before the patient is discharged. In my current setting we rotate platelets for 30-60 minutes before we issue them and if they are sitting in a transport container for 5-6 hours won't they need to be "mixed" before transfusing? Anyone's experience / comments in this type of setting will greatly be appreciated.
  12. Yes, we use Spectrum labs for our calibrations.
  13. We use Sunquest and download the files, monthly, and print a daily / weekly report, to a zip drive and on a file on a PC. If by chance we can't get to the file on a PC we can use the zip drive on another computer to view the info.
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