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goodchild

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Everything posted by goodchild

  1. goodchild
    We're referring to the second serological type (or possibly the third, since my understanding is many blood suppliers do double checks already) but yes.
  2. goodchild
    The AABB standards specifically address this under 5.12 "Confirmatory testing for weak D is not required."
  3. goodchild

    SBB

    goodchild replied to tbostock's topic in Introductions

    Definitely agree with Terri. You also learn a whole lot and become a much better blood banker for it during the course of your studies, I have to imagine. I'd love to go for it when my kids are older.
  4. goodchild
    I have to disagree David. The CAP standard specifically says (paraphrased, but the actual verbiage is higher up in this thread): if the laboratory performing the testing is not able to verify the result based on previous results (and if you had no previous history, you wouldn't be able to verify them with previous history), then the report shall be reported with a disclaimer. While the use of 'shall' is intended to denote a mandatory requirement it use is under scrutiny. Refer to this post from the American Society for Quality: http://asq.org/standards-shall-should
  5. goodchild
    I love it, ahahahahaha.
  6. goodchild
    I also use Microsoft Visio. Frenchie I'll get back to you during the work week.
  7. goodchild
    We've seen a recent trend with immune anti-Ds as well. I blame the anti-vaccine trend and the distrust in medical professionals.
  8. goodchild
    We have it configured where they order a Type and if the Rh is negative it reflexes into a Type and Screen. We also do the testing every time - not relying on history.
  9. goodchild
    Right there with you. No specimens or blood requests on the horizon. Brewing some coffee now and I'll hopefully be able to work on some of the items from my 'to do' list.
  10. goodchild
    Maybe in the UK. I was actually polling other regional hospitals last week and after speaking with the blood bank supervisor/lab admin director for 31 institutions, 20 of them perform manual tube blood types. Three were still doing tube antibody screens.
  11. goodchild
    What about the recent transfusion?
  12. goodchild
    Do other labs really do this? I've never heard of it and my initial reaction is one of confusion and opposition. Is this more common in UK/Europe and the US is behind the times?
  13. goodchild
    We specifically want ours scanned to the patient's medical record.
  14. goodchild
    We also worry about signatures when things have calmed down.
  15. goodchild
    We do the same thing. Type from a second specimen from a unique specimen collection before releasing type-specific plasma.
  16. goodchild
    Tissue bank oversight is the hardest and least fulfilling part of blood banking.
  17. goodchild
    In what world do surgeons/anesthesia review charts prior to the surgery?
  18. goodchild
    My curiosity demands that I ask: did the letter ended up being VERY important for blood bank purposes?
  19. goodchild
    We wouldn't change the original results. We have a whole algorithm for blood type changes and they can only be completed in the LIS by a select few individuals. Depending on how obvious of a change it was (e.g. past history of Rh pos due to weak D that we currently interpret as Rh Neg), I would probably carefully review the medical record to see if it was an overlay. Perhaps the encounter that originated the B POS blood type was actually a different patient registered to the wrong medical record number, or perhaps this current O POS patient was registered with the wrong medical record number. This sort of thing can be a bit confusing and may need consultation with medical records department. We confirm with two samples. Usually two techs and/or methods. Then document the details with a hospital incident report.
  20. goodchild
    http://www.pathlabtalk.com/forum/index.php?/topic/8062-final-labeling-segment-testing/#entry62472 Check last post from SMW. Is there a transcript of this available? It would be amazing if we didn't have to do unit confirmations. That would be such a favorable logistical improvement. No longer need isolated refrigerator space for unconfirmed units, ABO/Rh of Neg confirmed stickers, thousands of tests/year, principal use of anti-a,b, processing lag, etc.
  21. goodchild
    We had a presentation from a Jehovah's Witness hospital liaison who also indicated that Cryo is 'acceptable.' Recognizing that refusal of blood products is a unique/personal choice for each individual and not a blanket for all Jehovah's Witnesses.
  22. goodchild
    Thanks for the heads up Mabel.
  23. goodchild
    Interesting.
  24. goodchild
    Seems like we rarely have a debate like this on these forums, nice to see some back and forth for once. I hope txlabguy82 doesn't take this as being personally critical, but some of these explanations call forth Occam's razor - some sort of sample/reagent error that wasn't recognized at the time/misremembered.
  25. goodchild
    I love it when all of the leg work is done for me in a process improvement project ! I have a few questions: How do you track the issuance of the cards/letters? e.g. comment in history. Do you send out updated cards for patients with previous history and new antibodies are identified? Do you send them out for clinically significant antibodies only or would you also send them out for something like anti-Lua or an antibody of undetermined specificity?
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