Jump to content
April 2024 Challenge

goodchild

Members - Bounced Email
 View Profile  See their activity

  • Posts

    895

  • Joined

  • Last visited

  • Days Won

    45

  • Country

    United States

 Content Type 

Everything posted by goodchild

  1. goodchild
    Good point @bxcall1 We'll also match transfusion recommendations from the university hospitals who have the resources to simply genotype all of their problem patients.
  2. goodchild
    Yeah, we specify it has to be from a unique specimen collection and it's a code of conduct violation if we find someone trying to cheat the system.
  3. goodchild
    We include a field under the Type and Screen result entry field for Previous History Check: Previous History/No Previous History. This field is responded to immediately upon receipt for patient's with no history. On a No Previous History result, a chargeless Retype test is reflex-ordered under a new requisition for the patient and loads on the phlebotomy team's draw list (or depending on the patient's location we'll notify the patient's nurse for collection). We don't reflex Retypes on anything but Type and Screens. We will perform and result a second front type on all blood types that are performed when a Retype isn't completed, one that stays on the same requisition, as a quality check/confirmation (e.g. cord bloods, ED vaginal bleed Rh type checks, patient's who depart ED without Retype collection, etc.)
  4. goodchild
    It stands to reason that if your medical director determined that this would be the route to go and it became your standard protocol for antibody identification testing that you would charge for it.
  5. goodchild
    We have an interpretation of "anti-Bg"
  6. goodchild
    American Academy of Pediatrics: "Management of Hyperbilirubinemia in the Newborn Infant 35 or More Weeks of Gestation" http://pediatrics.aappublications.org/content/pediatrics/114/1/297.full.pdf
  7. goodchild
    We provide Rh and K antigen matched, Hgb S-neg RBCs for every sickle cell patient. We also conduct a quick history sweep with area hospitals/reference labs, covering at least as far back as the last encounter we had with the patient, or as far back as reasonable/possible for new patients. We're lucky that we have access to our state's health information exchange, so we can log onto a website and see every hospital/ref lab encounter since 2012 and readily determine who to call.
  8. goodchild
    Thank you for this question. We're going to QC the potentiators every other day without requiring day of use QC. Rewriting our reagent QC plan now. Curious what others do.
  9. goodchild
    Considering that in the grand scheme of things, blood inventory management is a community responsibility, using group O blood for this patient would be seen by the vast majority of blood bankers as harmful/wasteful.
  10. goodchild
    I have to believe that this is an elaborate trolling event.
  11. goodchild
    I can tell you that we never allow one individual to pick up products for more than one patient at a time. In my understanding, that's a blood bank procedure/process/policy and would fall under the discretion of your medical director (and you as blood bank supervisor).
  12. goodchild
    I have to admit I'm confused Ronald. Why the focus on anti-A1? With the O or B blood that you suggest, would you also be prophylactically matching Rh, Kell, Duffy, Kidd, and MNS blood group system antigens?
  13. goodchild
    Just out of curiosity, are you implying that at your previous establishment K+k- panel cells were required for rule out?
  14. goodchild
    It seems like we're always an outlier. We look for two negative K+k+ panel cells.
  15. goodchild
    Interesting, thank you for sharing.
  16. goodchild
    We're going to trial some of their reagents, a manual workstation, and a card reader in the near-ish future. I saw a demo of the Erytra and was very impressed, until I looked at some of the images the Erytra took of the gel card reactions and interpreted as negative - a few of them looked like what the ProVue would call ? or 1+ but were still being interpreted as negative. When I asked the technologist, I didn't get a very satisfying response. Has anyone else had a chance to see an Erytra in action yet and seen this?
  17. goodchild
    @JustaKIDD They do have an IS-equivalent via neutral cards. It would probably only make sense to run IS XMs on the Erytra if you were going to wrap it into a profile test with the IAT-XM.
  18. goodchild
    That's a very perceptive question from a student!
  19. goodchild
    I recall a lot of discussion on these boards about the relevance and history of the 4 hour timeframe.
  20. goodchild
    That's definitely how that line could be interpreted. The other two lines could be argued to point to a four hour timeframe from start.
  21. goodchild
    Make sure you read the entire package insert. Ours states that the specimen should be from a known Rh-negative mother, collected as soon as possible after the first hour post-delivery of all products of conception, and the baby is Rh-positive.
  22. goodchild
    Circular of information states verbatim under the "Instructions for Use" section: "Transfusion should be started before component expiration and completed within 4 hours." Later, under red blood cell administration, it states: "It is undesirable for components that contain red cells to remain at room temperature longer than 4 hours. If the anticipated infusion rate must be so slow that the entire unit cannot be infused within 4 hours, it is appropriate to order smaller aliquots for transfusion." We go with 4 hours from start time.
  23. goodchild
    Same minus the printing. Everything is backed up automatically.
  24. goodchild
    How is it tabulated to the patient's account? e.g. does the supervisor review all antibody workups and enter charge codes?
  25. goodchild
    Anyone else? Is anyone out there using CPT 86885?
×
×
  • Create New...

Important Information

We have placed cookies on your device to help make this website better. You can adjust your cookie settings, otherwise we'll assume you're okay to continue.