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April 2024 Challenge

Gkloc

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Everything posted by Gkloc

  1. Gkloc
    Here we have a list of requirements that the tranfusionist completes by checking off that they performed the task. This is on the transfusion tag that is attached to the unit. 2 of the items are Verify Interpretation of Crossmatch Tests if Performed and Verify Special Transfusion Requirements. Inspectors have been ok with these.
  2. Gkloc
    There is no hard rule that Blood Bank has to be in a separate room. The whole lab here is in the same room, including the Blood Bank.
  3. Gkloc
    I did forget to mention that I did do this prior to performing the eluate and testing against the Father's RBC's. I was able to find 8 low frequency antigens (Dia was included) but they all came out to be negative. Unfortunately that was all the low frequency antigens I could find on the panels that we have available here.
  4. Gkloc
    Update - We got a specimen from the father and ran an eluate from the Cord Blood with the fathers cells. The results of this were negative. We also found out that the mother gave birth in 2019 and the Cord Blood Workup for this infant was also O Rh Positive with a positive DAT.
  5. Gkloc
    We had a mother who had a C - Section yesterday and a Cord Blood Workup was performed on it. The Mom is Type O Rh Positive (negative antibody screen) and the newborn typed as O Rh Positive as well but had a positive DAT. We are unsure as why this occurred. The testing was repeated on a heel stick and the same results were achieved. Any help anyone could give as why this could happen would be greatly appreciated. Thanks
  6. Gkloc
    Here the Medical Director or designee is the one responsible for contacting the patient's physician. If the patient's physician refuses to contact the patient, our Medical Director or designee will end up having to do it.
  7. Gkloc
    Here our phlebotomists perform the Therapeutic Phlebotomist. They are trained in performing it prior to them being allowed to perform the procedure. They also perform it in an area where a nurse is available in case anything happens they can come in an assist the patient.
  8. Gkloc
    We keep 1 irradiated O Neg on hand for infant transfusions. We get a new one once a week. We also don't transfuse a lot of infants but we do have a NICU here and we will get an infant every couple of months that requires a couple transfusions.
  9. Gkloc
    I would familiarize yourself with whatever regulations your lab is accredited with (AABB, CAP, TJC). That helps get you an understanding of what needs to be done and why.
  10. Gkloc
    The OR staff collect the specimens.
  11. Gkloc
    The Cerus Intercept system for pathogen reduction does this.
  12. Gkloc
    Yes you are correct, if you use pathogen reduction you would no longer need to irradiate platelets.
  13. Gkloc
    I found the FDA Guidance for this which I have attached. There are a couple of ways that the FDA is saying will meet this Guidance. So if you don't keep platelets on hand you may not need to do anything if your supplier does the initial bacteria testing, but if you receive a platelet on day 4 or 5 of life you would have to check with your supplier to see if they would be performing that secondary bacteria testing on the platelets for those short date units. Bacterial_Risk_Control_Strategies_for_Blood_Collection_Establishments_and_Transfusion_Services_to_Enhance_the_Safety_and_Availability_of_Platelets_for_Transfusion_Dr.pdf
  14. Gkloc
    Yes there is a Guidance from the FDA regarding bacteria testing of platelets that has been a Guidance for awhile. One of the methods to be compliant in this is to use pathogen reduced platelets, or perform bacteria testing on platelets on day 4 and 5 prior to issue. I was told that the FDA is being told that they need to finalize this Guidance this year around October, I believe.
  15. Gkloc
    We use the STAT Spin Express 4 here which allows us to centrifuge our specimens for 3 minutes.
  16. Gkloc
    I installed the new software update for the Vision and it crashed the analyzers database. I was told this was a rare occurrence but I haven't tried to perform the update again. I have not seen any problems with mold growth in the diluent on the analyzer. We change ours every 24 hours.
  17. Gkloc
    It's not a regulation yet. It is just a recommendation right now. The key word though is yet.
  18. Gkloc
    We send out our pregnant patients for D molecular testing if they have a specimen sent out to a reference lab that ID's them as Rh Negative and then when they come here for their RhIG injection we test them as Rh Positive in Gel. So far everyone of them we have sent has come back as not being candidates for RhIG.
  19. Gkloc
    If you are using the ALBAQ controls we use sample 4 and spin it down and remove the supernatant (or most of it) and add 4 or 5 drops of anti-D to it then re-centrifuge. This will give you a positive result for controls. I am currently in the process of validating the Vision and performing correlations, but this is what we use for QC on the ProVue.
  20. Gkloc
    Genesis BPS also make a couple of different tube sealers. I currently have a benchtop and a portable model
  21. Gkloc
    Does anyone who attended this webinar remember the name of it? I would like to check this out and I am hoping that it is/will be posted on the ARC Success site. Thanks
  22. Gkloc
    I agree with Teristella, and thankfully I have no stories like this to share. Here is an AABB standard that you can use: 4.3 Incoming Receipt, Inspection, and Testing Incoming blood, blood components, tissue, derivatives, and critical materials shall be received, inspected and tested, as necessary, before acceptance or use.
  23. Gkloc

    SBB

    Gkloc replied to AmitaP's topic in Transfusion Services

    If you visit the ASCP website it let's you know what the requirements are for taking the SBB without going through an SBB school. The last time I checked on it you only needed 5 years of Blood Bank experience, but it could have changed.
  24. Gkloc
    We are not looking into this because I believe in order to extend the shelf life of platelets to 7 days you have to be a registered/licensed facility with the FDA. We transfer our short date platelets to our Trauma hospital who has a better chance of being able to use them before they expire.
  25. Gkloc
    The lot to lot testing is in the All Common CAP checklist. I do not believe that it is part of the AABB standards.
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