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applejw

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applejw last won the day on June 29 2023

applejw had the most liked content!

About applejw

  • Birthday July 29

Profile Information

  • Gender
    Female
  • Interests
    Paso Fino horses, dogs, food
  • Biography
    Long time Blood Banker, teacher, problem-solver
  • Location
    Greenville, SC
  • Occupation
    Medical Technologist
  • Real Name
    Jeanne Applegate Towery

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applejw's Achievements

  1. WE ran into this with their MTP coolers - even bought 6ft zip ties to try to ziptie it to the box. Nope. Had to buy a new MTP cooler which has doubled in price and is almost entirely different than the original.
  2. We do not perform ISXM unless the LIS is down or a second sample for ABO confirmation is not available. We use Softbank and the system has been validated to detect ABO incompatibility as long as there are 2 blood types tested on record, patient has no history of antibodies and the current antibody screen is negative.
  3. This scanning into Epic sounded intriguing.... I don't think it is unique to your build. Are you scanning in all of the paper generated during an antibody investigation or do you have an algorithm that you follow? We send large volumes of patient workups to be stored off-site forever and have multiple file cabinets for the most recent 2-3 years worth of records.
  4. Both can be performed on the Vision Swift.
  5. For us it would depend upon the patient's age and child-bearing potential. If that is unknown or unclear, routine transfusion after MTP would be A NEG. Additional massive bleeding A POS.
  6. We accept verbal requests but should be followed by an order for emergency released (RBC, WB or plasma) placed in Epic. We issue blood with a triplicate form and require a physician's signature and a copy returned to the Blood Bank. The form documents the units that were issued, product type, attestation statement, diagnosis, and issue information including a visual inspection of the product, person picking up the product, date/time for issue and the employee ID of the person issuing the product(s)
  7. I have posted my battle with CAP over this requirement. I lost and waved the white flag. I will do the bare minimum (1 sample) for antibody identification for automated gel, manual gel and tube-LISS methods. Done. They said they would revisit the standard for this year but they have not.
  8. WE would test a segment of the tubing containing the last wash and send it to Chemistry for a Total Protein.
  9. No issues that can't be attributed to temporary cognitive disunion. The instruments do what they are supposed to do and it makes it much smoother for the interfaced result review in Soft. We don't have it set up as Chemistry and Hematology do - we do have to review and complete the result even if normal and/or negative. But one less step for us helps a lot.
  10. Running a 10% bleach solution through the system is part of manufacturer's suggested maintenance. We do this weekly (high volume testing lab). The carrier should have hot water run through from the top for a few minutes to remove encrusted salts. You can use a pipe cleaner for any outlet that is still appears blocked. After running bleach through the system (let sit for 10 minutes), run 4 cycle wash with distilled water, and follow with a 4 cycle wash with saline to ensure no bleach solution remains.
  11. I just answered this question. My Score PASS  
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