DOGLOVER

Hi, I haven't been on this forum since I retired about 10 years ago.My 40+ years took me from bench tech in hematology and Blood Bank to supervisory positions in both to just Blood Bank. The last13 years were in Florida, retired and came back up north to Maine. Got my EMR license and work with our small volunteer fire dept. The lab background was extremely helpful in the EMR classes. Also helpful because I know how to write policies and QA isn't a foreign language to me.

Hi, I haven't been on this forum since I retired about 10 years ago.My 40+ years took me from bench tech in hematology and Blood Bank to supervisory positions in both to just Blood Bank. The last13 years were in Florida, retired and came back up north to Maine. Got my EMR license and work with our small volunteer fire dept. The lab background was extremely helpful in the EMR classes. Also helpful because I know how to write policies and QA isn't a foreign language to me.

Hi, I haven't been on this forum since I retired about 10 years ago.My 40+ years took me from bench tech in hematology and Blood Bank to supervisory positions in both to just Blood Bank. The last13 years were in Florida, retired and came back up north to Maine. Got my EMR license and work with our small volunteer fire dept. The lab background was extremely helpful in the EMR classes. Also helpful because I know how to write policies and QA isn't a foreign language to me.

I think I will get away from the venting,(although venting can be very important to ones sanity at times) because although we have a few issues (generally minor, like not checking pending logs when they are supposed to and acting on them) for the most part my techs are very responsible and really take their jobs to heart. They all really care and I am so thankful to have worked with this group for the last 12+ years. I will be retiring Jan 3 and its been a great group to work with. I will still PRN a few shifts here and there but not as manager. I will still check in on BB Talk. Will have time to visit and spoil my little grandbaby. Hopefully get to move back to New England (New Hampshire or Maine), depends on the housing market. Anyway, Merry Christmas and Happy New Year to all of you. Thanks so much for this website, it is a great thing.

After I brought up the idea of hyperhemolysis, our medical director got with the hem-onc doc and they decidedd that is what it has to be. He is being treated with plasma exchange and I don't know what else. I hope he doesn't have another sickle crisis anytime soon. Thanks for all your input. Merry Christmas everyone.

I think I will get away from the venting,(although venting can be very important to ones sanity at times) because although we have a few issues (generally minor, like not checking pending logs when they are supposed to and acting on them) for the most part my techs are very responsible and really take their jobs to heart. They all really care and I am so thankful to have worked with this group for the last 12+ years. I will be retiring Jan 3 and its been a great group to work with. I will still PRN a few shifts here and there but not as manager. I will still check in on BB Talk. Will have time to visit and spoil my little grandbaby. Hopefully get to move back to New England (New Hampshire or Maine), depends on the housing market. Anyway, Merry Christmas and Happy New Year to all of you. Thanks so much for this website, it is a great thing.

I think I will get away from the venting,(although venting can be very important to ones sanity at times) because although we have a few issues (generally minor, like not checking pending logs when they are supposed to and acting on them) for the most part my techs are very responsible and really take their jobs to heart. They all really care and I am so thankful to have worked with this group for the last 12+ years. I will be retiring Jan 3 and its been a great group to work with. I will still PRN a few shifts here and there but not as manager. I will still check in on BB Talk. Will have time to visit and spoil my little grandbaby. Hopefully get to move back to New England (New Hampshire or Maine), depends on the housing market. Anyway, Merry Christmas and Happy New Year to all of you. Thanks so much for this website, it is a great thing.

I think I will get away from the venting,(although venting can be very important to ones sanity at times) because although we have a few issues (generally minor, like not checking pending logs when they are supposed to and acting on them) for the most part my techs are very responsible and really take their jobs to heart. They all really care and I am so thankful to have worked with this group for the last 12+ years. I will be retiring Jan 3 and its been a great group to work with. I will still PRN a few shifts here and there but not as manager. I will still check in on BB Talk. Will have time to visit and spoil my little grandbaby. Hopefully get to move back to New England (New Hampshire or Maine), depends on the housing market. Anyway, Merry Christmas and Happy New Year to all of you. Thanks so much for this website, it is a great thing.

I think I will get away from the venting,(although venting can be very important to ones sanity at times) because although we have a few issues (generally minor, like not checking pending logs when they are supposed to and acting on them) for the most part my techs are very responsible and really take their jobs to heart. They all really care and I am so thankful to have worked with this group for the last 12+ years. I will be retiring Jan 3 and its been a great group to work with. I will still PRN a few shifts here and there but not as manager. I will still check in on BB Talk. Will have time to visit and spoil my little grandbaby. Hopefully get to move back to New England (New Hampshire or Maine), depends on the housing market. Anyway, Merry Christmas and Happy New Year to all of you. Thanks so much for this website, it is a great thing.

I think I will get away from the venting,(although venting can be very important to ones sanity at times) because although we have a few issues (generally minor, like not checking pending logs when they are supposed to and acting on them) for the most part my techs are very responsible and really take their jobs to heart. They all really care and I am so thankful to have worked with this group for the last 12+ years. I will be retiring Jan 3 and its been a great group to work with. I will still PRN a few shifts here and there but not as manager. I will still check in on BB Talk. Will have time to visit and spoil my little grandbaby. Hopefully get to move back to New England (New Hampshire or Maine), depends on the housing market. Anyway, Merry Christmas and Happy New Year to all of you. Thanks so much for this website, it is a great thing.

I think I will get away from the venting,(although venting can be very important to ones sanity at times) because although we have a few issues (generally minor, like not checking pending logs when they are supposed to and acting on them) for the most part my techs are very responsible and really take their jobs to heart. They all really care and I am so thankful to have worked with this group for the last 12+ years. I will be retiring Jan 3 and its been a great group to work with. I will still PRN a few shifts here and there but not as manager. I will still check in on BB Talk. Will have time to visit and spoil my little grandbaby. Hopefully get to move back to New England (New Hampshire or Maine), depends on the housing market. Anyway, Merry Christmas and Happy New Year to all of you. Thanks so much for this website, it is a great thing.

I think I will get away from the venting,(although venting can be very important to ones sanity at times) because although we have a few issues (generally minor, like not checking pending logs when they are supposed to and acting on them) for the most part my techs are very responsible and really take their jobs to heart. They all really care and I am so thankful to have worked with this group for the last 12+ years. I will be retiring Jan 3 and its been a great group to work with. I will still PRN a few shifts here and there but not as manager. I will still check in on BB Talk. Will have time to visit and spoil my little grandbaby. Hopefully get to move back to New England (New Hampshire or Maine), depends on the housing market. Anyway, Merry Christmas and Happy New Year to all of you. Thanks so much for this website, it is a great thing.

I know a pathologist who got her own blood back post-op because "it was her own" and she was a "little low". She said she was never so sick in her life. Nasty febrile reaction to the cytokines from non-leukoreduced blood, even though it was her own. Needless to say, she is not a proponent of autologous blood being given back when not really needed, or could have been prevented.

I know a pathologist who got her own blood back post-op because "it was her own" and she was a "little low". She said she was never so sick in her life. Nasty febrile reaction to the cytokines from non-leukoreduced blood, even though it was her own. Needless to say, she is not a proponent of autologous blood being given back when not really needed, or could have been prevented.

I know a pathologist who got her own blood back post-op because "it was her own" and she was a "little low". She said she was never so sick in her life. Nasty febrile reaction to the cytokines from non-leukoreduced blood, even though it was her own. Needless to say, she is not a proponent of autologous blood being given back when not really needed, or could have been prevented.

I know a pathologist who got her own blood back post-op because "it was her own" and she was a "little low". She said she was never so sick in her life. Nasty febrile reaction to the cytokines from non-leukoreduced blood, even though it was her own. Needless to say, she is not a proponent of autologous blood being given back when not really needed, or could have been prevented.

i agree, the PA's behavior needs to be reported. Years ago, I knew a surgeon like that, it was amazing the change in behavior once the chief of surgery had a little talk with him about his behavior. You will be protecting some new technologist from this woman in the future if she is stopped now.

We are just starting the process of upgrading Cerner Classic to Milennium. Seeing as Classic will sinset in 2015 your facility will have to do something soon. The upgrade willl improve the blood administration part immensely. Nurses currently have to type in the whole ISBT number. Not good. Our facility has hired a Blood Bank consultant (not Cerner) to work with us and Cerner to make sure we get what the BB needs in this project; barcode scanning of specimens, products,and anything else. I think this will really help us, otherwise we tend to be ignored.

We call the pre-op area and make collect the sample, not the actual surgical team unless it is an emergency situation. They have learned we mean what we say and they do it.  Most of the time when the patient comes in for pre-op testing, if it too far ahead of time for the type and cross to be drawn the nurses order and draw an ABORH confirmation. If we don't need it (history already on file) we can cancel it. Then the TXG will be drawn in the pre-op area. If the sample was drawn ahead of time for the TXG the pre-op area will draw the confirmation. In the Children's Hospital the 2nd sample, whether confirmation or TXG, will actually be drawn in the OR because  they want to wait until the child is asleep before sticking them again if it is a young kid. It take education, education and more education and a willingness to get yelled at for a while. You absolutely must your Medical Director on board and willing to back you up.
You know of course, that every time you request a sample it is going to be a difficult patient  from whom they can't possibly obtain another sample.

All our cord blood orders have an order for a DAT with them, so it is just as easy to wash tubes for the ABORH at the same time. Works well and prevents problems even though it probably isn't reeally necessary.  

All of our neonates receive group O irradiated, leuko-reduced red cells. They receive AB platelets and plasma. Have never had a problem.  Also many times sickle cell patients get group O, if necessary to match their phenotype (if they have an antibody). Also if there are short dated O's on the shelf anyone can get them.. I think your medical director needs to have a discussion with the physician who refuses to take what the Blood Bank gives and explain that the Blood Bank makes decisions based on availability and inventory control.  What would this doc do in an emergent situation where you are issuing uncrossmatched O units?

All of our neonates receive group O irradiated, leuko-reduced red cells. They receive AB platelets and plasma. Have never had a problem.  Also many times sickle cell patients get group O, if necessary to match their phenotype (if they have an antibody). Also if there are short dated O's on the shelf anyone can get them.. I think your medical director needs to have a discussion with the physician who refuses to take what the Blood Bank gives and explain that the Blood Bank makes decisions based on availability and inventory control.  What would this doc do in an emergent situation where you are issuing uncrossmatched O units?

Thats basically what I would have done. Do you only have one panel? Do you save outdatedd panels for selected cells, so that you could find more than one "rule-out" cell. That is a great help, as long as you run appropriate QC.

Having worked in Boston , I had no doubts but that the hospitals would be able to rise to this sad occassion. My daughter is a physician at MIT. She was actually in NY at the airport when the bombings happened. When the shootout happened she said it was unreal, continuous sirens and helicopters overhead. She got a text from MIT that night,saying don't come to work. Pretty scary. Hope and pray that this is truly over. Also pray for the folks in West Texas.