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Posts posted by bduff
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When we had Cerner millenium we had a label print from the micro part of the system. We would go in and order the test BB label and print it like it was a media... I guess it was called a media label. We got rid of cerner about 3 years ago so I don't remember much more than that. Good luck!
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FYI, we have had many instances that mililtary personal in the US are typed as Rh= and they are indeed Rh+. I would take the husband's type with a grain of salt if the same lab is not testing the husband and the child. I personally have issues with believing what type someone is if they were not tested in my lab....
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I found the post... It is very detailed but very nice!
Antibody Chart
I have written two posters - one is an antibody poster and the other is a matching antigen poster. Each is about 2 foot by 3 foot so you do need some wall space to put them up. We had them checked by Geoff Daniels at the IBGRL so they are very accurate ! They are by far the most detailed antibody/antigen posters ever produced (even if I do say so myself). If anyone is interested in getting hold of this set just emailwith your name and mailing address and we will send them to you from Down Under !Damien HeathcoteTechnical Services ManagerCSL Biotherapies ImmunohaematologyMelbourne, Australia. -
There is someone on here who was sending them out. They are big and detailed. There was an antigen one and antibody one. Try searching for Antigen/Antibody chart on the site.
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How would you know that the data is really true? I have seen where a hospital had an antibody on a patient from many years ago. The patient then went to another hospital and received MANY transfusions without ever having a positive antibody screen and no transfusion reactions which would have been expected at some point. Therefore at the second hospital they do not honor the first hospital's antibody identification. Unfortunately there are many labs that have provided OB/GYN offices with incorrect blood types as well. I would be leery to just let anyone update this database. It sounds like a wonderful idea but I think we would end up having to give alot more antigen negative blood needlessly.
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It all just doesn't make sense. You can give blood without an IS crossmatch if they don't have antibodies but if they have antibodies we are suddenly afraid of giving the incorrect type? OYE!!! We have SOFT and it will not allow us to give out an ABO incompatible unit. If you LIS will not let you and you have verified that then there should be nothing wrong with not doing an IS crossmatch with a coombs crossmatch. I would fight any inspector to the bitter end!!!
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Usually the only reason we know they have sickle cell disease is because of their diagnosis, sickle cell crisis. We put them on sickle cell neg protocol and always give sickle neg. cells. If they have the trait we would never know.
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We also use 20 weeks for the cut off.
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Our Helmer works nicely! We used to have a sorvall as well. Go with the Helmer!
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We review the forms at my hospital as well. I believe that we do it to make sure the vitals are documented and blood warmer temperatures if applicable and stuff like that. We almost went with an electronic issue process and all of this would be entered into the computer. If the information was not entered it would not let you go passed it. It was a great product but unfortunately the almighty dollar kept us from purchasing it. If we had that there would have been little to no review.
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Plus, it helps to keep a big bag of chocolate in your office.
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You may already have answered this, but how long did you incubate the gel cards? Maybe a 30 minute incubation would be enough to get a weak positive reaction from it? Sometimes things come up and you can't get the cards in the centrifuge right at 15...just a guess?
That is an idea! In our lab I know that the evening shift is more likely to let something incubate a bit longer then the day shift because of other stuff going on. I might try to incubate it longer and see what happens.
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I got a call from a Dr. yesterday about to perform a C-Section. He asked why he didn't have results on Jane Smith, I said well, I just received the specimen in the department and just set it up. It will take about 25 minutes for incubation. He said well when will it be finished. I said hopefully about 25 minutes. He continued to say, I have my CBC results and I KNOW they take longer to finish then a type and screen. He said, that the CBC takes 30-35 minutes and the TS should take less. I responded in my calmest tone. Sir, actually a CBC can take a lot less time then that and a screen takes 25 minutes. He said fine and hung up. I just had to laugh at the fact that he KNEW that the CBC takes longer then a TS!!!!
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That is determined by your institution as far as I am aware.
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I agree with Deny. To put that extra layer of entering in the results is just asking for an error to occur. I would try to stay away from doing that as long as you can. Deny, I hope you get to experience the soft bank system soon! It is a great system!
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We have actually stopped using coolers. I think it was a NYS thing that a cooler is storage and not transport and therefore there are tighter temperature limits. It has completely solved this issue! We sign out blood to the OR when they need it and that is it. We are one floor away and will sign out two units if we must. The docs have been OK with this. We haven't had to many complaints and NO deaths!!! I must say it simplifies it alot!!!
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I think, Mabel, you should also be aware that "Hct" (as opposed to "HCT") is often used as short-hand for haematocrit on this side of the pond (but, very obviously, not in this case)!
We use that also in the USA...
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:haha::haha: Yes, I think that would be an excellent work related expense trip to England! If we didn't just build a new hospital maybe it could have been considered. Hahahahahaha!
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woooohooo!!! Congrats to you!!!
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If you are using gel what exactly are you doing at room temperature?
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Hi RS777, Our hospital uses SWANK for all of our continuing ed. They have their courses that they make available to us and then our organization can make up our own tests and reading materials. We have all of our mandatory education on it now. We complete it and it records it and prints out a certificate. The managers can assign you a course to read and take a test on too. I think it is www.swankhealth.com
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Now there is the new problem. If I order an IS crossmatch in our BBIS (Soft) it will print a compatible label. How do you get around that?
You should be able to turn off that label print in the hosparams. Of course you may have to have soft do it for you.
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Always good for a laugh Malcolm. We, in the US send our old records to storage off campus.
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Yes a full forward and reverse for us.
:haha:
Pooling platelets
in Transfusion Services
Posted
What do you do then with the apheresis units you "stole" from? I would certainly be questioning this practice! Some Dr.s are just unaware that there is such a thing as an apheresis! We have a policy that we ONLY provide apheresis platelets!