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lalamb

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lalamb last won the day on May 18

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About lalamb

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  • Birthday 01/01/1960

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    California
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    CLS

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  1. This is from our policy. We currently don't do "c" so we've noted "not applicable":
  2. We require another sample of a different collection event, prior to transfusion. Believe this is in the new AABB standards. The computer automatically orders a no charge forward and reverse retype, if the pt has "No Hx". We actually found a mislabeled BB specimen, once. Discovered when tech did the rpt on a diff sample and got a diff aborh.....
  3. 2.2.1 Pathogen Reduced Platelets and Cold Storage Platelets are not to be accepted and must be returned to the supplier. Why do you not accept Pathogen reduced plts? We are switching over to Psoralen treated plts, but have never transfused plt to any baby.
  4. Related question: How long do u keep the anagrams of deceased persons?
  5. our clinics that have the Abbott ID Now use a splash guard, just like main lab. Our main lab cepheid and Biofire are set up under the hood. Our serology strep kit is still done on the bench.
  6. We require a banded sample and an aborh for yellow products. The typenex band works w/nursing bb trxn software, Bridge. We use Cerner.
  7. On our "UA w/culture if" orders, we reflex to culture if: Dip is Esterase +, and/or Nitrate+ Slide is >5 wbc and/or >1+ bacteria If specimen is a cath specimen, any bacteria will trigger a culture.
  8. Encounter or every 3 days. This is also so a valid BB band will work with nursing transfusion software.
  9. ED nursing staff draws rainbows labs on all patients, so once labs are drawn a bb spec is included. Most of the docs are good about lab notification and samples, being a priority. They know we only have so much blood in stock. If we' get a call asking for a 2nd pair of o negs ( 3rd and 4th unit), before hanging up the phone we remind them we need a sample. Sometimes we don't get one as some pt's are shipped out quick.
  10. Thanks. Well, the latest from our microbiology department is a book referencing Ames media as a transport media. So, still looking for a reference source that sites Saline ( even though it's been used for ages and I'm sure is fine )
  11. Hi all - How do you prepare your wet mount specimens? Have seen adding 1-2 drops saline to the swab (ancient policies and the Dr's UpToDate ref source)- reason being you don't want to dilute the sample? and 0.5 -1 ml of saline ( other hosp's in our organization) - reason being you don't want the cotton tip to dry out. I also think that if you add more liquid, you get more uniform distribution of your sample. Have asked our micro dept, but have heard nothing yet.
  12. We used to have Mysis/Sunquest...Cerner is SOOOO much better. Our build was a disaster. We hade a good BB'er on the project but as it went live on all hosp sites, continual amendments were made. Here's a few suggestions....if you haven't covered them already Under ABORh typing: the "HX" drop down box. It means if there is a hx for the patient... not if a hx check was done. Name the choices "Hx yes" and "Hx no". Make the choice "Hx no" reflex to an ABORh recheck orderable.If an ABORh is ordered, the result will show up in the patients demographics box on the top. If an ABO and a separate
  13. We are writing a new cryo SOP ....our facility hasn't stock it in the past. thought I had it nice and simple, included the "Suggested Adult Flow Rates" from AABB,then a question popped up... Dr wanted to know how to calculate how many units to give? Pt in question is vWD, (unsure if they'r Type 1,2 or 3), slow abd bleeding We rec pooled units from our supplier ( 1 pooled unit = 5 single untis) The tech did a good job of researching it but the math looks cumbersume, and there are multiple formula. What do others do....if anything? Our local university said: give 2 pooled units for an
  14. Our ER routinely draws a rainbow whenever they start an IV. They are dropped off at the lab and spun. Vast majority of those get orders. We periodically call ER with "where's my orders?" if the tubes sit w/no orders appearing. During AM draws, phlebs will draw an extra grn if only a CBC is ordered, and visa versa. Has saved the pt a stick on more than 1 occasion. Doc's can order a Band 'n Hold. Same principle as others...no charges are dropped, we spin it, report it as "Received", and write the name on the board as a quickie reference. Get them mostly from OB and ER. We did a $$$ survey
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