[MaxQ/Max+ cooler users...]

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.

[California - IS XM necessary when LIS can detect ABO incompatability?]

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.

[Digitizing Antibody Workup Files]

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.

[Crossmatching using automation]

Both can be performed on the Vision Swift.

[Massive Transfusion Recipient]

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.  

[Verbal Request for Emerg Blood]

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)

[CAP ALL COMMON CHECKLIST COM.04250]

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.

[TRM43850 washed RBC's ensure removal of plasma]

WE would test a segment of the tubing containing the last wash and send it to Chemistry for a Total Protein.

[Autoverification]

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.

[Cell Washer Regular Maintenance/Checks]

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.

[BloodBankTalk: Marrow transplantation safety and efficacy]

I just answered this question.

• My Score
  PASS

 

[BloodBankTalk: Is there compensation for marrow donation?]

I just answered this question.

• My Score
  PASS

 

[BloodBankTalk: Cell expansion in vivo?]

I just answered this question.

• My Score
  PASS

 

[BloodBankTalk: Correct Blood Bank Nomenclature]

I just answered this question.

• My Score
  PASS

 

[BloodBankTalk: Correct Blood Bank Nomenclature]

I just answered this question.

• My Score
  FAIL

 

[REMOTE STORAGE REFRIGERATORS]

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!

[HTLA v. Dara v. PEG reactive Cold v. High Freq]

Is your patient either taking Darzalex or Sarclisa or has taken it within the last 12 months?

[Whole Blood for Traumas or MTP]

Level 1 Trauma

Stock ED refrigerator with 4 units Low Titer O POS WB

[BloodBankTalk: Clinical Aspects of Transfusion Reactions]

I just answered this question.

• My Score
  PASS

 

[BloodBankTalk: Incompatible red cells in HPC products]

I just answered this question.

• My Score
  PASS

 

[Dilute a RBC?]

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

[FDA exceptions to 21CFR640 and receiving products from suppliers]

4 hours ago, Bet'naSBB said:

I agree with the above for red cell products, but personally would be hesitant with platelets.....not so much for the temp, but because they'd have been without agitation for >24 hours......

Just my personal thoughts......

AABB standard allows for no agitation for up to 30 hours

[Rh antigen typing on Vision]

We use both the CAP DAT and API Automated DAT surveys to cover automated, manual gel and tube testing.   The API surveys are graded.

[Blood unit patient label]

We use Softbank and print a bag label with patient/donor/product information that adheres directly to the bag.

[CAP ALL COMMON CHECKLIST COM.04250]

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.