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applejw

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Everything posted by applejw

  1. Both can be performed on the Vision Swift.
  2. 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.
  3. 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)
  4. 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.
  5. WE would test a segment of the tubing containing the last wash and send it to Chemistry for a Total Protein.
  6. 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.
  7. 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.
  8. I just answered this question. My Score PASS  
  9. I just answered this question. My Score PASS  
  10. I just answered this question. My Score FAIL  
  11. We have Soft and Epic and they don't manage our remote refrigerators in ER, OR, and ambulatory infusion center. My predecessor had electronic magnetic locks installed on these refrigerator doors controlled by a button located physically in the Blood Bank. There are phones located above/near each refrigerator and the Blood Bank is autodialed when the phone earpiece is lifted. They give us patient information and we press the button to open the door; unit information is verified and records are maintained in Soft. (Emergency released units have attached paperwork to complete and return to Blood Bank as well) I would love to have Haemonetics dispensing refrigerators!
  12. Is your patient either taking Darzalex or Sarclisa or has taken it within the last 12 months?
  13. Level 1 Trauma Stock ED refrigerator with 4 units Low Titer O POS WB
  14. Need more info - what is your starting volume and hematocrit? Use formula C1 x V1 = C2 x V2. DM if you need more - jeanne.towery@prismahealth.org
  15. We use both the CAP DAT and API Automated DAT surveys to cover automated, manual gel and tube testing. The API surveys are graded.
  16. We use Softbank and print a bag label with patient/donor/product information that adheres directly to the bag.
  17. The beauty of the requirement is that there is no magic number of samples. I'm doing it because I have to not because I understand the need to do the testing. I have compared the method for antibody identification across instruments, manual gel and tube testing. I'm putting it to bed until I have to do it again. The CAP gave me 2 days to do the testing before we begged for at least a week extension. This is after CAP dragging their feet to schedule the inspection 5 months late.
  18. Challenge defeated. 'The CAP considers the antibody screen result of pos/neg and identification of the antibody specificity as different analytes.CAP occasionally sees differences in results between some methods e.g. tube vs gel. Because there are differences in results, CAP feels this meets the intent stated in the note of the requirement 'to evaluate the relationship between test results using different methodologies.' Please note the transfusion medicine committee members will be reviewing this requirement regarding ID and specificity in the future but at this time, CAP is requiring a comparison."
  19. So, CAP is pushing back on my challenge to the argument that an antibody detection and identification use the same method and for which we ARE performing comparability studies using the different testing method platforms. I'm still arguing but I'm not hopeful. Has anyone else run across this with recent CAP/AABB inspections?
  20. You will be limited by the size of your frozen plasma bag. It takes about 20 minutes to thaw a bag with 200 ml in it. If your bag is larger, it will take longer. If you are going to compare thaw times with a waterbath, the Sahara will lose. We have both a Helmer and Sahara. The Sahara is used to thaw for stock plasma (we keep 6 thawed A,B, and O) - for patients, the waterbath is quicker. Cleaning the Sahara is much easier than a waterbath and that was the big selling feature.
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