Deny Morlino

This is the protocol we follow.

Welcome to Path Lab Talk Iris_tam! This is a very active site with many knowledgeable participants.

At this point I am playing it conservative and not charging for the I.S. crossmatch. If not before, when our technical meeting with the blood supplier occurs this fall I will bring the question up to the Medicare specialist. My suspicion is billing for only one will be reimbursed. I am in the same boat as you Brenda with GEL and tube I.S. If I find anything out I will certainly post here.

Not to my knowledge. We have been direct draining our XE2100 for about 11 years now. The reagents cubes and packs need to be emptied before we send them to trash. We follow the instructions on the containers regarding azide content and flush with plenty of water. Several inspections without any change recommended.

Many thanks again Cliff

If you assume 20 drops per 1.0ml then 5.0ml would perform 100 tests. You are correct in the assumption that 25 ul would allow you to potentially perform twice as many tests. Would hate to see you perform a cost analysis with the decimal point in the wrong place and come to a false conclusion.

We are not an electronic blood bank (yet!) so there is not a computer to match records only the tech's brain (and we know how porous those are ). We perform the repeat ABO/Rh once the sample is pulled as a "safety" measure. I agree with the earlier post that this is not of huge value given the limited number of blood types

As unacceptable as it may seem, the physicians refuse to listen to the recommendations of blood bankers more often than not resulting in pressure additions for themselves as well as the blood bank departments.

We honor the antibody screen of another tech. We do repeat the ABO/rh as a "quick safety check" to help be sure the correct specimen was pulled from storage (I did not put this practice in place...I think it may be from the dinosaur era as well). Would like to get away from repeating the ABO/rh and just go for the crossmatch.

I did not think my logic was faulty, but had some conflicting recommendations by other bbankers. As usual this site is invaluable.

Awesome Cliff! You are very responsive to our requests, and we are all spoiled!

Thanks David.

What sort of policy do others follow when a Rh negative mother gives birth to two or more Rh positive children at a time with regard to RhIg administration? I checked AABB's Technical Manual and could not find a reference for the above described situation. Instinct tells me to perform a fetal bleed screen and administer RhIg adjusted for the fetal volume detected. Should any additional dose be given if the fetal bleed screen is negative (other than the recommended single dose obviously)? Opinions please.

Currently we do workups on about 95% of babies born here. My preference would be the method David uses or Julie's method as a backup. We do far to many cord blood workups that are a waste of medical dollars, in my opinion, with little or no benefit.

Same as David. One form, one physician signature.

With some people it just takes a bigger hammer to get their attention John. :bonk:

A screen indicates we have potentially compatible blood on hand in case a cross match is ordered. As a result, we request antigen negative units from our suppliers.

This would be a welcome addition to protocols here. In reality I do not know how it would be possible what with all of the multi-tasking a tech is expected to perform and differing duties all time sensitive. If you have an ephinay as to how this is possible, I would be the first to jump onto that wagon!!

We use the same handheld scanners for ED patients. For outpatients the phlebotomist approaches the lab waiting area and states, "Who is next?" The patient presents with the physician's order and the phlebotomist asks the patient to state their name. After confirming the name on the order with what the patient has stated, the phlebotomist asks the patient to state their date of birth. This information is also on the physician's order after going through registration. These two identifiers are listed in our SOP. The questions are scripted to ensure each phlebotomist asks these critical questions each time. After a few visits the patients begin to predict the questions and answer them before asked. Hope this helps.

I am with you on this MJ. If the specimen can be recollected, we have them do so. If it cannot, we are EXTREMELY careful to assure the specimen is relabeled correctly.

Here is the form we use: BB-320A.DOC

Welcome Justina!

Well said Terri!!

The refrigerated and freezer probes are in a 50% glycerol solution. Room temp is just air temperature as it also measures humidity.

You might try contacting the California Blood Bank Society and request a copy of the document.