Posts posted by 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.
-
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.
-
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.
-
-
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.
-
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)
-
-
-
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.
-
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.
- donellda and John C. Staley
-
2
-
-
-
-
-
-
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!
-
-
-
-
-
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
- Yanxia and John C. Staley
-
2
-
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
-
We use both the CAP DAT and API Automated DAT surveys to cover automated, manual gel and tube testing. The API surveys are graded.
-
We use Softbank and print a bag label with patient/donor/product information that adheres directly to the bag.
Transfuse ABO incompatible RBCs in emergencies?
in Transfusion Services
I have experienced ABO mismatch accidents three times in my career. Twice the recipients were Group O with reduced isoagglutinin titers and received between 2 and 4 units of Group A RBC. The other was a middle aged male that was A Pos receiving 8 units of Group B RBC during heart surgery. The Group O patients experienced an immune boost of their anti-A titer and quickly removed the incompatible RBC from circulation. The A patient who received 8 units of Group B RBC developed DIC intraoperatively but survived.
I have also experienced a situation where the Group O inventory was reduced to less than 5 units during a liver transplant and major trauma. It seemed that every patient that needed a transfusion was Group O that day and we ended up harvesting blood from the liver donor and processing it to transfuse to the liver recipient to save the remaining units for other patients. Fortunately, we restored the Group O inventory quickly. It did not happen in the face of mass casualties or the level of shortages seen during the COVID shutdown.