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Rita

Members - Bounced Email
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Everything posted by Rita

  1. Our computer system is set up so that when a 5 pk of pooled cryo is transfused, it is broken out into charges for 5 individual cryo units.
  2. I was wondering if anyone is currently using 7 day platelets or are considering using them. What issues have you encountered? Are there ISBT product codes for 7 day platlets?
  3. Would anyone be able to share their procedure for the treatment of red cells with DTT? We are looking into whether or not we should add this procedure to our Transfusion Service, and I'm just wondering how involved it is. Thanks!
  4. Thank you everyone - I really appreciate your input!
  5. We have always washed our cord blood specimens six times prior to testing. I believe it is to prevent contaimination with Wharton's jelly, etc. I can't really find any references about this practice, so am curious - do other people out there wash cord blood specimens prior to testing?
  6. We usually manually interpret the card, but if the result looks questionable then we will perform tube testing.
  7. We use C3 coated cells with our Anti-C3b- C3d reagent by tube method.
  8. Thank you all, for your responses!
  9. Our Transfusion Service currently dispenses RHIG to all patients. We are working on a process where the RHIG will now be dispensed from the pharmacy. We are trying to come with a method to let the pharmacy know when a patient needs RHIG (i.e. Rh neg mom who delivered Rh pos baby, Rh neg pt who recevied Rh pos platelet product, RH neg pt in ER who is miscarrying) so that they can follow thru to make sure they receive the appropriate order and the patient actually receives the product. Currently our BB computer system is not interfaced with any other system, so we can't use that to send test results out. I was thinking of coming up with some type of form we could fax to the pharmacy with the needed info, but was wondering if anyone out there has a better/different method. Ideally it would be a method we could track to show it was done. Any suggestions?
  10. You should be able to get the User Guide for that version from Mediware. Maybe that would help?
  11. Our current MTP is to give 3 units RBCs and 3 units FFP in each batch, with an apheresis platelet unit given with every other batch. (1:1:1). Cryo is given upon request.
  12. We also will only do the ABO/Rh is only plasma is requested
  13. Yes, that is very helpful to know. Thanks so much!
  14. Yes, I am looking at using the specific antigen typing cards. But was having a hard time trying to figure out how to make a 4% suspension of the reagent cells in the diluent without ruining the entire bottle of cells.
  15. I have a question for any of you who may be using Ortho MTS gel cards for Rh antigen typing (C, c, E, e). I understand that you need to make a 4% dilution of your patient or donor cells that you are testing in the Diluent 2 Plus. Do you also need to dilute reagent red cells that you are running as your postive and negative controls in Diluent 2 Plus, or can you use them straight from the bottle (since they are already at the right dilution)? Thanks for any help you can give me!
  16. Hello. I was wondering if any of you address bones/tissues in your consent for blood products or your refusal of blood products? Or maybe in the surgical procedure consent? We have had incidents recently where patients have signed our Refusal of Transfusion form which states they do not wish to receive any blood products, but once they are in the OR they have agreed to receive tissue products. How are you addressing bones/tissues? Thanks for any help you can give me!
  17. We are looking for a laboratory that we can send our monthly cryoprecipitate QC samples to for testing for fibrinogen and Factor VIII. Would anyone be willing to share where they are having their testing performed? Thanks so much.
  18. Iwas wondering if anyone had any recommendations for a cold waterbath to be used to thaw FFP when making cryoprecipitate. Thanks for any responses!
  19. I think I was invited to join when the site first came up.
  20. If we have two types in the patient's file that agree with each other, we do not require another type in order to give FFP or platelets. Otherwise, we will do a type.
  21. We also have seen many more passive Anti-D probably due to Rhogam since we started using the MTS gel system. Does anyone out there, when they know a woman has recently received Rhogam (within the last few months), use a method for the antibody screen (like LISS) that is less likely to detect the Anti-D due to Rhogam? instead of their routine testing method (like MTS gel)? I'm very curious to know. Thank you.
  22. We also routinely do a clerical check, a comparison of pre and post plasma for hemolysis and icterus, a post DAT and ABO/Rh. We do additional testing if any of these are positive, or if it is classified as a severe reaction.
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