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April 2024 Challenge

applejw

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Everything posted by applejw

  1. applejw
    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. applejw
    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. applejw
    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. applejw
    Both can be performed on the Vision Swift.
  5. applejw
    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. applejw
    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. applejw
    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. applejw
    WE would test a segment of the tubing containing the last wash and send it to Chemistry for a Total Protein.
  9. applejw
    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. applejw
    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. applejw
    I just answered this question. My Score PASS  
  12. applejw
    I just answered this question. My Score PASS  
  13. applejw
    I just answered this question. My Score PASS  
  14. applejw
    I just answered this question. My Score PASS  
  15. applejw
    I just answered this question. My Score FAIL  
  16. applejw
    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!
  17. applejw
    Is your patient either taking Darzalex or Sarclisa or has taken it within the last 12 months?
  18. applejw
    Level 1 Trauma Stock ED refrigerator with 4 units Low Titer O POS WB
  19. applejw
    I just answered this question. My Score PASS  
  20. applejw
    I just answered this question. My Score PASS  
  21. applejw
    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
  22. applejw
    AABB standard allows for no agitation for up to 30 hours
  23. applejw
    We use both the CAP DAT and API Automated DAT surveys to cover automated, manual gel and tube testing. The API surveys are graded.
  24. applejw
    We use Softbank and print a bag label with patient/donor/product information that adheres directly to the bag.
  25. applejw
    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.
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